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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72670/psn-pdfJanuary 27, 2021 - System issues leading to "found-on-floor" incidents: a multi-incident analysis. January 27, 2021 Shaw J, Bastawrous M, Burns S, et al. System Issues Leading to “Found-on-Floor” Incidents: A Multi- Incident Analysis. J Patient Saf. 2021;17(1):30-35. doi:10.1097/pts.0000000000000294. https://psnet.ahrq.gov/issue/sys… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866910/psn-pdfOctober 09, 2024 - From theory to policy in resilient health care: policy recommendations and lessons learnt from the Resilience in Healthcare Research Program. October 9, 2024 Wiig S, Lyng HB, Guise V, et al. From theory to policy in resilient health care: policy recommendations and lessons learnt from the Resilience in Healthcare … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41942/psn-pdfJuly 24, 2017 - Improving situation awareness to reduce unrecognized clinical deterioration and serious safety events. July 24, 2017 Brady PW, Muething S, Kotagal U, et al. Improving situation awareness to reduce unrecognized clinical deterioration and serious safety events. Pediatrics. 2013;131(1):e298-308. doi:10.1542/peds.2012-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43436/psn-pdfAugust 13, 2014 - Decreasing handoff-related care failures in children's hospitals. August 13, 2014 Bigham MT, Logsdon TR, Manicone PE, et al. Decreasing handoff-related care failures in children's hospitals. Pediatrics. 2014;134(2):e572-e579. doi:10.1542/peds.2013-1844. https://psnet.ahrq.gov/issue/decreasing-handoff-related-care-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45907/psn-pdfDecember 22, 2017 - Primary care collaboration to improve diagnosis and screening for colorectal cancer. December 22, 2017 Schiff G, Bearden T, Hunt LS, et al. Primary Care Collaboration to Improve Diagnosis and Screening for Colorectal Cancer. Jt Comm J Qual Patient Saf. 2017;43(7):338-350. doi:10.1016/j.jcjq.2017.03.004. https://ps… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44963/psn-pdfJanuary 23, 2017 - The frequency of intravenous medication administration errors related to smart infusion pumps: a multihospital observational study. January 23, 2017 Schnock KO, Dykes PC, Albert J, et al. The frequency of intravenous medication administration errors related to smart infusion pumps: a multihospital observational st… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/867084/psn-pdfNovember 06, 2024 - Effectiveness of artificial intelligence (AI) in clinical decision support systems and care delivery. November 6, 2024 Ouanes K, Farhah N. Effectiveness of artificial intelligence (AI) in clinical decision support systems and care delivery. J Med Syst. 2024;48(1):74. doi:10.1007/s10916-024-02098-4. https://psnet.a… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44609/psn-pdfJune 21, 2016 - The missing evidence: a systematic review of patients' experiences of adverse events in health care. June 21, 2016 Harrison R, Walton M, Manias E, et al. The missing evidence: a systematic review of patients' experiences of adverse events in health care. Int J Qual Health Care. 2015;27(6):424-42. doi:10.1093/intqhc… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/48143/psn-pdfJanuary 01, 2020 - Assessing the safety of electronic health records: a national longitudinal study of medication-related decision support. August 7, 2019 Holmgren J, Co Z, Newmark L, et al. Assessing the safety of electronic health records: a national longitudinal study of medication-related decision support. BMJ Qual Saf. 2020;29(… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45535/psn-pdfJanuary 23, 2017 - Surgical specimen management: a descriptive study of 648 adverse events and near misses. January 23, 2017 Steelman VM, Williams TL, Szekendi MK, et al. Surgical specimen management: a descriptive study of 648 adverse events and near misses. Arch Pathol Lab Med. 2016;140(12):1390-1396. https://psnet.ahrq.gov/issue/… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47550/psn-pdfNovember 21, 2018 - Nurses' and patients' appraisals show patient safety in hospitals remains a concern. November 21, 2018 Aiken LH, Sloane DM, Barnes H, et al. Nurses' And Patients' Appraisals Show Patient Safety In Hospitals Remains A Concern. Health Aff (Millwood). 2018;37(11):1744-1751. doi:10.1377/hlthaff.2018.0711. https://psne… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42692/psn-pdfApril 21, 2015 - Surgical skill and complication rates after bariatric surgery. April 21, 2015 Birkmeyer JD, Finks JF, O'Reilly A, et al. Surgical skill and complication rates after bariatric surgery. N Engl J Med. 2013;369(15):1434-1442. doi:10.1056/NEJMsa1300625. https://psnet.ahrq.gov/issue/surgical-skill-and-complication-rates… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50930/psn-pdfFebruary 21, 2020 - Pharmacist Role in Patient Safety February 21, 2020 Dopp AL, Hall KK. Pharmacist Role in Patient Safety. PSNet [internet]. 2020. https://psnet.ahrq.gov/perspective/pharmacist-role-patient-safety Background: The Evolving Role of the Pharmacist Medication errors are highly pervasive across all settings of care,[1] w… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/49403/psn-pdfJune 01, 2003 - Missed Appendicitis June 1, 2003 Adams JG. Missed Appendicitis. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/missed-appendicitis Case Objectives Appreciate the variable presentations of appendicitis List complications of missed appendicitis Understand the advantages and disadvantages of CT in diagnosing… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/33594/psn-pdfNovember 18, 2021 - via%3Dihub https://psnet.ahrq.gov//#10 https://psnet.ahrq.gov//#11 https://psnet.ahrq.gov/issue/enhancing-effectiveness-team-debriefings-medical-simulation-more-best-practices -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/33803/psn-pdfJanuary 01, 2015 - Third, enhancing continuity of care by keeping the patient and family informed through nurse bedside -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/49409/psn-pdfJuly 01, 2003 - Enhancing patient safety by effectively reducing the likelihood of error necessitates that actions be -
Spotlight Case July 2008 (ppt file)
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.278_slideshow.pptSeptember 01, 2012 - hours or when clinically indicated is the current best practice This practice should be combined with enhancing -
psnet.ahrq.gov/primers-0March 15, 2025 - RSI prevention efforts should focus on improving surgical item management and enhancing effective communication
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/49826/psn-pdfApril 01, 2018 - Explicit, step-by-step instructions presented in an easy-to-follow manner provide the best chance for enhancing
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