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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60957/psn-pdf
    September 30, 2020 - A narrative review of strategies to increase patient safety event reporting by residents. September 30, 2020 Aaron M, Webb A, Luhanga U. A narrative review of strategies to increase patient safety event reporting by residents. J Grad Med Educ. 2020;12(4):415-424. doi:10.4300/jgme-d-19-00649.1. https://psnet.ahrq.g…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37790/psn-pdf
    April 11, 2011 - Adolescent use of insulin and patient-controlled analgesia pump technology: a 10-year Food and Drug Administration retrospective study of adverse events. April 11, 2011 Cope JU, Morrison AE, Samuels-Reid J. Adolescent use of insulin and patient-controlled analgesia pump technology: a 10-year Food and Drug Administ…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866168/psn-pdf
    January 02, 2000 - Missed diagnoses of acute cardiac ischemia in the emergency department. January 2, 2000 Pope JH, Aufderheide TP, Ruthazer R, et al. Missed diagnoses of acute cardiac ischemia in the emergency department. N Engl J Med. 2000;342(16):1163-1170. doi:10.1056/nejm200004203421603. https://psnet.ahrq.gov/issue/missed-diag…

  4. Network of Patient Safety Databases (NPSD) Dashboards | PSO

    pso.ahrq.gov/common-formats/npsd-dashboards
    November 01, 2024 - SHARE: More topics in this section Data Common Formats Network of Patient Safety Databases (NPSD) Dashboards Network of Patient Safety Databases (NPSD) Chartbooks Network of Patient Safety Databases (NPSD) Data Spotlights About …

  5. Free Clinic | Digital Healthcare Research

    digital.ahrq.gov/care-setting/free-clinic
    January 01, 2023 - Free Clinic School-Based Tele-Physiatry Assistance for Rehabilitative and Therapeutic Services for Children with Special Health Care Needs Living in Rural and Underserved Communities Description This study examined parent and provider experiences and care costs for in-person, …

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34874/psn-pdf
    February 25, 2009 - Intensive care unit nurse staffing and the risk for complications after abdominal aortic surgery. February 25, 2009 Pronovost PJ, Dang D, Dorman T, et al. Intensive care unit nurse staffing and the risk for complications after abdominal aortic surgery. Eff Clin Pract. 2001;4(5):199-206. https://psnet.ahrq.gov/issu…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47941/psn-pdf
    January 01, 2020 - Usability and feasibility of consumer-facing technology to reduce unsafe medication use by older adults. May 22, 2019 Holden RJ, Campbell NL, Abebe E, et al. Usability and feasibility of consumer-facing technology to reduce unsafe medication use by older adults. Res Social Adm Pharm. 2020;16(1):54-61. doi:10.1016/…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47568/psn-pdf
    March 06, 2019 - Trends in anesthesia-related liability and lessons learned. March 6, 2019 Mora JC, Kaye AD, Romankowski ML, et al. Trends in Anesthesia-Related Liability and Lessons Learned. Adv Anesth. 2018;36(1):231-249. doi:10.1016/j.aan.2018.07.009. https://psnet.ahrq.gov/issue/trends-anesthesia-related-liability-and-lessons-l…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50536/psn-pdf
    October 16, 2019 - The impact of post-fall huddles on repeat fall rates and perceptions of safety culture: a quasi-experimental evaluation of a patient safety demonstration project October 16, 2019 Jones KJ, Crowe J, Allen JA, et al. The impact of post-fall huddles on repeat fall rates and perceptions of safety culture: a quasi-expe…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46898/psn-pdf
    April 16, 2019 - TeamSTEPPS: an evidence-based approach to reduce clinical errors threatening safety in outpatient settings: an integrative review. April 16, 2019 Parker AL, Forsythe LL, Kohlmorgen IK. TeamSTEPPS : An evidence-based approach to reduce clinical errors threatening safety in outpatient settings: An integrative review…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43077/psn-pdf
    April 02, 2014 - Am I right when I am sure? Data consistency influences the relationship between diagnostic accuracy and certainty. April 2, 2014 Cavalcanti RB, Sibbald M. Am I right when I am sure? Data consistency influences the relationship between diagnostic accuracy and certainty. Acad Med. 2014;89(1):107-13. doi:10.1097/ACM…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853611/psn-pdf
    September 20, 2023 - Preventing potential patient harm through clinical content interventions during oncology clinical trial implementation. September 20, 2023 Loo VC, Kim S, Johnson LM, et al. Preventing potential patient harm through clinical content interventions during oncology clinical trial implementation. J Patient Saf. 2023;19…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60334/psn-pdf
    May 13, 2020 - Crisis Standards of Care: Ten Years of Successes and Challenges–Proceedings of a Workshop. May 13, 2020 National Academies of Sciences, Engineering, and Medicine. Washington, DC; The National Academies Press: 2020. ISBN 9780309676250. https://psnet.ahrq.gov/issue/crisis-standards-care-ten-years-successes-and-…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43208/psn-pdf
    July 18, 2014 - System-based interprofessional simulation-based training program increases awareness and use of rapid response teams. July 18, 2014 Wehbe-Janek H, Pliego J, Sheather S, et al. System-based interprofessional simulation-based training program increases awareness and use of rapid response teams. Jt Comm J Qual Patien…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865722/psn-pdf
    May 01, 2024 - Patient death after inadvertent infusion of PRN medication hanging on bedside intravenous (IV) pole. May 1, 2024 ISMP Medication Safety Alert! Acute Care. 2024;29(8):1-4. https://psnet.ahrq.gov/issue/patient-death-after-inadvertent-infusion-prn-medication-hanging-bedside- intravenous-iv-pole A multitude of latent…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73610/psn-pdf
    January 01, 2022 - Patient factors and hospital outcomes associated with atypical presentation in hospitalized older adults with COVID-19 during the first surge of the pandemic. August 18, 2021 Marziliano A, Burns E, Chauhan L, et al. Patient factors and hospital outcomes associated with atypical presentation in hospitalized older a…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46153/psn-pdf
    May 31, 2017 - Adverse health events related to self-medication practices among elderly: a systematic review. May 31, 2017 Locquet M, Honvo G, Rabenda V, et al. Adverse health events related to self-medication practices among elderly: a systematic review. Drugs Aging. 2017;34(5):359-365. doi:10.1007/s40266-017-0445-y. https://ps…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850173/psn-pdf
    June 07, 2023 - A national safety board made transportation safer and could do the same for health care, advocates say. June 7, 2023 Jaklevic MC. CNN. May 30, 2023. https://psnet.ahrq.gov/issue/national-safety-board-made-transportation-safer-and-could-do-same-health- care-advocates-say Patient safety has long drawn from aviation…

  19. Young DW 1981 "Improving the consistency with which investigations are requested." | Digital Healthcare Research

    digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/young-dw-1981-improving
    January 01, 2023 - Young DW 1981 "Improving the consistency with which investigations are requested." Reference Young DW. Improving the consistency with which investigations are requested. Med Inform (Lond) 1981;6(1):13-17. Abstract "The study shows how a computer-based prompt system improved the frequency with …

  20. Primary Care-Based Efforts To Reduce Potentially Preventable Readmissions | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/ambulatory/reduce-readmissions.html
    December 01, 2023 - Primary Care-Based Efforts To Reduce Potentially Preventable Readmissions High rates of readmissions are a major patient safety problem associated with adverse events such as prescribing errors and misdiagnoses of conditions in the hospital and ambulatory care settings. Building on the Agency's previous investm…
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