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  1. Periodic Issue | PSNet

    psnet.ahrq.gov/periodic-issue/periodic-issue-280
    February 10, 2021 - February 24, 2021 Weekly Issue PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient safety literature, news, conferences, repor…

  2. Long-term care healthcare-associated iInfections in 2022: an analysis of 20,216 reports. | PSNet

    psnet.ahrq.gov/issue/long-term-care-healthcare-associated-iinfections-2022-analysis-20216-reports
    May 19, 2021 - Study Long-term care healthcare-associated iInfections in 2022: an analysis of 20,216 reports. Citation Text: Kepner S, Bingman C, Jones RM. Long-term care healthcare-associated iInfections in 2022: an analysis of 20,216 reports. Patient Saf. 2023;5(2):20-31. doi:10.33940/001c.74494. C…

  3. The safety of inpatient pediatrics: preventing medical errors and injuries among hospitalized children. | PSNet

    psnet.ahrq.gov/issue/safety-inpatient-pediatrics-preventing-medical-errors-and-injuries-among-hospitalized
    November 16, 2022 - Review The safety of inpatient pediatrics: preventing medical errors and injuries among hospitalized children. Citation Text: Landrigan CP. The safety of inpatient pediatrics: preventing medical errors and injuries among hospitalized children. Pediatr Clin North Am. 2005;52(4):979-93, …

  4. "Against the silence": development and first results of a patient survey to assess experiences of safety-related events in hospital. | PSNet

    psnet.ahrq.gov/issue/against-silence-development-and-first-results-patient-survey-assess-experiences-safety
    March 24, 2021 - Study "Against the silence": development and first results of a patient survey to assess experiences of safety-related events in hospital. Citation Text: Schwappach DLB. "Against the silence": development and first results of a patient survey to assess experiences of safety-related eve…

  5. Teamwork and total quality management: a durable partnership. | PSNet

    psnet.ahrq.gov/issue/teamwork-and-total-quality-management-durable-partnership
    September 11, 2019 - Commentary Teamwork and total quality management: a durable partnership. Citation Text: Cooney R, Sohal A. Teamwork and Total Quality Management: A Durable Partnership. Total Quality Management & Business Excellence. 2004;15(8). doi:10.1080/1478336042000255442. Copy Citation Form…

  6. Changes in the diagnostic process during 40 years of clinicopathologic conferences. | PSNet

    psnet.ahrq.gov/issue/changes-diagnostic-process-during-40-years-clinicopathologic-conferences
    March 20, 2024 - Study Changes in the diagnostic process during 40 years of clinicopathologic conferences. Citation Text: Feinstein AR, Niebyl JR. Changes in the diagnostic process during 40 years of clinicopathologic conferences. Arch Intern Med. 1971;128(5):774-80. Copy Citation Format: …

  7. Reporting adverse events in a war zone. | PSNet

    psnet.ahrq.gov/issue/reporting-adverse-events-war-zone
    February 01, 2023 - Commentary Reporting adverse events in a war zone. Citation Text: Arie S. Reporting adverse events in a war zone. BMJ. 2018;361:k2286. doi:10.1136/bmj.k2286. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS D…

  8. Patient safety checklist: keys to successful implementation. | PSNet

    psnet.ahrq.gov/issue/patient-safety-checklist-keys-successful-implementation
    July 19, 2023 - Newspaper/Magazine Article Patient safety checklist: keys to successful implementation. Citation Text: Fracica P, Lafeer M, Minnich M, et al. Patient safety checklist: keys to successful implementation. Physician executive. 2006;32(4):46-53. Copy Citation Format: Google S…

  9. SNOMED CT: electronic health record enhances anesthesia patient safety. | PSNet

    psnet.ahrq.gov/issue/snomed-ct-electronic-health-record-enhances-anesthesia-patient-safety
    March 14, 2022 - Commentary SNOMED CT: electronic health record enhances anesthesia patient safety. Citation Text: Elevitch FR. SNOMED CT: electronic health record enhances anesthesia patient safety. AANA J. 2005;73(5):361-366. Copy Citation Format: Google Scholar PubMed BibTeX EndNote …

  10. Ssssh for handover: protected medical handover; optimising quality and prioritising safety—a regional initiative. | PSNet

    psnet.ahrq.gov/issue/ssssh-handover-protected-medical-handover-optimising-quality-and-prioritising-safety-regional
    March 08, 2017 - Commentary Ssssh for handover: protected medical handover; optimising quality and prioritising safety—a regional initiative. Citation Text: Mallett P, Thompson A, Bourke T, et al. Ssssh for Handover: protected medical handover; optimising quality and prioritising safety-a regional initia…

  11. Computer-based Provider Order Entry--CPOE. | PSNet

    psnet.ahrq.gov/issue/computer-based-provider-order-entry-cpoe
    July 20, 2022 - Multi-use Website Computer-based Provider Order Entry--CPOE. Citation Text: ClinfoWiki: The Clinical Informatics Wiki.  Copy Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL …

  12. Use of critical incident reports in medical education: a perspective. | PSNet

    psnet.ahrq.gov/issue/use-critical-incident-reports-medical-education-perspective
    May 30, 2018 - Commentary Use of critical incident reports in medical education: a perspective. Citation Text: Branch WT. Use of critical incident reports in medical education. A perspective. J Gen Intern Med. 2005;20(11):1063-7. Copy Citation Format: Google Scholar PubMed BibTeX EndNot…

  13. Periodic Issue | PSNet

    psnet.ahrq.gov/periodic-issue/periodic-issue-433
    March 27, 2024 - March 27, 2024 Weekly Issue PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient safety literature, news, conferences, reports,…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73650/psn-pdf
    August 25, 2021 - Coming up for Err: Missed Diagnosis in a Patient with Recurrent Pneumothorax August 25, 2021 Carlile N, El-Chemaly S, Schiff G. Coming up for Err – Missed Diagnosis in a Patient with Recurrent Pneumothorax. PSNet [internet]. 2021. https://psnet.ahrq.gov/web-mm/coming-err-missed-diagnosis-patient-recurrent-pneumoth…

  15. DRESSed for Failure | PSNet

    psnet.ahrq.gov/web-mm/dressed-failure
    September 01, 2011 - DRESSed for Failure Citation Text: Abramson EL, Kaushal R. DRESSed for Failure. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagge…

  16. Caution, Interrupted | PSNet

    psnet.ahrq.gov/web-mm/caution-interrupted
    October 01, 2016 - Caution, Interrupted Citation Text: Wears RL. Caution, Interrupted. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId R…

  17. In Conversation With… Erik Hollnagel, PhD | PSNet

    psnet.ahrq.gov/perspective/conversation-erik-hollnagel-phd
    February 26, 2025 - In Conversation With… Erik Hollnagel, PhD June 1, 2019  Citation Text: In Conversation With… Erik Hollnagel, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Forma…

  18. The Fluidity of Diagnostic "Wet Reads" | PSNet

    psnet.ahrq.gov/web-mm/fluidity-diagnostic-wet-reads
    April 24, 2018 - The Fluidity of Diagnostic "Wet Reads" Citation Text: Lee CS, Hess CP. The Fluidity of Diagnostic "Wet Reads". PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016. Copy Citation Format: Google Scholar BibTeX EndNote X3 …

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33605/psn-pdf
    March 12, 2021 - Medication Administration Errors March 12, 2021 MacDowell P, Cabri A, Davis M. Medication Administration Errors. PSNet [internet]. 2021. https://psnet.ahrq.gov/primer/medication-administration-errors Updated in March 2021. Originally published in January 2018 by researchers at the University of California, San Fra…

  20. Returning Home Safely | PSNet

    psnet.ahrq.gov/web-mm/returning-home-safely
    December 22, 2018 - Returning Home Safely Citation Text: Toles M. Returning Home Safely. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId …
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