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psnet.ahrq.gov/innovation/critical-radiology-alert-process
November 16, 2022 - 1) informing the patient of the finding and documenting the discussion in the physician’s notes, 2) determining
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psnet.ahrq.gov/node/867652/psn-pdf
February 26, 2025 - Given
the vast number and variety of incidents in health care, RCA2 provides detailed guidance on determining
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psnet.ahrq.gov/node/866846/psn-pdf
September 24, 2024 - to
assess whether initiatives such as zero harm goals are working,
and the subjective dimension in determining
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psnet.ahrq.gov/web-mm/managing-care-challenges-group-home-setting-staffing-adequate-unplanned-incidents
April 27, 2022 - Managing Care Challenges in a Group Home Setting: Is Staffing Adequate for Unplanned Incidents?
Citation Text:
Ordona R, Bakerjian D. Managing Care Challenges in a Group Home Setting: Is Staffing Adequate for Unplanned Incidents?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality,…
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psnet.ahrq.gov/node/840174/psn-pdf
August 28, 2024 - nature, is important for
fully understanding the consequences of the patient’s death and therefore determining
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psnet.ahrq.gov/issue/publicly-available-hospital-comparison-web-sites-determination-useful-valid-and-appropriate
December 21, 2014 - Study
Classic
Publicly available hospital comparison web sites: determination of useful, valid, and appropriate information for comparing surgical quality.
Citation Text:
Leonardi MJ, McGory ML, Ko CY. Publicly available hospital comparison web sites: determin…
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psnet.ahrq.gov/node/47290/psn-pdf
December 12, 2018 - Burnout in mental health professionals: a systematic
review and meta-analysis of prevalence and determinants.
December 12, 2018
O'Connor K, Neff DM, Pitman S. Burnout in mental health professionals: a systematic review and meta-
analysis of prevalence and determinants. Eur Psychiatry. 2018;53:74-99.
doi:10.1016/j.…
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psnet.ahrq.gov/node/37737/psn-pdf
January 06, 2017 - Can patient safety be measured by surveys of patient
experiences?
January 6, 2017
Solberg LI, Asche SE, Averbeck BM, et al. Can patient safety be measured by surveys of patient
experiences? Jt Comm J Qual Patient Saf. 2008;34(5):266-274.
https://psnet.ahrq.gov/issue/can-patient-safety-be-measured-surveys-patient-e…
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psnet.ahrq.gov/node/36880/psn-pdf
August 31, 2011 - Complication rates on weekends and weekdays in US
hospitals.
August 31, 2011
Bendavid E, Kaganova Y, Needleman J, et al. Complication rates on weekends and weekdays in US
hospitals. Am J Med. 2007;120(5):422-8.
https://psnet.ahrq.gov/issue/complication-rates-weekends-and-weekdays-us-hospitals
This study analyzed …
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psnet.ahrq.gov/node/39199/psn-pdf
January 28, 2010 - Nurse decision making in the prearrest period.
January 28, 2010
Gazarian PK, Henneman EA, Chandler GE. Nurse decision making in the prearrest period. Clin Nurs Res.
2010;19(1):21-37. doi:10.1177/1054773809353161.
https://psnet.ahrq.gov/issue/nurse-decision-making-prearrest-period
This qualitative study explored th…
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psnet.ahrq.gov/about-psnet
September 01, 2015 - About PSNet AHRQ Patient Safety Network (PSNet) is a national web-based resource featuring the latest news and essential resources on patient safety. The site offers weekly updates of patient safety literature, news, tools, and meetings ("Current Issue"), and a vast set of carefully annotated links to important researc…
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psnet.ahrq.gov/node/46911/psn-pdf
May 02, 2018 - Errors in electronic health record–based data query of
statin prescriptions in patients with coronary artery
disease in a large, academic, multispecialty clinic
practice.
May 2, 2018
Shin EY, Ochuko P, Bhatt K, et al. Errors in Electronic Health Record-Based Data Query of Statin
Prescriptions in Patients With Cor…
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psnet.ahrq.gov/node/34707/psn-pdf
September 29, 2017 - National Patient Safety Foundation agenda for research
and development in patient safety.
September 29, 2017
Cooper JB, Gaba DM, Liang B, et al. The National Patient Safety Foundation agenda for research and
development in patient safety. MedGenMed. 2000;2(3):E38.
https://psnet.ahrq.gov/issue/national-patient-safe…
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psnet.ahrq.gov/node/35537/psn-pdf
March 29, 2010 - FDA drug prescribing warnings: is the black box half
empty or half full?
March 29, 2010
Wagner AK, Chan A, Dashevsky I, et al. FDA drug prescribing warnings: is the black box half empty or half
full? Pharmacoepidemiol Drug Saf. 2006;15(6):369-86.
https://psnet.ahrq.gov/issue/fda-drug-prescribing-warnings-black-box…
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psnet.ahrq.gov/perspective/patient-safety-primary-care
January 31, 2020 - A key cross-cutting challenge is determining how to improve reliability without placing additional burden
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psnet.ahrq.gov/node/846935/psn-pdf
March 29, 2023 - After a positive screening result,
processes should be in place for determining safety and for referring
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psnet.ahrq.gov/node/841567/psn-pdf
December 14, 2022 - measures still exist and remain important to ensuring the right care,
outcomes measures are important in determining
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psnet.ahrq.gov/node/50927/psn-pdf
February 21, 2020 - A key cross-cutting challenge is determining how to improve reliability without placing additional burden
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psnet.ahrq.gov/sites/default/files/2020-06/final_june-spotlight_case_slides_06.12.2020.pdf
January 01, 2020 - This can create a risk to patient safety because of the difficulty in
monitoring for over-sedation; determining
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psnet.ahrq.gov/node/49576/psn-pdf
January 01, 2009 - In
considering this question, the first issue is determining whether the patient would have been classified