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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50714/psn-pdf
    December 04, 2019 - Suicidal patient slips through the cracks. December 4, 2019 Oakbrook Terrace, IL: Joint Commission: October 2019. https://psnet.ahrq.gov/issue/suicidal-patient-slips-through-cracks Inpatient suicide is increasing as a safety concern. This case analysis offers two levels of examination of a hypothetical patient sui…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37494/psn-pdf
    January 23, 2008 - Physician-Owned Specialty Hospital's Ability to Manage Medical Emergencies. January 23, 2008 Levinson DR. Washington DC: US Department of Health and Human Services, Office of Inspector General. January 2008, OEI-02-06-00310. https://psnet.ahrq.gov/issue/physician-owned-specialty-hospitals-ability-manage-medic…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37370/psn-pdf
    March 28, 2012 - Communication skills and error in the intensive care unit. March 28, 2012 Reader TW, Flin R, Cuthbertson BH. Communication skills and error in the intensive care unit. Curr Opin Crit Care. 2007;13(6):732-6. https://psnet.ahrq.gov/issue/communication-skills-and-error-intensive-care-unit This article examines how ef…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36930/psn-pdf
    September 09, 2011 - Team structure and adverse events in home health care. September 9, 2011 Feldman PH, Bridges J, Peng T. Team structure and adverse events in home health care. Med Care. 2007;45(6):553-61. https://psnet.ahrq.gov/issue/team-structure-and-adverse-events-home-health-care The investigators examined the role of team var…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36396/psn-pdf
    December 22, 2010 - Interdisciplinary communication: an uncharted source of medical error? December 22, 2010 Alvarez G, Coiera E. Interdisciplinary communication: an uncharted source of medical error? J Crit Care. 2006;21(3):236-42; discussion 242. https://psnet.ahrq.gov/issue/interdisciplinary-communication-uncharted-source-medical-…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37967/psn-pdf
    August 27, 2009 - Life after death: the aftermath of perioperative catastrophes. August 27, 2009 Gazoni FM, Durieux ME, Wells L. Life after death: the aftermath of perioperative catastrophes. Anesth Analg. 2008;107(2):591-600. doi:10.1213/ane.0b013e31817a9c77. https://psnet.ahrq.gov/issue/life-after-death-aftermath-perioperative-ca…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33968/psn-pdf
    July 08, 2016 - Health Literacy: A Prescription to End Confusion. July 8, 2016 Nielsen-Bohlman L; Panzer AM; Kindig DA; Board on Neuroscience and Behavioral Health, Institute of Medicine. Washington, DC: The National Academies Press; 2004. ISBN: 9780309283328. https://psnet.ahrq.gov/issue/health-literacy-prescription-end-confusion…
  8. www.uspreventiveservicestaskforce.org/uspstf/recommendation/folic-acid-prevent-neural-tube-defects-preventive-medication-1996
    January 01, 1996 - Share to Facebook Share to X Share to WhatsApp Share to Email Print archived Final Recommendation Statement Folic Acid/Folate Prophylaxis to Prevent Neural Tube Defects: Preventive Medication, 1996 January 01, 1996 Recommendations made …
  9. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Carayon.pdf
    February 01, 2005 - An Employee Questionnaire for Assessing Patient Safety in Outpatient Surgery 461 An Employee Questionnaire for Assessing Patient Safety in Outpatient Surgery Pascale Carayon, Carla J. Alvarado, Ann Schoofs Hundt, Scott Springman, Amanda Borgsdorf, Peter L.T. Hoonakker Abstract This paper provides informa…
  10. www.uspreventiveservicestaskforce.org/uspstf/recommendation/ovarian-cancer-screening
    February 13, 2018 - Share to Facebook Share to X Share to WhatsApp Share to Email Print Final Recommendation Statement Ovarian Cancer: Screening February 13, 2018 Recommendations made by the USPSTF are independent of the U.S. government. They should not be co…
  11. hcup-us.ahrq.gov/datainnovations/CaseStudy_QDRanalysis04072017.pdf
    April 07, 2017 - Because the QDR focuses on examining trends in health care in the United States, it is essential to … Ability to Test for Significant Differences in QI Trends Because the QDR focuses on examining trends
  12. www.ahrq.gov/nursing-home/resources/frontline-workers-survey.html
    September 01, 2021 - Frontline Health Care Workers Survey Resource:   Frontline Health Care Workers Survey (PDF, 3.3 MB) The partnership survey from the Kaiser Family Foundation and The Washington Post examines the experiences and attitudes of frontline healthcare workers during the coronavirus pandemic. This report highlights f…
  13. www.ahrq.gov/research/shuttered/toolkitchecklist/medcare.html
    July 01, 2018 - Medical/Patient Care 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: __________________________ General Observations: …
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42239/psn-pdf
    May 01, 2013 - The impossible workload for doctors in training. May 1, 2013 Chen PW. https://psnet.ahrq.gov/issue/impossible-workload-doctors-training This newspaper article examines how duty hour restrictions have not necessarily led to trainees getting more sleep but have resulted in trainees needing to do more work in less ti…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38383/psn-pdf
    June 30, 2011 - A system analysis of a suboptimal surgical experience. June 30, 2011 Lee R, Cooke DL, Richards MR. A system analysis of a suboptimal surgical experience. Patient Saf Surg. 2009;3(1):1. doi:10.1186/1754-9493-3-1. https://psnet.ahrq.gov/issue/system-analysis-suboptimal-surgical-experience A post-surgical complicatio…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34906/psn-pdf
    June 27, 2011 - System weaknesses as contributing causes of accidents in health care. June 27, 2011 Ternov S, Akselsson R. System weaknesses as contributing causes of accidents in health care. Int J Qual Health Care. 2005;17(1):5-13. https://psnet.ahrq.gov/issue/system-weaknesses-contributing-causes-accidents-health-care The aut…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38262/psn-pdf
    September 29, 2017 - Roadmap for patient safety research: approaches and roadforks. September 29, 2017 Hofoss D, Deilkås E. Roadmap for patient safety research: approaches and roadforks. Scand J Public Health. 2008;36(8):812-7. doi:10.1177/1403494808096168. https://psnet.ahrq.gov/issue/roadmap-patient-safety-research-approaches-and-ro…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34038/psn-pdf
    December 22, 2008 - Whither Challenger, wither Columbia: management decision making and the knowledge analytic. December 22, 2008 Garrett TM. https://psnet.ahrq.gov/issue/whither-challenger-wither-columbia-management-decision-making-and- knowledge-analytic The decision making of management for the Challenger and Columbia shuttle mis…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37600/psn-pdf
    March 19, 2008 - Medical emergency team: a review of the literature. March 19, 2008 Barbetti J, Lee G. Medical emergency team: a review of the literature. Nurs Crit Care. 2008;13(2):80-85. doi:10.1111/j.1478-5153.2007.00258.x. https://psnet.ahrq.gov/issue/medical-emergency-team-review-literature This review examines the literature…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37503/psn-pdf
    January 06, 2017 - Addressing postdischarge adverse events: a neglected area. January 6, 2017 Tsilimingras D. Addressing postdischarge adverse events: a neglected area. Jt Comm J Qual Patient Saf. 2008;34(2):85-97. https://psnet.ahrq.gov/issue/addressing-postdischarge-adverse-events-neglected-area This review examined the literatur…