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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49761/psn-pdf
    May 01, 2016 - Identifying benchmarks for discrepancy rates in preliminary interpretations provided by radiology trainees
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49739/psn-pdf
    August 21, 2015 - Identifying and improving knowledge deficits of emergency airway management of tracheotomy and laryngectomy
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49785/psn-pdf
    February 01, 2017 - Committee on Identifying and Preventing Medication Errors, Institute of Medicine.
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865570/psn-pdf
    April 10, 2024 - The NAPSI team designed a protocol that is nimble and flexible to care as it happens instead of only identifying
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865467/psn-pdf
    March 27, 2024 - Different states have different mechanisms for identifying a surrogate when the patient has not designated
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73335/psn-pdf
    May 26, 2021 - Healthcare organizations should have quality improvement programs for reporting, analyzing, and identifying
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853772/psn-pdf
    September 27, 2023 - have been effective with appropriate and timely communication, but the resident physician’s role in identifying
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49526/psn-pdf
    December 01, 2006 - The borderline diagnosis III: identifying endophenotypes for genetic studies.
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41757/psn-pdf
    January 25, 2018 - BeSafeRx: Know Your Online Pharmacy. January 25, 2018 US Food and Drug Administration; FDA. https://psnet.ahrq.gov/issue/besaferx-know-your-online-pharmacy This Web site raises awareness of risks associated with buying medications from online pharmacies and offers resources to help identify whether an online pharm…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34976/psn-pdf
    June 22, 2009 - The neurologist and patient safety. June 22, 2009 Glick TH. The neurologist and patient safety. Neurologist. 2005;11(3):140-149. https://psnet.ahrq.gov/issue/neurologist-and-patient-safety The author reviews data on errors in neurology and identifies key areas for minimizing medical error in this specialty: accura…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37321/psn-pdf
    February 03, 2011 - MRSA Infections. February 3, 2011 Zeller JL, Burke AE, Glass RM. JAMA patient page. MRSA infections. JAMA. 2007;298(15):1826. https://psnet.ahrq.gov/issue/mrsa-infections This fact sheet defines the methicillin-resistant Staphylococcus aureus (MRSA) bacterium, identifies causes of infection and risk factors, and p…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42377/psn-pdf
    June 26, 2013 - Simulation in Maternal Fetal Medicine. June 26, 2013 Goffman D, ed. Semin Perinatol. 2013;37(3):139-204.   https://psnet.ahrq.gov/issue/simulation-maternal-fetal-medicine Articles in this special issue discuss how simulation can enhance teamwork, identify system issues, and improve patient outcomes in obstetr…
  13. psnet.ahrq.gov/web-mm/errors-managing-open-wound-elbow-leading-multiple-complications-and-operations
    September 27, 2023 - dimensions, making it superior to plain radiography. 13 CT has the additional benefit of reliably identifying
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39589/psn-pdf
    February 13, 2018 - Common cause analysis. February 13, 2018 Clapper C, Crea K. Patient Saf Qual Healthc. May/June 2010;7:30-35. https://psnet.ahrq.gov/issue/common-cause-analysis This article describes how one health care system used a multi-event analysis process to identify medication errors, implement system-level improvements, a…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36080/psn-pdf
    September 28, 2010 - Overcoming barriers to patient safety. September 28, 2010 Kalisch BJ, Aebersold M. Overcoming barriers to patient safety. Nurs Econ. 2006;24(3):143-8, 155, 123; quiz 149. https://psnet.ahrq.gov/issue/overcoming-barriers-patient-safety The authors comment on key contributors to errors in an inpatient unit and ident…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36817/psn-pdf
    August 26, 2011 - Fault trees uncover complex causes. August 26, 2011 Spath P. Fault trees uncover complex causes. Hospital peer review. 2007;32(4):49-52. https://psnet.ahrq.gov/issue/fault-trees-uncover-complex-causes This article discusses the use of a fault tree diagram to identify root causes of an incident within complex syste…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50615/psn-pdf
    October 30, 2019 - Misidentifying the Unidentified – John Doe and the EHR October 30, 2019 Janowak CF, Janowak LM. Misidentifying the Unidentified – John Doe and the EHR. PSNet [internet]. 2019. https://psnet.ahrq.gov/web-mm/misidentifying-unidentified-john-doe-and-ehr The Case  Two male patients of similar age arrived at the same …
  18. psnet.ahrq.gov/perspective/conversation-david-juurlink-md-phd
    May 22, 2017 - There's no way of identifying who is not going to be harmed. … Identifying and treating those with opioid use disorders must also be a priority.
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39703/psn-pdf
    March 18, 2016 - Patient Safety Culture Report: Focusing on Indicators. March 18, 2016 Utrecht, Netherlands: European Network for Patient Safety; 2010. https://psnet.ahrq.gov/issue/patient-safety-culture-report-focusing-indicators This report identifies care process and outcome indicators in the European Union and describes how the…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38438/psn-pdf
    February 25, 2009 - Minimising medication errors in children. February 25, 2009 Wong ICK, Wong LYL, Cranswick NE. Minimising medication errors in children. Arch Dis Child. 2009;94(2):161-4. doi:10.1136/adc.2007.116442. https://psnet.ahrq.gov/issue/minimising-medication-errors-children This review identifies factors that contribute to…

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