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psnet.ahrq.gov/node/35370/psn-pdf
November 28, 2016 - Going to the hospital? Don't forget to pack a nurse.
November 28, 2016
Tugend A.
https://psnet.ahrq.gov/issue/going-hospital-dont-forget-pack-nurse
This article discusses concerns about nurse shortages and why a patient or family might consider retaining
a private-duty nurse for a hospital stay.
https://psnet.ahr…
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psnet.ahrq.gov/node/36673/psn-pdf
January 18, 2011 - Patient safety: honoring advanced directives.
January 18, 2011
Tice MA. Patient safety: honoring advanced directives. Home Healthc Nurse. 2007;25(2):79-81.
https://psnet.ahrq.gov/issue/patient-safety-honoring-advanced-directives
The author discusses why failure to follow an advance directive should be considered a …
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psnet.ahrq.gov/node/36125/psn-pdf
April 03, 2012 - Safe handover in psychiatry: is it time to set standards?
April 3, 2012
Gulati G.
https://psnet.ahrq.gov/issue/safe-handover-psychiatry-it-time-set-standards
The investigators asked National Health Service consultants and house officers what they would
consider an ideal handoff in psychiatric care. They found that…
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psnet.ahrq.gov/node/37266/psn-pdf
December 19, 2011 - Ethical aspects of limiting residents' work hours.
December 19, 2011
Wiesing U. Ethical aspects of limiting residents' work hours. Bioethics. 2007;21(7):398-405.
https://psnet.ahrq.gov/issue/ethical-aspects-limiting-residents-work-hours
The author considers how to effectively regulate physician working hours and st…
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psnet.ahrq.gov/node/39815/psn-pdf
March 18, 2011 - Introducing new technology safely.
March 18, 2011
Mytton OT, Velazquez A, Banken R, et al. Introducing new technology safely. Qual Saf Health Care.
2010;19 Suppl 2:i9-14. doi:10.1136/qshc.2009.038554.
https://psnet.ahrq.gov/issue/introducing-new-technology-safely
This report describes the distinction between techn…
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psnet.ahrq.gov/node/39849/psn-pdf
September 15, 2010 - The need for risk profiling in patient safety.
September 15, 2010
Donaldson LJ, Noble DJ. The need for risk profiling in patient safety. J Patient Saf. 2010;6(3):125-7.
doi:10.1097/PTS.0b013e3181ed73a3.
https://psnet.ahrq.gov/issue/need-risk-profiling-patient-safety
This commentary describes the need for health ca…
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psnet.ahrq.gov/node/35194/psn-pdf
December 09, 2008 - Drug errors, qualitative research and some reflections on
ethics.
December 9, 2008
Armitage G. Drug errors, qualitative research and some reflections on ethics. J Clin Nurs. 2005;14(7):869-
75.
https://psnet.ahrq.gov/issue/drug-errors-qualitative-research-and-some-reflections-ethics
In this position paper, the au…
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psnet.ahrq.gov/web-mm/clostridium-difficile-relapse-secondary-medication-access-issue
October 01, 2015 - Clostridium Difficile Relapse Secondary to Medication Access Issue
Citation Text:
Walker PC, Nagel J. Clostridium Difficile Relapse Secondary to Medication Access Issue. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014.
Copy Cit…
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psnet.ahrq.gov/node/49741/psn-pdf
September 01, 2015 - Abdominal Pain in Early Pregnancy
September 1, 2015
Kilpatrick CC. Abdominal Pain in Early Pregnancy. PSNet [internet]. 2015.
https://psnet.ahrq.gov/web-mm/abdominal-pain-early-pregnancy
Case Objectives
Recognize when nausea and vomiting in pregnancy is abnormal.
Identify the most common causes of non-obstetric a…
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psnet.ahrq.gov/node/38477/psn-pdf
October 03, 2017 - Serious Adverse Events Reports.
October 3, 2017
The Quality Improvement Committee. Wellington, New Zealand; 2006-2013.
https://psnet.ahrq.gov/issue/serious-adverse-events-reports
Considered a starting point for a national reporting initiative, this series of annual reports provides statistics
on serious and sentin…
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psnet.ahrq.gov/node/49673/psn-pdf
December 01, 2012 - A Real Heartache
December 1, 2012
Polevoi SK. A Real Heartache. PSNet [internet]. 2012.
https://psnet.ahrq.gov/web-mm/real-heartache
The Case
A 60-year-old man presented to the emergency department (ED) with 2 hours of burning chest pain. The
pain began at rest, and it radiated to his back and left axilla. He had…
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psnet.ahrq.gov/issue/managing-risk-systems-approach-versus-personal-responsibility-hospital-incidents
November 25, 2015 - March 9, 2016
Evaluating implementation of a rapid response team: considering alternative
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psnet.ahrq.gov/web-mm/or-peeping
May 01, 2015 - Although most people think of names or social security numbers when considering PHI, HIPAA regulations
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psnet.ahrq.gov/node/33661/psn-pdf
December 01, 2007 - record and requires that they be completed within 30 days
of discharge.(8) This is far too permissive, considering
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psnet.ahrq.gov/web-mm/easily-forgotten-tube
June 01, 2016 - The NICE guideline provides the most specific recommendations related to FMS.( 9 ) Before considering
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psnet.ahrq.gov/web-mm/bloody-bp-cuff
June 21, 2016 - Considering the liability that a hospital may incur, cleansing or disposing of this equipment may result
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psnet.ahrq.gov/node/49560/psn-pdf
April 01, 2008 - include taking steps to ensure that the goals of care are
communicated across settings of care and considering
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psnet.ahrq.gov/issue/patient-safety-and-staff-competence-managing-challenging-behavior-based-feedback-former
October 15, 2016 - Study
Patient safety and staff competence in managing challenging behavior based on feedback from former psychiatric patients.
Citation Text:
Tölli S, Kontio R, Partanen P, et al. Patient safety and staff competence in managing challenging behavior based on feedback from former psychiatr…
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psnet.ahrq.gov/node/39194/psn-pdf
May 27, 2011 - Disclosing harmful pathology errors to patients.
May 27, 2011
Dintzis SM, Gallagher TH. Disclosing harmful pathology errors to patients. Am J Clin Pathol.
2009;131(4):463-5. doi:10.1309/AJCPIO5SHDOD6URI.
https://psnet.ahrq.gov/issue/disclosing-harmful-pathology-errors-patients
This commentary considers the role of…
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psnet.ahrq.gov/node/35662/psn-pdf
June 25, 2010 - Debriefing after critical incidents for anaesthetic trainees.
June 25, 2010
Tan H. Debriefing after critical incidents for anaesthetic trainees. Anaesth Intensive Care. 2005;33(6):768-
72.
https://psnet.ahrq.gov/issue/debriefing-after-critical-incidents-anaesthetic-trainees
The author surveyed Australian anesthesi…