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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49855/psn-pdf
    March 01, 2019 - Which Line: Ordering Provider or Proceduralist? March 1, 2019 Blackmore CC. Which Line: Ordering Provider or Proceduralist? PSNet [internet]. 2019. https://psnet.ahrq.gov/web-mm/which-line-ordering-provider-or-proceduralist Case Objectives Review the role of mistake-proofing to block errors from leading to adverse…

  2. The Cleveland Clinic Pairs Advanced Practice Registered Nurses and Paramedics To Provide Home Visits to Recently Discharged Patients at Highest Risk for Hospital Readmission | PSNet

    psnet.ahrq.gov/innovation/cleveland-clinic-pairs-advanced-practice-registered-nurses-and-paramedics-provide-home
    October 30, 2024 - The Cleveland Clinic Pairs Advanced Practice Registered Nurses and Paramedics To Provide Home Visits to Recently Discharged Patients at Highest Risk for Hospital Readmission Save Save to your library Print Download PDF Share Facebook Twitter Linkedin C…

  3. Project BOOST Increases Patient Understanding of Treatment and Follow-up Care | PSNet

    psnet.ahrq.gov/innovation/project-boost-increases-patient-understanding-treatment-and-follow-care
    February 26, 2025 - Project BOOST Increases Patient Understanding of Treatment and Follow-up Care Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL May 26, 2021 Innovation Contact …

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33605/psn-pdf
    March 12, 2021 - Medication Administration Errors March 12, 2021 MacDowell P, Cabri A, Davis M. Medication Administration Errors. PSNet [internet]. 2021. https://psnet.ahrq.gov/primer/medication-administration-errors Updated in March 2021. Originally published in January 2018 by researchers at the University of California, San Fra…

  5. Patient Identification Errors: A Systems Challenge | PSNet

    psnet.ahrq.gov/web-mm/patient-identification-errors-systems-challenge
    February 23, 2011 - Patient Identification Errors: A Systems Challenge Citation Text: Choudhury LS, Vu CT. Patient Identification Errors: A Systems Challenge. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020. Copy Citation Format: Googl…

  6. Haste Makes Care Unsafe | PSNet

    psnet.ahrq.gov/web-mm/haste-makes-care-unsafe
    January 07, 2015 - Haste Makes Care Unsafe Citation Text: Eichhorn JH. Haste Makes Care Unsafe. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged P…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49621/psn-pdf
    March 01, 2011 - Volume Too Low: In and Out March 1, 2011 Miller MR. Volume Too Low: In and Out . PSNet [internet]. 2011. https://psnet.ahrq.gov/web-mm/volume-too-low-and-out Case Objectives Appreciate that because of multiple factors, children are at high risk for medical errors. Describe the importance of weight-based dosing of…

  8. The Wrongful Resuscitation | PSNet

    psnet.ahrq.gov/web-mm/wrongful-resuscitation
    October 12, 2012 - The Wrongful Resuscitation Citation Text: Teno JM. The Wrongful Resuscitation. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged…

  9. Work Design Drivers of Organizational Learning about Operational Failures: A Laboratory Experiment on Medication Administration. | PSNet

    psnet.ahrq.gov/issue/work-design-drivers-organizational-learning-about-operational-failures-laboratory-experiment
    September 05, 2012 - Book/Report Work Design Drivers of Organizational Learning about Operational Failures: A Laboratory Experiment on Medication Administration. Citation Text: Work Design Drivers of Organizational Learning about Operational Failures: A Laboratory Experiment on Medication Administration. Tuc…

  10. Nurse and nurse assistant perceptions of missed nursing care: what does it tell us about teamwork? | PSNet

    psnet.ahrq.gov/issue/nurse-and-nurse-assistant-perceptions-missed-nursing-care-what-does-it-tell-us-about-teamwork
    January 23, 2012 - Study Nurse and nurse assistant perceptions of missed nursing care: what does it tell us about teamwork? Citation Text: Kalisch BJ. Nurse and nurse assistant perceptions of missed nursing care: what does it tell us about teamwork? J Nurs Adm. 2009;39(11):485-93. doi:10.1097/NNA.0b013e318…

  11. Could CDC guidelines be driving some opioid patients to suicide? | PSNet

    psnet.ahrq.gov/issue/could-cdc-guidelines-be-driving-some-opioid-patients-suicide
    March 23, 2022 - Newspaper/Magazine Article Could CDC guidelines be driving some opioid patients to suicide? Citation Text: Could CDC guidelines be driving some opioid patients to suicide? Dickson EJ. Rolling Stone. March 9, 2019. Copy Citation Save Save to your library Prin…

  12. Strategic Plan for Preventing and Mitigating Drug Shortages. | PSNet

    psnet.ahrq.gov/issue/strategic-plan-preventing-and-mitigating-drug-shortages
    October 09, 2013 - Book/Report Strategic Plan for Preventing and Mitigating Drug Shortages. Citation Text: Strategic Plan for Preventing and Mitigating Drug Shortages. Silver Spring, MD: Food and Drug Administration; October 2013. Copy Citation Save Save to your library Print …

  13. Implementing Closing the Loop. Safe Practices for Diagnostic Results | PSNet

    psnet.ahrq.gov/issue/implementing-closing-loop-safe-practices-diagnostic-results
    March 10, 2021 - Book/Report Implementing Closing the Loop. Safe Practices for Diagnostic Results Citation Text: Implementing Closing the Loop. Safe Practices for Diagnostic Results Partnership for HIT Patient Safety. Plymouth Meeting, PA: ECRI Institute; 2020. Copy Citation Save …

  14. Why nurses make medication errors: a simulation study. | PSNet

    psnet.ahrq.gov/issue/why-nurses-make-medication-errors-simulation-study
    March 02, 2011 - Study Why nurses make medication errors: a simulation study. Citation Text: Kazaoka T, Ohtsuka K, Ueno K, et al. Why nurses make medication errors: a simulation study. Nurse Educ Today. 2007;27(4):312-7. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML En…

  15. Diagnostic Safety Toolkit. | PSNet

    psnet.ahrq.gov/issue/diagnostic-safety-toolkit-0
    January 01, 2019 - Toolkit Diagnostic Safety Toolkit. Citation Text: Diagnostic Safety Toolkit. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation Save Save to your library Print Down…

  16. Neurologic patient safety: an in-depth study of malpractice claims. | PSNet

    psnet.ahrq.gov/issue/neurologic-patient-safety-depth-study-malpractice-claims
    November 11, 2015 - Study Neurologic patient safety: an in-depth study of malpractice claims. Citation Text: Glick TH, Cranberg LD, Hanscom RB, et al. Neurologic patient safety: an in-depth study of malpractice claims. Neurology. 2005;65(8):1284-6. Copy Citation Format: Google Scholar PubMed…

  17. Physician assistants and the disclosure of medical error. | PSNet

    psnet.ahrq.gov/issue/physician-assistants-and-disclosure-medical-error
    May 11, 2016 - Commentary Physician assistants and the disclosure of medical error. Citation Text: Brock DM, Quella A, Lipira L, et al. Physician assistants and the disclosure of medical error. Acad Med. 2014;89(6):858-62. doi:10.1097/ACM.0000000000000261. Copy Citation Format: DOI Google…

  18. The Life and Death of Elizabeth Dixon: A Catalyst for Change. | PSNet

    psnet.ahrq.gov/issue/life-and-death-elizabeth-dixon-catalyst-change
    November 16, 2022 - Book/Report The Life and Death of Elizabeth Dixon: A Catalyst for Change. Citation Text: The Life and Death of Elizabeth Dixon: A Catalyst for Change. Kirkup B. London, England: Crown Copyright; 2020. ISBN 9781528622714. Copy Citation Save Save to your libr…

  19. Fragmented: A Doctor's Quest to Piece Together American Health Care. | PSNet

    psnet.ahrq.gov/issue/doctors-quest-piece-together-american-health-care
    October 05, 2022 - Book/Report Fragmented: A Doctor's Quest to Piece Together American Health Care. Citation Text: Fragmented: A Doctor's Quest to Piece Together American Health Care. Yurkiewicz I. New York, NY: WW Norton & Company, Inc; 2023. ISBN: 9780393881196. Copy Citation Save…

  20. Non-accidental Injuries in Infants Attending the Emergency Department. | PSNet

    psnet.ahrq.gov/issue/non-accidental-injuries-infants-attending-emergency-department
    May 31, 2023 - Book/Report Non-accidental Injuries in Infants Attending the Emergency Department. Citation Text: Non-accidental Injuries in Infants Attending the Emergency Department. Farnborough, UK: Healthcare Safety Investigation Branch; April 2023. Copy Citation Save Save…
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