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4581. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73191/psn-pdf
      April 23, 2007 - The National Database of Nursing Quality Indicators(TM) (NDNQI®). April 23, 2007 Montalvo I. Online J Iss Nurs. 2007;12(3):Manuscript 2.  https://psnet.ahrq.gov/issue/national-database-nursing-quality-indicatorstm-ndnqir The quality of nursing care can impact patient outcomes and safety culture…

4582. 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.…

4583. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46117/psn-pdf
      May 10, 2017 - Deep learning is a black box, but health care won't mind. May 10, 2017 Brouillette M. MIT Technol Rev. April 27, 2017. https://psnet.ahrq.gov/issue/deep-learning-black-box-health-care-wont-mind Artificial intelligence can support diagnostic decision-making. This magazine article reports on the use of algorithms to…

4584. 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…

4585. 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…

4586. 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…

4587. 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…

4588. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35682/psn-pdf
      July 10, 2008 - Medication-attributed adverse effects in placebo groups: implications for assessment of adverse effects. July 10, 2008 Rief W, Avorn J, Barsky AJ. Medication-attributed adverse effects in placebo groups: implications for assessment of adverse effects. Arch Intern Med. 2006;166(2):155-60. https://psnet.ahrq.gov/iss…

4589. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37658/psn-pdf
      June 14, 2011 - Applying modern error theory to the problem of missed injuries in trauma. June 14, 2011 Clarke DL, Gouveia J, Thomson SR, et al. Applying modern error theory to the problem of missed injuries in trauma. World J Surg. 2008;32(6):1176-82. doi:10.1007/s00268-008-9543-7. https://psnet.ahrq.gov/issue/applying-modern-er…

4590. 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…

4591. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36260/psn-pdf
      May 27, 2011 - The effect of physicians' long-term use of CPOE on their test management work practices. May 27, 2011 Callen JL, Westbrook JI, Braithwaite J. The effect of physicians' long-term use of CPOE on their test management work practices. J Am Med Inform Assoc. 2006;13(6):643-52. https://psnet.ahrq.gov/issue/effect-physic…

4592. 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…

4593. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34941/psn-pdf
      June 23, 2009 - Team types, perceived efficiency and team climate in Swedish cross-professional teamwork. June 23, 2009 Thylefors I, Persson O, Hellström D. Team types, perceived efficiency and team climate in Swedish cross- professional teamwork. J Interprof Care. 2005;19(2):102-14. https://psnet.ahrq.gov/issue/team-types-percei…

4594. 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…

4595. 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.…

4596. Paroxysmal Supraventricular Tachycardia Masquerading as Panic Attacks | PSNet
      psnet.ahrq.gov/web-mm/paroxysmal-supraventricular-tachycardia-masquerading-panic-attacks
      September 01, 2017 - Thus, it is essential that clinicians in the primary care or emergency setting who are evaluating patients

4597. Delayed Diagnosis of Mesenteric Ischemia | PSNet
      psnet.ahrq.gov/web-mm/delayed-diagnosis-mesenteric-ischemia
      March 31, 2021 - SPOTLIGHT CASE Delayed Diagnosis of Mesenteric Ischemia Citation Text: Robles A, Utter GH. Delayed Diagnosis of Mesenteric Ischemia. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022. Copy Citation Format: …

4598. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60610/psn-pdf
      June 24, 2020 - Endometriosis: A Common and Commonly Missed and Delayed Diagnosis June 24, 2020 Mackenzie M, Royce C. Endometriosis: A Common and Commonly Missed and Delayed Diagnosis. PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/endometriosis-common-and-commonly-missed-and-delayed-diagnosis   The Case A 15-year-old g…

4599. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/861760/psn-pdf
      January 31, 2024 - Syringe Swap During Regional Block: A Case of Medication Error and Recovery January 31, 2024 Beres K, Gutierrez MC. Syringe Swap During Regional Block: A Case of Medication Error and Recovery. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/syringe-swap-during-regional-block-case-medication-error-and-recover…

4600. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/857258/psn-pdf
      November 30, 2023 - Always Check the Muscle Twitch: Residual Neuromuscular Block After Removal of a Gastric Balloon November 30, 2023 Bohringer C, Ashley S. Always Check the Muscle Twitch: Residual Neuromuscular Block After Removal of a Gastric Balloon. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/always-check-muscle-twitch-…