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psnet.ahrq.gov/node/844043/psn-pdf
February 08, 2023 - In situ simulation: a strategy to restore patient safety in
intensive care units after the COVID-19 pandemic?
February 8, 2023
Gómez-Pérez V, Escrivá Peiró D, Sancho-Cantus D, et al. In Situ Simulation: A Strategy to Restore Patient
Safety in Intensive Care Units after the COVID-19 Pandemic? Systematic Review. Heal…
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psnet.ahrq.gov/node/44453/psn-pdf
June 21, 2016 - Inadequacies of physical examination as a cause of
medical errors and adverse events: a collection of
vignettes.
June 21, 2016
Verghese A, Charlton B, Kassirer JP, et al. Inadequacies of Physical Examination as a Cause of Medical
Errors and Adverse Events: A Collection of Vignettes. Am J Med. 2015;128(12):1322-4.e…
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psnet.ahrq.gov/node/74139/psn-pdf
December 01, 2021 - Situation awareness and the mitigation of risk associated
with patient deterioration: a meta-narrative review of
theories and models and their relevance to nursing
practice.
December 1, 2021
Walshe N, Ryng S, Drennan J, et al. Situation awareness and the mitigation of risk associated with patient
deterioration: a…
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psnet.ahrq.gov/node/61062/psn-pdf
January 01, 2022 - Medication errors in anesthesiology: is it time to train by
example? Vignettes can assess error awareness,
assessment of harm, disclosure, and reporting practices.
October 28, 2020
Duffy CC, Bass GA, Duncan JR, et al. Medication errors in anesthesiology: is it time to train by example?
Vignettes can assess error a…
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psnet.ahrq.gov/node/74163/psn-pdf
December 08, 2008 - Follow-up of abnormal screening mammograms among
low-income ethnically diverse women: findings from a
qualitative study.
December 8, 2008
Allen JD, Shelton RC, Harden E, et al. Follow-up of abnormal screening mammograms among low-income
ethnically diverse women: findings from a qualitative study. Patient Educ Coun…
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psnet.ahrq.gov/node/43258/psn-pdf
May 01, 2015 - Interventions employed to improve intrahospital
handover: a systematic review.
May 1, 2015
Robertson ER, Morgan L, Bird S, et al. Interventions employed to improve intrahospital handover: a
systematic review. BMJ Qual Saf. 2014;23(7):600-7. doi:10.1136/bmjqs-2013-002309.
https://psnet.ahrq.gov/issue/interventions-…
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psnet.ahrq.gov/node/44601/psn-pdf
February 23, 2018 - Emergency department visits for adverse events related
to dietary supplements.
February 23, 2018
Geller AI, Shehab N, Weidle NJ, et al. Emergency Department Visits for Adverse Events Related to Dietary
Supplements. N Engl J Med. 2015;373(16):1531-40. doi:10.1056/NEJMsa1504267.
https://psnet.ahrq.gov/issue/emergenc…
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psnet.ahrq.gov/node/36586/psn-pdf
July 08, 2008 - House staff team workload and organization effects on
patient outcomes in an academic general internal
medicine inpatient service.
July 8, 2008
Ong M, Bostrom A, Vidyarthi A, et al. House staff team workload and organization effects on patient
outcomes in an academic general internal medicine inpatient service. Ar…
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psnet.ahrq.gov/node/74717/psn-pdf
February 02, 2022 - Improving hospital infant safe sleep compliance by using
safety prevention bundle methodology.
February 2, 2022
Batra EK, Lewis ML, Saravana D, et al. Improving hospital infant safe sleep compliance by using safety
prevention bundle methodology. Pediatrics. 2021;148(6):e2020033704. doi:10.1542/peds.2020-033704.
ht…
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psnet.ahrq.gov/node/42471/psn-pdf
November 26, 2014 - Teaching hospital five-year mortality trends in the wake of
duty hour reforms.
November 26, 2014
Volpp KG, Small DS, Romano PS, et al. Teaching hospital five-year mortality trends in the wake of duty
hour reforms. J Gen Intern Med. 2013;28(8):1048-55. doi:10.1007/s11606-013-2401-9.
https://psnet.ahrq.gov/issue/tea…
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psnet.ahrq.gov/node/36986/psn-pdf
June 18, 2013 - Changes in hospital mortality associated with residency
work-hour regulations.
June 18, 2013
Shetty KD, Bhattacharya J. Changes in hospital mortality associated with residency work-hour regulations.
Ann Intern Med. 2007;147(2):73-80.
https://psnet.ahrq.gov/issue/changes-hospital-mortality-associated-residency-work…
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psnet.ahrq.gov/node/858163/psn-pdf
December 13, 2023 - Blackbox error management: how do practices deal with
critical incidents in everyday practice? A qualitative
interview study.
December 13, 2023
Bodek A, Pommée M, Berger A, et al. Blackbox error management: how do practices deal with critical
incidents in everyday practice? A qualitative interview study. BMC Prim …
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psnet.ahrq.gov/perspective/emergence-application-based-healthcare
August 05, 2022 - We also worked with Tom Bauer, who’s the director of education here at Johns Hopkins, around the educational
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psnet.ahrq.gov/perspective/conversation-francoise-marvel-md
August 05, 2022 - We also worked with Tom Bauer, who’s the director of education here at Johns Hopkins, around the educational
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psnet.ahrq.gov/web-mm/what-happened-telemetry
January 18, 2012 - SPOTLIGHT CASE
What Happened on Telemetry?
Citation Text:
Sandau KE, Funk M. What Happened on Telemetry?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
Copy Citation
Format:
Google Scholar BibTeX EndNo…
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psnet.ahrq.gov/perspective/conversation-bernardo-perea-perez-md-dds-phd
August 01, 2016 - In Conversation With… Bernardo Perea-Pérez, MD, DDS, PhD
August 1, 2016
Also Read an Essay
Citation Text:
In Conversation With… Bernardo Perea-Pérez, MD, DDS, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Heal…
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psnet.ahrq.gov/node/49636/psn-pdf
October 01, 2011 - Mobility Lost in the ICU
October 1, 2011
Smith J. Mobility Lost in the ICU. PSNet [internet]. 2011.
https://psnet.ahrq.gov/web-mm/mobility-lost-icu
Case Objectives
Describe the role of the physical therapist in the hospital and ICU.
Compare the risks from immobility with the benefits gained from a program of ther…
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psnet.ahrq.gov/web-mm/medication-errors-retail-pharmacies-wrong-patient-wrong-instructions
March 19, 2019 - Medication Errors in Retail Pharmacies: Wrong Patient, Wrong Instructions.
Citation Text:
Li C, Marquez K. Medication Errors in Retail Pharmacies: Wrong Patient, Wrong Instructions.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 202…
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psnet.ahrq.gov/node/73526/psn-pdf
July 28, 2021 - Medication Errors in Retail Pharmacies: Wrong Patient,
Wrong Instructions.
July 28, 2021
Li C, Marquez K. Medication Errors in Retail Pharmacies: Wrong Patient, Wrong Instructions. PSNet
[internet]. 2021.
https://psnet.ahrq.gov/web-mm/medication-errors-retail-pharmacies-wrong-patient-wrong-instructions
The Case
…
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psnet.ahrq.gov/node/49777/psn-pdf
December 01, 2016 - Suicidal Ideation in the Family Medicine Clinic
December 1, 2016
Moutier C. Suicidal Ideation in the Family Medicine Clinic. PSNet [internet]. 2016.
https://psnet.ahrq.gov/web-mm/suicidal-ideation-family-medicine-clinic
Case Objectives
Recognize suicide as a major public health problem and the critical role of pri…