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  1. psnet.ahrq.gov/issue/reports-hospital-and-asc-performance
    October 02, 2024 - Book/Report Reports on Hospital and ASC Performance. Citation Text: Reports On Hospital And Asc Performance. Washington DC: The Leapfrog Group; September 2024. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Dow…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47267/psn-pdf
    September 05, 2018 - The national cost of adverse drug events resulting from inappropriate medication-related alert overrides in the United States. September 5, 2018 Slight SP, Seger DL, Franz C, et al. The national cost of adverse drug events resulting from inappropriate medication-related alert overrides in the United States. J Am M…
  3. psnet.ahrq.gov/web-mm/mechanical-prosthetic-valve-thrombosis-thromboembolism
    August 21, 2005 - Mechanical Prosthetic Valve Thrombosis with Thromboembolism. Citation Text: Hedayati N, White RO. Mechanical Prosthetic Valve Thrombosis with Thromboembolism.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022. Copy Citation …
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/857259/psn-pdf
    November 30, 2023 - Medication Mix-Up Leads to Patient Death November 30, 2023 Sanchez L, Romano PS. Medication Mix-Up Leads to Patient Death. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/medication-mix-leads-patient-death The Case  An 81-year-old man was transferred from an outside hospital and admitted to the intensive car…
  5. psnet.ahrq.gov/web-mm/consequences-miscommunication-regarding-possible-artifact
    May 11, 2019 - SPOTLIGHT CASE The Consequences of Miscommunication Regarding a Possible Artifact Citation Text: Gwal K. The Consequences of Miscommunication Regarding a Possible Artifact. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 20…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73434/psn-pdf
    June 30, 2021 - The Consequences of Miscommunication Regarding a Possible Artifact June 30, 2021 Gwal K. The Consequences of Miscommunication Regarding a Possible Artifact. PSNet [internet]. 2021. https://psnet.ahrq.gov/web-mm/consequences-miscommunication-regarding-possible-artifact Disclosure of Relevant Financial Relationships…
  7. psnet.ahrq.gov/issue/personal-best
    September 28, 2017 - Newspaper/Magazine Article Personal best. Citation Text: Personal best. Gawande A. New Yorker. October 3, 2011. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL …
  8. psnet.ahrq.gov/issue/navigating-information-technology-highway-computer-solutions-reduce-errors-and-enhance
    September 01, 2016 - Review Navigating the information technology highway: computer solutions to reduce errors and enhance patient safety. Citation Text: Koshy R. Navigating the information technology highway: computer solutions to reduce errors and enhance patient safety. Transfusion (Paris). 2005;45(4 Su…
  9. psnet.ahrq.gov/issue/data-docs
    March 02, 2016 - Newspaper/Magazine Article Data docs. Citation Text: Data docs. Wherry R. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL November 4, 2015 Wherry R. …
  10. psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-19
    June 16, 2019 - Commentary ISMP medication error report analysis. Citation Text: ISMP medication error report analysis. Cohen MR. Hosp Pharm. 2007;42(11):982-985. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter L…
  11. psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-18
    December 30, 2014 - Commentary ISMP medication error report analysis. Citation Text: ISMP medication error report analysis. Cohen MR; Smetzer JL. Hosp Pharm. 2007;42(10):884-887. Copy Citation Save Save to your library Print Download PDF Share Facebook Twi…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852270/psn-pdf
    August 09, 2023 - Final Report on Prioritization of Patient Safety Practices for a New Rapid Review or Rapid Response. Making Healthcare Safer IV Series. August 9, 2023 Rosen M, Dy SM, Stewart CM, et al. Making Healthcare Safer IV Series.  Rockville, MD: Agency for Healthcare Research and Quality; July 2023. AHRQ Publication n…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40203/psn-pdf
    February 09, 2011 - Changes in safety attitude and relationship to decreased postoperative morbidity and mortality following implementation of a checklist-based surgical safety intervention. February 9, 2011 Haynes AB, Weiser TG, Berry WR, et al. Changes in safety attitude and relationship to decreased postoperative morbidity and mo…
  14. psnet.ahrq.gov/issue/are-patients-part-blame-when-doctors-miss-diagnosis
    May 01, 2013 - Newspaper/Magazine Article Are patients in part to blame when doctors miss the diagnosis? Citation Text: Are patients in part to blame when doctors miss the diagnosis? Chen PW Copy Citation Save Save to your library Print Download PDF Share …
  15. psnet.ahrq.gov/issue/patient-safety-3
    November 14, 2011 - Special or Theme Issue Patient Safety. Citation Text: Patient Safety. Matlow A, Laxer RM, eds. Pediatr Clin North Am. 2006;53(6):1053-1276. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Link…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42064/psn-pdf
    March 16, 2013 - Making Health Care Safer: A Critical Review of Modern Evidence Supporting Strategies to Improve Patient Safety. March 16, 2013 Shekelle PG, Pronovost PJ, Wachter RM, Rao JK, Mulrow CD, eds. Ann Intern Med. 2013;158(5 Pt 2):365- 440.   https://psnet.ahrq.gov/issue/making-health-care-safer-critical-review-moder…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45206/psn-pdf
    October 17, 2017 - Evaluation of the association between Hospital Survey on Patient Safety Culture (HSOPS) measures and catheter- associated infections: results of two national collaboratives. October 17, 2017 Meddings J, Reichert H, Greene T, et al. Evaluation of the association between Hospital Survey on Patient Safety Culture (H…
  18. psnet.ahrq.gov/issue/patient-safety-during-perinatal-and-neonatal-care
    November 15, 2017 - Special or Theme Issue Patient Safety During Perinatal and Neonatal Care. Citation Text: Patient Safety During Perinatal and Neonatal Care. Am J Perinatol. 2012;29:1-70.  Copy Citation Save Save to your library Print Download PDF Share…
  19. psnet.ahrq.gov/web-mm/recurrent-appendicitis
    January 15, 2020 - When she examined the specimen, she found no appendiceal tissue.
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33578/psn-pdf
    September 15, 2024 - Human Factors Engineering September 15, 2024 Human Factors Engineering. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/human-factors-engineering 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 safe…

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