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psnet.ahrq.gov/node/49749/psn-pdf
December 01, 2015 - level of
care with different clinicians
Chaotic ICU environment
National glycemic control quality
indicators
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psnet.ahrq.gov/web-mm/waiting-too-long
February 01, 2013 - Commission on Accreditation of Healthcare Organizations (JCAHO) requires staffing assessment using specific indicators
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psnet.ahrq.gov/web-mm/transfusion-slip
June 14, 2011 - November 30, 2022
Deriving ICD-10 codes for patient safety indicators for large-scale
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psnet.ahrq.gov/node/33717/psn-pdf
September 01, 2011 - detection methods are more sensitive, including reviewing medical
records or applying patient safety indicators
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psnet.ahrq.gov/perspective/video-improve-patient-safety-clinical-and-educational-uses
March 01, 2004 - assessment tools, which should lay a foundation for objective assessment of technical skills beyond quantity indicators
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psnet.ahrq.gov/node/44813/psn-pdf
February 15, 2017 - Remote video auditing with real-time feedback in an
academic surgical suite improves safety and efficiency
metrics: a cluster randomised study.
February 15, 2017
Overdyk FJ, Dowling O, Newman S, et al. Remote video auditing with real-time feedback in an academic
surgical suite improves safety and efficiency metric…
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psnet.ahrq.gov/node/46178/psn-pdf
December 22, 2017 - Evaluating serial strategies for preventing wrong-patient
orders in the NICU.
December 22, 2017
Adelman JS, Aschner JL, Schechter CB, et al. Evaluating Serial Strategies for Preventing Wrong-Patient
Orders in the NICU. Pediatrics. 2017;139(5). doi:10.1542/peds.2016-2863.
https://psnet.ahrq.gov/issue/evaluating-ser…
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psnet.ahrq.gov/node/39549/psn-pdf
March 22, 2011 - The impact of traditional and smart pump infusion
technology on nurse medication administration
performance in a simulated inpatient unit.
March 22, 2011
Trbovich PL, Pinkney S, Cafazzo JA, et al. The impact of traditional and smart pump infusion technology on
nurse medication administration performance in a simul…
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psnet.ahrq.gov/node/46344/psn-pdf
October 13, 2018 - Prescription opioid use, misuse, and use disorders in U.S.
adults: 2015 National Survey on Drug Use and Health.
October 13, 2018
Han B, Compton WM, Blanco C, et al. Prescription opioid use, misuse, and use disorders in U.S. adults:
2015 National Survey on Drug Use and Health. Ann Intern Med. 2017;167(5):293-301. do…
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psnet.ahrq.gov/node/43865/psn-pdf
May 01, 2015 - Computerised physician order entry-related medication
errors: analysis of reported errors and vulnerability
testing of current systems.
May 1, 2015
Schiff GD, Amato MG, Eguale T, et al. Computerised physician order entry-related medication errors:
analysis of reported errors and vulnerability testing of current sy…
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psnet.ahrq.gov/sites/default/files/2022-04/final_spotlight_case_and_commentatry_io_line_extravasation-04.08.2022.pdf
January 01, 2022 - .
• Compartment syndrome is a clinical diagnosis and patients’ reported
symptoms are the earliest indicators
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psnet.ahrq.gov/primer/wrong-site-wrong-procedure-and-wrong-patient-surgery
September 15, 2024 - Wrong-Site, Wrong-Procedure, and Wrong-Patient Surgery
Citation Text:
Wrong-Site, Wrong-Procedure, and Wrong-Patient Surgery. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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Format:
Google Scholar Bib…
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psnet.ahrq.gov/primer/disclosure-errors
September 15, 2024 - Disclosure of Errors
Citation Text:
Disclosure of Errors. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
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psnet.ahrq.gov/node/33569/psn-pdf
June 15, 2024 - Readmissions and Adverse Events After Discharge
June 15, 2024
Readmissions and Adverse Events After Discharge. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/readmissions-and-adverse-events-after-discharge
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
t…
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psnet.ahrq.gov/node/845356/psn-pdf
March 29, 2023 - A novel approach for engagement in team training in
high-technology surgery: the robotic-assisted surgery
olympics.
March 29, 2023
Cohen TN, Anger JT, Kanji FF, et al. A novel approach for engagement in team training in high-technology
surgery: the robotic-assisted surgery olympics. J Patient Saf. 2022;18(6):570-5…
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psnet.ahrq.gov/node/46122/psn-pdf
January 01, 2021 - Leapfrog Hospital Safety Score, Magnet designation, and
healthcare-associated infections in United States
hospitals.
December 21, 2017
Pakyz AL, Wang H, Ozcan YA, et al. Leapfrog Hospital Safety Score, Magnet Designation, and Healthcare-
Associated Infections in United States Hospitals. J Patient Saf. 2021;17(6):4…
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psnet.ahrq.gov/node/44026/psn-pdf
November 03, 2015 - Effect of a postdischarge virtual ward on readmission or
death for high-risk patients: a randomized clinical trial.
November 3, 2015
Dhalla IA, O'Brien T, Morra D, et al. Effect of a postdischarge virtual ward on readmission or death for high-
risk patients: a randomized clinical trial. JAMA. 2014;312(13):1305-12. …
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psnet.ahrq.gov/node/45897/psn-pdf
August 20, 2018 - Clinical reasoning education at US medical schools:
results from a national survey of internal medicine
clerkship directors.
August 20, 2018
Rencic J, Trowbridge RL, Fagan M, et al. Clinical Reasoning Education at US Medical Schools: Results
from a National Survey of Internal Medicine Clerkship Directors. J Gen In…
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psnet.ahrq.gov/issue/lives-and-dollars-lost-calculator
June 21, 2023 - Measurement Tool/Indicator
Lives and Dollars Lost Calculator.
Citation Text:
Lives and Dollars Lost Calculator. Leapfrog Group.
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psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-32
June 16, 2019 - Commentary
ISMP medication error report analysis.
Citation Text:
ISMP medication error report analysis. Cohen MR.
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