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psnet.ahrq.gov/web-mm/transfer-troublesDecember 29, 2014 - SPOTLIGHT CASE Transfer Troubles Citation Text: Hains IM. Transfer Troubles. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endno…
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/846170/psn-pdfMarch 15, 2023 - Duplicate Therapies in Retail Pharmacy March 15, 2023 Punatar N, Molla M, Lee S. Duplicate Therapies in Retail Pharmacy. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/duplicate-therapies-retail-pharmacy The Cases Case 1: A middle-aged man with a past medical history of heart failure with reduced ejection f… -
Spotlight (pdf file)
psnet.ahrq.gov/sites/default/files/2022-08/final_spotlight_case_mesenteric_ischemia_08.05.2022.pdfJanuary 01, 2022 - Spotlight Spotlight Delayed Diagnosis of Mesenteric Ischemia Source and Credits • This presentation is based on the August 2022 AHRQ WebM&M Spotlight Case o See the full article at https://psnet.ahrq.gov/webmm o CME credit is available o Commentary by: Anamaria Robles, MD, and Garth Utter, MD, MSc o AHRQ WebM&M… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35572/psn-pdfFebruary 03, 2011 - The long road to patient safety: a status report on patient safety systems. February 3, 2011 Longo DR, Hewett JE, Ge B, et al. The long road to patient safety: a status report on patient safety systems. JAMA. 2005;294(22):2858-65. https://psnet.ahrq.gov/issue/long-road-patient-safety-status-report-patient-safety-s… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/867337/psn-pdfDecember 11, 2024 - Perspectives on anesthesia and perioperative patient safety: past, present, and future. December 11, 2024 Kanjia MK, Kurth CD, Hyman D, et al. Perspectives on anesthesia and perioperative patient safety: past, present, and future. Anesthesiology. 2024;141(5):835-848. doi:10.1097/aln.0000000000005164. https://psnet… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/859348/psn-pdfDecember 20, 2023 - Are adverse events related to the completeness of clinical records? Results from a retrospective records review using the Global Trigger Tool. December 20, 2023 Scarpis E, Cautero P, Tullio A, et al. Are adverse events related to the completeness of clinical records? Results from a retrospective records review usi… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45754/psn-pdfSeptember 01, 2018 - Addressing ambulatory safety and malpractice: the Massachusetts PROMISES project. September 1, 2018 Schiff G, Nieva HR, Griswold P, et al. Addressing Ambulatory Safety and Malpractice: The Massachusetts PROMISES Project. Health Serv Res. 2016;51 Suppl 3:2634-2641. doi:10.1111/1475-6773.12621. https://psnet.ahrq.go… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42515/psn-pdfOctober 24, 2013 - Using four-phased unit-based patient safety walkrounds to uncover correctable system flaws. October 24, 2013 Taylor AM, Chuo J, Figueroa-Altmann A, et al. Using four-phased unit-based patient safety walkrounds to uncover correctable system flaws. Jt Comm J Qual Patient Saf. 2013;39(9):396-403. https://psnet.ahrq.g… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38366/psn-pdfJanuary 28, 2009 - Benchmarking surgical incident reports using a database and a triage system to reduce adverse outcomes. January 28, 2009 Antonacci AC, Lam S, Lavarias V, et al. Benchmarking surgical incident reports using a database and a triage system to reduce adverse outcomes. Arch Surg. 2008;143(12):1192-7. doi:10.1001/archsu… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45120/psn-pdfSeptember 11, 2016 - Saving lives: a meta-analysis of team training in healthcare. September 11, 2016 Hughes A, Gregory ME, Joseph DL, et al. Saving lives: A meta-analysis of team training in healthcare. J Appl Psychol. 2016;101(9):1266-304. doi:10.1037/apl0000120. https://psnet.ahrq.gov/issue/saving-lives-meta-analysis-team-training-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46584/psn-pdfDecember 06, 2017 - Alterations in Spanish language interpretation during pediatric critical care family meetings. December 6, 2017 Sinow CS, Corso I, Lorenzo J, et al. Alterations in Spanish Language Interpretation During Pediatric Critical Care Family Meetings. Crit Care Med. 2017;45(11):1915-1921. doi:10.1097/CCM.0000000000002650. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/849596/psn-pdfMay 31, 2023 - Patients admitted on weekends have higher in-hospital mortality than those admitted on weekdays: analysis of national inpatient sample. May 31, 2023 Manadan A, Arora S, Whittier M, et al. Patients admitted on weekends have higher in-hospital mortality than those admitted on weekdays: analysis of national inpatient… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36986/psn-pdfJune 18, 2013 - Changes in hospital mortality associated with residency work-hour regulations. June 18, 2013 Shetty KD, Bhattacharya J. Changes in hospital mortality associated with residency work-hour regulations. Ann Intern Med. 2007;147(2):73-80. https://psnet.ahrq.gov/issue/changes-hospital-mortality-associated-residency-work… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45872/psn-pdfApril 13, 2017 - Finding diagnostic errors in children admitted to the PICU. April 13, 2017 Davalos MC, Samuels K, Meyer AND, et al. Finding diagnostic errors in children admitted to the PICU. Pediatr Crit Care Med. 2017;18(3):265-271. doi:10.1097/PCC.0000000000001059. https://psnet.ahrq.gov/issue/finding-diagnostic-errors-childre… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47247/psn-pdfDecember 19, 2018 - Preventing central line–associated bloodstream infections in the intensive care unit: application of high- reliability principles. December 19, 2018 McCraw B, Crutcher T, Polancich S, et al. Preventing Central Line-Associated Bloodstream Infections in the Intensive Care Unit: Application of High-Reliability Princi… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37803/psn-pdfJanuary 06, 2017 - Paying the piper: investing in infrastructure for patient safety. January 6, 2017 Pronovost P, Rosenstein BJ, Paine LA, et al. Paying the piper: investing in infrastructure for patient safety. Jt Comm J Qual Patient Saf. 2008;34(6):342-8. https://psnet.ahrq.gov/issue/paying-piper-investing-infrastructure-patient-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36044/psn-pdfApril 27, 2010 - Expected and unanticipated consequences of the quality and information technology revolutions. April 27, 2010 Wachter R. Expected and unanticipated consequences of the quality and information technology revolutions. JAMA. 2006;295(23):2780-3. https://psnet.ahrq.gov/issue/expected-and-unanticipated-consequences-qua… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/862608/psn-pdfFebruary 14, 2024 - Communication and birth experiences among Black birthing people who experienced preterm birth. February 14, 2024 Gregory EF, Johnson GT, Barreto A, et al. Communication and birth experiences among Black birthing people who experienced preterm birth. Ann Fam Med. 2024;22(1):31-36. doi:10.1370/afm.3048. https://psne… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43402/psn-pdfOctober 20, 2014 - The WHO surgical safety checklist: survey of patients' views. October 20, 2014 Russ SJ, Rout S, Caris J, et al. The WHO surgical safety checklist: survey of patients’ views. BMJ Qual Saf. 2014;23(11). doi:10.1136/bmjqs-2013-002772. https://psnet.ahrq.gov/issue/who-surgical-safety-checklist-survey-patients-views T… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38163/psn-pdfApril 11, 2011 - Retrospective evaluation of a computerized physician order entry adaptation to prevent prescribing errors in a pediatric emergency department. April 11, 2011 Sard BE, Walsh KE, Doros G, et al. Retrospective evaluation of a computerized physician order entry adaptation to prevent prescribing errors in a pediatric e…
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