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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72589/psn-pdf
    December 23, 2020 - Delayed Breast Cancer Diagnosis: A False Sense of Security. December 23, 2020 Weingart SN, James TA, Schiff G. Delayed Breast Cancer Diagnosis: A False Sense of Security. PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/delayed-breast-cancer-diagnosis-false-sense-security The Case A 60-year-old woman was se…
  2. psnet.ahrq.gov/web-mm/medication-reconciliation-twist-or-dare-we-say-patch
    April 03, 2024 - SPOTLIGHT CASE Medication Reconciliation With a Twist (or Dare We Say, a Patch?) Citation Text: Kwan JL. Medication Reconciliation With a Twist (or Dare We Say, a Patch?). PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 201…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50841/psn-pdf
    January 29, 2020 - “This is the wrong patient's blood!”: Evaluating a Near- Miss Wrong Transfusion Event January 29, 2020 Barnhard S. “This is the wrong patient's blood!”: Evaluating a Near-Miss Wrong Transfusion Event. PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/wrong-patients-blood-evaluating-near-miss-wrong-transfusion-…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33833/psn-pdf
    May 01, 2017 - In Conversation With… David Juurlink, MD, PhD May 1, 2017 In Conversation With… David Juurlink, MD, PhD. PSNet [internet]. 2017. https://psnet.ahrq.gov/perspective/conversation-david-juurlink-md-phd Editor's note: Dr. Juurlink is professor of medicine, pediatrics, and health policy at the University of Toronto, w…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49534/psn-pdf
    May 01, 2007 - Antiseizure Medication Disorder May 1, 2007 Alldredge BK. Antiseizure Medication Disorder. PSNet [internet]. 2007. https://psnet.ahrq.gov/web-mm/antiseizure-medication-disorder Case Objectives Appreciate the challenges of safe use of antiepileptic medications. Identify phenytoin toxicity. Understand the pharmaco…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46993/psn-pdf
    July 18, 2018 - The nature, magnitude, and reporting compliance of device-related events for intravenous patient-controlled analgesia in the FDA Manufacturer and User Facility Device Experience (MAUDE) database. July 18, 2018 Lawal OD, Mohanty M, Elder H, et al. The nature, magnitude, and reporting compliance of device-related e…
  7. psnet.ahrq.gov/issue/wrong-site-and-wrong-patient-procedures-universal-protocol-era-analysis-prospective-database
    October 13, 2010 - Study Wrong-site and wrong-patient procedures in the Universal Protocol era: analysis of a prospective database of physician self-reported occurrences. Citation Text: Stahel PF, Sabel A, Victoroff MS, et al. Wrong-site and wrong-patient procedures in the universal protocol era: analysis …
  8. psnet.ahrq.gov/issue/quality-improvement-priorities-safer-out-hours-palliative-care-lessons-mixed-methods-analysis
    July 03, 2016 - Study Quality improvement priorities for safer out-of-hours palliative care: lessons from a mixed-methods analysis of a national incident-reporting database. Citation Text: Williams H, Donaldson SL, Noble S, et al. Quality improvement priorities for safer out-of-hours palliative care: Le…
  9. psnet.ahrq.gov/issue/nature-blame-patient-safety-incident-reports-mixed-methods-analysis-national-database
    October 12, 2016 - Study Nature of blame in patient safety incident reports: mixed methods analysis of a national database. Citation Text: Cooper J, Edwards A, Williams H, et al. Nature of Blame in Patient Safety Incident Reports: Mixed Methods Analysis of a National Database. Ann Fam Med. 2017;15(5):455-4…
  10. psnet.ahrq.gov/issue/professional-structural-and-organisational-interventions-primary-care-reducing-medication
    December 16, 2020 - Review Professional, structural and organisational interventions in primary care for reducing medication errors. Citation Text: Khalil H, Bell BG, Chambers H, et al. Professional, structural and organisational interventions in primary care for reducing medication errors. Cochrane Databas…
  11. psnet.ahrq.gov/issue/high-cost-low-morale-clinical-laboratory-how-workplace-environment-impacts-patient-safety
    March 06, 2005 - Newspaper/Magazine Article The high cost of low morale in the clinical laboratory: how workplace environment impacts patient safety. Citation Text: The high cost of low morale in the clinical laboratory: how workplace environment impacts patient safety. Barker T; Noguez J. Copy Citatio…
  12. psnet.ahrq.gov/issue/characteristics-weekday-and-weekend-hospital-admissions-2007
    September 15, 2010 - Book/Report Characteristics of Weekday and Weekend Hospital Admissions, 2007. Citation Text: Characteristics of Weekday and Weekend Hospital Admissions, 2007. Ryan K, Levit K, Davis PH. HCUP Statistical Brief #87. Rockville, MD: Agency for Healthcare Research and Quality; March 2010.…
  13. psnet.ahrq.gov/issue/ahrq-health-information-technology-divisions-2017-annual-report
    May 02, 2018 - Book/Report AHRQ Health Information Technology Division's 2017 Annual Report. Citation Text: AHRQ Health Information Technology Division's 2017 Annual Report. Rockville, MD: Agency for Healthcare Research and Quality; April 2018. AHRQ Publication No. 18-0028-EF. Copy Citation …
  14. psnet.ahrq.gov/issue/english-patient-safety-programme
    September 02, 2020 - Special or Theme Issue The English Patient Safety Programme. Citation Text: The English Patient Safety Programme. J Health Serv Research Policy. 2010;15(suppl 1):S1-S91.  Copy Citation Save Save to your library Print Download PDF Share …
  15. psnet.ahrq.gov/issue/sops-health-information-technology-patient-safety-supplemental-item-set-hospital-survey
    October 23, 2019 - Measurement Tool/Indicator SOPS Health Information Technology Patient Safety Supplemental Item Set for the Hospital Survey. Citation Text: SOPS Health Information Technology Patient Safety Supplemental Item Set for the Hospital Survey. Rockville, MD: Agency for Healthcare Research and Qu…
  16. psnet.ahrq.gov/issue/can-computers-help-doctors-reduce-diagnostic-errors
    December 18, 2019 - Newspaper/Magazine Article Can computers help doctors reduce diagnostic errors? Citation Text: Can computers help doctors reduce diagnostic errors? Shryock T. Med Econ. December 5, 2016. Copy Citation Save Save to your library Print Download PDF …
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73713/psn-pdf
    September 15, 2021 - Agency information collection activities: Ambulatory Surgery Center Survey on Patient Safety Culture Database; comment request. September 15, 2021 Agency for Healthcare Quality and Research. Fed Register. August 31, 2021;86:48703-48705. https://psnet.ahrq.gov/issue/agency-information-collection-activities-ambulato…
  18. psnet.ahrq.gov/issue/developing-and-testing-health-care-safety-hotline-prototype-consumer-reporting-system-patient
    October 26, 2016 - Book/Report Developing and Testing the Health Care Safety Hotline: A Prototype Consumer Reporting System for Patient Safety Events. Final Report. Citation Text: Developing and Testing the Health Care Safety Hotline: A Prototype Consumer Reporting System for Patient Safety Events. Final R…
  19. psnet.ahrq.gov/issue/effect-health-care-working-conditions-patient-safety-evidence-reporttechnology-assessment
    December 18, 2008 - Book/Report The Effect of Health Care Working Conditions on Patient Safety. Evidence Report/Technology Assessment. Citation Text: The Effect of Health Care Working Conditions on Patient Safety. Evidence Report/Technology Assessment. Rockville, MD: Agency for Healthcare Research and Quali…
  20. psnet.ahrq.gov/issue/strategies-creating-sustaining-and-improving-culture-safety-health-care-second-edition
    May 20, 2015 - Book/Report Classic Strategies for Creating, Sustaining, and Improving a Culture of Safety in Health Care, Second Edition. Citation Text: Strategies for Creating, Sustaining, and Improving a Culture of Safety in Health Care, Second Edition. Joint Commission Reso…

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