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521. The I-READI Quality and Safety Framework: Strong Communications Channels and Effective Practices to Rapidly Update and Implement Clinical Protocols During a Time of Crisis | PSNet
     psnet.ahrq.gov/innovation/i-readi-quality-and-safety-framework-strong-communications-channels-and-effective
     February 26, 2025 - Stark N, Kerrissey M, Grade M, et al.

522. Personal Health Literacy | PSNet
     psnet.ahrq.gov/primer/personal-health-literacy
     October 31, 2023 - Written materials should be at a 4th to 6th grade level, use short sentences and simple words, provide

523. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33599/psn-pdf
     August 30, 2023 - Written materials should be at a 4th to 6th grade level, use short sentences and simple words, provide

524. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/848109/psn-pdf
     April 26, 2023 - administrations of 10% calcium chloride, 6% of the administrations (in 3 patients) were associated with low-grade

525. Dangerous Dapsone | PSNet
     psnet.ahrq.gov/web-mm/dangerous-dapsone
     January 10, 2011 - Dangerous Dapsone Citation Text: Bookwalter T. Dangerous Dapsone. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS…

526. Personal nursing care experiences provide lessons on patient safety. | PSNet
     psnet.ahrq.gov/issue/personal-nursing-care-experiences-provide-lessons-patient-safety
     March 01, 2023 - Commentary Personal nursing care experiences provide lessons on patient safety. Citation Text: Pashley HS. Personal nursing care experiences provide lessons on patient safety. AORN J. 2011;94(2):194-8. doi:10.1016/j.aorn.2011.03.009. Copy Citation Format: DOI Google Schol…

527. Walking Out of a Hospital After Attempted Suicide | PSNet
     psnet.ahrq.gov/web-mm/walking-out-hospital-after-attempted-suicide
     March 29, 2023 - Walking Out of a Hospital After Attempted Suicide Citation Text: Bourgeois JA, Xiong G. Walking Out of a Hospital After Attempted Suicide. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023. Copy Citation Format: Googl…

528. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49856/psn-pdf
     March 01, 2019 - Premature Extubation March 1, 2019 Sagana R, Hyzy RC. Premature Extubation. PSNet [internet]. 2019. https://psnet.ahrq.gov/web-mm/premature-extubation The Case A 73-year-old woman with a history of carotid artery stenosis was admitted for an elective carotid endarterectomy. The procedure was initially thought to …

529. Chemotherapy Extravasation | PSNet
     psnet.ahrq.gov/web-mm/chemotherapy-extravasation
     September 24, 2010 - The only medical grade DMSO product available in the United States is a 50% solution, which may not be

530. In Conversation with...Bradley T. Rosen, MD, MBA | PSNet
     psnet.ahrq.gov/perspective/conversation-withbradley-t-rosen-md-mba
     March 01, 2008 - people are too quick to remove central lines if a line is in place and there is a concern about a low-grade … PICC in a patient, and we don't like finding out on a Monday morning that, well, the patient had a low-grade

531. Economic evaluation of healthcare safety: which attributes of safety do healthcare professionals consider most important in resource allocation decisions? | PSNet
     psnet.ahrq.gov/issue/economic-evaluation-healthcare-safety-which-attributes-safety-do-healthcare-professionals
     July 01, 2012 - Study Economic evaluation of healthcare safety: which attributes of safety do healthcare professionals consider most important in resource allocation decisions? Citation Text: Steuten L, Buxton M. Economic evaluation of healthcare safety: which attributes of safety do healthcare profes…

532. Practice makes perfect: planning considerations for medical simulation centers. | PSNet
     psnet.ahrq.gov/issue/practice-makes-perfect-planning-considerations-medical-simulation-centers
     December 08, 2010 - Newspaper/Magazine Article Practice makes perfect: planning considerations for medical simulation centers. Citation Text: Ross K. Practice makes perfect. Planning considerations for medical simulation centers. Health Facilities Management. 2012;25(11):23-28. Copy Citation Format: …

533. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49763/psn-pdf
     June 01, 2016 - July Syndrome June 1, 2016 Young JQ. July Syndrome. PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/july-syndrome The Case A 64-year-old man was seen in the thoracic surgery clinic in June after being diagnosed with a right lower lobe lung cancer. The attending surgeon saw the patient along with his fellow,…

534. Do associations between staff and inpatient feedback have the potential for improving patient experience? An analysis of surveys in NHS acute trusts in England. | PSNet
     psnet.ahrq.gov/issue/do-associations-between-staff-and-inpatient-feedback-have-potential-improving-patient
     August 04, 2021 - Study Do associations between staff and inpatient feedback have the potential for improving patient experience? An analysis of surveys in NHS acute trusts in England. Citation Text: Raleigh VS, Hussey D, Seccombe I, et al. Do associations between staff and inpatient feedback have the p…

535. Emerging from EHR purgatory—moving from process to outcomes. | PSNet
     psnet.ahrq.gov/issue/emerging-ehr-purgatory-moving-process-outcomes
     July 22, 2020 - Commentary Emerging from EHR purgatory—moving from process to outcomes. Citation Text: Goroll AH. Emerging from EHR Purgatory - Moving from Process to Outcomes. N Engl J Med. 2017;376(21):2004-2006. doi:10.1056/NEJMp1700601. Copy Citation Format: DOI Google Scholar PubMed B…

536. Reporting adverse events in a war zone. | PSNet
     psnet.ahrq.gov/issue/reporting-adverse-events-war-zone
     February 01, 2023 - Commentary Reporting adverse events in a war zone. Citation Text: Arie S. Reporting adverse events in a war zone. BMJ. 2018;361:k2286. doi:10.1136/bmj.k2286. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS D…

537. Creation of a Medical Procedure Service to Improve Patient Safety | PSNet
     psnet.ahrq.gov/perspective/creation-medical-procedure-service-improve-patient-safety
     March 01, 2008 - people are too quick to remove central lines if a line is in place and there is a concern about a low-grade … PICC in a patient, and we don't like finding out on a Monday morning that, well, the patient had a low-grade

538. Clostridium Difficile Relapse Secondary to Medication Access Issue | PSNet
     psnet.ahrq.gov/web-mm/clostridium-difficile-relapse-secondary-medication-access-issue
     October 01, 2015 - Pharmacies that offer compounding services prepare customized medications from pharmaceutical grade ingredients

539. The incidence of adverse events in Swedish hospitals: a retrospective medical record review study. | PSNet
     psnet.ahrq.gov/issue/incidence-adverse-events-swedish-hospitals-retrospective-medical-record-review-study
     August 05, 2009 - Study The incidence of adverse events in Swedish hospitals: a retrospective medical record review study. Citation Text: Soop M, Fryksmark U, Köster M, et al. The incidence of adverse events in Swedish hospitals: a retrospective medical record review study. Int J Qual Health Care. 2009;…

540. Team resource management and patient safety: a team focused approach to clinical governance. | PSNet
     psnet.ahrq.gov/issue/team-resource-management-and-patient-safety-team-focused-approach-clinical-governance
     August 26, 2015 - Study Team resource management and patient safety: a team focused approach to clinical governance. Citation Text: Boddington R, Arthur H, Cummings D, et al. Team Resource Management and patient safety. Clinical Governance: An International Journal. 2006;11(1). doi:10.1108/1477727061064…