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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49781/psn-pdf
    January 01, 2017 - Hazards of Loading Doses January 1, 2017 Mucksavage JJ, Tesoro EP. Hazards of Loading Doses. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/hazards-loading-doses The Case A 40-year-old woman was recently discharged after a prolonged hospitalization for seizures and a cardiac arrest. Two days after discharg…
  2. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.314_slideshow.ppt
    February 01, 2014 - PowerPoint Presentation Spotlight Case Multifactorial Medication Mishap 1 This presentation is based on the February 2014 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Annie Yang, PharmD, BCPS NYU Langone Medical Center Editor, AHRQ WebM&M: Robe…
  3. psnet.ahrq.gov/perspective/burnout-among-health-professionals-and-its-effect-patient-safety
    December 22, 2018 - Annual Perspective Burnout Among Health Professionals and Its Effect on Patient Safety Audrey Lyndon, PhD | January 1, 2015  View more articles from the same authors. Citation Text: Lyndon A. Burnout Among Health Professionals and Its Effect on Patient Safety…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49868/psn-pdf
    July 02, 2019 - Delayed Clozapine Prescription in an Elderly Man With Dementia July 2, 2019 Tsourounis C, Ghomeshi KK. Delayed Clozapine Prescription in an Elderly Man With Dementia. PSNet [internet]. 2019. https://psnet.ahrq.gov/web-mm/delayed-clozapine-prescription-elderly-man-dementia The Case An 86-year-old man with neurode…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49467/psn-pdf
    December 01, 2004 - A "Weak" Response December 1, 2004 Reisman AB. A "Weak" Response. PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/weak-response The Case A primary care physician on call for his group received a call at 9:00PM from a 68-year-old man. He said, "They started me on a new pill for my blood pressure and now I fe…
  6. psnet.ahrq.gov/topics-0
    March 03, 2025 - Topics Guides for key topics in patient safety through context, epidemiology, and relevant AHRQ PSNet content. The Patient Safety 101 Primer provides an overview of the patient safety field and covers key definitions and concepts. Featured Topics in Patient Safety Updated Date: March 3, 2025 …
  7. psnet.ahrq.gov/perspective/patient-engagement-safety
    January 01, 2018 - Annual Perspective Patient Engagement in Safety Rachel J. Stern, MD, and Urmimala Sarkar, MD | January 1, 2017  View more articles from the same authors. Citation Text: Stern RJ, Sarkar U. Patient Engagement in Safety. PSNet [internet]. Rockville (MD): Agency…
  8. psnet.ahrq.gov/perspective/health-care-delivery-and-pharmacists-during-covid-19-pandemic
    June 29, 2020 - using telehealth setups with one clinician in the room and the rest of the team on the outside and communicating
  9. psnet.ahrq.gov/perspective/playing-well-others-translocational-research-patient-safety
    September 01, 2005 - CC: I think that communicating and focusing on the use of evidence to improve practice is hard-wired
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847533/psn-pdf
    April 12, 2023 - Linking patient safety climate with missed nursing care in labor and delivery units: findings from the LaborRNs survey. April 12, 2023 Zhong J, Simpson KR, Spetz J, et al. Linking patient safety climate with missed nursing care in labor and delivery units: findings from the LaborRNs survey. J Patient Saf. 2023;19(…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60057/psn-pdf
    March 18, 2020 - How does the WHO Surgical Safety Checklist fit with existing perioperative risk management strategies? An ethnographic study across surgical specialties. March 18, 2020 Wæhle HV, Haugen AS, Wiig S, et al. How does the WHO Surgical Safety Checklist fit with existing perioperative risk management strategies? An ethn…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838176/psn-pdf
    September 28, 2022 - Challenges and strategies for patient safety in primary care: a qualitative study. September 28, 2022 Yuan CT, Dy SM, Yuanhong Lai A, et al. Challenges and strategies for patient safety in primary care: a qualitative study. Am J Med Qual. 2022;37(5):379-387. doi:10.1097/jmq.0000000000000054. https://psnet.ahrq.gov…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42412/psn-pdf
    October 07, 2013 - Quality and safety implications of emergency department information systems. October 7, 2013 Farley HL, Baumlin KM, Hamedani A, et al. Quality and safety implications of emergency department information systems. Ann Emerg Med. 2013;62(4):399-407. doi:10.1016/j.annemergmed.2013.05.019. https://psnet.ahrq.gov/issue/…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41876/psn-pdf
    December 04, 2016 - Errors in palliative care: kinds, causes, and consequences: a pilot survey of experiences and attitudes of palliative care professionals. December 4, 2016 Dietz I, Borasio GD, Molnar C, et al. Errors in palliative care: kinds, causes, and consequences: a pilot survey of experiences and attitudes of palliative care…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865534/psn-pdf
    April 10, 2024 - Improving formal incivility reporting in ambulatory oncology: implementing the CIVIC Duty program. April 10, 2024 Gordon JN. Improving formal incivility reporting in ambulatory oncology: implementing the CIVIC Duty program. Clin J Oncol Nurs. 2023;27(6):602-606. doi:10.1188/23.cjon.602-606. https://psnet.ahrq.gov/…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39495/psn-pdf
    September 20, 2011 - Safe Practices for Better Healthcare: 2010 Update. September 20, 2011 Washington, DC: National Quality Forum; 2010. https://psnet.ahrq.gov/issue/safe-practices-better-healthcare-2010-update The National Quality Forum originally published the Safe Practices for Better Healthcare in 2003. These practices are intende…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36629/psn-pdf
    January 05, 2017 - Patient-reported safety and quality of care in outpatient oncology. January 5, 2017 Weingart SN, Price J, Duncombe D, et al. Patient-reported safety and quality of care in outpatient oncology. Jt Comm J Qual Patient Saf. 2007;33(2):83-94. https://psnet.ahrq.gov/issue/patient-reported-safety-and-quality-care-outpat…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36886/psn-pdf
    May 27, 2011 - The extent and importance of unintended consequences related to computerized provider order entry. May 27, 2011 Ash JS, Sittig DF, Poon EG, et al. The extent and importance of unintended consequences related to computerized provider order entry. J Am Med Inform Assoc. 2007;14(4):415-23. https://psnet.ahrq.gov/issu…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60246/psn-pdf
    April 22, 2020 - The impact of surgical count technology on retained surgical items rates in the Veterans Health Administration. April 22, 2020 Gunnar W, Soncrant C, Lynn MM, et al. The impact of surgical count technology on retained surgical items rates in the Veterans Health Administration. J Patient Saf. 2020;16(4):255-258. do…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866315/psn-pdf
    July 17, 2024 - Physician specialty differences in unprofessional behaviors observed and reported by coworkers. July 17, 2024 Cooper WO, Hickson GB, Dmochowski RR, et al. Physician specialty differences in unprofessional behaviors observed and reported by coworkers. JAMA Netw Open. 2024;7(6):e2415331. doi:10.1001/jamanetworkopen.…

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