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psnet.ahrq.gov/node/33763/psn-pdf
March 01, 2014 - First, and as described above, it was essential to define the composition, scope, and operational funding
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psnet.ahrq.gov/node/49502/psn-pdf
February 01, 2006 - When residents think about working as a team, they usually define their
team by the attending, their
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psnet.ahrq.gov/node/49805/psn-pdf
September 01, 2017 - Many training
programs have created "must call attending" lists to define triggers that mandate consultation
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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/perspective/patient-safety-and-evolution-webmm-and-psnet
April 01, 2008 - safety movement were devoted to developing evidence-based standards, synthesizing existing research to define
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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/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/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/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
…
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psnet.ahrq.gov/node/38062/psn-pdf
March 04, 2011 - Steering patients to safer hospitals? The effect of a tiered
hospital network on hospital admissions.
March 4, 2011
Scanlon D, Lindrooth R, Christianson JB. Steering patients to safer hospitals? The effect of a tiered
hospital network on hospital admissions. Health Serv Res. 2008;43(5 Pt 2):1849-68. doi:10.1111/j.1…
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psnet.ahrq.gov/node/44752/psn-pdf
April 20, 2016 - Nontechnical skills in pediatric surgery: factors
influencing operative performance.
April 20, 2016
Youngson GG. Nontechnical skills in pediatric surgery: Factors influencing operative performance. J
Pediatr Surg. 2016;51(2):226-30. doi:10.1016/j.jpedsurg.2015.10.062.
https://psnet.ahrq.gov/issue/nontechnical-skil…