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  1. psnet.ahrq.gov/sites/default/files/2023-06/under_pressure.pdf
    January 01, 2023 - Evaluating the knowledge of endotracheal cuff pressure monitoring among critical care providers by palpation
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49506/psn-pdf
    March 01, 2006 - Review Click on thumbnail to view full-size image Box Diagnostic Pitfalls of CT Angiography for Evaluating
  3. psnet.ahrq.gov/primer/missed-nursing-care
    September 15, 2024 - Missed Nursing Care Citation Text: Missed Nursing Care. 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 PubMedId RIS …
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42422/psn-pdf
    November 18, 2013 - Resilient actions in the diagnostic process and system performance. November 18, 2013 Smith MW, Giardina TD, Murphy DR, et al. Resilient actions in the diagnostic process and system performance. BMJ Qual Saf. 2013;22(12):1006-13. doi:10.1136/bmjqs-2012-001661. https://psnet.ahrq.gov/issue/resilient-actions-diagnos…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33895/psn-pdf
    April 01, 2024 - The Leapfrog Hospital Survey. April 1, 2024 Leapfrog Group. https://psnet.ahrq.gov/issue/leapfrog-hospital-survey This website offers resources related to the Leapfrog Hospital Survey investigating hospitals' progress in implementing specific patient safety practices. Updates to the survey include increased time a…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60193/psn-pdf
    July 01, 2022 - Improving Diagnosis and Treatment of Maternal Sepsis. April 1, 2020 Stanford, CA; California Maternal Quality Care Collaborative: July 1, 2022.  https://psnet.ahrq.gov/issue/improving-diagnosis-and-treatment-maternal-sepsis This toolkit focuses on identification of, and rapid response to, sepsis in obstetric p…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72562/psn-pdf
    December 09, 2020 - Missed or Rationed Nursing Care. December 9, 2020 J Nurs Manag. 2020;28(8): i-iv, 1767-2275. https://psnet.ahrq.gov/issue/missed-or-rationed-nursing-care Incomplete nursing care is known to affect care quality and safety. This special issue documents the global problem of missed or rationed nursing care in a varie…
  8. 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…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42595/psn-pdf
    November 25, 2013 - Agency information collection activities: Assessing the Impact of the National Implementation of TeamSTEPPS Master Training Program; comment request. November 25, 2013 Agency for Healthcare Research and Quality. Federal Register. August 27, 2013;78:52927-52929. https://psnet.ahrq.gov/issue/agency-information-colle…
  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/39027/psn-pdf
    September 29, 2017 - Disclosing clinical adverse events to patients: can practice inform policy? September 29, 2017 Sorensen R, Iedema R, Piper D, et al. Disclosing clinical adverse events to patients: can practice inform policy? Health Expect. 2010;13(2):148-59. doi:10.1111/j.1369-7625.2009.00569.x. https://psnet.ahrq.gov/issue/discl…
  12. 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…
  13. 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…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38785/psn-pdf
    September 02, 2009 - An ethnographic study of classifying and accounting for risk at the sharp end of medical wards. September 2, 2009 Dixon-Woods M, Suokas A, Pitchforth E, et al. An ethnographic study of classifying and accounting for risk at the sharp end of medical wards. Soc Sci Med. 2009;69(3):362-9. doi:10.1016/j.socscimed.2009.…
  15. 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…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44550/psn-pdf
    September 30, 2015 - Infections associated with reprocessed flexible bronchoscopes. September 30, 2015 FDA Safety Communication. Silver Spring, MD: US Food and Drug Administration; September 17, 2015. https://psnet.ahrq.gov/issue/infections-associated-reprocessed-flexible-bronchoscopes Use of incompletely cleaned medical devices has b…
  17. psnet.ahrq.gov/issue/special-issue-health-information-technology
    August 22, 2007 - June 29, 2022 Scoping review of studies evaluating frailty and its association with medication
  18. psnet.ahrq.gov/issue/digital-healthcare-research
    December 24, 2008 - August 19, 2020 Novel, High-Impact Studies Evaluating Health System and Healthcare Professional
  19. psnet.ahrq.gov/issue/grants-line-database-gold
    December 24, 2008 - September 22, 2021 Novel, High-Impact Studies Evaluating Health System and Healthcare
  20. psnet.ahrq.gov/issue/hospital-mistakes-kept-secret
    September 30, 2009 - June 21, 2017 Medication safety at the interface: evaluating risks associated with discharge

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