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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865418/psn-pdf
    March 27, 2024 - Recover From a Cyberattack When the attack is resolved, either by paying the ransom or by decrypting the files … Decrypted files need to be validated, systems need to be checked for full functionality, paper forms … https://www.healthit.gov/sites/default/files/Top_10_Tips_for_Cybersecurity.pdf 6. … this-years-largest-healthcare-data-breaches https://psnet.ahrq.gov//#_ednref5 https://www.healthit.gov/sites/default/files

  2. The Different Count Contributions to Retention (pdf file)

    psnet.ahrq.gov/sites/default/files/2024-10/The%20Different%20Count%20Contributions%20to%20Retention.pdf
    January 01, 2024 - The Different Count Contributions to Retention Differential Count Contributions in Retained Surgical Sponge Cases: Examination of Administrative Penalty Cases from the California Department of Public Health (CDPH), Health and Safety Code Section 1280.1 Enforcement Reports from 2007-2014 A NoThing Left Behin…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73980/psn-pdf
    October 20, 2021 - the 293 reported incidents, the most common errors were missing wristbands, wrong charts or notes in files

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49733/psn-pdf
    May 01, 2015 - pubmed/21357825 http://www.ncbi.nlm.nih.gov/pubmed/12456949 http://www.gottransition.org/UploadedFiles/Files … www.ncbi.nlm.nih.gov/pubmed/18822088 http://www.ncbi.nlm.nih.gov/pubmed/18822088 http://www.aphon.org/files … /public/SCD_transition_final_draft.pdf http://www.aphon.org/files/public/SCD_transition_final_draft.pdf … http://www.aphon.org/files/public/SCD_transition_final_draft.pdf http://www.aphon.org/files/public/SCD_transition_final_draft.pdf … http://www.aphon.org/files/public/SCD_transition_final_draft.pdf Consensus statement on the management

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73257/psn-pdf
    December 01, 2021 - patient-safety-and-quality-improvement-act-2005 https://psnet.ahrq.gov/issue/making-healthcare-safer-iii https://pso.ahrq.gov/sites/default/files

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867985/psn-pdf
    January 01, 2025 - psnet.ahrq.gov//#20 https://www.cdc.gov/suicide/facts/index.html https://www.samhsa.gov/data/sites/default/files … resources/patient-safety-topics/sentinel-event/2025/se-3-camhospital_se_jan_2025.pdf https://www.cms.gov/files … / http://theactionalliance.org/sites/default/files/action_alliance_recommended_standard_care_final.pdf … https://bhw.hrsa.gov/sites/default/files/bureau-health-workforce/Behavioral-Health-Workforce-Brief-2023

  7. Battle Buddies Tip Sheet (1) (pdf file)

    psnet.ahrq.gov/sites/default/files/2021-09/Battle%20buddies%20tip%20sheet%20(1).pdf
    January 01, 2021 - I have a Battle Buddy – Now What? Battle Buddies are not just for battle.  It’s critical to start connecting with your Battle Buddy now - before things get really stressful.  It’s like training prior to a marathon.  Brief conversations now will strengthen your individual and team resilience and ensure o…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45944/psn-pdf
    August 15, 2018 - Orders on file but no labs drawn: investigation of machine and human errors caused by an interface idiosyncrasy. August 15, 2018 Schreiber R, Sittig DF, Ash JS, et al. Orders on file but no labs drawn: investigation of machine and human errors caused by an interface idiosyncrasy. J Am Med Inform Assoc. 2017;24(5):9…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43906/psn-pdf
    May 13, 2015 - Documentation was missing in nearly half of patients' files, and dosage discrepancies were identified

  10. Suit filed over Virginia Mason Medical Center's error. | PSNet

    psnet.ahrq.gov/issue/suit-filed-over-virginia-mason-medical-centers-error
    July 05, 2006 - Newspaper/Magazine Article Suit filed over Virginia Mason Medical Center's error. Citation Text: Suit filed over Virginia Mason Medical Center's error. Ostrom CM Copy Citation Save Save to your library Print Download PDF Share Facebook …

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60241/psn-pdf
    February 24, 2022 - //psnet.ahrq.gov//#43 https://www.gao.gov/products/gao-21-191#summary_recommend https://www.cms.gov/files … /document/qso-20-29-nh.pdf https://psnet.ahrq.gov//#5 https://www.cms.gov/files/document/qso-20-30-nh.pdf … /document/covid-toolkit-states-mitigate-covid-19-nursing-homes.pdf https://www.cms.gov/files/document … https://www.cms.gov/files/document/covid19survey-activity-suspension-faqs.pdf 56. … Accessed June 2021. https://www.cms.gov/files/document/qso-20-30-nh.pdf 69.

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34704/psn-pdf
    December 24, 2008 - Negligent care and malpractice claiming behavior in Utah and Colorado. December 24, 2008 Studdert DM, Thomas EJ, Burstin HR, et al. Negligent care and malpractice claiming behavior in Utah and Colorado. Med Care. 2000;38(3):250-60. https://psnet.ahrq.gov/issue/negligent-care-and-malpractice-claiming-behavior-utah-…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50843/psn-pdf
    January 29, 2020 - Available at: https://www.ismp.org/sites/default/files/attachments/2018- 01/EntireAssessmentWorkbook.pdf … View AHRQ Disclaimers https://www.ismp.org/sites/default/files/attachments/2018-01/EntireAssessmentWorkbook.pdf … https://www.ismp.org/sites/default/files/attachments/2018-01/EntireAssessmentWorkbook.pdf https://www.ahrq.gov

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34875/psn-pdf
    April 25, 2016 - Suit filed over Virginia Mason Medical Center's error. April 25, 2016 Ostrom CM https://psnet.ahrq.gov/issue/suit-filed-over-virginia-mason-medical-centers-error Family reaction to an error that was disclosed publicly doesn't support the notion that being honest and open can minimize legal action. https://psnet.a…

  15. Descriptive analysis of patient misidentification from incident report system data in a large academic hospital federation. | PSNet

    psnet.ahrq.gov/issue/descriptive-analysis-patient-misidentification-incident-report-system-data-large-academic
    August 24, 2022 - 293 reported incidents, the most common errors were missing wristbands , wrong charts or notes in files

  16. Nursing handovers as resilient points of care: linking handover strategies to treatment errors in the patient care in the following shift. | PSNet

    psnet.ahrq.gov/issue/nursing-handovers-resilient-points-care-linking-handover-strategies-treatment-errors-patient
    August 30, 2017 - Documentation was missing in nearly half of patients' files, and dosage discrepancies were identified

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36962/psn-pdf
    June 15, 2011 - Rates and types of events reported to established incident reporting systems in two US hospitals. June 15, 2011 Nuckols TK, Bell D, Liu H, et al. Rates and types of events reported to established incident reporting systems in two US hospitals. Qual Saf Health Care. 2007;16(3):164-8. https://psnet.ahrq.gov/issue/ra…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60044/psn-pdf
    March 16, 2020 - https://www.aamc.org/system/files/c/2/494316- teachingforqualityintegratingqualityimprovementandpatientsafety.pdf … who-patient-safety-curriculum-guide-medical-schools https://psnet.ahrq.gov//#_ednref7 https://www.aamc.org/system/files … 494316-teachingforqualityintegratingqualityimprovementandpatientsafety.pdf https://www.aamc.org/system/files

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49744/psn-pdf
    October 01, 2015 - [Available at] http://www.healthit.gov/sites/default/files/hitech_act_excerpt_from_arra_with_index.pdf … BMI 14  Care plan field(s), including goals and instructions http://www.healthit.gov/sites/default/files … EHRIncentivePrograms/downloads/Stage2_HospitalCore_1_CPOE_MedicationOrders.pdf http://www.healthit.gov/sites/default/files … EHRIncentivePrograms/downloads/Stage2_HospitalCore_12_SummaryCare.pdf http://www.healthit.gov/sites/default/files … /170.314b1toc_rdi_2014_tp_v1.7.pdf http://healthit.gov/sites/default/files/data-brief/2014HospitalAdoptionDataBrief.pdf

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33759/psn-pdf
    October 01, 2012 - www.ncbi.nlm.nih.gov/pubmed/15465951 https://psnet.ahrq.gov//#ref5back http://grants.nih.gov/grants/guide/pa-files … policies/foaguidance/index.html https://psnet.ahrq.gov//#ref7back http://grants.nih.gov/grants/guide/rfa-files … /RFA-HS-06-030.html https://psnet.ahrq.gov//#ref8back https://www.ahrq.gov/sites/default/files/publications … /files/simulproj11.pdf https://psnet.ahrq.gov//#ref9back http://www.ncbi.nlm.nih.gov/pubmed/20820015 … www.ncbi.nlm.nih.gov/pubmed/23704082 https://psnet.ahrq.gov//#ref12back http://grants.nih.gov/grants/guide/notice-files
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