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  1. Measurement of Patient Safety | PSNet

    psnet.ahrq.gov/primer/measurement-patient-safety
    September 15, 2024 - Measurement of Patient Safety Citation Text: Measurement of Patient Safety. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pu…

  2. The Soil, Not the Seed: The Real Problem with Root Cause Analysis | PSNet

    psnet.ahrq.gov/perspective/soil-not-seed-real-problem-root-cause-analysis
    March 01, 2007 - The Soil, Not the Seed: The Real Problem with Root Cause Analysis Patrice Spath, BA, RHIT, and William Minogue, MD | July 1, 2008  View more articles from the same authors. Citation Text: Spath P, Minogue W. The Soil, Not the Seed: The Real Problem with Root Cause …

  3. Telemedicine and Patient Safety | PSNet

    psnet.ahrq.gov/perspective/telemedicine-and-patient-safety
    September 01, 2016 - Telemedicine and Patient Safety Stephen Agboola, MD, MPH, and Joseph Kvedar, MD | September 1, 2016  Also Read a Conversation View more articles from the same authors. Citation Text: Agboola SO, Kvedar JC. Telemedicine and Patient Safety. PSNet [internet]. Rockv…

  4. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2024-03/final_spotlight_case_not_missing_sepsis_needles_in_viral_haystacks_slides_march_date.pdf
    January 01, 2024 - Spotlight Spotlight Do Not Miss Sepsis Needles in Viral Haystacks! Source and Credits • This presentation is based on the March 2024 AHRQ WebM&M Spotlight Case o See the full article at https://psnet.ahrq.gov/webmm o CME credit is available o Commentary by: Michelle Hamline, MD, PhD, MAS and Ulfat Shaikh, MD, M…

  5. In Conversation With… Reed V. Tuckson, MD | PSNet

    psnet.ahrq.gov/perspective/conversation-reed-v-tuckson-md
    September 01, 2016 - In Conversation With… Reed V. Tuckson, MD September 1, 2016  Also Read an Essay Citation Text: In Conversation With… Reed V. Tuckson, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72756/psn-pdf
    February 17, 2021 - Adopting the Fall Tailoring Interventions for Patient Safety (TIPS) program to engage older adults in fall prevention in a nursing home. February 17, 2021 Tzeng H-M, Jansen LS, Okpalauwaekwe U, et al. Adopting the Fall Tailoring Interventions for Patient Safety (TIPS) program to engage older adults in fall prevent…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73108/psn-pdf
    April 07, 2021 - A new argument for no-fault compensation in health care: the introduction of artificial intelligence systems. April 7, 2021 Holm S, Stanton C, Bartlett B. A new argument for no-fault compensation in health care: the introduction of artificial intelligence systems. Health Care Anal. 2021;29(3):171-188. doi:10.1007/s…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/764401/psn-pdf
    March 02, 2022 - Promoting patient and nurse safety: testing a behavioural health intervention in a learning healthcare system: results of the DEMEANOR pragmatic, cluster, cross-over trial. March 2, 2022 Hasselblad M, Morrison J, Kleinpell R, et al. Promoting patient and nurse safety: testing a behavioural health intervention in …

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836997/psn-pdf
    April 27, 2022 - The effect of a transitional pharmaceutical care program on the occurrence of ADEs after discharge from hospital in patients with polypharmacy. April 27, 2022 Uitvlugt EB, Heer SE, van den Bemt BJF, et al. The effect of a transitional pharmaceutical care program on the occurrence of ADEs after discharge from hospi…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837138/psn-pdf
    May 18, 2022 - Association of diagnostic stewardship for blood cultures in critically ill children with culture rates, antibiotic use, and patient outcomes: results of the Bright STAR Collaborative. May 18, 2022 Woods-Hill CZ, Colantuoni EA, Koontz DW, et al. Association of diagnostic stewardship for blood cultures in criticall…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/857454/psn-pdf
    January 01, 2024 - Identifying and mapping measures of medication safety during transfer of care in a digital era: a scoping literature review. December 6, 2023 Leon C, Hogan H, Jani YH. Identifying and mapping measures of medication safety during transfer of care in a digital era: a scoping literature review. BMJ Qual Saf. 2024;33(…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867437/psn-pdf
    January 08, 2025 - Handoff mnemonics used in perioperative handoff intervention studies: a systematic review. January 8, 2025 Patel SM, Fuller S, Michael MM, et al. Handoff mnemonics used in perioperative handoff intervention studies: a systematic review. Anesth Analg. 2024;Epub Nov 26. doi:10.1213/ane.0000000000007261. https://psne…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60299/psn-pdf
    May 06, 2020 - Impact of multidisciplinary team huddles on patient safety: a systematic review and proposed taxonomy. May 6, 2020 Franklin BJ, Gandhi TK, Bates DW, et al. Impact of multidisciplinary team huddles on patient safety: a systematic review and proposed taxonomy. BMJ Qual Saf. 2020;29(10):844–853. doi:10.1136/bmjqs-2019…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60224/psn-pdf
    April 15, 2020 - Information transfer at hospital discharge: a systematic review. April 15, 2020 Kattel S, Manning DM, Erwin PJ, et al. Information transfer at hospital discharge: a systematic review. J Patient Saf. 2020;16(1):e25-e33. doi:10.1097/pts.0000000000000248. https://psnet.ahrq.gov/issue/information-transfer-hospital-dis…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36549/psn-pdf
    March 21, 2017 - Patients' concerns about medical errors during hospitalization. March 21, 2017 Burroughs TE, Waterman AD, Gallagher TH, et al. Patients' concerns about medical errors during hospitalization. Jt Comm J Qual Patient Saf. 2007;33(1):5-14. https://psnet.ahrq.gov/issue/patients-concerns-about-medical-errors-during-hosp…

  16. 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…

  17. New practices reduce childbirth risks. | PSNet

    psnet.ahrq.gov/issue/new-practices-reduce-childbirth-risks
    July 16, 2019 - Newspaper/Magazine Article New practices reduce childbirth risks. Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL July 26, 2006 This article reports on efforts to reduce use of…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/842758/psn-pdf
    January 18, 2023 - Paediatric family activated rapid response interventions; qualitative systematic review. January 18, 2023 Cresham Fox S, Taylor N, Marufu TC, et al. Paediatric family activated rapid response interventions; qualitative systematic review. Intensive Crit Care Nurs. 2023;2023(75):103363. doi:10.1016/j.iccn.2022.10336…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35886/psn-pdf
    July 23, 2010 - In-house, overnight physician staffing: a cross-sectional survey of Canadian adult and pediatric intensive care units. July 23, 2010 Parshuram CS, Kirpalani H, Mehta S, et al. In-house, overnight physician staffing: a cross-sectional survey of Canadian adult and pediatric intensive care units. Crit Care Med. 2006;…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845651/psn-pdf
    November 17, 2016 - Variability in diagnostic error rates of 10 MRI centers performing lumbar spine MRI examinations on the same patient within a 3-week period. November 17, 2016 Herzog R, Elgort DR, Flanders AE, et al. Variability in diagnostic error rates of 10 MRI centers performing lumbar spine MRI examinations on the same patien…
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