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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848125/psn-pdf
    April 26, 2023 - Surveillance Monitoring to Improve Patient Safety in Acute Hospital Care Units April 26, 2023 McGrath S, Blike G, Gale B, et al. Surveillance Monitoring to Improve Patient Safety in Acute Hospital Care Units. PSNet [internet]. 2023. https://psnet.ahrq.gov/perspective/surveillance-monitoring-improve-patient-safety-…
  2. psnet.ahrq.gov/web-mm/easily-forgotten-tube
    June 01, 2016 - An Easily Forgotten Tube Citation Text: Ousey K. An Easily Forgotten Tube. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pub…
  3. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.155_slideshow.ppt
    July 01, 2007 - Spotlight Case [MONTH] 2003 Spotlight Case July 2007 Resuscitation Errors: A Shocking Problem Source and Credits This presentation is based on the July 2007 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available online Commentary by: Benjamin Abella, MD, MPhil, …
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49484/psn-pdf
    June 01, 2005 - Two Pills, Same Drug June 1, 2005 Horsky J, Patel VL. Two Pills, Same Drug. PSNet [internet]. 2005. https://psnet.ahrq.gov/web-mm/two-pills-same-drug The Case A 34-year-old woman with AIDS developed a fever and hypotension due to suspected pneumonia. Her past medical history included several AIDS-related complica…
  5. psnet.ahrq.gov/web-mm/wrong-side-bedside-paravertebral-block-preventing-preventable
    August 10, 2019 - Wrong-side Bedside Paravertebral Block: Preventing the Preventable Citation Text: Barrington MJ, Uda Y. Wrong-side Bedside Paravertebral Block: Preventing the Preventable. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. Copy C…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33666/psn-pdf
    October 01, 2008 - Methicillin-Resistant Staphylococcus aureus April 1, 2008 Noskin GA. Methicillin-Resistant Staphylococcus aureus. PSNet [internet]. 2008. https://psnet.ahrq.gov/perspective/methicillin-resistant-staphylococcus-aureus Perspective Methicillin-resistant Staphylococcus aureus (MRSA) has received a great deal of media …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49713/psn-pdf
    June 01, 2014 - CVC Removal: A Procedure Like Any Other June 1, 2014 Feil M. CVC Removal: A Procedure Like Any Other. PSNet [internet]. 2014. https://psnet.ahrq.gov/web-mm/cvc-removal-procedure-any-other The Case A 27-year-old man with a history of Behçet disease and recurrent liver abscesses was admitted to the hospital for a p…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49670/psn-pdf
    November 01, 2012 - Missed Pneumonia November 1, 2012 Rohde JM, Flanders S. Missed Pneumonia. PSNet [internet]. 2012. https://psnet.ahrq.gov/web-mm/missed-pneumonia The Case A 32-year-old man presented to the emergency department (ED) with 3 days of fever and right pleuritic chest pain. Review of systems was negative for cough or dy…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49517/psn-pdf
    August 01, 2006 - Miscalculated Risk August 1, 2006 Strassels SA. Miscalculated Risk. PSNet [internet]. 2006. https://psnet.ahrq.gov/web-mm/miscalculated-risk The Case A healthy 36-year-old man was admitted to a teaching hospital for acute low back strain after lifting his 2- week-old infant. He received Vicodin (hydrocodone and a…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46304/psn-pdf
    November 01, 2017 - Comparative performance of pediatric weight estimation techniques: a human factor errors analysis. November 1, 2017 Abdel-Rahman SM, Jacobsen R, Watts JL, et al. Comparative performance of pediatric weight estimation techniques: a human factor errors analysis. Pediatr Emerg Care. 2015;33(8):548-552. doi:10.1097/pe…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34680/psn-pdf
    February 09, 2011 - Estimating hospital deaths due to medical errors: preventability is in the eye of the reviewer. February 9, 2011 Hayward RA, Hofer TP. Estimating hospital deaths due to medical errors: preventability is in the eye of the reviewer. JAMA. 2001;286(4):415-20. https://psnet.ahrq.gov/issue/estimating-hospital-deaths-du…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41069/psn-pdf
    February 21, 2012 - Using the opportunity estimator tool to improve engagement in a quality and safety intervention. February 21, 2012 Duval-Arnould J, Mathews SC, Weeks K, et al. Using the Opportunity Estimator tool to improve engagement in a quality and safety intervention. Jt Comm J Qual Patient Saf. 2012;38(1):41-47, 1. https://p…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41251/psn-pdf
    March 29, 2012 - Patient safety in developing countries: retrospective estimation of scale and nature of harm to patients in hospital. March 29, 2012 Wilson R, Michel P, Olsen S, et al. Patient safety in developing countries: retrospective estimation of scale and nature of harm to patients in hospital. BMJ. 2012;344:e832. doi:10.1…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46116/psn-pdf
    May 24, 2017 - Elimination of emergency department medication errors due to estimated weights. May 24, 2017 Greenwalt M, Griffen D, Wilkerson J. Elimination of Emergency Department Medication Errors Due To Estimated Weights. BMJ Qual Improv Rep. 2017;6(1). doi:10.1136/bmjquality.u214416.w5476. https://psnet.ahrq.gov/issue/elimin…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43192/psn-pdf
    December 15, 2014 - Using estimated true safety event rates versus flagged safety event rates: does it change hospital profiling and payment? December 15, 2014 Rosen AK, Chen Q, Borzecki A, et al. Using estimated true safety event rates versus flagged safety event rates: does it change hospital profiling and payment? Health Serv Res.…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40641/psn-pdf
    July 27, 2011 - Error in body weight estimation leads to inadequate parenteral anticoagulation. July 27, 2011 Macedo LG dos R, de Oliveira L, Pintão MC, et al. Error in body weight estimation leads to inadequate parenteral anticoagulation. Am J Emerg Med. 2011;29(6):613-7. doi:10.1016/j.ajem.2010.01.006. https://psnet.ahrq.gov/is…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39787/psn-pdf
    August 25, 2010 - National estimates of adverse events during nonpsychiatric hospitalizations for persons with schizophrenia. August 25, 2010 Khaykin E, Ford DE, Pronovost P, et al. National estimates of adverse events during nonpsychiatric hospitalizations for persons with schizophrenia. Gen Hosp Psychiatry. 2010;32(4):419-25. do…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34918/psn-pdf
    December 17, 2009 - Racial, ethnic, and socioeconomic disparities in estimates of AHRQ patient safety indicators. December 17, 2009 Coffey RM, Andrews RM, Moy E. Racial, ethnic, and socioeconomic disparities in estimates of AHRQ patient safety indicators. Med Care. 2005;43(3 Suppl):I48-I57. https://psnet.ahrq.gov/issue/racial-ethnic-…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38600/psn-pdf
    October 03, 2017 - Assessment of transparency of cost estimates in economic evaluations of patient safety programmes. October 3, 2017 Fukuda H, Imanaka Y. Assessment of transparency of cost estimates in economic evaluations of patient safety programmes. J Eval Clin Pract. 2009;15(3):451-9. doi:10.1111/j.1365-2753.2008.01033.x. https…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43075/psn-pdf
    August 02, 2015 - National estimates of insulin-related hypoglycemia and errors leading to emergency department visits and hospitalizations. August 2, 2015 Geller AI, Shehab N, Lovegrove MC, et al. National estimates of insulin-related hypoglycemia and errors leading to emergency department visits and hospitalizations. JAMA Intern …

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