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7061. Neuromuscular blocking agents: reducing associated wrong-drug errors. | PSNet
      psnet.ahrq.gov/issue/neuromuscular-blocking-agents-reducing-associated-wrong-drug-errors
      April 26, 2023 - Newspaper/Magazine Article Neuromuscular blocking agents: reducing associated wrong-drug errors. Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL April 16, 2018 This article discu…

7062. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44247/psn-pdf
      November 03, 2015 - Effects of interdisciplinary team care interventions on general medical wards: a systematic review. November 3, 2015 Pannick S, Davis R, Ashrafian H, et al. Effects of Interdisciplinary Team Care Interventions on General Medical Wards: A Systematic Review. JAMA Intern Med. 2015;175(8):1288-98. doi:10.1001/jamainte…

7063. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41319/psn-pdf
      May 17, 2012 - Nature and timing of incidents intercepted by the SURPASS checklist in surgical patients. May 17, 2012 de Vries EN, Prins HA, Bennink C, et al. Nature and timing of incidents intercepted by the SURPASS checklist in surgical patients. BMJ Qual Saf. 2012;21(6):503-8. doi:10.1136/bmjqs-2011-000347. https://psnet.ahrq…

7064. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36384/psn-pdf
      January 05, 2017 - Forum: The 100,000 Lives Campaign: a scientific and policy review [with IHI response]. January 5, 2017 Wachter R, Pronovost P. The 100,000 Lives Campaign: A scientific and policy review. Jt Comm J Qual Patient Saf. 2006;32(11):621-7. https://psnet.ahrq.gov/issue/forum-100000-lives-campaign-scientific-and-policy-re…

7065. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867233/psn-pdf
      December 04, 2024 - Evaluation of a natural language processing approach to identify diagnostic errors and analysis of safety learning system case review data: retrospective cohort study. December 4, 2024 Tabaie A, Tran A, Calabria T, et al. Evaluation of a natural language processing approach to identify diagnostic errors and analys…

7066. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47550/psn-pdf
      November 21, 2018 - Nurses' and patients' appraisals show patient safety in hospitals remains a concern. November 21, 2018 Aiken LH, Sloane DM, Barnes H, et al. Nurses' And Patients' Appraisals Show Patient Safety In Hospitals Remains A Concern. Health Aff (Millwood). 2018;37(11):1744-1751. doi:10.1377/hlthaff.2018.0711. https://psne…

7067. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/845298/psn-pdf
      March 01, 2023 - National statutory reporting: not even ticking the boxes? The quality of 'Learning from Deaths' reporting in quality accounts within the NHS in England 2017-2020. March 1, 2023 Brummell Z, Braun D, Hussein Z, et al. National statutory reporting: not even ticking the boxes? The quality of ‘Learning from Deaths’ rep…

7068. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44304/psn-pdf
      September 09, 2015 - Association of the 2011 ACGME resident duty hour reform with postoperative patient outcomes in surgical specialties. September 9, 2015 Rajaram R, Chung JW, Cohen ME, et al. Association of the 2011 ACGME Resident Duty Hour Reform with Postoperative Patient Outcomes in Surgical Specialties. J Am Coll Surg. 2015;221(…

7069. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38489/psn-pdf
      November 25, 2009 - Evaluation of the contributions of an electronic web- based reporting system: enabling action. November 25, 2009 Levtzion-Korach O, Alcalai H, Orav EJ, et al. Evaluation of the contributions of an electronic web-based reporting system: enabling action. J Patient Saf. 2009;52(1):9-15. doi:10.1097/PTS.0b013e318198dc8…

7070. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42692/psn-pdf
      April 21, 2015 - Surgical skill and complication rates after bariatric surgery. April 21, 2015 Birkmeyer JD, Finks JF, O'Reilly A, et al. Surgical skill and complication rates after bariatric surgery. N Engl J Med. 2013;369(15):1434-1442. doi:10.1056/NEJMsa1300625. https://psnet.ahrq.gov/issue/surgical-skill-and-complication-rates…

7071. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37386/psn-pdf
      January 06, 2017 - Medication reconciliation in ambulatory oncology. January 6, 2017 Weingart SN, Cleary A, Seger AC, et al. Medication reconciliation in ambulatory oncology. Jt Comm J Qual Patient Saf. 2007;33(12):750-7. https://psnet.ahrq.gov/issue/medication-reconciliation-ambulatory-oncology The Joint Commission mandates systems…

7072. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37478/psn-pdf
      February 22, 2011 - Programmable infusion pumps in ICUs: an analysis of corresponding adverse drug events. February 22, 2011 Nuckols TK, Bower AG, Paddock SM, et al. Programmable infusion pumps in ICUs: an analysis of corresponding adverse drug events. J Gen Intern Med. 2008;23 Suppl 1:41-5. doi:10.1007/s11606-007- 0414-y. https://p…

7073. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38454/psn-pdf
      January 02, 2017 - Comparing process- and outcome-oriented approaches to voluntary incident reporting in two hospitals. January 2, 2017 Nuckols TK, Bell D, Paddock SM, et al. Comparing process- and outcome-oriented approaches to voluntary incident reporting in two hospitals. Jt Comm J Qual Patient Saf. 2009;35(3):139-45. https://psn…

7074. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33737/psn-pdf
      September 01, 2012 - Preparing for Health Reform: The Federal Government and the Nursing Workforce September 1, 2012 Buerhaus P. Preparing for Health Reform: The Federal Government and the Nursing Workforce. PSNet [internet]. 2012. https://psnet.ahrq.gov/perspective/preparing-health-reform-federal-government-and-nursing-workforce Per…

7075. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33618/psn-pdf
      September 01, 2005 - Playing Well with Others: "Translocational Research" in Patient Safety September 1, 2005 Wachter R. Playing Well with Others: "Translocational Research" in Patient Safety. PSNet [internet]. 2005. https://psnet.ahrq.gov/perspective/playing-well-others-translocational-research-patient-safety Perspective Translation…

7076. Spotlight (pdf file)
      psnet.ahrq.gov/sites/default/files/2019-12/spotlight_code_status_dec_2019_powerpoint.pdf
      January 01, 2019 - Spotlight Spotlight "Do You Want Everything Done?": Clarifying Code Status Source and Credits • This presentation is based on the December 2019 AHRQ WebM&M Spotlight Case ○ See the full article at https://psnet.ahrq.gov/webmm ○ CME credit is available • Commentary by: Karl Steinberg MD, CMD, HMDC & Thaddeus M…

7077. Delayed Diagnosis of Kidney Transplant Complications | PSNet
      psnet.ahrq.gov/web-mm/delayed-diagnosis-kidney-transplant-complications
      January 29, 2020 - Delayed Diagnosis of Kidney Transplant Complications Citation Text: Kapa N, Morfín JA. Delayed Diagnosis of Kidney Transplant Complications. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022. Copy Citation Format: Goo…

7078. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33597/psn-pdf
      April 10, 2024 - Long-term Care and Patient Safety April 10, 2024 Bakerjian D. Long-term Care and Patient Safety. PSNet [internet]. 2024. https://psnet.ahrq.gov/primer/long-term-care-and-patient-safety Background For many years, the patient safety field focused on improving safety in hospital and ambulatory care settings. More re…

7079. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866848/psn-pdf
      September 25, 2024 - In Conversation with Eric Thomas about Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas of Agreement September 25, 2024 Thomas E, Mossburg S, Lee M. In Conversation with Eric Thomas about Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas of Agreement. …

7080. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50389/psn-pdf
      September 25, 2019 - Getting the Diagnosis Both Right and Wrong September 25, 2019 Olson AP. Getting the Diagnosis Both Right and Wrong. PSNet [internet]. 2019. https://psnet.ahrq.gov/web-mm/getting-diagnosis-both-right-and-wrong The Case A 27-year-old woman with a history of acute myeloid leukemia was sent to the emergency department…