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  1. Thinking fast and slow in medicine. | PSNet

    psnet.ahrq.gov/issue/thinking-fast-and-slow-medicine
    June 21, 2017 - Baylor U Med Center Proceed. 2019;33(1):123-125. doi:10.1080/08998280.2019.1674043. … Baylor U Med Center Proceed . 2019; 33 (1) :123-125 . … Baylor U Med Center Proceed. 2019;33(1):123-125. doi:10.1080/08998280.2019.1674043.

  2. Partnership for Patients (PfP) Hospital Engagement Network (HEN) 2.0 Final Report. | PSNet

    psnet.ahrq.gov/issue/partnership-patients-pfp-hospital-engagement-network-hen-20-final-report
    May 06, 2015 - Reducing the Risks of Wrong-Site Surgery: Safety Practices from The Joint Commission Center … Hand Hygiene Project: Best Practices from Hospitals Participating in the Joint Commission Center … 24, 2008 Preventing Patient Falls: A Systematic Approach From the Joint Commission Center

  3. Patient Safety in Ambulatory Settings: Technical Brief. | PSNet

    psnet.ahrq.gov/issue/patient-safety-ambulatory-settings-technical-brief
    September 29, 2017 - Evidence-based Practice Center. … Twitter Linkedin Copy URL December 7, 2018 Evidence-based Practice Center … Evidence-based Practice Center.

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35186/psn-pdf
    July 13, 2005 - progress to date, with a particular focus on two participating hospitals' (Hackensack University Medical Center … in New Jersey and McLeod Regional Medical Center in South Carolina) experiences in implementing the

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45251/psn-pdf
    August 24, 2016 - Reporting on a series of patient injuries linked to a contracted anesthesiologist at a cataract surgery center … office-based-anesthesia-safety-and-outcomes https://psnet.ahrq.gov/issue/advancing-patient-safety-cataract-surgery-betsy-lehman-center-expert-panel-report

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41577/psn-pdf
    September 27, 2016 - perception of the impact of medication carts on patient safety and ergonomics in a teaching health care center … perception of the impact of medication carts on patient safety and ergonomics in a teaching health care center

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39214/psn-pdf
    January 03, 2017 - Medical trainees' formal and informal incident reporting across a five-hospital academic medical center … Medical trainees' formal and informal incident reporting across a five-hospital academic medical center

  8. Clearing the Error: Using Public Deliberation to Define Patient Roles as Partners in the Diagnostic Process. | PSNet

    psnet.ahrq.gov/issue/clearing-error-using-public-deliberation-define-patient-roles-partners-diagnostic-process
    September 13, 2016 - in Medicine, Maxwell School of Citizenship and Public Affairs at Syracuse University, and Jefferson Center … in Medicine, Maxwell School of Citizenship and Public Affairs at Syracuse University, and Jefferson Center … in Medicine, Maxwell School of Citizenship and Public Affairs at Syracuse University, and Jefferson Center

  9. The Health Literacy of America's Adults: Results from the 2003 National Assessment of Adult Literacy.  | PSNet

    psnet.ahrq.gov/issue/health-literacy-americas-adults-results-2003-national-assessment-adult-literacy
    January 16, 2019 - Washington, DC: National Center for Education Statistics; 2006. … Washington, DC: National Center for Education Statistics; 2006. … Washington, DC: National Center for Education Statistics; 2006.

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39550/psn-pdf
    July 05, 2013 - of team skills and communication, and threat to patient outcome in a high-volume thoracic surgery center … of team skills and communication, and threat to patient outcome in a high-volume thoracic surgery center

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39286/psn-pdf
    February 10, 2010 - team performance in the emergency department: the results of a 2-year analysis in a Level 1 trauma center … team performance in the emergency department: the results of a 2-year analysis in a Level 1 trauma center

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34005/psn-pdf
    August 17, 2017 - Its work has been folded into the Betsy Lehman Center for Patient Safety in the Commonwealth of Massachusetts … ://psnet.ahrq.gov/issue/err-human-need-trauma-support-too https://psnet.ahrq.gov/issue/betsy-lehman-center-patient-safety

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41210/psn-pdf
    January 03, 2017 - impact of implementing smart patient-controlled analgesic pumps at a tertiary care academic medical center … impact of implementing smart patient- controlled analgesic pumps at a tertiary care academic medical center

  14. Out of the Crisis. | PSNet

    psnet.ahrq.gov/issue/out-crisis
    March 06, 2005 - Cambridge, MA: Massachusetts Institute of Technology, Center for Advanced Engineering Study, 1986. … Cambridge, MA: Massachusetts Institute of Technology, Center for Advanced Engineering Study, 1986. … Cambridge, MA: Massachusetts Institute of Technology, Center for Advanced Engineering Study, 1986.

  15. Actions Needed to Help Ensure Appropriate Medication Continuation and Prescribing Practices. | PSNet

    psnet.ahrq.gov/issue/actions-needed-help-ensure-appropriate-medication-continuation-and-prescribing-practices
    September 07, 2016 - Roudebush VA Medical Center in Indianapolis, Indiana. … Inadequate Emergency Department Care and Physician Misconduct at the Washington DC VA Medical Center … August 12, 2020 Critical Deficiencies at the Washington DC VA Medical Center.

  16. Benzocaine sprays marketed under different names, including Hurricaine, Topex, and Cetacaine. | PSNet

    psnet.ahrq.gov/issue/benzocaine-sprays-marketed-under-different-names-including-hurricaine-topex-and-cetacaine
    December 02, 2015 - Food and Drug Administration; FDA; CDER; Center for Drug Evaluation and Research. … Linkedin Copy URL May 4, 2015 Food and Drug Administration; FDA; CDER; Center … Food and Drug Administration; FDA; CDER; Center for Drug Evaluation and Research.

  17. Medmarx Data Report: A Chartbook of Medication-Error Findings from the Perioperative Settings from 1998-2005. | PSNet

    psnet.ahrq.gov/issue/medmarx-data-report-chartbook-medication-error-findings-perioperative-settings-1998-2005
    August 24, 2015 - Rockville, MD: US Pharmacopeia Center for the Advancement of Patient Safety; 2006 Copy Citation … Rockville, MD: US Pharmacopeia Center for the Advancement of Patient Safety; 2006 This report shares … Rockville, MD: US Pharmacopeia Center for the Advancement of Patient Safety; 2006 Copy Citation

  18. MEDMARX Data Report: A Report on the Relationship of Drug Names and Medication Errors in Response to the Institute of Medicine's Call to Action (2003-2006 Findings and Trends 2002-2006). | PSNet

    psnet.ahrq.gov/issue/medmarx-data-report-report-relationship-drug-names-and-medication-errors-response-institute
    March 21, 2007 - Rockville, MD: Center for the Advancement of Patient Safety, US Pharmacopeia; 2008. … Rockville, MD: Center for the Advancement of Patient Safety, US Pharmacopeia; 2008. … Rockville, MD: Center for the Advancement of Patient Safety, US Pharmacopeia; 2008.

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40962/psn-pdf
    December 14, 2011 - Committee on Trauma performance improvement and patient safety program: maximal impact in a mature trauma center … Committee on Trauma Performance Improvement and Patient Safety program: maximal impact in a mature trauma center

  20. Spotlight Case July 2008 (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.224_slideshow.ppt
    October 01, 2010 - his nephrologist sat down next to him and stated that a serious error had occurred at the dialysis center … * * Case: Dangerous Dialysis (2) The dialysis center was actually not sure which dialysis membrane … At this dialysis center, many patients had HIV and hepatitis C, so it was conceivable that this particular … One retrospective study found 1 error or adverse event for every 733 dialysis treatments A typical center … does 500 treatments per week In a national survey of dialysis center staff, 87% acknowledged a mistake
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