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psnet.ahrq.gov/node/838929/psn-pdf
October 26, 2022 - Toolkit To Improve Antibiotic Use in Ambulatory Care.
October 26, 2022
Rockville, MD: Agency for Healthcare Research and Quality; October 2022.
https://psnet.ahrq.gov/issue/toolkit-improve-antibiotic-use-ambulatory-care
Inappropriate antibiotic prescribing is associated with increased risk potential. This toolkit a…
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psnet.ahrq.gov/node/38276/psn-pdf
December 10, 2008 - Addressing delays in medication administration for
patients transferred from the hospital to the nursing
home: a pilot quality improvement project.
December 10, 2008
Ward KT, Bates-Jensen B, Eslami MS, et al. Addressing delays in medication administration for patients
transferred from the hospital to the nursing h…
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psnet.ahrq.gov/node/44793/psn-pdf
February 17, 2016 - The Sociology of Healthcare Safety and Quality.
February 17, 2016
Allen D, Braithwaite J, Sandall J, Waring J, eds. Sociol Health Illn. 2016;38(2):179-339.
https://psnet.ahrq.gov/issue/sociology-healthcare-safety-and-quality
The sociological approach to exploring safety has shown promise as a way to understand why …
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psnet.ahrq.gov/node/73869/psn-pdf
October 21, 2021 - Disrespectful behavior in healthcare: has it improved?
Please take our survey!
October 21, 2021
ISMP Medication Safety Alert! Acute care edition. September 9, 2021;26(18);1-5.
https://psnet.ahrq.gov/issue/disrespectful-behavior-healthcare-has-it-improved-please-take-our-survey
Disrespectful behavior is a persisten…
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psnet.ahrq.gov/node/46295/psn-pdf
September 06, 2017 - Pain assessment and management standards for
hospitals.
September 6, 2017
R3 Report. August 29, 2017;11:1-7.
https://psnet.ahrq.gov/issue/pain-assessment-and-management-standards-hospitals
Strategies to manage pain safely have been reexamined in light of the opioid epidemic. This report
highlights Joint Commissio…
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psnet.ahrq.gov/node/41026/psn-pdf
March 02, 2012 - SBAR: electronic handoff tool for noncomplicated
procedural patients.
March 2, 2012
Wentworth L, Diggins J, Bartel D, et al. SBAR: electronic handoff tool for noncomplicated procedural
patients. J Nurs Care Qual. 2012;27(2):125-31. doi:10.1097/NCQ.0b013e31823cc9a0.
https://psnet.ahrq.gov/issue/sbar-electronic-hand…
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psnet.ahrq.gov/node/850358/psn-pdf
June 14, 2023 - What Happened to Patient Safety.
June 14, 2023
Sheridan S. Turn on the Lights. Institute for Healthcare Improvement. May 2023
https://psnet.ahrq.gov/issue/what-happened-patient-safety
Patient engagement is an important component in patient safety. This episode from the Turn on the Lights
podcast (hosted by I…
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psnet.ahrq.gov/node/42551/psn-pdf
May 21, 2019 - Should medical malpractice prevention be considered
separately or as an integral part of comprehensive health
care safety improvement?
May 21, 2019
Enbom JA. Should medical malpractice prevention be considered separately or as an integral part of
comprehensive health care safety improvement? Am J Obstet Gynecol. 2…
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psnet.ahrq.gov/node/866530/psn-pdf
August 14, 2024 - Healthcare Simulation in Nursing Practice.
August 14, 2024
Watts PI. Healthcare Simulation in Nursing Practice. Nurs Clin North Am. 2024;59(3):345-510.
https://psnet.ahrq.gov/issue/healthcare-simulation-nursing-practice
Simulation is an established method to examine nursing process resilience and develop non-techni…
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psnet.ahrq.gov/node/74013/psn-pdf
October 27, 2021 - Applying decision science to the prioritization of
healthcare-associated infection initiatives.
October 27, 2021
Tsai TH, Gerst MD, Engineer C, et al. Applying decision science to the prioritization of healthcare-
associated infection initiatives. J Patient Saf. 2021;17(7):506-512. doi:10.1097/pts.0000000000000416.…
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psnet.ahrq.gov/node/74076/psn-pdf
November 17, 2021 - Influence of perioperative handoffs on complications and
outcomes.
November 17, 2021
Burden AR, Potestio C, Pukenas E. Influence of perioperative handoffs on complications and outcomes.
Adv Anesth. 2021;39:133-148. doi:10.1016/j.aan.2021.07.008.
https://psnet.ahrq.gov/issue/influence-perioperative-handoffs-complic…
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psnet.ahrq.gov/node/41969/psn-pdf
July 02, 2014 - The creation and impact of a dedicated section on quality
and patient safety in a clinical academic department.
July 2, 2014
Boudreaux AM, Vetter TR. The Creation and Impact of a Dedicated Section on Quality and Patient Safety
in a Clinical Academic Department. Academic Medicine. 2012;88(2). doi:10.1097/acm.0b013e3…
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psnet.ahrq.gov/node/44475/psn-pdf
October 03, 2017 - Scoring no goal—further adventures in transparency.
October 3, 2017
Rosenbaum L. Scoring No Goal--Further Adventures in Transparency. N Engl J Med. 2015;373(15):1385-
8. doi:10.1056/NEJMp1510094.
https://psnet.ahrq.gov/issue/scoring-no-goal-further-adventures-transparency
This commentary explores challenges to mon…
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psnet.ahrq.gov/perspective/what-can-rest-health-care-system-learn-vas-quality-and-safety-transformation
September 01, 2006 - What Can the Rest of the Health Care System Learn from the VA's Quality and Safety Transformation?
Ashish K. Jha, MD, MPH | September 1, 2006
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Jha AK. What Can the Rest of the Heal…
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psnet.ahrq.gov/node/33604/psn-pdf
December 15, 2024 - Pharmacist's Role in Medication Safety
December 15, 2024
The Pharmacist's Role in Medication Safety. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/pharmacists-role-medication-safety
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current res…
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psnet.ahrq.gov/node/49749/psn-pdf
December 01, 2015 - Hyperglycemia and Switching to Subcutaneous Insulin
December 1, 2015
Wetterneck TB. Hyperglycemia and Switching to Subcutaneous Insulin. PSNet [internet]. 2015.
https://psnet.ahrq.gov/web-mm/hyperglycemia-and-switching-subcutaneous-insulin
The Case
A 47-year-old man with type 2 diabetes was admitted to the hospita…
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psnet.ahrq.gov/web-mm/glucose-roller-coaster
February 02, 2022 - Glucose Roller Coaster
Citation Text:
Sharpe B. Glucose Roller Coaster. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMed…
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psnet.ahrq.gov/node/47928/psn-pdf
January 01, 2021 - Perceptions of pediatric hospital safety culture in the
United States: an analysis of the 2016 Hospital Survey on
Patient Safety Culture.
April 24, 2019
Gampetro PJ, Segvich JP, Jordan N, et al. Perceptions of Pediatric Hospital Safety Culture in the United
States: An Analysis of the 2016 Hospital Survey on Patien…
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psnet.ahrq.gov/issue/ihi-announces-hospitals-participating-100000-lives-campaign-have-saved-estimated-122300-lives
August 07, 2024 - Press Release/Announcement
Classic
IHI announces that hospitals participating in 100,000 Lives Campaign have saved an estimated 122,300 lives.
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psnet.ahrq.gov/issue/what-correct-site-surgery
October 15, 2018 - Fact Sheet/FAQs
What is Correct-Site Surgery?
Citation Text:
What is Correct-Site Surgery? American College of Surgeons.
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