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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43454/psn-pdf
    November 20, 2015 - Training in quality and safety: the current landscape. November 20, 2015 Karasick AS, Nash DB. Training in quality and safety: the current landscape. Am J Med Qual. 2015;30(6):526-38. doi:10.1177/1062860614544194. https://psnet.ahrq.gov/issue/training-quality-and-safety-current-landscape This commentary offers inf…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42005/psn-pdf
    January 30, 2013 - Infusing fun into quality and safety initiatives. January 30, 2013 Foulk KC, Tocydlowski P, Snow TM, et al. Infusing fun into quality and safety initiatives. Nursing (Brux). 2012;42(11):14-16. doi:10.1097/01.NURSE.0000421386.36112.a9. https://psnet.ahrq.gov/issue/infusing-fun-quality-and-safety-initiatives Nursing…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35097/psn-pdf
    June 22, 2009 - Impact of duty hour limits on resident training in otolaryngology. June 22, 2009 Reiter ER, Wong DR. Impact of duty hour limits on resident training in otolaryngology. Laryngoscope. 2005;115(5):773-9. https://psnet.ahrq.gov/issue/impact-duty-hour-limits-resident-training-otolaryngology The authors surveyed reside…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34699/psn-pdf
    January 04, 2017 - Organizational costs of preventable medical errors. January 4, 2017 Weeks WB, Waldron J, Foster T, et al. The organizational costs of preventable medical errors. Jt Comm J Qual Improv. 2001;27(10):533-9. https://psnet.ahrq.gov/issue/organizational-costs-preventable-medical-errors Using two composite case studies a…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41165/psn-pdf
    December 08, 2016 - IHI Open School Patient Safety Curriculum December 8, 2016 Institute for Healthcare Improvement. https://psnet.ahrq.gov/issue/patient-safety-curriculum-2nd-edition There is a documented interest in postgraduate professional education that enables practicing clinicians to improve the safety of their actions and beh…
  6. psnet.ahrq.gov/web-mm/pca-overdose
    April 01, 2017 - PCA Overdose Citation Text: Doyle JD. PCA Overdose. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Dow…
  7. psnet.ahrq.gov/innovation/echo-care-transitions-successfully-reduces-patient-readmissions-skilled-nursing
    October 30, 2024 - ECHO-Care Transitions Successfully Reduces Patient Readmissions from Skilled Nursing Facilities, Reduces Length of Stay Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL August 25, 2021 Innova…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49785/psn-pdf
    February 01, 2017 - Refused Medication Error February 1, 2017 Foley M. Refused Medication Error. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/refused-medication-error The Case A 59-year-old man was admitted to the hospital with acute renal failure and mental status changes. He was alert to self and place only. The patient h…
  9. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.158_slideshow.ppt
    September 01, 2007 - Spotlight Case [MONTH] 2003 Spotlight Case September 2007 Medication Reconciliation: Whose Job Is It? Source and Credits This presentation is based on the September 2007 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Eric G. Poon, MD, MPH, Ha…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33581/psn-pdf
    December 15, 2024 - Medication Errors and Adverse Drug Events December 15, 2024 Medication Errors and Adverse Drug Events. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect cu…
  11. psnet.ahrq.gov/periodic-issue/weekly-resource
    March 25, 2025 - March 12, 2025 Weekly Issue PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient safety literature, news, conferences, reports,…
  12. psnet.ahrq.gov/primer/systems-approach
    June 15, 2024 - Systems Approach Citation Text: Systems Approach. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Downl…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49583/psn-pdf
    April 01, 2009 - Eptifibatide Epilogue April 1, 2009 Churchill WW, Fiumara K. Eptifibatide Epilogue. PSNet [internet]. 2009. https://psnet.ahrq.gov/web-mm/eptifibatide-epilogue The Case A 62-year-old man was admitted at 11:00 PM on a Saturday night with the provisional diagnosis of acute coronary syndrome. Serial testing for mark…
  14. psnet.ahrq.gov/web-mm/lost-black-hole
    December 01, 2005 - Lost in the Black Hole Citation Text: Wachter R. Lost in the Black Hole. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMe…
  15. psnet.ahrq.gov/web-mm/privacy-gone-awry
    February 24, 2011 - Privacy Gone Awry Citation Text: Pauker SG, Pauker SP. Privacy Gone Awry. 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 EndNote 7 XML Endnote tagged PubM…
  16. psnet.ahrq.gov/primer/inpatient-transitions-care-challenges-and-safety-practices
    June 15, 2024 - Inpatient Transitions of Care: Challenges and Safety Practices Citation Text: Satake A, McElroy V. Inpatient Transitions of Care: Challenges and Safety Practices. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024. Copy Citation …
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50948/psn-pdf
    February 26, 2020 - Patient Safety February 26, 2020 Nicklin W, Hughes L, eds. Healthc Q. 2020;22(Sp2):1-128. https://psnet.ahrq.gov/issue/patient-safety-12 Articles in this special issue report on initiatives undertaken by the Canadian National Patient Safety Consortium with a focus on the effect patient partnerships on initiative p…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42869/psn-pdf
    January 28, 2017 - Exploring Alternatives To Malpractice Litigation. January 28, 2017 Improved safety, eliminating errors top policy agenda. Health Aff (Millwood). 2014;33(1):6-66. https://psnet.ahrq.gov/issue/exploring-alternatives-malpractice-litigation Articles in this special issue cover findings from a federally-funded initiativ…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837813/psn-pdf
    January 21, 2021 - Recognizing Excellence in Diagnosis. January 21, 2021 The Leapfrog Group. https://psnet.ahrq.gov/issue/recognizing-excellence-diagnosis Examination of diagnostic failure and identification of reduction strategies require multidisciplinary expertise to be successful. This collaborative initiative will initially dev…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45306/psn-pdf
    August 17, 2016 - Indiana Patient Safety Center. August 17, 2016 Indiana Hospital Association; IHA. https://psnet.ahrq.gov/issue/indiana-patient-safety-center Launched in 2006, the Indiana Patient Safety Center (IPSC) is dedicated to promoting safety culture and reliable systems of care in the state. This website provides resources…

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