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  1. psnet.ahrq.gov/web-mm/crossing-line
    December 01, 2012 - April 15, 2009 A randomized trial of a multifactorial strategy to prevent serious fall
  2. psnet.ahrq.gov/web-mm/discharged-iv-antibiotics-when-issues-arise-who-manages-complications
    October 10, 2017 - April 27, 2016 Evaluation of clinical practice guidelines on fall prevention and management
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/861881/psn-pdf
    January 31, 2024 - /nursing.gwu.edu/center-health-policy-and-media-engagement https://psnet.ahrq.gov//#1 improvement fall
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33696/psn-pdf
    June 01, 2010 - Does it help that you're aware of the possible holes that you may fall into, or are there more specific
  5. psnet.ahrq.gov/perspective/conversation-withalbert-wu-md-mph
    February 26, 2025 - on whether those solutions were adopted and whether or not they were effective, that's where things fall
  6. psnet.ahrq.gov/issue/effort-human-factors-performance-and-decision-making
    August 31, 2022 - Commentary Effort in human factors performance and decision making. Citation Text: Wickens CD. Effort in human factors performance and decision making. Hum Factors. 2014;56(8):1329-36. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote t…
  7. psnet.ahrq.gov/issue/risky-business-navigating-shifting-health-care-landscape
    December 22, 2021 - Meeting/Conference Proceedings Risky Business: Navigating a Shifting Health Care Landscape. Citation Text: Boston Children’s Hospital. April 15, 2021.  Copy Citation Save Save to your library Print Share Facebook Twitter Linke…
  8. psnet.ahrq.gov/issue/five-pitfalls-decisions-about-diagnosis-and-prescribing
    April 26, 2017 - Commentary Five pitfalls in decisions about diagnosis and prescribing. Citation Text: Klein JG. Five pitfalls in decisions about diagnosis and prescribing. BMJ. 2005;330(7494):781-3. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote t…
  9. psnet.ahrq.gov/issue/resistance-patient-safety-initiatives
    November 26, 2014 - Newspaper/Magazine Article Resistance to patient safety initiatives. Citation Text: O'Connor EJ, Fiol M. Resistance to patient safety initiatives. Physician executive. 2005;31(6):64-7. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote…
  10. psnet.ahrq.gov/issue/patient-safety-mindful-meaningful-and-fulfilling
    October 20, 2021 - Commentary Patient safety: mindful, meaningful, and fulfilling. Citation Text: Winokur SC, Beauregard KJ. Patient safety: mindful, meaningful, and fulfilling. Front Health Serv Manage. 2005;22(1):17-32. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML End…
  11. psnet.ahrq.gov/issue/evaluating-service-delivery-interventions-enhance-patient-safety
    June 18, 2008 - Study Evaluating service delivery interventions to enhance patient safety. Citation Text: Brown C, Lilford RJ. Evaluating service delivery interventions to enhance patient safety. BMJ. 2008;337:a2764. doi:10.1136/bmj.a2764. Copy Citation Format: DOI Google Scholar PubMed …
  12. psnet.ahrq.gov/periodic-issue/periodic-issue-452
    August 28, 2024 - August 14, 2024 Weekly Issue PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient safety literature, news, conferences, reports…
  13. psnet.ahrq.gov/periodic-issue/periodic-issue-436
    April 10, 2024 - April 17, 2024 Weekly Issue PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient safety literature, news, conferences, reports,…
  14. psnet.ahrq.gov/periodic-issue/periodic-issue-434
    April 10, 2024 - April 3, 2024 Weekly Issue PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient safety literature, news, conferences, reports, …
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49638/psn-pdf
    January 01, 2012 - Communication Failure—Who's in Charge? October 1, 2011 Fackler J, Schwartz JM. Communication Failure—Who's in Charge? PSNet [internet]. 2011. https://psnet.ahrq.gov/web-mm/communication-failure-whos-charge The Case A 20-month-old boy was admitted to the intensive care unit (ICU) following a Fontan surgical procedu…
  16. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.383_slideshow.ppt
    September 01, 2016 - PowerPoint Presentation Spotlight A Pill Organizing Plight * Source and Credits This presentation is based on the September 2016 AHRQ WebM&M Spotlight Case See the full article at https://psnet.ahrq.gov/webmm CME credit is available Commentary by: Brittany McGalliard, PharmD; Rita Shane, PharmD; and Sonja Ro…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50756/psn-pdf
    December 18, 2019 - A Mistaken Dose of Naloxone? December 18, 2019 Cutler E, Gunawardena D. A Mistaken Dose of Naloxone?. PSNet [internet]. 2019. https://psnet.ahrq.gov/web-mm/mistaken-dose-naloxone The Case A 55-year-old man with widely metastatic gastric cancer presented to his oncologist's office for a follow-up appointment. He h…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49583/psn-pdf
    April 01, 2009 - Eptifibatide Epilogue April 1, 2009 Churchill WW, Fiumara K. Eptifibatide Epilogue. PSNet [internet]. 2009. https://psnet.ahrq.gov/web-mm/eptifibatide-epilogue The Case A 62-year-old man was admitted at 11:00 PM on a Saturday night with the provisional diagnosis of acute coronary syndrome. Serial testing for mark…
  19. psnet.ahrq.gov/web-mm/baffled-botulinum-toxin
    July 17, 2024 - Baffled by Botulinum Toxin Citation Text: Sivaraman-Nair KP. Baffled by Botulinum Toxin. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endn…
  20. psnet.ahrq.gov/web-mm/patient-safety-and-adherence-self-administered-medications
    September 29, 2011 - Patient Safety and Adherence to Self-Administered Medications Citation Text: Spall H, Van-Spall C, Nieuwlaat R, et al. Patient Safety and Adherence to Self-Administered Medications. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011…

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