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9501. Handoffs | PSNet
      psnet.ahrq.gov/primer/handoffs
      October 18, 2023 - Handoffs Citation Text: Handoffs and Signouts. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download…

9502. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33574/psn-pdf
      March 15, 2025 - Ambulatory Care Safety March 15, 2025 Ambulatory Care Safety. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/ambulatory-care-safety PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current research and practice in the patient safety field. Las…

9503. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33830/psn-pdf
      March 22, 2016 - Measuring and Responding to Deaths From Medical Errors March 22, 2016 Ranji SR. Measuring and Responding to Deaths From Medical Errors. PSNet [internet]. 2016. https://psnet.ahrq.gov/perspective/measuring-and-responding-deaths-medical-errors Annual Perspective 2016 The Prevalence of Deaths Due to Preventable Adve…

9504. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34582/psn-pdf
      November 15, 2011 - Improving Health Care. November 15, 2011 Schiff G https://psnet.ahrq.gov/issue/improving-health-care Quality and honesty play an influential role in the safety and cost of medical care. Gordon Schiff, the director of clinical and quality research (Department of Medicine at Stoger Hospital, Chicago, Illinois), exp…

9505. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39906/psn-pdf
      July 08, 2013 - Safe Site Invasive Procedure—Non-Operating Room. July 8, 2013 Institute for Clinical Systems Improvement. https://psnet.ahrq.gov/issue/safe-site-invasive-procedure-non-operating-room This protocol is designed to protect against wrong-site incidents in ambulatory care and to improve team communication and patient e…

9506. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38066/psn-pdf
      September 17, 2008 - New perspectives on error in critical care. September 17, 2008 Patel VL, Cohen T. New perspectives on error in critical care. Curr Opin Crit Care. 2008;14(4):456-9. doi:10.1097/MCC.0b013e32830634ae. https://psnet.ahrq.gov/issue/new-perspectives-error-critical-care This review article describes approaches to safety…

9507. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33903/psn-pdf
      November 28, 2018 - ECRI Guidelines Trust. November 28, 2018 ECRI Institute. https://psnet.ahrq.gov/issue/ecri-guidelines-trust This website is a practical resource to review existing clinical practice guidelines in a centralized location. Key components of the site include links to full-text guidelines and an assessment function tha…

9508. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37999/psn-pdf
      September 09, 2008 - Safety in obstetric critical care. September 9, 2008 Scholefield H. Safety in obstetric critical care. Best Pract Res Clin Obstet Gynaecol. 2008;22(5):965-82. doi:10.1016/j.bpobgyn.2008.06.009. https://psnet.ahrq.gov/issue/safety-obstetric-critical-care In the context of obstetric clinical care, this article revie…

9509. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39449/psn-pdf
      April 14, 2010 - Human Factors Engineering for Healthcare Applications. April 14, 2010 Beuscart-Zéphir MC, Aarts J, Elkin P, eds. Intern J Med Inform. 2010;79:223-303, e1-e88.   https://psnet.ahrq.gov/issue/human-factors-engineering-healthcare-applications This special issue contains articles on human factors engineering and i…

9510. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40701/psn-pdf
      August 17, 2011 - Evaluating safety and competency at the bedside. August 17, 2011 Kaplan T, Pilcher J. Evaluating safety and competency at the bedside. J Nurses Staff Dev. 2011;27(4):187- 90. doi:10.1097/NND.0b013e3182236634. https://psnet.ahrq.gov/issue/evaluating-safety-and-competency-bedside This article describes an intensive …

9511. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38381/psn-pdf
      September 29, 2017 - Framework for patient safety research and improvement. September 29, 2017 Pronovost P, Goeschel CA, Marsteller JA, et al. Framework for patient safety research and improvement. Circulation. 2009;119(2):330-7. doi:10.1161/CIRCULATIONAHA.107.729848. https://psnet.ahrq.gov/issue/framework-patient-safety-research-and-i…

9512. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38923/psn-pdf
      September 09, 2009 - Improving communication in the emergency department. September 9, 2009 Redfern E, Brown R, Vincent C. Improving communication in the emergency department. Emerg Med J. 2009;26(9):658-61. doi:10.1136/emj.2008.065623. https://psnet.ahrq.gov/issue/improving-communication-emergency-department Implementation of structu…

9513. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41492/psn-pdf
      June 27, 2018 - Alarm fatigue hazards: the sirens are calling. June 27, 2018 Welch J. https://psnet.ahrq.gov/issue/alarm-fatigue-hazards-sirens-are-calling This article reports on alarm fatigue in clinical care, including the risks associated with it, and describes tactics to help reduce nuisance alarms. https://psnet.ahrq.gov/i…

9514. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37016/psn-pdf
      September 15, 2011 - Postoperative complications due to a retained surgical sponge. September 15, 2011 Sarda AK, Pandey D, Neogi S, et al. Postoperative complications due to a retained surgical sponge. Singapore Med J. 2007;48(6):e160-4. https://psnet.ahrq.gov/issue/postoperative-complications-due-retained-surgical-sponge The authors…

9515. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36953/psn-pdf
      June 13, 2007 - Quality and Safety Education for Nurses. June 13, 2007 Cronenwett L, ed. Nurs Outlook. 2007;55(3):117-162. https://psnet.ahrq.gov/issue/quality-and-safety-education-nurses This issue covers a variety of topics related to quality and safety education for nurses, including the integration of safety content into dail…

9516. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42508/psn-pdf
      December 18, 2017 - Watson: Beyond Jeopardy! December 18, 2017 Ferrucci D, Levas A, Bagchi S, et al. Watson: Beyond Jeopardy!. Artif Intell. 2012;199-200. doi:10.1016/j.artint.2012.06.009. https://psnet.ahrq.gov/issue/watson-beyond-jeopardy This commentary describes how question answering systems can augment evidence-based decision …

9517. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41736/psn-pdf
      September 02, 2016 - Drug shortages and clinicians: no time for complacency. September 2, 2016 Rochon P, Gurwitz JH. Drug shortages and clinicians: no time for complacency. Arch Intern Med. 2012;172(19):1499-500. https://psnet.ahrq.gov/issue/drug-shortages-and-clinicians-no-time-complacency This article comments on the patient safety …

9518. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35333/psn-pdf
      July 14, 2009 - Medication errors and drug-dispensing systems in a hospital pharmacy. July 14, 2009 Anacleto TA, Perini E, Rosa MB, et al. Medication errors and drug-dispensing systems in a hospital pharmacy. Clinics. 2006;60(4). doi:10.1590/s1807-59322005000400011. https://psnet.ahrq.gov/issue/medication-errors-and-drug-dispensi…

9519. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39159/psn-pdf
      May 04, 2010 - Radiologists' responses to inadequate referrals. May 4, 2010 Lysdahl KB, Hofmann BM, Espeland A. Radiologists' responses to inadequate referrals. Eur Radiol. 2010;20(5):1227-33. doi:10.1007/s00330-009-1640-y. https://psnet.ahrq.gov/issue/radiologists-responses-inadequate-referrals Radiologists frequently receive i…

9520. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34944/psn-pdf
      March 04, 2011 - EU to tackle issue of patient safety. March 4, 2011 Watson R. EU to tackle issue of patient safety. BMJ (Clinical research ed.). 2005;330(7496):866. https://psnet.ahrq.gov/issue/eu-tackle-issue-patient-safety This news extra from the British Medical Journal reports that European governments and health professional…