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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49567/psn-pdf
    September 01, 2008 - Empiric Steroids: the Good, the Bad, and the Ugly September 1, 2008 Harris ED. Empiric Steroids: the Good, the Bad, and the Ugly. PSNet [internet]. 2008. https://psnet.ahrq.gov/web-mm/empiric-steroids-good-bad-and-ugly Case Objectives Describe appropriate indications for use of steroids. Appreciate contraindicati…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60275/psn-pdf
    April 29, 2020 - Misreading injectable medications—causes and solutions: an integrative literature review. April 29, 2020 Borradale H, Andersen P, Wallis M, et al. Misreading injectable medications—causes and solutions: an integrative literature review. J Patient Saf. 2020. doi:10.1016/j.jcjq.2020.01.007. https://psnet.ahrq.gov/is…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837856/psn-pdf
    August 17, 2022 - Nurse well-being: a concept analysis. August 17, 2022 Patrician PA, Bakerjian D, Billings R, et al. Nurse well-being: a concept analysis. Nurs Outlook. 2022;70(4):639-650. doi:10.1016/j.outlook.2022.03.014. https://psnet.ahrq.gov/issue/nurse-well-being-concept-analysis Clinician well-being has important implicatio…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847724/psn-pdf
    April 19, 2023 - Defining avoidable healthcare-associated harm in prisons: a mixed-method development study. April 19, 2023 Keers RN, Wainwright V, McFadzean J, et al. Defining avoidable healthcare-associated harm in prisons: a mixed-method development study. PLOS One. 2023;18(3):e0282021. doi:10.1371/journal.pone.0282021. https:/…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844987/psn-pdf
    February 22, 2023 - Examining medication ordering errors using AHRQ Network of Patient Safety Databases. February 22, 2023 Grauer A, Rosen A, Applebaum JR, et al. Examining medication ordering errors using AHRQ network of patient safety databases. J Am Med Inform Assoc. 2023;30(5):838-845. doi:10.1093/jamia/ocad007. https://psnet.ahr…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72580/psn-pdf
    December 16, 2020 - Nurses' perceptions of open disclosure processes in cancer care: a cross-sectional study. December 16, 2020 Waller A, Hobden B, Bryant J, et al. Nurses’ perceptions of open disclosure processes in cancer care: a cross-sectional study. Collegian. 2020;27(5):506-511. doi:10.1016/j.colegn.2020.02.001. https://psnet.a…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33574/psn-pdf
    March 15, 2025 - safety priorities in ambulatory care, and it highlighted the need to develop clear and consistent definitions

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33571/psn-pdf
    March 15, 2025 - AHRQ has also developed Common Formats—standardized definitions and reporting formats for patient safety

  9. In Conversation With… Mark L. Graber, MD | PSNet

    psnet.ahrq.gov/perspective/conversation-mark-l-graber-md
    January 01, 2016 - That's an important statement that was missing from the earlier definitions.

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865664/psn-pdf
    April 24, 2024 - The use of positive deviance approach to improve health service delivery and quality of care: a scoping review. April 24, 2024 Kassie AM, Eakin E, Abate BB, et al. The use of positive deviance approach to improve health service delivery and quality of care: a scoping review. BMC Health Serv Res. 2024;24(1):438. doi…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73471/psn-pdf
    July 07, 2021 - Rapid response teams as a patient safety practice for failure to rescue. July 7, 2021 Fischer CP, Bilimoria KY, Ghaferi AA. Rapid Response Teams as a Patient Safety Practice for Failure to Rescue. JAMA. 2021;326(2):179-180. doi:10.1001/jama.2021.7510. https://psnet.ahrq.gov/issue/rapid-response-teams-patient-safet…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60583/psn-pdf
    June 10, 2020 - Containing COVID-19 in the emergency department: the role of improved case detection and segregation of suspect cases. June 10, 2020 Wee LE, Fua T?P, Chua YY, et al. Containing COVID-19 in the emergency department: the role of improved case detection and segregation of suspect cases. Acad Emerg Med. 2020;27(5):379…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853968/psn-pdf
    January 01, 2024 - When work harms: how better understanding of avoidable employee harm can improve employee safety, patient safety and healthcare quality. September 27, 2023 Jones A, Neal A, Bailey S, et al. When work harms: how better understanding of avoidable employee harm can improve employee safety, patient safety and healthca…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854983/psn-pdf
    November 01, 2023 - Voices from frontline nurses on care quality and patient safety during COVID-19: an application of the Donabedian Model. November 1, 2023 Pogorzelska-Maziarz M, de Cordova PB, Manning ML, et al. Voices from frontline nurses on care quality and patient safety during COVID-19: an application of the Donabedian model.…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844060/psn-pdf
    June 01, 2016 - Developing a measure of value in health care. June 1, 2016 Ken Lee KH, Matthew Austin J, Pronovost PJ. Developing a measure of value in health care. Value Health. 2015;19(4):323-325. doi:10.1016/j.jval.2014.12.009. https://psnet.ahrq.gov/issue/developing-measure-value-health-care Value-based healthcare is emerging…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60304/psn-pdf
    January 01, 2021 - Patients' perspectives of diagnostic error: a qualitative study. May 6, 2020 Sacco AY, Self QR, Worswick EL, et al. Patients' perspectives of diagnostic error: a qualitative study. J Patient Saf. 2021;17(8):e1759-e1773. doi:10.1097/pts.0000000000000642. https://psnet.ahrq.gov/issue/patients-perspectives-diagnostic…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60050/psn-pdf
    March 18, 2020 - Zero harm in health care. March 18, 2020 Gandhi TK, Feeley D, Schummers D. Zero Harm in Health Care. NEJM Catal Innov Care Deliv. 2020;1(2). doi:10.1056/cat.19.1137. https://psnet.ahrq.gov/issue/zero-harm-health-care Health systems are encouraged to strive for zero preventable harm, but achieving this goal require…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/864858/psn-pdf
    March 20, 2024 - Remote assessment of real-world surgical safety checklist performance using the OR Black Box: a multi- institutional evaluation. March 20, 2024 Riley MS, Etheridge J, Palter V, et al. Remote assessment of real-world surgical safety checklist performance using the OR Black Box: a multi-Institutional evaluation. J A…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33926/psn-pdf
    March 07, 2005 - The problems of detecting medication errors in hospitals. March 7, 2005 Barker KN, McConnell WE. The Problems of Detecting Medication Errors in Hospitals. Am J Health Syst Pharm. 1962;19(8):360-369. doi:10.1093/ajhp/19.8.360. https://psnet.ahrq.gov/issue/problems-detecting-medication-errors-hospitals Perhaps the f…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34799/psn-pdf
    December 23, 2008 - Drug related admissions to a cardiology department; frequency and avoidability. December 23, 2008 Hallas J, Haghfelt T, Gram LF, et al. Drug related admissions to a cardiology department; frequency and avoidability. J Intern Med. 1990;228(4):379-84. https://psnet.ahrq.gov/issue/drug-related-admissions-cardiology-d…
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