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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39640/psn-pdf
    June 30, 2010 - Beyond patient safety Flatland. June 30, 2010 Braithwaite J, Coiera E. Beyond patient safety Flatland. J R Soc Med. 2010;103(6):219-25. doi:10.1258/jrsm.2010.100032. https://psnet.ahrq.gov/issue/beyond-patient-safety-flatland This essay examines three dimensions of patient safety and emphasizes the need for a deep…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37949/psn-pdf
    May 24, 2015 - 2008 Recommendations for Pre-Anesthesia Checkout Procedures.  May 24, 2015 ASA Committee on Equipment and Facilities. Park Ridge, IL: American Society of Anesthesiologists; 2008.  https://psnet.ahrq.gov/issue/2008-recommendations-pre-anesthesia-checkout-procedures These guidelines explain how to examine equipment …
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40915/psn-pdf
    January 04, 2012 - Simulation in obstetric anesthesia. January 4, 2012 Pratt SD. Focused review: simulation in obstetric anesthesia. Anesth Analg. 2012;114(1):186-90. doi:10.1213/ANE.0b013e3182377bbc. https://psnet.ahrq.gov/issue/simulation-obstetric-anesthesia This review examines how simulation training can improve performance, id…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42217/psn-pdf
    December 18, 2013 - A concept analysis of situational awareness in nursing. December 18, 2013 Fore AM, Sculli GL. A concept analysis of situational awareness in nursing. J Adv Nurs. 2013;69(12):2613- 21. doi:10.1111/jan.12130. https://psnet.ahrq.gov/issue/concept-analysis-situational-awareness-nursing This review examines situational…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42325/psn-pdf
    March 02, 2023 - Hospital discharge and readmission. March 2, 2023 Alper E, O'Malley TA, Greenwald J. UpToDate. February 3, 2023. https://psnet.ahrq.gov/issue/hospital-discharge-and-readmission This review examines hospital discharge, details elements of the process that can increase risk of readmission, and reveals interventions …
  6. www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-summary/chronic-obstructive-pulmonary-disease-screening-2016
    April 05, 2016 - There was little evidence examining the potential negative effect of COPD screening on targeted preventive … in patients naive to maintenance treatment with moderate COPD (n = 457) 55 and 4 subgroup analyses examining … Evidence examining dyspnea scores and exercise capacity scant. … Key question 8: Treatment harms Asymptomatic screen-detected patients       No trials examining
  7. effectivehealthcare.ahrq.gov/sites/default/files/related_files/measuring-blood-pressure_disposition-comments.pdf
    January 01, 2012 - recommended future research on the accuracy of SMBP: “Other important areas for future research include examining … “Our findings are consistent with four recently published systematic reviews examining the effect of
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37293/psn-pdf
    June 16, 2019 - ISMP medication error report analysis. June 16, 2019 Cohen MR; Smetzer JL. Hosp Pharm. 2007;42(10):884-887. https://psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-18 This monthly analysis examines recently reported errors in prescribing fentanyl patches, ordering insulin, and administering vincristine.…
  9. www.ahrq.gov/research/shuttered/toolkitchecklist/facancil.html
    July 01, 2018 - Facilities/Ancillary Services Availability of other space for ancillary services. Examine general condition of facilities. Other experts will look at these areas from a different perspective. Date: ____________  Location: _______________________  Team member: __________________________ Administrative Areas …
  10. www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide191.html
    October 01, 2014 - 191. Specific Populations and Other Topics (Continued) Treating Tobacco Use and Dependence: 2008 Update Text version of slide presentation. Evidence of effectiveness of tobacco dependence interventions in specific populations Population of Smokers Review of Evidence HIV-positive No long-…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35528/psn-pdf
    February 22, 2010 - The Swiss cheese model of safety incidents: are there holes in the metaphor? February 22, 2010 Perneger T. The Swiss cheese model of safety incidents: are there holes in the metaphor? BMC Health Serv Res. 2005;5:71. https://psnet.ahrq.gov/issue/swiss-cheese-model-safety-incidents-are-there-holes-metaphor The auth…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39410/psn-pdf
    March 31, 2010 - Doctors fear work caps for residents may be bad medicine. March 31, 2010 Shapira I. https://psnet.ahrq.gov/issue/doctors-fear-work-caps-residents-may-be-bad-medicine This news piece examines the work week of resident physicians and discusses how further limiting trainees' work hours might reduce their experientia…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40847/psn-pdf
    October 12, 2011 - Human and organizational biases affecting the management of safety. October 12, 2011 Reiman T, Rollenhagen C. Human and organizational biases affecting the management of safety. Reliab Eng Syst Saf. 2011;96(10). doi:10.1016/j.ress.2011.05.010. https://psnet.ahrq.gov/issue/human-and-organizational-biases-affecting-…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41350/psn-pdf
    May 02, 2012 - Medication reconciliation in the hospital: what, why, where, when, who and how? May 2, 2012 Fernandes O; Shojania KG. https://psnet.ahrq.gov/issue/medication-reconciliation-hospital-what-why-where-when-who-and-how This commentary examines the practical considerations required to implement a high quality medication…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37834/psn-pdf
    September 08, 2010 - Patient Safety in Public Hospitals. September 8, 2010 Victorian Auditor-General's Office. Melbourne, Australia: Victorian Government Printer; 2008. ISBN: 1921060689. https://psnet.ahrq.gov/issue/patient-safety-public-hospitals This report examined patient safety in public hospitals in the state of Victoria (Austra…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39224/psn-pdf
    August 11, 2015 - Diagnostic error and clinical reasoning. August 11, 2015 Norman GR, Eva KW. Diagnostic error and clinical reasoning. Med Educ. 2010;44(1):94-100. doi:10.1111/j.1365-2923.2009.03507.x. https://psnet.ahrq.gov/issue/diagnostic-error-and-clinical-reasoning This article reviews evidence on the cognitive origins of diag…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41842/psn-pdf
    March 08, 2015 - Patient safety in the OR. March 8, 2015 Stempniak M. Patient safety in the OR. Hospitals & health networks. 2012;86(10):8 p following 40. https://psnet.ahrq.gov/issue/patient-safety-or-0 This article examines patient safety concerns in the operating room, including their causes and how teamwork, checklists, and im…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34014/psn-pdf
    January 25, 2008 - Medication errors in pediatrics—the octopus evading defeat. January 25, 2008 Sullivan JE, Buchino JJ. Medication errors in pediatrics--the octopus evading defeat. J Surg Oncol. 2004;88(3):182-8. https://psnet.ahrq.gov/issue/medication-errors-pediatrics-octopus-evading-defeat This review examines pediatric medicat…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39312/psn-pdf
    February 17, 2010 - Patient safety in dermatology: a review of the literature. February 17, 2010 Cao LY, Taylor JS, Vidimos A. Patient safety in dermatology: a review of the literature. Dermatol Online J. 2010;16(1):3. https://psnet.ahrq.gov/issue/patient-safety-dermatology-review-literature This review examines numerous safety issue…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38881/psn-pdf
    November 08, 2012 - Are patients in part to blame when doctors miss the diagnosis? November 8, 2012 Chen PW https://psnet.ahrq.gov/issue/are-patients-part-blame-when-doctors-miss-diagnosis This column recounts a case of delayed diagnosis and examines how communication and process of care failures can contribute to diagnostic errors.…