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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45081/psn-pdf
    February 14, 2017 - Quasi-experimental evaluation of the effectiveness of a large-scale readmission reduction program. February 14, 2017 Jenq GY, Doyle MM, Belton BM, et al. Quasi-Experimental Evaluation of the Effectiveness of a Large-Scale Readmission Reduction Program. JAMA Intern Med. 2016;176(5):681-90. doi:10.1001/jamainternmed…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46394/psn-pdf
    August 29, 2018 - Sustained user engagement in health information technology: the long road from implementation to system optimization of computerized physician order entry and clinical decision support systems for prescribing in hospitals in England. August 29, 2018 Cresswell K, Lee L, Mozaffar H, et al. Sustained User Engagement…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43803/psn-pdf
    January 29, 2015 - Creating a high-reliability health care system: improving performance on core processes of care at Johns Hopkins Medicine. January 29, 2015 Pronovost P, Armstrong M, Demski R, et al. Creating a high-reliability health care system: improving performance on core processes of care at Johns Hopkins Medicine. Acad Med.…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40289/psn-pdf
    March 16, 2011 - Unintentional therapeutic errors involving insulin in the ambulatory setting reported to poison centers. March 16, 2011 Spiller HA, Borys DJ, Ryan ML, et al. Unintentional therapeutic errors involving insulin in the ambulatory setting reported to poison centers. Ann Pharmacother. 2011;45(1):17-22. doi:10.1345/aph.1…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47006/psn-pdf
    October 13, 2018 - Assessment of the safety of discharging select patients directly home from the intensive care unit: a multicenter population-based cohort study. October 13, 2018 Stelfox HT, Soo A, Niven DJ, et al. Assessment of the Safety of Discharging Select Patients Directly Home From the Intensive Care Unit: A Multicenter Pop…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836885/psn-pdf
    May 16, 2022 - Management of Cardiac Arrest in Unconventional Locations. May 16, 2022 Agrawal G, Molla M. Management of Cardiac Arrest in Unconventional Locations. PSNet [internet]. 2022. https://psnet.ahrq.gov/web-mm/management-cardiac-arrest-unconventional-locations The Case Case #1: An 80-year-old man with history of Parkins…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50720/psn-pdf
    December 04, 2019 - Flu shot mix-up at Oklahoma facility leaves 10 hospitalized December 4, 2019 The Associated Press. NBC News. November 8, 2019. https://psnet.ahrq.gov/issue/flu-shot-mix-oklahoma-facility-leaves-10-hospitalized Patients at residential care facilities are particularly vulnerable to harm from medication errors. This …
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33920/psn-pdf
    December 12, 2018 - Policy Positions and Guidelines. December 12, 2018 Amercian Society of Health-System Pharmacists; ASHP. https://psnet.ahrq.gov/issue/policy-positions-and-guidelines This searchable listing of the American Society of Health-System Pharmacists policy and guideline collection provides user access to various content a…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39780/psn-pdf
    January 04, 2017 - The First Annual HealthGrades Pediatric Patient Safety in American Hospitals Study. January 4, 2017 Reed K, May R. Golden, CO: Health Grades, Inc; 2010. https://psnet.ahrq.gov/issue/first-annual-healthgrades-pediatric-patient-safety-american-hospitals-study This report analyzed Agency for Healthcare Research and Q…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43360/psn-pdf
    September 29, 2017 - Antimicrobial Stewardship Toolkit. September 29, 2017 Chicago, IL: American Hospital Association Physician Leadership Forum; July 2014. https://psnet.ahrq.gov/issue/antimicrobial-stewardship-toolkit Antimicrobial stewardship has been promoted as an element of patient safety. This toolkit provides resources for hos…
  11. psnet.ahrq.gov/perspective/wild-west-patient-safety-office-based-anesthesia
    April 01, 2003 - The Wild West: Patient Safety in Office-Based Anesthesia Rainu Kaushal, MD MPH; Sekhar Upadhyayula, MD; David M. Gaba, MD; Lucian L. Leape, MD | May 1, 2006  View more articles from the same authors. Citation Text: Kaushal R, Upadhyayula S, Gaba DM, et al. The Wild…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33673/psn-pdf
    September 01, 2008 - The Role of Bar Coding and Smart Pumps in Safety September 1, 2008 Rothschild JM, Keohane C. The Role of Bar Coding and Smart Pumps in Safety. PSNet [internet]. 2008. https://psnet.ahrq.gov/perspective/role-bar-coding-and-smart-pumps-safety Perspective Medication safety in hospitals depends on the successful execu…
  13. psnet.ahrq.gov/primer/patient-safety-101
    January 16, 2025 - Patient Safety 101 Citation Text: Patient Safety 101. 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 D…
  14. psnet.ahrq.gov/perspective/medias-role-patient-safety
    April 27, 2022 - The Media’s Role in Patient Safety April 27, 2022  Also Read the Conversation View more articles from the same authors. Citation Text: Millenson ML, Dowell P, Mossburg SE. The Media’s Role in Patient Safety. PSNet [internet]. Rockville (MD): Agency for Healthcar…
  15. psnet.ahrq.gov/perspective/conversation-michael-l-millenson
    April 27, 2022 - In Conversation With... Michael L. Millenson April 27, 2022  Also Read the Essay Citation Text: In Conversation With.. Michael L. Millenson. PSNet [internet]. 2022.In Conversation With... Michael L. Millenson. PSNet [internet]. Rockville (MD): Agency for Healthcar…
  16. psnet.ahrq.gov/web-mm/code-status-vs-care-status
    September 30, 2020 - SPOTLIGHT CASE Code Status vs. Care Status Citation Text: Krisman RK, Spero H. Code Status vs. Care Status. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020. Copy Citation Format: Google Scholar BibTeX End…
  17. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.239_slideshow.ppt
    May 01, 2011 - Spotlight Case July 2008 Spotlight Case Duty to Disclose Someone Else’s Error * * Source and Credits This presentation is based on the May 2011 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Thomas H. Gallagher, MD University of Washington …
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41895/psn-pdf
    December 30, 2014 - Proceedings from the European Handover Research Collaborative. December 30, 2014 Philibert I, Barach P, eds. BMJ Qual Saf. 2012;21(suppl 1):i1-i128. https://psnet.ahrq.gov/issue/proceedings-european-handover-research-collaborative Articles in this supplement highlight findings of a multi-national effort to improve…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50787/psn-pdf
    January 08, 2020 - Q3 Health Innovation Partners. January 8, 2020 New Jersey Hospital Association, the Ohio Hospital Association and The Hospital and Healthsystem Association of Pennsylvania. https://psnet.ahrq.gov/issue/q3-health-innovation-partners Local efforts that draw from the experience of its leaders serve an important role …
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43492/psn-pdf
    September 03, 2014 - Rethinking hospital restraints. September 3, 2014 Parikh R. The Atlantic. August 18, 2014. https://psnet.ahrq.gov/issue/rethinking-hospital-restraints The inappropriate use of physical restraints on patients is considered a sentinel event. Although restraints may be used to protect patients from harm, this magazin…

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