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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39652/psn-pdf
    June 30, 2010 - Aftercare tips for patients checking out of the hospital. June 30, 2010 Alderman L. New York Times. June 18, 2010;B6. https://psnet.ahrq.gov/issue/aftercare-tips-patients-checking-out-hospital This news piece highlights efforts to improve discharge planning, enhance the safety of care transitions, and reduce readm…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35225/psn-pdf
    December 17, 2008 - Wired hospitals: can high tech save your life? December 17, 2008 Fischman J. Wired hospitals: can high tech save your life? U.S. news & world report. 2005;139(4):44-5, 49- 50, 52. https://psnet.ahrq.gov/issue/can-high-tech-save-your-life This article reports on activities at several hospitals that illustrate how i…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40972/psn-pdf
    October 03, 2017 - Hospital mistakes kept secret. October 3, 2017 Judd A. The Atlanta Journal-Constitution. November 20, 2011. https://psnet.ahrq.gov/issue/hospital-mistakes-kept-secret Discussing a case of patient suicide, this news article explores the lack of transparency around patient safety incidents in the state of Georgia. …
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37299/psn-pdf
    June 13, 2011 - Mother claims hospital error kept her from newborn daughter. June 13, 2011 Barbella M. Drug Topics. October 8, 2007. https://psnet.ahrq.gov/issue/mother-claims-hospital-error-kept-her-newborn-daughter This article reports how a failure to perform medication reconciliation during patient transfer led to a mother b…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49647/psn-pdf
    February 01, 2012 - Amended Lab Results: Communication Slip February 1, 2012 Mohta V. Amended Lab Results: Communication Slip. PSNet [internet]. 2012. https://psnet.ahrq.gov/web-mm/amended-lab-results-communication-slip The Case A 25-year-old woman in her first pregnancy was seen at 33 weeks' gestation with new onset hypertension an…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49766/psn-pdf
    August 21, 2016 - Getting the (Right) Doctor, Right Away August 21, 2016 Gupta K, Khanna R. Getting the (Right) Doctor, Right Away. PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/getting-right-doctor-right-away The Case A 57-year-old woman with a history of chronic obstructive pulmonary disease underwent hip surgery. Postop…
  7. psnet.ahrq.gov/primer/surgical-site-infections
    December 15, 2024 - Surgical Site Infections Citation Text: Surgical Site Infections. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50930/psn-pdf
    February 21, 2020 - Pharmacist Role in Patient Safety February 21, 2020 Dopp AL, Hall KK. Pharmacist Role in Patient Safety. PSNet [internet]. 2020. https://psnet.ahrq.gov/perspective/pharmacist-role-patient-safety Background: The Evolving Role of the Pharmacist Medication errors are highly pervasive across all settings of care,[1] w…
  9. psnet.ahrq.gov/web-mm/allergy-holter
    May 01, 2008 - Allergy to Holter Citation Text: Williams M. Allergy to Holter. 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 …
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49529/psn-pdf
    February 01, 2007 - Crossed Coverage February 1, 2007 Kayser SR. Crossed Coverage. PSNet [internet]. 2007. https://psnet.ahrq.gov/web-mm/crossed-coverage The Case A 27-year-old woman with a history of congenital heart disease was admitted for cardiac transplantation evaluation. She had already undergone multiple surgeries, including…
  11. psnet.ahrq.gov/web-mm/40-k
    January 12, 2011 - 40 of K Citation Text: Lesar TS. 40 of K. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Cita…
  12. psnet.ahrq.gov/web-mm/finding-fault-default-alert
    August 28, 2024 - Finding Fault With the Default Alert Citation Text: Baysari M. Finding Fault With the Default Alert. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNot…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40317/psn-pdf
    November 21, 2016 - Achieving an Exceptional Patient and Family Experience of Inpatient Hospital Care. November 21, 2016 Balik B, Conway J, Zipperer L, Watson J. Cambridge, MA: Institute for Healthcare Improvement; 2011. https://psnet.ahrq.gov/issue/achieving-exceptional-patient-and-family-experience-inpatient-hospital-care This whit…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42280/psn-pdf
    May 17, 2013 - U.S. to delete data on life-threatening mistakes from website. May 17, 2013 Babcock CR. Bloomberg News. May 1, 2013. https://psnet.ahrq.gov/issue/us-delete-data-life-threatening-mistakes-website This news article reports that the Centers for Medicare and Medicaid Services has proposed removing certain hospital-ac…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41660/psn-pdf
    September 05, 2012 - Genome detectives solve a hospital's deadly outbreak. September 5, 2012 Kolata G. New York Times. August 22, 2012. https://psnet.ahrq.gov/issue/genome-detectives-solve-hospitals-deadly-outbreak Despite strict infection controls placed around a patient carrying a deadly antibiotic-resistant bacteria, 17 other patie…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35685/psn-pdf
    February 01, 2006 - Error rate greatest in hospital radiology. February 1, 2006 Stein R; USP; United States Pharmacopeia https://psnet.ahrq.gov/issue/error-rate-greatest-hospital-radiology This article reports on an analysis of data collected by United States Pharmacopeia's voluntary reporting program that found medication errors are…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42443/psn-pdf
    January 07, 2015 - Medical audible alarms: a review. January 7, 2015 Edworthy J. Medical audible alarms: a review. J Am Med Inform Assoc. 2013;20(3):584-9. doi:10.1136/amiajnl-2012-001061. https://psnet.ahrq.gov/issue/medical-audible-alarms-review This review examines design, implementation, and standardization concerns related to a…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38132/psn-pdf
    October 08, 2008 - Hospital bracelets face hurdles as they fix hazard. October 8, 2008 Hartocollis A. https://psnet.ahrq.gov/issue/hospital-bracelets-face-hurdles-they-fix-hazard This news article reports on the dynamic between patient safety and privacy in the use of color-coded bracelets that indicate patient preferences related t…
  19. psnet.ahrq.gov/perspective/conversation-withmark-chassin-md-mpp-mph
    April 01, 2009 - In Conversation with...Mark Chassin, MD, MPP, MPH April 1, 2009  Also Read an Essay Citation Text: In Conversation with..Mark Chassin, MD, MPP, MPH . PSNet [internet]. 2009.In Conversation with...Mark Chassin, MD, MPP, MPH . PSNet [internet]. Rockville (MD): A…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45884/psn-pdf
    January 01, 2020 - Cost–benefit analysis of a support program for nursing staff. December 21, 2017 Moran D, Wu AW, Connors C, et al. Cost-Benefit Analysis of a Support Program for Nursing Staff. J Patient Saf. 2020;16(4):e250-e254. doi:10.1097/pts.0000000000000376. https://psnet.ahrq.gov/issue/cost-benefit-analysis-support-program-n…

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