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2401. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/846158/psn-pdf
      March 15, 2023 - Safety risks and workflow implications associated with nursing-related free-text communication orders. March 15, 2023 Staes CJ, Yusuf S, Hambly M, et al. Safety risks and workflow implications associated with nursing-related free-text communication orders. J Am Med Inform Assoc. 2023;30(5):828-837. doi:10.1093/jami…

2402. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41298/psn-pdf
      November 27, 2012 - Patient safety culture and the association with safe resident care in nursing homes. November 27, 2012 Thomas KS, Hyer K, Castle NG, et al. Patient safety culture and the association with safe resident care in nursing homes. Gerontologist. 2012;52(6):802-811. doi:10.1093/geront/gns007. https://psnet.ahrq.gov/issue…

2403. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39163/psn-pdf
      June 28, 2010 - Burnout and medical errors among American surgeons. June 28, 2010 Shanafelt TD, Balch CM, Bechamps G, et al. Burnout and medical errors among American surgeons. Ann Surg. 2010;251(6):995-1000. doi:10.1097/SLA.0b013e3181bfdab3. https://psnet.ahrq.gov/issue/burnout-and-medical-errors-among-american-surgeons Duty-hou…

2404. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41702/psn-pdf
      November 07, 2018 - AHRQ patient safety project reduces bloodstream infections by 40 percent. November 7, 2018 Schmidt B. Patient Saf Qual Hcare. September 12, 2012. https://psnet.ahrq.gov/issue/ahrq-patient-safety-project-reduces-bloodstream-infections-40-percent The near elimination of central line–associated bloodstream infections…

2405. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38308/psn-pdf
      April 21, 2010 - Adverse-event-reporting practices by US hospitals: results of a national survey. April 21, 2010 Farley DO, Haviland A, Champagne S, et al. Adverse-event-reporting practices by US hospitals: results of a national survey. Qual Saf Health Care. 2008;17(6):416-23. doi:10.1136/qshc.2007.024638. https://psnet.ahrq.gov/i…

2406. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37065/psn-pdf
      February 15, 2011 - Effect of residency duty-hour limits: views of key clinical faculty. February 15, 2011 Schuster B. Tough times for teaching faculty. Arch Intern Med. 2007;167(14):1453-5. https://psnet.ahrq.gov/issue/effect-residency-duty-hour-limits-views-key-clinical-faculty Although recent data indicate that the 2003 regulation…

2407. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37961/psn-pdf
      May 05, 2010 - Does the Leapfrog program help identify high-quality hospitals? May 5, 2010 Jha AK, Orav J, Ridgway AB, et al. Does the Leapfrog program help identify high-quality hospitals? Jt Comm J Qual Patient Saf. 2008;34(6):318-325. https://psnet.ahrq.gov/issue/does-leapfrog-program-help-identify-high-quality-hospitals The…

2408. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60594/psn-pdf
      June 17, 2020 - Validation of a secondary screener for suicide risk: results from the Emergency Department Safety Assessment and Follow-up Evaluation (ED-SAFE). June 17, 2020 Boudreaux ED, Larkin C, Camargo CA, et al. Validation of a secondary screener for suicide risk: results from the Emergency Department Safety Assessment and …

2409. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33676/psn-pdf
      November 01, 2008 - In Conversation with…Sanjay Saint, MD, MPH November 1, 2008 In Conversation with…Sanjay Saint, MD, MPH. PSNet [internet]. 2008. https://psnet.ahrq.gov/perspective/conversation-withsanjay-saint-md-mph Editor's note: Sanjay Saint, MD, MPH, is Professor of Medicine at the University of Michigan and the Ann Arbor VA …

2410. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49443/psn-pdf
      May 01, 2004 - Privacy Gone Awry May 1, 2004 Pauker SG, Pauker SP. Privacy Gone Awry. PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/privacy-gone-awry The Case A 3-year-old child underwent bilateral myringotomies and tube insertion with adenoidectomy. Preoperatively, she had an upper respiratory infection, but was eating…

2411. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49556/psn-pdf
      March 01, 2008 - Hold That Order March 1, 2008 Grissinger M. Hold That Order. PSNet [internet]. 2008. https://psnet.ahrq.gov/web-mm/hold-order The Case A 25-year-old woman with a history of a pituitary tumor was admitted with hypernatremia. Because of her previous pituitary resection and radiation, the patient had a long history …

2412. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74226/psn-pdf
      February 01, 2019 - However, results from STORM indicate that previously identified and novel risk indicators that are readily

2413. Microsoft PowerPoint - FINAL Feb 2021 Spotlight_Delay in Appropriate DX.pptx - Read-Only (pdf file)
      psnet.ahrq.gov/sites/default/files/2021-02/final_feb_2021_spotlight_delay_in_appropriate_dx.pdf
      January 01, 2021 - radiologic findings • Failure of the primary team to review imaging studies • Failure to recognize multiple indicators

2414. Nudge Unit Supports Physician, Patient Behavioral Changes Towards Medical Decisions that Improve Care Value and Quality of Care | PSNet
      psnet.ahrq.gov/innovation/nudge-unit-supports-physician-patient-behavioral-changes-towards-medical-decisions
      July 23, 2024 - Nudge Unit Supports Physician, Patient Behavioral Changes Towards Medical Decisions that Improve Care Value and Quality of Care Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL December 23, 2020 …

2415. New Oral Anticoagulants | PSNet
      psnet.ahrq.gov/web-mm/new-oral-anticoagulants
      July 01, 2011 - SPOTLIGHT CASE New Oral Anticoagulants Citation Text: Fang MC. New Oral Anticoagulants. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote …

2416. More Treatment—Better Care? | PSNet
      psnet.ahrq.gov/web-mm/more-treatment-better-care
      August 11, 2021 - More Treatment—Better Care? Citation Text: Redberg R. More Treatment—Better Care?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote ta…

2417. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/848109/psn-pdf
      April 26, 2023 - The Danger of 10% Intravenous Calcium Chloride Extravasation. April 26, 2023 The Danger of 10% Intravenous Calcium Chloride Extravasation. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/danger-10-intravenous-calcium-chloride-extravasation The Case A 52-year-old man with a history of lymphoplasmacytic lymph…

2418. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/845278/psn-pdf
      March 01, 2023 - Association between opioid tapering and subsequent health care use, medication adherence, and chronic condition control. March 1, 2023 Magnan EM, Tancredi DJ, Xing G, et al. Association between opioid tapering and subsequent health care use, medication adherence, and chronic condition control. JAMA Netw Open. 2023…

2419. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73241/psn-pdf
      May 12, 2021 - Delayed or failure to follow-up abnormal breast cancer screening mammograms in primary care: a systematic review. May 12, 2021 Reece JC, Neal EFG, Nguyen P, et al. Delayed or failure to follow-up abnormal breast cancer screening mammograms in primary care: a systematic review. BMC Cancer. 2021;21(1):373. doi:10.11…

2420. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44004/psn-pdf
      September 01, 2016 - Impact of computerized physician order entry alerts on prescribing in older patients. September 1, 2016 Lester PE, Rios-Rojas L, Islam S, et al. Impact of computerized physician order entry alerts on prescribing in older patients. Drugs Aging. 2015;32(3):227-33. doi:10.1007/s40266-015-0244-2. https://psnet.ahrq.go…