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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43682/psn-pdf
    November 19, 2014 - Pearls, Pitfalls, and Errors in Musculoskeletal Diagnosis. November 19, 2014 Blankenbaker DG, ed. AJR Am J Roentgenol. 2014;203(3):476-593. https://psnet.ahrq.gov/issue/pearls-pitfalls-and-errors-musculoskeletal-diagnosis Articles in this special issue discuss common pitfalls in musculoskeletal imaging that can con…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840494/psn-pdf
    November 30, 2022 - Safety of anesthetic and perioperative medication practices. November 30, 2022 Meyer TA. Anesthesiology News. October 31, 2022. https://psnet.ahrq.gov/issue/safety-anesthetic-and-perioperative-medication-practices Medication use in the surgical environment is complex and high-risk. This article describes steps tow…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853627/psn-pdf
    September 20, 2023 - Understanding And Addressing Pre-Hospital Diagnostic Delays. September 20, 2023 Health Affairs Forefront; May-September 2023. https://psnet.ahrq.gov/issue/understanding-and-addressing-pre-hospital-diagnostic-delays Diagnostic delays stem from both human and process failures. This series of articles examines how s…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73872/psn-pdf
    September 22, 2021 - Parenteral nutrition safety. September 22, 2021 Mirtallo JM, Ayers P. Pharmacy Practice News. September 7, 2021;48(9):17-20. https://psnet.ahrq.gov/issue/parenteral-nutrition-safety Parenteral nutrition (PN) processes contain various steps that are prone to errors resulting in patient harm. This article discusses …

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43411/psn-pdf
    October 01, 2014 - Analysis of medication errors in simulated pediatric resuscitation by residents. October 1, 2014 Porter E, Barcega B, Kim TY. Analysis of medication errors in simulated pediatric resuscitation by residents. West J Emerg Med. 2014;15(4):486-90. doi:10.5811/westjem.2014.2.17922. https://psnet.ahrq.gov/issue/analysis…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41103/psn-pdf
    June 15, 2012 - Quality indicators for implementation of safety promotion: towards valid and reliable global certification of local programmes. June 15, 2012 Timpka T, Nordqvist C, Festin K, et al. Quality indicators for implementation of safety promotion: towards valid and reliable global certification of local programmes. Glob …

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37155/psn-pdf
    October 06, 2011 - Classification of adverse events occurring in a surgical intensive care unit. October 6, 2011 Frankel H, Sperry J, Kaplan L, et al. Classification of adverse events occurring in a surgical intensive care unit. Am J Surg. 2007;194(3):328-32. https://psnet.ahrq.gov/issue/classification-adverse-events-occurring-surgi…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36759/psn-pdf
    August 10, 2011 - Rates of new or missed colorectal cancers after colonoscopy and their risk factors: a population-based analysis. August 10, 2011 Bressler B, Paszat LF, Chen Z, et al. Rates of new or missed colorectal cancers after colonoscopy and their risk factors: a population-based analysis. Gastroenterology. 2007;132(1):96-10…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36211/psn-pdf
    February 13, 2008 - AORN Guidance Statement: Safe Medication Practices in Perioperative Settings Across the Life Span. February 13, 2008 AORN guidance statement: safe medication practices in perioperative settings across the life span. AORN J. 2006;84(2):276-283. https://psnet.ahrq.gov/issue/aorn-guidance-statement-safe-medication-pr…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42263/psn-pdf
    January 14, 2014 - The Quality and Safety Educators Academy: fulfilling an unmet need for faculty development. January 14, 2014 Myers JS, Tess A, Glasheen JJ, et al. The Quality and Safety Educators Academy: fulfilling an unmet need for faculty development. Am J Med Qual. 2014;29(1):5-12. doi:10.1177/1062860613484082. https://psnet.…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38453/psn-pdf
    January 02, 2017 - A multidisciplinary team approach to retained foreign objects. January 2, 2017 Cima RR, Kollengode A, Storsveen AS, et al. A multidisciplinary team approach to retained foreign objects. Jt Comm J Qual Saf. 2009;35(3):123-132. https://psnet.ahrq.gov/issue/multidisciplinary-team-approach-retained-foreign-objects Th…

  12. Figure 7: Screenshot 3: Pharmacy—Medication Reconciliation | Agency for Healthcare Research and Quality

    www.ahrq.gov/es/patient-safety/settings/hospital/match/figure-7.html
    July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Figure 7: Screenshot 3: Pharmacy—Medication Reconciliation Previous Page Next Page Table of Contents Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Introdu…

  13. Figure 5: Screenshot 1: Medication Management Essentials | Agency for Healthcare Research and Quality

    www.ahrq.gov/es/patient-safety/settings/hospital/match/figure-5.html
    July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Figure 5: Screenshot 1: Medication Management Essentials Previous Page Next Page Table of Contents Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Introduct…

  14. Figure 6: Screenshot 2: Nursing—Medication Reconciliation | Agency for Healthcare Research and Quality

    www.ahrq.gov/es/patient-safety/settings/hospital/match/figure-6.html
    July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Figure 6: Screenshot 2: Nursing—Medication Reconciliation Previous Page Next Page Table of Contents Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Introduc…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60627/psn-pdf
    June 24, 2020 - Second opinions improve healthcare outcomes and reduce costs. June 24, 2020 Hébert AR. Second opinions improve healthcare outcomes and reduce costs. Employee Benefit News. 2020;June 8. https://psnet.ahrq.gov/issue/second-opinions-improve-healthcare-outcomes-and-reduce-costs Second opinions are a strategy for redu…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39556/psn-pdf
    May 26, 2010 - Adherence to a medication safety protocol: current practice for labeling medications and solutions on the sterile field. May 26, 2010 Brown-Brumfield D, DeLeon A. Adherence to a medication safety protocol: current practice for labeling medications and solutions on the sterile field. AORN J. 2010;91(5):610-7. doi:1…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45638/psn-pdf
    January 01, 2019 - Measures to improve diagnostic safety in clinical practice. November 2, 2016 Singh H, Graber ML, Hofer TP. Measures to Improve Diagnostic Safety in Clinical Practice. J Patient Saf. 2019;15(4):311-316. doi:10.1097/PTS.0000000000000338. https://psnet.ahrq.gov/issue/measures-improve-diagnostic-safety-clinical-practic…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43495/psn-pdf
    December 15, 2014 - Disruptive behaviors among physicians. December 15, 2014 Sanchez LT. Disruptive behaviors among physicians. JAMA. 2014;312(21):2209-2210. doi:10.1001/jama.2014.10218. https://psnet.ahrq.gov/issue/disruptive-behaviors-among-physicians This commentary spotlights concerns about physicians with disruptive behaviors an…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36204/psn-pdf
    September 30, 2010 - Automated medication error studies with audit supplementation were effectively designed and analyzed by time series. September 30, 2010 Shuster JJ, Winterstein AG. Automated medication error studies with audit supplementation were effectively designed and analyzed by time series. J Clin Epidemiol. 2006;59(9). doi…

  20. Module 5—Outbreaks—Nursing Home Infection Preventionist Training Course | Agency for Healthcare Research and Quality

    www.ahrq.gov/nursing-home/resources/module-5-outbreaks.html
    April 01, 2022 - Module 5—Outbreaks—Nursing Home Infection Preventionist Training Course Resource: Module 5—Outbreaks—Nursing Home Infection Preventionist Training Course This module provides an overview of outbreak investigation and control in nursing homes and will define the steps and activities involved in an outbreak in…
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