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  1. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.224_slideshow.ppt
    October 01, 2010 - Spotlight Case July 2008 Spotlight Case October 2010 Dangerous Dialysis * * Source and Credits This presentation is based on the October 2010 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Jean L. Holley, MD, University of Illinois, Urbana-…
  2. psnet.ahrq.gov/issue/resilient-health-care-society
    October 09, 2019 - Multi-use Website Resilient Health Care Society. Citation Text: Resilient Health Care Society. Sweden. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL Novem…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37792/psn-pdf
    February 15, 2011 - Exploring organizational context and structure as predictors of medication errors and patient falls. February 15, 2011 Mark BA, Hughes LC, Belyea M, et al. Exploring Organizational Context and Structure as Predictors of Medication Errors and Patient Falls. J Patient Saf. 2008;4(2). doi:10.1097/pts.0b013e3181695671.…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37227/psn-pdf
    December 15, 2011 - Intensive care unit safety incidents for medical versus surgical patients: a prospective multicenter study. December 15, 2011 Sinopoli DJ, Needham DM, Thompson DA, et al. Intensive care unit safety incidents for medical versus surgical patients: a prospective multicenter study. J Crit Care. 2007;22(3):177-83. http…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/860049/psn-pdf
    January 04, 2024 - Myasthenia Crisis after a Delayed Diagnosis in a Medically Complex Patient. January 4, 2024 Chaffin Z. Myasthenia Crisis after a Delayed Diagnosis in a Medically Complex Patient. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/myasthenia-crisis-after-delayed-diagnosis-medically-complex-patient The Case A 9…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39063/psn-pdf
    December 17, 2009 - Safety and risk management interventions in hospitals: a systematic review of the literature. December 17, 2009 Dückers M, Faber M, Cruijsberg J, et al. Safety and risk management interventions in hospitals: a systematic review of the literature. Med Care Res Rev. 2009;66(6 Suppl):90S-119S. doi:10.1177/10775587093…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49698/psn-pdf
    December 01, 2013 - SNFs: Opening the Black Box December 1, 2013 Ouslander JG, Bonner A. SNFs: Opening the Black Box. PSNet [internet]. 2013. https://psnet.ahrq.gov/web-mm/snfs-opening-black-box The Case An 88-year-old woman was admitted to a skilled nursing facility (SNF) after a lengthy hospitalization for a small bowel obstructio…
  8. psnet.ahrq.gov/issue/minnesota-alliance-patient-safety-maps
    October 31, 2023 - Multi-use Website Minnesota Alliance for Patient Safety (MAPS). Citation Text: Minnesota Alliance for Patient Safety (MAPS). Minnesota Hospital and Healthcare Partnership.  Copy Citation Save Save to your library Print Download PDF Sha…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43280/psn-pdf
    November 30, 2016 - Medical Office Survey on Patient Safety Culture: 2014 User Comparative Database Report. November 30, 2016 Sorra J, Famolaro T, Yount ND, et al. Rockville, MD: Agency for Healthcare Research and Quality; June 2014. Report No. 14-0032-EF. https://psnet.ahrq.gov/issue/medical-office-survey-patient-safety-culture-2014…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42748/psn-pdf
    November 20, 2013 - Effectiveness of written hospitalist sign-outs in answering overnight inquiries. November 20, 2013 Fogerty RL, Schoenfeld A, Al-Damluji MS, et al. Effectiveness of written hospitalist sign-outs in answering overnight inquiries. J Hosp Med. 2013;8(11):609-14. doi:10.1002/jhm.2090. https://psnet.ahrq.gov/issue/effec…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39213/psn-pdf
    October 03, 2017 - Using patient safety morbidity and mortality conferences to promote transparency and a culture of safety. October 3, 2017 Szekendi MK, Barnard C, Creamer J, et al. Using patient safety morbidity and mortality conferences to promote transparency and a culture of safety. Jt Comm J Qual Patient Saf. 2010;36(1):3-9. h…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38449/psn-pdf
    March 04, 2009 - A model for increasing patient safety in the intensive care unit: increasing the implementation rates of proven safety measures. March 4, 2009 Krimsky WS, Mroz IB, McIlwaine JK, et al. A model for increasing patient safety in the intensive care unit: increasing the implementation rates of proven safety measures. Q…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50754/psn-pdf
    December 18, 2019 - California.15 Both organizations offer videos or short informational brochures with low-health-literacy descriptions
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41257/psn-pdf
    April 22, 2012 - Development of an evidence-based framework of factors contributing to patient safety incidents in hospital settings: a systematic review. April 22, 2012 Lawton R, McEachan RRC, Giles SJ, et al. Development of an evidence-based framework of factors contributing to patient safety incidents in hospital settings: a sy…
  15. psnet.ahrq.gov/web-mm/pains-chronic-opioid-usage
    April 04, 2018 - Informed consent and a treatment agreement can be essential and should include clear descriptions of
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45293/psn-pdf
    February 01, 2017 - Patient safety incidents involving sick children in primary care in England and Wales: a mixed methods analysis. February 1, 2017 Rees P, Edwards A, Powell C, et al. Patient Safety Incidents Involving Sick Children in Primary Care in England and Wales: A Mixed Methods Analysis. PLoS Med. 2017;14(1):e1002217. doi:1…
  17. psnet.ahrq.gov/issue/when-surgery-goes-wrong-weighing-risks
    December 18, 2019 - Newspaper/Magazine Article When surgery goes wrong: weighing up the risks. Citation Text: When surgery goes wrong: weighing up the risks. Feinmann J. The Independent. November 14, 2006. Copy Citation Save Save to your library Print Download PDF …
  18. psnet.ahrq.gov/issue/safety-anaesthesia
    April 07, 2021 - Special or Theme Issue Safety in Anaesthesia. Citation Text: Safety in Anaesthesia. Staender S, ed. Best Pract Res Clin Anaesthesiol. 2011;25(2):109-304.   Copy Citation Save Save to your library Print Download PDF Share Facebook …
  19. psnet.ahrq.gov/issue/solving-puzzle-improving-safety-outcomes
    September 07, 2022 - Commentary Solving the puzzle: improving safety outcomes. Citation Text: Solving the puzzle: improving safety outcomes. Whitehouse D. Br J Healthc Manage. 2013;19(9):446-448. Copy Citation Save Save to your library Print Download PDF Share …
  20. psnet.ahrq.gov/issue/seeing-through-google-glass-using-innovative-technology-improve-medication-safety-behaviors
    September 15, 2021 - Study Seeing through Google Glass: using an innovative technology to improve medication safety behaviors in undergraduate nursing students. Citation Text: Schneidereith T. Seeing Through Google Glass: Using an Innovative Technology to Improve Medication Safety Behaviors in Undergraduate …

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