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  1. Safe practice recommendations for the use of copy-forward with nursing flow sheets in hospital settings. | PSNet

    psnet.ahrq.gov/issue/safe-practice-recommendations-use-copy-forward-nursing-flow-sheets-hospital-settings
    May 18, 2022 - Study Safe practice recommendations for the use of copy-forward with nursing flow sheets in hospital settings. Citation Text: Patterson ES, Sillars DM, Staggers N, et al. Safe Practice Recommendations for the Use of Copy-Forward with Nursing Flow Sheets in Hospital Settings. Jt Comm J Qu…

  2. Implicit bias and patient care: mitigating bias, preventing harm. | PSNet

    psnet.ahrq.gov/innovation/implicit-bias-and-patient-care-mitigating-bias-preventing-harm
    September 22, 2021 - EMERGING INNOVATIONS Implicit bias and patient care: mitigating bias, preventing harm. Citation Text: Barber Doucet H, Wilson T, Vrablik L, et al. Implicit bias and patient care: mitigating bias, preventing harm. MedEdPORTAL. 2023;19:11343. doi:10.15766/mep_2374-8265.11343. Copy Citation …

  3. A clinical pharmacist-led transitions of care program for veterans with two planned care transitions (hospital to skilled care and skilled care to home) amid the COVID-19 pandemic. | PSNet

    psnet.ahrq.gov/issue/clinical-pharmacist-led-transitions-care-program-veterans-two-planned-care-transitions
    December 23, 2011 - Study A clinical pharmacist-led transitions of care program for veterans with two planned care transitions (hospital to skilled care and skilled care to home) amid the COVID-19 pandemic. Citation Text: Scannell GA, Bevan DJ, Cowan A, et al. A clinical pharmacist-led transitions of care p…

  4. When bullying affects patient safety. | PSNet

    psnet.ahrq.gov/issue/when-bullying-affects-patient-safety
    March 13, 2019 - Commentary When bullying affects patient safety. Citation Text: When Bullying Affects Patient Safety. AORN J. 2018;108(1):78-80. doi:10.1002/aorn.12294. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Downlo…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40711/psn-pdf
    August 24, 2011 - Clinical and safety impact of an inpatient pharmacist- directed anticoagulation service. August 24, 2011 Schillig J, Kaatz S, Hudson M, et al. Clinical and safety impact of an inpatient pharmacist-directed anticoagulation service. J Hosp Med. 2011;6(6):322-8. doi:10.1002/jhm.910. https://psnet.ahrq.gov/issue/clini…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37387/psn-pdf
    January 10, 2017 - Impact of CRM-based team training on obstetric outcomes and clinicians' patient safety attitudes. January 10, 2017 Pratt SD, Mann S, Salisbury M, et al. John M. Eisenberg Patient Safety and Quality Awards. Impact of CRM-based training on obstetric outcomes and clinicians' patient safety attitudes. Jt Comm J Qual Pa…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840172/psn-pdf
    November 16, 2022 - The Stoplight Mobility Alert System for safety and prevention of falls in children with physical and cognitive impairments. November 16, 2022 Mullen JB, Wirt SZ, Moser A, et al. J Patient Saf. 2022;18(6):e947-e952 https://psnet.ahrq.gov/innovation/stoplight-mobility-alert-system-safety-and-prevention-fal…

  8. Cybersecurity and How to Maintain Patient Safety | PSNet

    psnet.ahrq.gov/perspective/cybersecurity-and-how-maintain-patient-safety
    March 27, 2024 - Daily internal meetings with leadership are critical to communicating between critical leads, such as

  9. Elopement | PSNet

    psnet.ahrq.gov/web-mm/elopement
    July 14, 2010 - SPOTLIGHT CASE Elopement Citation Text: Gerardi D. Elopement. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2007. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMe…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49546/psn-pdf
    October 17, 2007 - Do Not Disturb! October 1, 2007 Duffy DF, Cassel C. Do Not Disturb!. PSNet [internet]. 2007. https://psnet.ahrq.gov/web-mm/do-not-disturb Case Objectives Define professionalism. Discuss behaviors associated with lack of professionalism. Outline steps one should take if a significant breach of professionalism is …

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74021/psn-pdf
    October 25, 2021 - In Conversation With... Georgia Galanou Luchen, Pharm. D. October 25, 2021 In Conversation With.. Georgia Galanou Luchen, Pharm. D. PSNet [internet]. 2021. https://psnet.ahrq.gov/perspective/conversation-georgia-galanou-luchen-pharm-d Editor’s Note: Georgia Galanou Luchen, Pharm. D., is the Director of Member Rela…

  12. When the Lytes Go Out: A Case of Inpatient Cardiac Arrest | PSNet

    psnet.ahrq.gov/web-mm/when-lytes-go-out-case-inpatient-cardiac-arrest
    February 01, 2023 - SPOTLIGHT CASE When the Lytes Go Out: A Case of Inpatient Cardiac Arrest Citation Text: Stripe B, Zuidema D. When the Lytes Go Out: A Case of Inpatient Cardiac Arrest . PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020.…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49866/psn-pdf
    June 01, 2019 - If You Say So: Taking a Syringe at Face Value in the Operating Room June 1, 2019 Lyndon A, Lim S. If You Say So: Taking a Syringe at Face Value in the Operating Room. PSNet [internet]. 2019. https://psnet.ahrq.gov/web-mm/if-you-say-so-taking-syringe-face-value-operating-room The Case A 43-year-old woman was admi…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60169/psn-pdf
    March 25, 2020 - Is that solution for IV or irrigation?: Fluid administration errors in the operating room. March 25, 2020 Bohringer C. Is that solution for IV or irrigation?: Fluid administration errors in the operating room. PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/solution-iv-or-irrigation-fluid-administration-erro…

  15. Spotlight Case [MONTH] 2003 (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.164_slideshow.ppt
    December 01, 2007 - Spotlight Case [MONTH] 2003 Spotlight Case December 2007 Elopement Source and Credits This presentation is based on the December 2007 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Debra Gerardi, RN, MPH, JD Creighton University School of Law Ed…

  16. Escape Room. | PSNet

    psnet.ahrq.gov/issue/escape-room
    April 30, 2024 - Tools/Toolkit Escape Room. Citation Text: Escape Room. Harrisburg, PA: Pennsylvania Safety Authority; 2020. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL …

  17. Empowered Patient Coalition. | PSNet

    psnet.ahrq.gov/issue/empowered-patient-coalition
    October 26, 2022 - Multi-use Website Empowered Patient Coalition. Citation Text: Empowered Patient Coalition. Email: info@EmpoweredPatientCoalition.org. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin …

  18. Risk factors associated with incorrect surgical counts. | PSNet

    psnet.ahrq.gov/issue/risk-factors-associated-incorrect-surgical-counts
    October 20, 2010 - Study Risk factors associated with incorrect surgical counts. Citation Text: Rowlands A. Risk factors associated with incorrect surgical counts. AORN J. 2012;96(3):272-84. doi:10.1016/j.aorn.2012.06.012. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XM…

  19. Fixing America's hospitals. | PSNet

    psnet.ahrq.gov/issue/fixing-americas-hospitals
    March 06, 2005 - Special or Theme Issue Fixing America's hospitals. Citation Text: Fixing America's hospitals. Newsweek. October 15, 2006. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy …

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852270/psn-pdf
    August 09, 2023 - Final Report on Prioritization of Patient Safety Practices for a New Rapid Review or Rapid Response. Making Healthcare Safer IV Series. August 9, 2023 Rosen M, Dy SM, Stewart CM, et al. Making Healthcare Safer IV Series.  Rockville, MD: Agency for Healthcare Research and Quality; July 2023. AHRQ Publication n…
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