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  1. psnet.ahrq.gov/web-mm/easily-forgotten-tube
    June 01, 2016 - An Easily Forgotten Tube Citation Text: Ousey K. An Easily Forgotten Tube. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pub…
  2. meps.ahrq.gov/data_files/publications/st368/stat368.shtml
    April 01, 2012 - STATISTICAL BRIEF #368: Dental Procedures, United States, 1999 and 2009   Skip to main content An official website of the Department of Health & Human Services More Back …
  3. effectivehealthcare.ahrq.gov/sites/default/files/pdf/skin-lesions-evaluation_research-protocol.pdf
    August 23, 2010 - Project Title: Evaluation of Suspicious Skin Lesions Using Non-Invasive Diagnostic Techniques, a Technical Brief Source: www.effectivehealthcare.ahrq.gov Published Online: August 23, 2010 1 Evidence-based Practice Center Technical Brief Protocol Project Title: Technical Brief - Evaluation of Suspiciou…
  4. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2022-12/spotlight_case_strongyloides_final_11.21.22.pdf
    January 01, 2022 - Spotlight Spotlight Strongyloides: A Hidden Traveler and Potentially Lethal Missed Diagnosis Source and Credits • This presentation is based on the November 2022 AHRQ WebM&M Spotlight Case o See the full article at https://psnet.ahrq.gov/webmm o CME credit is available o Commentary by: Narath Carlile MD MPH,…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866863/psn-pdf
    October 02, 2024 - The nature of adverse events in dentistry. October 2, 2024 Tokede B, Yansane A, Walji MF, et al. The nature of adverse events in dentistry. J Patient Saf. 2024;20(7):454-460. doi:10.1097/pts.0000000000001255. https://psnet.ahrq.gov/issue/nature-adverse-events-dentistry Patient safety in dentistry is relatively und…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40089/psn-pdf
    July 27, 2011 - Serious Reportable Events July 27, 2011 National Quality Forum. 2009-2011. https://psnet.ahrq.gov/issue/patient-safety-serious-reportable-events-healthcare This project--now complete--examined the presence and tracking of never events as part of a larger National Quality Forum strategy to improve patient safety. T…
  7. www.ahrq.gov/nursing-home/resources/impact-covid-dementia.html
    June 01, 2022 - The Impact of COVID-19 on Medicare Beneficiaries With Dementia Issue Brief Resource: The Impact of COVID-19 on Medicare Beneficiaries With Dementia Issue Brief ​People disproportionately affected by dementia--including the oldest older adults, people with multiple chronic conditions, Black and Hispanic indi…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42256/psn-pdf
    May 10, 2013 - Rapid response systems: should we still question their implementation? May 10, 2013 Winters BD, Pronovost P. Rapid response systems: should we still question their implementation? J Hosp Med. 2013;8(5):278-81. doi:10.1002/jhm.2050. https://psnet.ahrq.gov/issue/rapid-response-systems-should-we-still-question-their-…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38773/psn-pdf
    July 08, 2009 - Complexity, bullying, and stress: analyzing and mitigating a challenging work environment for nurses. July 8, 2009 Hughes RG, Clancy CM. Complexity, bullying, and stress: analyzing and mitigating a challenging work environment for nurses. J Nurs Care Qual. 2009;24(3):180-183. doi:10.1097/NCQ.0b013e3181a6350a. http…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39412/psn-pdf
    January 03, 2017 - Health care serial murder: a patient safety orphan. January 3, 2017 Kizer KW, Yorker BC. Health care serial murder: a patient safety orphan. Jt Comm J Qual Saf. 2010;36(4):186-191. https://psnet.ahrq.gov/issue/health-care-serial-murder-patient-safety-orphan This article defines health care serial murder, examines …
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39956/psn-pdf
    June 20, 2011 - Validity of selected patient safety indicators: opportunities and concerns. June 20, 2011 Kaafarani HMA, Borzecki AM, Itani KMF, et al. Validity of Selected Patient Safety Indicators: Opportunities and Concerns. J Am Coll Surg. 2010;212(6):924-934. doi:10.1016/j.jamcollsurg.2010.07.007. https://psnet.ahrq.gov/issu…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34012/psn-pdf
    December 22, 2008 - Always having to say you're sorry: an ethical response to making mistakes in professional practice. December 22, 2008 Crigger NJ. Always having to say you're sorry: an ethical response to making mistakes in professional practice. Nurs Ethics. 2004;11(6):568-76. https://psnet.ahrq.gov/issue/always-having-say-youre-…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36828/psn-pdf
    August 29, 2011 - Pediatric medication errors in the postanesthesia care unit: analysis of MEDMARX data. August 29, 2011 Payne CH, Smith CR, Newkirk LE, et al. Pediatric medication errors in the postanesthesia care unit: analysis of MEDMARX data. AORN J. 2007;85(4):731-40; quiz 741-4. https://psnet.ahrq.gov/issue/pediatric-medicati…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42762/psn-pdf
    November 27, 2013 - Motivational antecedents of incident reporting: evidence from a survey of nurses and physicians. November 27, 2013 Pfeiffer Y, Briner M, Wehner T, et al. Motivational antecedents of incident reporting: evidence from a survey of nurses and physicians. Swiss Med Wkly. 2013;143:w13881. doi:10.4414/smw.2013.13881. htt…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37731/psn-pdf
    July 15, 2013 - The relationship between nurse education level and patient safety: an integrative review. July 15, 2013 Ridley RT. The relationship between nurse education level and patient safety: an integrative review. J Nurs Educ. 2008;47(4):149-56. https://psnet.ahrq.gov/issue/relationship-between-nurse-education-level-and-pa…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72809/psn-pdf
    March 03, 2021 - Dying on the waitlist. March 3, 2021 Armstrong D. Allen M. ProPublica. February 18, 2021. https://psnet.ahrq.gov/issue/dying-waitlist The COVID-19 pandemic has revealed systemic weaknesses in health care access and delivery. This story examines how equipment shortages affected treatment decisions to culminate in r…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44535/psn-pdf
    September 30, 2015 - Diagnostic experiences of children with attention- deficit/hyperactivity disorder. September 30, 2015 Visser SN, Zablotsky B, Holbrook JR, Danielson ML, Bitsko RH. Natl Health Stat Report. 2015;(81):1-8. https://psnet.ahrq.gov/issue/diagnostic-experiences-children-attention-deficithyperactivity-disorder This surve…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837985/psn-pdf
    August 31, 2022 - Inequity and Iatrogenic Harm. August 31, 2022 AMA J Ethics. 2022;24(8):e715-e816. https://psnet.ahrq.gov/issue/inequity-and-iatrogenic-harm Health inequity is recent expansion in the patient safety canon. This special issue examines poor access, quality of care, and health status as contributors to patient harm. A…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39078/psn-pdf
    May 21, 2014 - Assessing Patient Safety Practices and Outcomes in the U.S. Health Care System. May 21, 2014 Farley DO, Ridgely MS, Mendel P, et al. Santa Monica, CA: RAND Corporation; 2009. ISBN: 9780833047748. https://psnet.ahrq.gov/issue/assessing-patient-safety-practices-and-outcomes-us-health-care-system This publication re…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42814/psn-pdf
    February 06, 2014 - Twelve tips on engaging learners in checking health care decisions. February 6, 2014 Sibbald M, de Bruin A, van Merrienboer JJG. Twelve tips on engaging learners in checking health care decisions. Med Teach. 2014;36(2):111-5. doi:10.3109/0142159X.2013.847910. https://psnet.ahrq.gov/issue/twelve-tips-engaging-learn…