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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44845/psn-pdf
    July 01, 2016 - Is single room hospital accommodation associated with differences in healthcare-associated infection, falls, pressure ulcers or medication errors? A natural experiment with non-equivalent controls. July 1, 2016 Simon M, Maben J, Murrells T, et al. Is single room hospital accommodation associated with differences i…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865532/psn-pdf
    April 10, 2024 - Let us to the TWISST; Plan, Simulate, Study and Act. April 10, 2024 Colman N, Hebbar KB. Let us to the TWISST; Plan, Simulate, Study and Act. Pediatr Qual Saf. 2023;8(4):e664. doi:10.1097/pq9.0000000000000664. https://psnet.ahrq.gov/innovation/let-us-twisst-plan-simulate-study-and-act In situ simulation can identi…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38816/psn-pdf
    July 29, 2009 - Uncovering system errors using a rapid response team: cross-coverage caught in the crossfire. July 29, 2009 Kaplan LJ, Maerz LL, Schuster KM, et al. Uncovering System Errors Using a Rapid Response Team: Cross-Coverage Caught in the Crossfire. The Journal of Trauma: Injury, Infection, and Critical Care. 2009;67(1).…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39104/psn-pdf
    February 16, 2011 - Is there a relationship between high-quality performance in major teaching hospitals and residents' knowledge of quality and patient safety? February 16, 2011 Pingleton SK, Horak BJ, Davis DA, et al. Is there a relationship between high-quality performance in major teaching hospitals and residents' knowledge of qu…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33592/psn-pdf
    December 15, 2024 - Adverse Events, Near Misses, and Errors December 15, 2024 Adverse Events, Near Misses, and Errors. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/adverse-events-near-misses-and-errors PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current re…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33566/psn-pdf
    September 15, 2024 - Teamwork Training September 15, 2024 Teamwork Training. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/teamwork-training PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current research and practice in the patient safety field. Last reviewed …
  7. 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…
  8. 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…
  9. 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…
  10. psnet.ahrq.gov/web-mm/acute-respiratory-arrest-pregnancy
    August 15, 2018 - Acute Respiratory Arrest in Pregnancy Citation Text: Sibai B. Acute Respiratory Arrest in Pregnancy. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNot…
  11. psnet.ahrq.gov/web-mm/dont-push
    March 02, 2011 - Don't Push Citation Text: Meltzer HY. Don't Push. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Downl…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846770/psn-pdf
    March 29, 2023 - Procedure Complications – Who is Responsible for Follow up? March 29, 2023 Chalupsky M, Wei H, Marquet E. Procedure Complications – Who is Responsible for Follow up? PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/procedure-complications-who-responsible-follow The Case A 74-year-old man with newly diagnose…
  13. psnet.ahrq.gov/issue/lessons-event-reports
    January 16, 2025 - Multi-use Website Lessons from Event Reports. Citation Text: Lessons from Event Reports. Patient Safety Authority. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation Save Sav…
  14. psnet.ahrq.gov/issue/aorn-guidance-statement-safe-medication-practices-perioperative-settings-across-life-span
    September 22, 2021 - Organizational Policy/Guidelines AORN Guidance Statement: Safe Medication Practices in Perioperative Settings Across the Life Span. Citation Text: AORN guidance statement: safe medication practices in perioperative settings across the life span. AORN J. 2006;84(2):276-283. Copy Citat…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45220/psn-pdf
    June 08, 2016 - Medical Office Survey on Patient Safety Culture: 2016 User Comparative Database Report. June 8, 2016 Famolaro T, Yount ND, Hare R, Thornton S, Sorra J. Rockville, MD: Agency for Healthcare Research and Quality; May 2016. AHRQ Publication No. 16-0028-EF. https://psnet.ahrq.gov/issue/medical-office-survey-patient-sa…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43865/psn-pdf
    May 01, 2015 - Computerised physician order entry-related medication errors: analysis of reported errors and vulnerability testing of current systems. May 1, 2015 Schiff GD, Amato MG, Eguale T, et al. Computerised physician order entry-related medication errors: analysis of reported errors and vulnerability testing of current sy…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46424/psn-pdf
    March 20, 2018 - Electronic triggers to identify delays in follow-up of mammography: harnessing the power of big data in health care. March 20, 2018 Murphy DR, Meyer AND, Vaghani V, et al. Electronic Triggers to Identify Delays in Follow-Up of Mammography: Harnessing the Power of Big Data in Health Care. J Am Coll Radiol. 2018;15(…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44643/psn-pdf
    July 21, 2016 - Differing perceptions of safety culture across job roles in the ambulatory setting: analysis of the AHRQ Medical Office Survey on Patient Safety Culture. July 21, 2016 Hickner J, Smith SA, Yount N, et al. Differing perceptions of safety culture across job roles in the ambulatory setting: analysis of the AHRQ Medic…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47082/psn-pdf
    July 02, 2019 - Effect of systematic physician cross-checking on reducing adverse events in the emergency department: the CHARMED cluster randomized trial. July 2, 2019 Freund Y, Goulet H, Leblanc J, et al. Effect of Systematic Physician Cross-checking on Reducing Adverse Events in the Emergency Department: The CHARMED Cluster Ra…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47307/psn-pdf
    December 12, 2018 - Are teaching hospitals treated fairly in the Hospital- Acquired Condition Reduction Program? December 12, 2018 Mohajer MA, Joiner KA, Nix DE. Are Teaching Hospitals Treated Fairly in the Hospital-Acquired Condition Reduction Program? Acad Med. 2018;93(12):1827-1832. doi:10.1097/ACM.0000000000002399. https://psnet.…

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