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psnet.ahrq.gov/node/49739/psn-pdf
August 21, 2015 - Each
institution should develop and maintain policies and procedures to define and standardize tracheostomy
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.308_slideshow.ppt
October 01, 2013 - Credits
Objectives
At the conclusion of this educational activity, participants should be able to:
Define
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psnet.ahrq.gov/node/42929/psn-pdf
February 05, 2014 - Do no harm: is it time to rethink the Hippocratic Oath?
February 5, 2014
Walton M, Kerridge I. Do no harm: is it time to rethink the Hippocratic Oath? Med Educ. 2014;48(1):17-27.
doi:10.1111/medu.12275.
https://psnet.ahrq.gov/issue/do-no-harm-it-time-rethink-hippocratic-oath
This commentary discusses how health ca…
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psnet.ahrq.gov/node/43031/psn-pdf
March 12, 2014 - WARNING health IT may be hazardous to your healthcare.
March 12, 2014
Dimick C.
https://psnet.ahrq.gov/issue/warning-health-it-may-be-hazardous-your-healthcare
This article relates the development of a taxonomy that hospitals and vendors can use to detect, sort, and
analyze risks associated with health information…
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psnet.ahrq.gov/node/43376/psn-pdf
January 16, 2017 - Resilience and resilience engineering in health care.
January 16, 2017
Fairbanks RJ, Wears RL, Woods DD, et al. Resilience and resilience engineering in health care. Jt Comm J
Qual Patient Saf. 2014;40(8):376-383.
https://psnet.ahrq.gov/issue/resilience-and-resilience-engineering-health-care
Resilience is a charac…
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psnet.ahrq.gov/node/34788/psn-pdf
March 28, 2005 - Cost of medication-related problems at a university
hospital.
March 28, 2005
Schneider PJ; Gift MG; Lee YP; Rothermich EA; Sill BE
https://psnet.ahrq.gov/issue/cost-medication-related-problems-university-hospital
This study used retrospective chart review to determine estimated costs of defined medication-related
…
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psnet.ahrq.gov/node/39169/psn-pdf
December 09, 2009 - Exploring the concept of medication discrepancy within
the context of patient safety to improve population health.
December 9, 2009
Murphy CR, Corbett CL, Setter SM, et al. Exploring the concept of medication discrepancy within the
context of patient safety to improve population health. ANS Adv Nurs Sci. 2009;32(4)…
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psnet.ahrq.gov/node/35415/psn-pdf
December 21, 2008 - Acting Locally: Working in Clinical Microsystems CD-
ROM.
December 21, 2008
Oakbrook Terrance, IL: Joint Commission Resources; 2005. ISBN 9780866889865.
https://psnet.ahrq.gov/issue/acting-locally-working-clinical-microsystems-cd-rom
This resource represents a collection of special articles published in the Joint …
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psnet.ahrq.gov/node/47145/psn-pdf
July 23, 2018 - The elusive and illusive quest for diagnostic safety
metrics.
July 23, 2018
Schiff G, Ruan EL. The Elusive and Illusive Quest for Diagnostic Safety Metrics. J Gen Intern Med.
2018;33(7):983-985. doi:10.1007/s11606-018-4454-2.
https://psnet.ahrq.gov/issue/elusive-and-illusive-quest-diagnostic-safety-metrics
Measur…
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psnet.ahrq.gov/node/41690/psn-pdf
September 19, 2012 - Inappropriateness of medication prescriptions to elderly
patients in the primary care setting: a systematic review.
September 19, 2012
Opondo D, Eslami S, Visscher S, et al. Inappropriateness of medication prescriptions to elderly patients in
the primary care setting: a systematic review. PLoS One. 2012;7(8):e43617…
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psnet.ahrq.gov/node/39039/psn-pdf
October 21, 2009 - Quality of medication use in primary care—mapping the
problem, working to a solution: a systematic review of the
literature.
October 21, 2009
Garfield S, Barber N, Walley P, et al. Quality of medication use in primary care--mapping the problem,
working to a solution: a systematic review of the literature. BMC Med.…
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psnet.ahrq.gov/node/42212/psn-pdf
April 17, 2013 - Reducing the risk of adverse drug events in older adults.
April 17, 2013
Pretorius RW, Gataric G, Swedlund SK, et al. Reducing the risk of adverse drug events in older adults. Am
Fam Physician. 2013;87(5):331-6.
https://psnet.ahrq.gov/issue/reducing-risk-adverse-drug-events-older-adults
This commentary outlines ty…
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psnet.ahrq.gov/node/37665/psn-pdf
April 02, 2008 - Health outcomes associated with potentially
inappropriate medication use in older adults.
April 2, 2008
Fick DM, Mion LC, Beers MH, et al. Health outcomes associated with potentially inappropriate medication
use in older adults. Res Nurs Health. 2008;31(1):42-51. doi:10.1002/nur.20232.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/37830/psn-pdf
June 18, 2008 - Does surgeon fatigue influence outcomes after anterior
resection for rectal cancer?
June 18, 2008
Schieman C, MacLean AR, Buie D, et al. Does surgeon fatigue influence outcomes after anterior resection
for rectal cancer? Am J Surg. 2008;195(5):684-7; discussion 687-8. doi:10.1016/j.amjsurg.2008.01.009.
https://psn…
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psnet.ahrq.gov/node/49711/psn-pdf
June 01, 2014 - psnet.ahrq.gov/web-mm/wandering-floors-safety-and-security-risks-patient-wandering
Case Objectives
Define
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psnet.ahrq.gov/node/40000/psn-pdf
November 10, 2017 - Behind Human Error, Second Edition.
November 10, 2017
Woods DD, Dekker S, Cook R, Johannesen L. Boca Raton, FL: CRC Press; 2017. ISBN: 9781317175537.
https://psnet.ahrq.gov/issue/behind-human-error-second-edition
"Human error," the authors of this book argue, is an inherently misleading term. Drawing on the field …
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psnet.ahrq.gov/node/35094/psn-pdf
June 22, 2009 - Use of the Beers criteria to predict adverse drug reactions
among first-visit elderly outpatients.
June 22, 2009
Chang C-M, Liu P-YY, Yang Y-HK, et al. Use of the Beers criteria to predict adverse drug reactions among
first-visit elderly outpatients. Pharmacotherapy. 2005;25(6):831-8.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/34648/psn-pdf
April 21, 2015 - Gaps in the continuity of care and progress on patient
safety.
April 21, 2015
Cook RI, Render M, Woods DD. Gaps in the continuity of care and progress on patient safety. BMJ.
2000;320(7237):791-4.
https://psnet.ahrq.gov/issue/gaps-continuity-care-and-progress-patient-safety
This commentary discusses the concept o…
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psnet.ahrq.gov/node/40996/psn-pdf
December 18, 2014 - Effects of a night-team system on resident sleep and work
hours.
December 18, 2014
Chua K-P, Gordon M, Sectish TC, et al. Effects of a night-team system on resident sleep and work hours.
Pediatrics. 2011;128(6):1142-7. doi:10.1542/peds.2011-1049.
https://psnet.ahrq.gov/issue/effects-night-team-system-resident-slee…
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psnet.ahrq.gov/node/43517/psn-pdf
October 08, 2014 - The cost of opioid–related adverse drug events.
October 8, 2014
Kane-Gill SL, Rubin EC, Smithburger PL, et al. The cost of opioid-related adverse drug events. J Pain
Palliat Care Pharmacother. 2014;28(3):282-93. doi:10.3109/15360288.2014.938889.
https://psnet.ahrq.gov/issue/cost-opioid-related-adverse-drug-events
…