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1121. In Conversation With… Mark L. Graber, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-mark-l-graber-md
      January 01, 2016 - There is some data; for example, optometrists looking at diabetic eyes don't all agree on what grade … diabetic retinopathy it is.

1122. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49511/psn-pdf
      May 01, 2006 - Citrate Mix-Up May 1, 2006 Weber RJ. Citrate Mix-Up. PSNet [internet]. 2006. https://psnet.ahrq.gov/web-mm/citrate-mix The Case A 36-year-old woman with multiple sclerosis, diabetes, and chronic renal failure was transferred from a skilled nursing facility (SNF) to the hospital for treatment of an infection. On a…

1123. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49795/psn-pdf
      June 01, 2017 - The Perils of Contrast Media June 1, 2017 Sadat U, Solomon R. The Perils of Contrast Media. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/perils-contrast-media Case Objectives Recognize that contrast media are potentially nephrotoxic. Identify key risk factors for the development of contrast-induced kidne…

1124. Improving handoffs in the emergency department. | PSNet
      psnet.ahrq.gov/issue/improving-handoffs-emergency-department
      July 19, 2017 - Commentary Improving handoffs in the emergency department. Citation Text: Cheung DS, Kelly JJ, Beach C, et al. Improving handoffs in the emergency department. Ann Emerg Med. 2010;55(2):171-80. doi:10.1016/j.annemergmed.2009.07.016. Copy Citation Format: DOI Google Scholar…

1125. Society of Interventional Radiology IR Pre-Procedure Patient Safety Checklist by the Safety and Health Committee. | PSNet
      psnet.ahrq.gov/issue/society-interventional-radiology-ir-pre-procedure-patient-safety-checklist-safety-and-health
      July 13, 2010 - Commentary Society of Interventional Radiology IR Pre-Procedure Patient Safety Checklist by the Safety and Health Committee. Citation Text: Rafiei P, Walser EM, Duncan JR, et al. Society of Interventional Radiology IR Pre-Procedure Patient Safety Checklist by the Safety and Health Commit…

1126. The safety journal: lessons learned with an error reporting tool to stimulate systems thinking. | PSNet
      psnet.ahrq.gov/issue/safety-journal-lessons-learned-error-reporting-tool-stimulate-systems-thinking
      January 21, 2019 - Study The safety journal: lessons learned with an error reporting tool to stimulate systems thinking. Citation Text: Singh R, Naughton B, Singh A, et al. The Safety Journal. J Patient Saf. 2007;3(3):135-141. doi:10.1097/0b013e31814258db. Copy Citation Format: DOI Google S…

1127. Standardized Competencies for Parenteral Nutrition Administration: the ASPEN Model. | PSNet
      psnet.ahrq.gov/issue/standardized-competencies-parenteral-nutrition-administration-aspen-model
      June 12, 2018 - Organizational Policy/Guidelines Standardized Competencies for Parenteral Nutrition Administration: the ASPEN Model. Citation Text: Guenter P, Worthington P, Ayers P, et al. Standardized Competencies for Parenteral Nutrition Administration: The ASPEN Model. Nutr Clin Pract. 2018;33(2):29…

1128. Implementation of a medication reconciliation process in an ambulatory internal medicine clinic. | PSNet
      psnet.ahrq.gov/issue/implementation-medication-reconciliation-process-ambulatory-internal-medicine-clinic
      October 28, 2009 - Study Implementation of a medication reconciliation process in an ambulatory internal medicine clinic. Citation Text: Nassaralla CL, Naessens JM, Chaudhry R, et al. Implementation of a medication reconciliation process in an ambulatory internal medicine clinic. Qual Saf Health Care. 20…

1129. Resilience and resilience engineering in health care. | PSNet
      psnet.ahrq.gov/issue/resilience-and-resilience-engineering-health-care
      September 19, 2013 - Commentary Resilience and resilience engineering in health care. Citation Text: Fairbanks RJ, Wears RL, Woods DD, et al. Resilience and resilience engineering in health care. Jt Comm J Qual Patient Saf. 2014;40(8):376-383. Copy Citation Format: Google Scholar PubMed BibTeX …

1130. Patient safety in developing countries: retrospective estimation of scale and nature of harm to patients in hospital. | PSNet
      psnet.ahrq.gov/issue/patient-safety-developing-countries-retrospective-estimation-scale-and-nature-harm-patients
      March 23, 2011 - Study Patient safety in developing countries: retrospective estimation of scale and nature of harm to patients in hospital. Citation Text: Wilson R, Michel P, Olsen S, et al. Patient safety in developing countries: retrospective estimation of scale and nature of harm to patients in hos…

1131. Zero Suicide Initiative. | PSNet
      psnet.ahrq.gov/issue/zero-suicide-initiative
      July 03, 2013 - Grant Announcement Zero Suicide Initiative. Citation Text: Zero Suicide Initiative. Office of the Federal Register, National Archives and Records Administration. Fed Register. November 3, 2021;(86):60883-60893. Copy Citation Save Save to your library Print…

1132. Improving RCA performance: the Cornerstone Award and the power of positive reinforcement. | PSNet
      psnet.ahrq.gov/issue/improving-rca-performance-cornerstone-award-and-power-positive-reinforcement
      September 03, 2015 - Study Improving RCA performance: the Cornerstone Award and the power of positive reinforcement. Citation Text: Bagian JP, King BJ, Mills PD, et al. Improving RCA performance: the Cornerstone Award and the power of positive reinforcement. BMJ Qual Saf. 2011;20(11):974-82. doi:10.1136/bm…

1133. Measuring and comparing safety climate in intensive care units. | PSNet
      psnet.ahrq.gov/issue/measuring-and-comparing-safety-climate-intensive-care-units
      January 05, 2011 - Study Measuring and comparing safety climate in intensive care units. Citation Text: France DJ, Greevy RA, Liu X, et al. Measuring and comparing safety climate in intensive care units. Med Care. 2010;48(3):279-84. doi:10.1097/MLR.0b013e3181c162d6. Copy Citation Format: DOI…

1134. Latency of ECG displays of hospital telemetry systems: a science advisory from the American Heart Association. | PSNet
      psnet.ahrq.gov/issue/latency-ecg-displays-hospital-telemetry-systems-science-advisory-american-heart-association
      March 14, 2018 - Commentary Latency of ECG displays of hospital telemetry systems: a science advisory from the American Heart Association. Citation Text: Turakhia MP, Estes NAM, Drew BJ, et al. Latency of ECG displays of hospital telemetry systems: a science advisory from the American Heart Association.…

1135. Does an insulin double-checking procedure improve patient safety? | PSNet
      psnet.ahrq.gov/issue/does-insulin-double-checking-procedure-improve-patient-safety
      April 24, 2018 - Study Does an insulin double-checking procedure improve patient safety? Citation Text: Modic MB, Albert NM, Sun Z, et al. Does an Insulin Double-Checking Procedure Improve Patient Safety? J Nurs Adm. 2016;46(3):154-60. doi:10.1097/NNA.0000000000000314. Copy Citation Format: …

1136. The VHA New England Medication Error Prevention Initiative as a model for long-term improvement collaboratives. | PSNet
      psnet.ahrq.gov/issue/vha-new-england-medication-error-prevention-initiative-model-long-term-improvement
      January 04, 2017 - Commentary The VHA New England Medication Error Prevention Initiative as a model for long-term improvement collaboratives. Citation Text: Lesar TS, Anderson ER, Fields J, et al. The VHA New England Medication Error Prevention Initiative as a model for long-term improvement collaboratives…

1137. ACR guidance document on MR safe practices: 2013. | PSNet
      psnet.ahrq.gov/issue/acr-guidance-document-mr-safe-practices-2013
      November 18, 2016 - Commentary ACR guidance document on MR safe practices: 2013. Citation Text: Safety EP on, Kanal E, Barkovich J, et al. ACR guidance document on MR safe practices: 2013. J Magn Reson Imaging. 2013;37(3):501-530. doi:10.1002/jmri.24011. Copy Citation Format: DOI Google Scho…

1138. Recommended responsibilities for management of MR safety. | PSNet
      psnet.ahrq.gov/issue/recommended-responsibilities-management-mr-safety
      April 19, 2013 - Commentary Recommended responsibilities for management of MR safety. Citation Text: Calamante F, Ittermann B, Kanal E, et al. Recommended responsibilities for management of MR safety. J Magn Reson Imaging. 2016;44(5):1067-1069. doi:10.1002/jmri.25282. Copy Citation Format: …

1139. The development and implementation of checklists in obstetrics. | PSNet
      psnet.ahrq.gov/issue/development-and-implementation-checklists-obstetrics
      July 13, 2010 - Commentary The development and implementation of checklists in obstetrics. Citation Text: Medicine S for M-F, Bernstein PS, Combs A, et al. The development and implementation of checklists in obstetrics. Am J Obstet Gynecol. 2017;217(2):B2-B6. doi:10.1016/j.ajog.2017.05.032. Copy Citat…

1140. Inpatient suicide: preventing a common sentinel event. | PSNet
      psnet.ahrq.gov/issue/inpatient-suicide-preventing-common-sentinel-event
      May 28, 2015 - Review Inpatient suicide: preventing a common sentinel event. Citation Text: Tishler CL, Reiss NS. Inpatient suicide: preventing a common sentinel event. Gen Hosp Psychiatry. 2009;31(2):103-9. doi:10.1016/j.genhosppsych.2008.09.007. Copy Citation Format: DOI Google Scholar …