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  1. psnet.ahrq.gov/issue/talk-about-your-medicines-month
    July 01, 2016 - Toolkit "Talk About Your Medicines" Month. Citation Text: "Talk About Your Medicines" Month. BeMedWise Program at NeedyMeds, Gloucester, MA. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedi…
  2. psnet.ahrq.gov/issue/indiana-medical-error-reporting-system
    October 03, 2017 - Government Resource Indiana Medical Error Reporting System. Citation Text: Indiana Medical Error Reporting System. Indiana State Department of Health. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitte…
  3. psnet.ahrq.gov/issue/using-good-design-eliminate-medical-errors
    December 09, 2020 - Newspaper/Magazine Article Using good design to eliminate medical errors. Citation Text: Using good design to eliminate medical errors. Jaffe E. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter L…
  4. psnet.ahrq.gov/issue/bringing-surgeons-down-earth
    August 17, 2016 - Newspaper/Magazine Article Bringing surgeons down to earth. Citation Text: Bringing surgeons down to earth. Landro L. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL …
  5. psnet.ahrq.gov/perspective/conversation-jennifer-schulz-moore-llb-ma-phd
    February 26, 2025 - In Conversation With… … Jennifer Schulz Moore, LLB, MA, PhD April 1, 2019  Citation Text: In Conversation With… … Jennifer Schulz Moore, LLB, MA, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Serv…
  6. psnet.ahrq.gov/web-mm/environmental-safety-or
    May 19, 2015 - Environmental Safety in the OR Citation Text: Linkin DR, Lautenbach E. Environmental Safety in the OR . 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 En…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33724/psn-pdf
    February 01, 2012 - In Conversation With… Lawrence Smith, MD February 1, 2012 In Conversation With… Lawrence Smith, MD. PSNet [internet]. 2012. https://psnet.ahrq.gov/perspective/conversation-lawrence-smith-md Editor's note: Lawrence G. Smith, MD, is the founding Dean of Hofstra North Shore-LIJ School of Medicine and Executive Vice P…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49747/psn-pdf
    December 01, 2015 - Harm From Alarm Fatigue December 1, 2015 Pelter MM, Drew BJ. Harm From Alarm Fatigue. PSNet [internet]. 2015. https://psnet.ahrq.gov/web-mm/harm-alarm-fatigue Case Objectives Define alarm fatigue and describe potential errors that can occur due to alarm fatigue. Identify federal and national agencies focusing on …
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49679/psn-pdf
    March 01, 2013 - The Unfamiliar Catheter March 1, 2013 Swayze SC, James A. The Unfamiliar Catheter. PSNet [internet]. 2013. https://psnet.ahrq.gov/web-mm/unfamiliar-catheter The Case A 28-year-old woman, 20 months post–bilateral lung transplant, presented to the emergency department with sudden onset of severe shortness of breath…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50769/psn-pdf
    February 15, 2017 - Cultural Competence and Patient Safety December 27, 2019 Brach C, Hall KK, Fitall E. Cultural Competence and Patient Safety. PSNet [internet]. 2019. https://psnet.ahrq.gov/perspective/cultural-competence-and-patient-safety Background   Culture can be defined as the “personal identification, language, thoughts, co…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49513/psn-pdf
    July 01, 2006 - Moving Pains July 1, 2006 Schell H, Wachter R. Moving Pains. PSNet [internet]. 2006. https://psnet.ahrq.gov/web-mm/moving-pains Case Objectives Appreciate the risk posed by intrahospital transport Identify key features of current transport practice and policies Propose interventions that might improve safety of …
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867533/psn-pdf
    January 15, 2025 - AHRQ announces interest in health services research to reduce emergency department boarding and hospital crowding. January 15, 2025 AHRQ announces interest in health services research to reduce emergency department boarding and hospital crowding. Agency for Healthcare Quality and Research. Special Emphasis Notice.…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44801/psn-pdf
    June 22, 2016 - Safety for all: integrated design for inpatient units. June 22, 2016 Hunt JM, Sine DM. Patient Saf Qual Healthc. May/June 2016;13:20-28. https://psnet.ahrq.gov/issue/safety-all-integrated-design-inpatient-units Design is emerging as an important tactic to augment safe care delivery. Hospitals that provide care for …
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44968/psn-pdf
    January 23, 2017 - Financial incentives and mortality: taking pay for performance a step too far. January 23, 2017 Gupta K, Wachter R, Kachalia A. Financial incentives and mortality: taking pay for performance a step too far. BMJ Qual Saf. 2017;26(2):164-168. doi:10.1136/bmjqs-2015-004835. https://psnet.ahrq.gov/issue/financial-ince…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45349/psn-pdf
    July 27, 2016 - An insurer's care transition program emphasizes medication reconciliation, reduces readmissions and costs. July 27, 2016 Polinski JM, Moore JM, Kyrychenko P, et al. An Insurer's Care Transition Program Emphasizes Medication Reconciliation, Reduces Readmissions And Costs. Health Aff (Millwood). 2016;35(7):1222-9. …
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74256/psn-pdf
    January 19, 2022 - Potentially severe incidents during interhospital transport of critically ill patients, frequently occurring but rarely reported: a prospective study. January 19, 2022 Eiding H, Røise O, Kongsgaard UE. Potentially severe incidents during interhospital transport of critically ill patients, frequently occurring but …
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73372/psn-pdf
    June 09, 2021 - Impact of COVID-19 on inpatient clinical emergencies: a single-center experience. June 9, 2021 Mitchell OJL, Neefe S, Ginestra JC, et al. Impact of COVID-19 on inpatient clinical emergencies: a single- center experience. Resusc Plus. 2021;6:100135. doi:10.1016/j.resplu.2021.100135. https://psnet.ahrq.gov/issue/imp…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45341/psn-pdf
    July 27, 2016 - How to avoid catastrophic events on the ward. July 27, 2016 Bein B, Seewald S, Gräsner J-T. How to avoid catastrophic events on the ward. Best Pract Res Clin Anaesthesiol. 2016;30(2):237-45. doi:10.1016/j.bpa.2016.04.003. https://psnet.ahrq.gov/issue/how-avoid-catastrophic-events-ward Hospitals require robust esca…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40427/psn-pdf
    May 04, 2011 - Development of a tool within the electronic medical record to facilitate medication reconciliation after hospital discharge. May 4, 2011 Schnipper JL, Liang CL, Hamann C, et al. Development of a tool within the electronic medical record to facilitate medication reconciliation after hospital discharge. J Am Med Inf…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46957/psn-pdf
    May 17, 2018 - Improving communication with patients with limited English proficiency. May 17, 2018 Taira BR. Improving Communication With Patients With Limited English Proficiency. JAMA Int Med. 2018;178(5):605-606. doi:10.1001/jamainternmed.2018.0373. https://psnet.ahrq.gov/issue/improving-communication-patients-limited-englis…

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