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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73398/psn-pdfJune 30, 2021 - In Conversation With... Anjali Joseph, PhD, EDAC and Molly M. Scanlon, PhD, FAIA, FACHA June 30, 2021 In Conversation With.. Anjali Joseph, PhD, EDAC and Molly M. Scanlon, PhD, FAIA, FACHA. PSNet [internet]. 2021. https://psnet.ahrq.gov/perspective/conversation-anjali-joseph-phd-edac-and-molly-m-scanlon-phd-faia- … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/49849/psn-pdfJanuary 01, 2019 - Spotlight: Mistaken Attribution, Diagnostic Misstep January 1, 2019 Kreider TR, Young JQ. Spotlight: Mistaken Attribution, Diagnostic Misstep. PSNet [internet]. 2019. https://psnet.ahrq.gov/web-mm/spotlight-mistaken-attribution-diagnostic-misstep Case Objectives List the patient safety events that are unique to in… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60268/psn-pdfApril 29, 2020 - Complications of ECMO During Transport April 29, 2020 Broman M. Complications of ECMO During Transport. PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/complications-ecmo-during-transport The Case A 54-year-old woman with end-stage chronic obstructive pulmonary disease (COPD) was admitted with acute on chro… -
psnet.ahrq.gov/web-mm/syringe-swap-during-regional-block-case-medication-error-and-recoveryJuly 22, 2020 - Syringe Swap During Regional Block: A Case of Medication Error and Recovery Citation Text: Beres K, Gutierrez MC. Syringe Swap During Regional Block: A Case of Medication Error and Recovery.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Serv…
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60722/psn-pdfFebruary 06, 2023 - /acute-care-hospital/covid19/index.html https://psnet.ahrq.gov/issue/eight-recommendations-policies-communicating-abnormal-test-results -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45081/psn-pdfFebruary 14, 2017 - Quasi-experimental evaluation of the effectiveness of a large-scale readmission reduction program. February 14, 2017 Jenq GY, Doyle MM, Belton BM, et al. Quasi-Experimental Evaluation of the Effectiveness of a Large-Scale Readmission Reduction Program. JAMA Intern Med. 2016;176(5):681-90. doi:10.1001/jamainternmed… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42923/psn-pdfSeptember 26, 2017 - Assessing the state of safe medication practices using the ISMP Medication Safety Self Assessment for Hospitals: 2000 and 2011. September 26, 2017 Vaida AJ, Lamis RL, Smetzer JL, et al. Assessing the State of Safe Medication Practices Using the ISMP Medication Safety Self Assessment ® for Hospitals: 2000 and 2011.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45302/psn-pdfNovember 28, 2016 - Patients and families as teachers: a mixed methods assessment of a collaborative learning model for medical error disclosure and prevention. November 28, 2016 Langer T, Martinez W, Browning DM, et al. Patients and families as teachers: a mixed methods assessment of a collaborative learning model for medical error … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47742/psn-pdfFebruary 20, 2019 - AHRQ Nursing Home Survey on Patient Safety Culture: 2019 User Comparative Database Report. February 20, 2019 Famolaro T, Yount ND, Hare R, et al. Rockville, MD: Agency for Healthcare Research and Quality; February 2019. AHRQ Publication No. 19-0027-EF. https://psnet.ahrq.gov/issue/ahrq-nursing-home-survey-patient-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60222/psn-pdfApril 15, 2020 - Interventions to improve team effectiveness within health care: a systematic review of the past decade. April 15, 2020 Buljac-Samardzic M, Doekhie KD, van Wijngaarden JDH. Interventions to improve team effectiveness within health care: a systematic review of the past decade. Hum Resourc Health. 2020;18(1). doi:10.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44176/psn-pdfAugust 21, 2015 - Patient and carer identified factors which contribute to safety incidents in primary care: a qualitative study. August 21, 2015 Hernan AL, Giles SJ, Fuller J, et al. Patient and carer identified factors which contribute to safety incidents in primary care: a qualitative study. BMJ Qual Saf. 2015;24(9):583-93. doi:1… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47471/psn-pdfJanuary 27, 2019 - Association of cataract surgical outcomes with late surgeon career stages: a population-based cohort study. January 27, 2019 Campbell RJ, El-Defrawy SR, Gill SS, et al. Association of Cataract Surgical Outcomes With Late Surgeon Career Stages: A Population-Based Cohort Study. JAMA Ophthalmol. 2019;137(1):58-64. do… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46196/psn-pdfOctober 13, 2018 - Association of a surgical task during training with team skill acquisition among surgical residents: the missing piece in multidisciplinary team training. October 13, 2018 Sparks JL, Crouch DL, Sobba K, et al. Association of a Surgical Task During Training With Team Skill Acquisition Among Surgical Residents: The … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42007/psn-pdfMay 23, 2013 - Leaders' and followers' individual experiences during the early phase of simulation-based team training: an exploratory study. May 23, 2013 Meurling L, Hedman L, Felländer-Tsai L, et al. Leaders' and followers' individual experiences during the early phase of simulation-based team training: an exploratory study. B… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43788/psn-pdfFebruary 25, 2015 - Evaluating ambulatory practice safety: the PROMISES Project administrators and practice staff surveys. February 25, 2015 Singer SJ, Nieva HR, Brede N, et al. Evaluating ambulatory practice safety: the PROMISES project administrators and practice staff surveys. Med Care. 2015;53(2):141-52. doi:10.1097/MLR.000000000… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41446/psn-pdfJune 13, 2012 - Concept and development of a discharge alert filter for abnormal laboratory values coupled with computerized provider order entry: a tool for quality improvement and hospital risk management. June 13, 2012 Mathew G, Kho A, Dexter P, et al. Concept and development of a discharge alert filter for abnormal laborator… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46829/psn-pdfJuly 23, 2018 - Quality and variability of patient directions in electronic prescriptions in the ambulatory care setting. July 23, 2018 Yang Y, Ward-Charlerie S, Dhavle AA, et al. Quality and Variability of Patient Directions in Electronic Prescriptions in the Ambulatory Care Setting. J Manag Care Spec Pharm. 2018;24(7):691-699. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38816/psn-pdfJuly 29, 2009 - Uncovering system errors using a rapid response team: cross-coverage caught in the crossfire. July 29, 2009 Kaplan LJ, Maerz LL, Schuster KM, et al. Uncovering System Errors Using a Rapid Response Team: Cross-Coverage Caught in the Crossfire. The Journal of Trauma: Injury, Infection, and Critical Care. 2009;67(1).… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47752/psn-pdfMay 29, 2019 - How do nurses use early warning scoring systems to detect and act on patient deterioration to ensure patient safety? A scoping review. May 29, 2019 Wood C, Chaboyer W, Carr P. How do nurses use early warning scoring systems to detect and act on patient deterioration to ensure patient safety? A scoping review. Int … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43653/psn-pdfJanuary 01, 2015 - Evaluating inpatient mortality: a new electronic review process that gathers information from front-line providers. December 19, 2014 Provenzano A, Rohan S, Trevejo E, et al. Evaluating inpatient mortality: a new electronic review process that gathers information from front-line providers. BMJ Qual Saf. 2015;24(1)…
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