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8621. THE HCUP NATIONWIDE EMERGENCY DEPARTMENT SAMPLE (NEDS), 2014
      hcup-us.ahrq.gov/db/nation/neds/NEDS_Introduction_2014.jsp
      January 01, 2014 - THE HCUP NATIONWIDE EMERGENCY DEPARTMENT SAMPLE (NEDS), 2014 An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espanol …

8622. National Opportunity To Improve Infection Control in ESRD (NOTICE) Phase Two Final Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/esrd/finalreportphase2.pdf
      September 29, 2014 - National Opportunity To Improve Infection Control in ESRD (NOTICE) Phase Two Final Report National Opportunity To Improve Infection Control in ESRD (NOTICE) Phase Two Final Report Prepared for: Agency for Healthcare Research and Quality Contract Number: HHSA2902010000251 Task Order …

8623. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43309/psn-pdf
      August 02, 2015 - Wrong-side thoracentesis: lessons learned from root cause analysis. August 2, 2015 Miller K, Mims M, Paull DE, et al. Wrong-side thoracentesis: lessons learned from root cause analysis. JAMA Surg. 2014;149(8):774-9. doi:10.1001/jamasurg.2014.146. https://psnet.ahrq.gov/issue/wrong-side-thoracentesis-lessons-learne…

8624. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41796/psn-pdf
      January 18, 2013 - Retained surgical items: a problem yet to be solved. January 18, 2013 Stawicki SPA, Moffatt-Bruce SD, Ahmed HM, et al. Retained surgical items: a problem yet to be solved. J Am Coll Surg. 2013;216(1):15-22. doi:10.1016/j.jamcollsurg.2012.08.026. https://psnet.ahrq.gov/issue/retained-surgical-items-problem-yet-be-so…

8625. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/854987/psn-pdf
      January 01, 2024 - Frequency, type, and degree of potential harm of adverse safety events among pediatric emergency medical services encounters. November 1, 2023 Cicero MX, Baird J, Brown L, et al. Frequency, type, and degree of potential harm of adverse safety events among pediatric emergency medical services encounters. Prehosp Em…

8626. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41494/psn-pdf
      June 27, 2012 - National Voluntary Consensus Standards for Patient Safety Measures: A Consensus Report. June 27, 2012 Washington, DC: National Quality Forum; June 2012. https://psnet.ahrq.gov/issue/national-voluntary-consensus-standards-patient-safety-measures-consensus- report Progress in improving patient safety has been hampe…

8627. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47007/psn-pdf
      May 02, 2018 - Workarounds to intended use of health information technology: a narrative review of the human factors engineering literature. May 2, 2018 Patterson ES. Workarounds to Intended Use of Health Information Technology: A Narrative Review of the Human Factors Engineering Literature. Hum Factors. 2018;60(3):281-292. doi…

8628. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867444/psn-pdf
      January 08, 2025 - Medication errors and error chains involving high-alert medications in a paediatric hospital setting: a qualitative analysis of self-reported medication safety incidents. January 8, 2025 Kuitunen S, Saksa M, Holmström A-R. Medication errors and error chains involving high-alert medications in a paediatric hospital…

8629. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867631/psn-pdf
      February 26, 2025 - Implicit bias in the patient descriptor "homeless" and its association with emergency department opioid administration and disposition. February 26, 2025 Lauricella M, Nene RV, Coyne CJ, et al. Implicit bias in the patient descriptor “homeless” and its association with emergency department opioid administration an…

8630. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865678/psn-pdf
      April 24, 2024 - Enhancing implementation of the I-PASS handoff tool using a provider handoff task force at a Comprehensive Cancer Center. April 24, 2024 Franco Vega MC, Ait Aiss M, George M, et al. Enhancing implementation of the I-PASS handoff tool using a provider handoff task force at a Comprehensive Cancer Center. Jt Comm J Q…

8631. Nurse Only Visit (pdf file)
      digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/NurseOnlyVisit.pdf
      December 18, 2021 - Nurse Only Visit Nurse Only Visit N ur se /P ro vi de r P at ie nt Arrive and check in at reception View patient on EHR schedule as “arrived” Greet and escort patient to exam room; log into computer Select patient from schedule to open encounter Record chief complai…

8632. Parenteral Medication Storage, Preparation, and Administration Procedural Checklist 2 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/esrd/procchecklist2-parenteral-med-prep.pdf
      June 02, 2025 - Parenteral Medication Storage, Preparation, and Administration Procedural Checklist 2 Parenteral Medication Storage, Preparation, and Administration Procedural Checklist #2 ☐ Assemble supplies in clean area with…

8633. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37062/psn-pdf
      January 02, 2017 - The emotional impact of medical errors on practicing physicians in the United States and Canada. January 2, 2017 Waterman AD, Garbutt J, Hazel E, et al. The emotional impact of medical errors on practicing physicians in the United States and Canada. Jt Comm J Qual Saf. 2007;33(8):467-476. https://psnet.ahrq.gov/is…

8634. Simulation To Improve Patient Safety: Getting Started | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/resources/simulation-issue-brief.html
      July 01, 2024 - Simulation To Improve Patient Safety: Getting Started Next Page Table of Contents Simulation To Improve Patient Safety: Getting Started Introduction Leverage Patient Safety Infrastructure Use Simulation To Adopt and Adapt Best Practices Use Simulation To Improve Healthcare Delivery Systems A…

8635. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41011/psn-pdf
      March 04, 2015 - Ambulatory prescribing errors among community-based providers in two states. March 4, 2015 Abramson EL, Bates DW, Jenter CA, et al. Ambulatory prescribing errors among community-based providers in two states. J Am Med Inform Assoc. 2012;19(4):644-8. doi:10.1136/amiajnl-2011-000345. https://psnet.ahrq.gov/issue/amb…

8636. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37706/psn-pdf
      December 23, 2016 - Preventing pediatric medication errors. December 23, 2016 Preventing pediatric medication errors. Sentinel event alert. 2008;39:1-4. https://psnet.ahrq.gov/issue/preventing-pediatric-medication-errors The Joint Commission issues sentinel event alerts one to two times yearly to highlight areas of high risk and to p…

8637. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36409/psn-pdf
      September 28, 2016 - The multitasking clinician: decision-making and cognitive demand during and after team handoffs in emergency care. September 28, 2016 Laxmisan A, Hakimzada F, Sayan OR, et al. The multitasking clinician: decision-making and cognitive demand during and after team handoffs in emergency care. IntJ Med Inform. 2007;76…

8638. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34698/psn-pdf
      January 04, 2017 - Using Health Care Failure Mode and Effect Analysis: the VA National Center for Patient Safety's prospective risk analysis system. January 4, 2017 DeRosier JM, Stalhandske E, Bagian JP, et al. Using health care Failure Mode and Effect Analysis: the VA National Center for Patient Safety's prospective risk analysis s…

8639. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/851447/psn-pdf
      July 19, 2023 - A national analysis of ED presentations for early pregnancy and complications: implications for post-Roe America. July 19, 2023 Goodwin G, Marra E, Ramdin C, et al. A national analysis of ED presentations for early pregnancy and complications: implications for post-Roe America. Am J Emerg Med. 2023;70:90-95. doi:…

8640. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865709/psn-pdf
      May 01, 2024 - Safety in teletriage by nurses and physicians in the United States and Israel: narrative review and qualitative study. May 1, 2024 Haimi M, Wheeler SQ. Safety in teletriage by nurses and physicians in the United States and Israel: narrative review and qualitative study. JMIR Hum Factors. 2024;11:e50676. doi:10.219…