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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36753/psn-pdf
    April 30, 2014 - Medication errors in the outpatient setting: classification and root cause analysis. April 30, 2014 Friedman AL, Geoghegan SR, Sowers NM, et al. Medication errors in the outpatient setting: classification and root cause analysis. Arch Surg. 2007;142(3):278-83; discussion 284. https://psnet.ahrq.gov/issue/medicatio…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/764398/psn-pdf
    March 02, 2022 - What do we really know about crew resource management in healthcare?: An umbrella review on crew resource management and its effectiveness. March 2, 2022 Buljac-Samardzic M, Dekker-van Doorn CM, Maynard MT. What do we really know about crew resource management in healthcare?: An umbrella review on crew resource ma…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36768/psn-pdf
    July 14, 2010 - Hospital leadership and quality improvement: rhetoric versus reality. July 14, 2010 Levey S, Vaughn T, Koepke M, et al. Hospital Leadership and Quality Improvement. J Patient Saf. 2008;3(1). doi:10.1097/pts.0b013e3180311256. https://psnet.ahrq.gov/issue/hospital-leadership-and-quality-improvement-rhetoric-versus-r…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42891/psn-pdf
    May 05, 2014 - Computerized physician order entry in the cardiac intensive care unit: effects on prescription errors and workflow conditions. May 5, 2014 Armada ER, Villamañán E, López-de-Sá E, et al. Computerized physician order entry in the cardiac intensive care unit: effects on prescription errors and workflow conditions. J …

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48014/psn-pdf
    July 10, 2019 - Patient safety morning report: innovation in teaching core patient safety principles to third-year medical students. July 10, 2019 Beekman M, Emani VK, Wolford R, et al. Patient Safety Morning Report: Innovation in Teaching Core Patient Safety Principles to Third-Year Medical Students. J Med Educ Curric Dev. 2019;…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43027/psn-pdf
    July 23, 2014 - Improving team information sharing with a structured call-out in anaesthetic emergencies: a randomized controlled trial. July 23, 2014 Weller JM, Torrie J, Boyd M, et al. Improving team information sharing with a structured call-out in anaesthetic emergencies: a randomized controlled trial. Br J Anaesth. 2014;112(…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866556/psn-pdf
    August 21, 2024 - Digital maturity as a predictor of quality and safety outcomes in US hospitals: cross-sectional observational study. August 21, 2024 Snowdon A, Hussein A, Danforth M, et al. Digital maturity as a predictor of quality and safety outcomes in US hospitals: cross-sectional observational study. J Med Internet Res. 2024…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34949/psn-pdf
    June 23, 2009 - A randomized, controlled trial evaluating the impact of a computerized rounding and sign-out system on continuity of care and resident work hours. June 23, 2009 Van Eaton EG, Horvath KD, Lober WB, et al. A randomized, controlled trial evaluating the impact of a computerized rounding and sign-out system on continui…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43798/psn-pdf
    January 07, 2015 - Pharmacist-managed inpatient discharge medication reconciliation: a combined onsite and telepharmacy model. January 7, 2015 Keeys C, Kalejaiye B, Skinner M, et al. Pharmacist-managed inpatient discharge medication reconciliation: a combined onsite and telepharmacy model. Am J Health Syst Pharm. 2014;71(24):2159-66…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47867/psn-pdf
    June 19, 2019 - Increasing compliance of safe medication administration in pediatric anesthesia by use of a standardized checklist. June 19, 2019 Kanjia MK, Adler AC, Buck D, et al. Increasing compliance of safe medication administration in pediatric anesthesia by use of a standardized checklist. Paediatr Anaesth. 2019;29(3):258-2…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43651/psn-pdf
    November 18, 2016 - Ebola US Patient Zero: lessons on misdiagnosis and effective use of electronic health records. November 18, 2016 Upadhyay DK, Sittig DF, Singh H. Ebola US Patient Zero: lessons on misdiagnosis and effective use of electronic health records. Diagnosis (Berl). 2014;1(4):283-287. doi:10.1515/dx-2014-0064. https://psn…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866900/psn-pdf
    October 09, 2024 - Defects in value associated with hospital-acquired conditions: how improving quality could save U.S. healthcare $50 billion. October 9, 2024 Padula WV, Pronovost PJ. Defects in value associated with hospital-acquired conditions: how improving quality could save U.S. healthcare $50 billion. J Patient Saf. 2024;20(7…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33606/psn-pdf
    December 15, 2024 - Opioid Safety December 15, 2024 Opioid Safety. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/opioid-safety PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current research and practice in the patient safety field. Last reviewed in 2024. Bac…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49524/psn-pdf
    November 01, 2006 - Secured But Not Always Safe November 1, 2006 Jahr JS, Hosseini P. Secured But Not Always Safe. PSNet [internet]. 2006. https://psnet.ahrq.gov/web-mm/secured-not-always-safe The Case An 84-year-old healthy woman underwent an elective left total knee replacement for degenerative osteoarthritis. She received spinal …

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49541/psn-pdf
    August 21, 2007 - Mark My Tooth August 21, 2007 Smith RA. Mark My Tooth. PSNet [internet]. 2007. https://psnet.ahrq.gov/web-mm/mark-my-tooth The Case A 45-year-old healthy man was scheduled to have two teeth extracted for progressive dental caries. The patient underwent the extractions, awoke from the anesthesia, and then realized…

  16. Spotlight Case July 2008 (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.200_slideshow.ppt
    May 01, 2009 - Spotlight Case July 2008 Spotlight Case Delirium or Dementia? Source and Credits This presentation is based on the May 2009 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: James L. Rudolph, MD, SM Editor, AHRQ WebM&M: Robert Wachter, MD Sp…

  17. Diuretics and Electrolyte Abnormalities | PSNet

    psnet.ahrq.gov/web-mm/diuretics-and-electrolyte-abnormalities
    February 15, 2017 - Diuretics and Electrolyte Abnormalities Citation Text: Dreischulte T. Diuretics and Electrolyte Abnormalities. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 …

  18. Paradoxical Pulse | PSNet

    psnet.ahrq.gov/web-mm/paradoxical-pulse
    May 01, 2013 - Paradoxical Pulse Citation Text: Roy CL. Paradoxical Pulse. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  19. Failure to Reevaluate | PSNet

    psnet.ahrq.gov/web-mm/failure-reevaluate
    February 01, 2014 - Failure to Reevaluate Citation Text: Wong-Beringer A. Failure to Reevaluate. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged P…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841567/psn-pdf
    December 14, 2022 - Measuring Patient Safety December 14, 2022 Schreiber M, Van C, Mossburg SE. Measuring Patient Safety. PSNet [internet]. 2022. https://psnet.ahrq.gov/perspective/measuring-patient-safety Following the landmark report To Err is Human: Building a Safer Health System, developed by the Institute of Medicine in 1999, pa…
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