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  1. psnet.ahrq.gov/web-mm/refused-medication-error
    November 01, 2005 - Refused Medication Error Citation Text: Foley M. Refused Medication Error. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pub…
  2. psnet.ahrq.gov/web-mm/complications-ecmo-during-transport
    January 27, 2021 - Complications of ECMO During Transport Citation Text: Broman M. Complications of ECMO During Transport. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML End…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836850/psn-pdf
    March 31, 2022 - Annual Perspective: Topics in Medication Safety March 31, 2022 Harris IB, Dowell P, Mossburg SE. Annual Perspective: Topics in Medication Safety. PSNet [internet]. 2022. https://psnet.ahrq.gov/perspective/annual-perspective-topics-medication-safety Introduction Issues with medication management and errors in medi…
  4. psnet.ahrq.gov/sites/default/files/2024-09/final_spotlight_case_open_wound_of_the_elbow_slides_09.19.2024.pptx
    January 01, 2024 - Spotlight Spotlight Errors in Managing an Open Wound of the Elbow Leading to Multiple Complications and Operations 1 Source and Credits This presentation is based on the September 2024 AHRQ WebM&M Spotlight Case See the full article at https://psnet.ahrq.gov/webmm  CME credit is available  Commentary by: David…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866839/psn-pdf
    September 25, 2024 - Errors in Managing an Open Wound of the Elbow Leading to Multiple Complications and Operations September 25, 2024 Barnes DK, Utter GH. Errors in Managing an Open Wound of the Elbow Leading to Multiple Complications and Operations. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/errors-managing-open-wound-elb…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837324/psn-pdf
    July 08, 2022 - A Statewide Collaborative to Support Vaginal Birth and Reduce Unnecessary Cesarean Deliveries July 8, 2022 https://psnet.ahrq.gov/innovation/statewide-collaborative-support-vaginal-birth-and-reduce-unnecessary- cesarean-deliveries Summary   Started in response to rising maternal morbidity and mortality rates in …
  7. psnet.ahrq.gov/web-mm/tale-two-falls
    March 27, 2024 - October 16, 2024 Patient safety indicators during the initial COVID-19 pandemic surge
  8. psnet.ahrq.gov/innovation/transition-coachesr-reduce-readmissions-medicare-patients-complex-postdischarge-needs
    March 27, 2024 - Knowledge of “red flags”:  The patient is knowledgeable of indicators that his or her condition is worsening
  9. psnet.ahrq.gov/issue/poetry-and-medicine-mistakes-0
    September 25, 2019 - Commentary Poetry and Medicine. Mistakes. Citation Text: Poetry and Medicine. Mistakes. Kittleson M. JAMA. 2019;322(10):984. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL…
  10. psnet.ahrq.gov/issue/drug-errors-show-need-tech-aid
    August 17, 2016 - Newspaper/Magazine Article Drug errors show need for tech aid. Citation Text: Drug errors show need for tech aid. Landro L. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy…
  11. psnet.ahrq.gov/issue/poetry-and-medicine-mistakes
    September 25, 2019 - Commentary Poetry and Medicine. Mistakes. Citation Text: Poetry and Medicine. Mistakes. Kittleson M. JAMA. 2019;322:984. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL …
  12. psnet.ahrq.gov/issue/hospitals-tie-ceo-bonuses-safety
    July 30, 2014 - Newspaper/Magazine Article Hospitals tie CEO bonuses to safety. Citation Text: Hospitals tie CEO bonuses to safety. Rowland C. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy…
  13. psnet.ahrq.gov/issue/case-studies-medication-reconciliation
    February 15, 2023 - Special or Theme Issue Case studies on medication reconciliation. Citation Text: Case studies on medication reconciliation. Crawford AG; Sciamanna CN. Copy Citation Save Save to your library Print Download PDF Share Facebook Twit…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73901/psn-pdf
    September 29, 2021 - Handshake antimicrobial stewardship as a model to recognize and prevent diagnostic errors September 29, 2021 Searns JB, Williams MC, MacBrayne CE, et al. Handshake antimicrobial stewardship as a model to recognize and prevent diagnostic errors. Diagnosis (Berl). 2020;8(3):347-352. doi:10.1515/dx-2020-0032. https:/…
  15. psnet.ahrq.gov/issue/common-formats-event-reporting-diagnostic-safety-version-10
    December 24, 2008 - Measurement Tool/Indicator Common Formats for Event Reporting - Diagnostic Safety Version 1.0 Citation Text: Common Formats for Event Reporting - Diagnostic Safety Version 1.0 Agency for Healthcare Research and Quality.  Copy Citation Save Save to your libr…
  16. psnet.ahrq.gov/issue/hospitalinspectionsorg
    February 24, 2025 - Database/Directory HospitalInspections.org Citation Text: HospitalInspections.org Columbia, MO: Association of Health Care Journalists. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedi…
  17. psnet.ahrq.gov/issue/wrong-patient-wrong-site-procedures-persist-despite-safety-protocol
    April 24, 2013 - Newspaper/Magazine Article Wrong-patient, wrong-site procedures persist despite safety protocol. Citation Text: Wrong-patient, wrong-site procedures persist despite safety protocol. O'Reilly KB. Copy Citation Save Save to your library Print Download…
  18. psnet.ahrq.gov/issue/anticoagulant-safety-practices-call-pharmacist-supervision
    May 08, 2024 - Newspaper/Magazine Article Anticoagulant safety practices call for pharmacist supervision. Citation Text: Anticoagulant safety practices call for pharmacist supervision. Scott A. Copy Citation Save Save to your library Print Download PDF Share …
  19. psnet.ahrq.gov/issue/2017-ismp-medication-safety-self-assessment-communityambulatory-pharmacy
    June 07, 2017 - Measurement Tool/Indicator 2017 ISMP Medication Safety Self Assessment for Community/Ambulatory Pharmacy. Citation Text: 2017 ISMP Medication Safety Self Assessment for Community/Ambulatory Pharmacy. Horsham, PA: Institute for Safe Medication Practices; 2017. Copy Citation …
  20. psnet.ahrq.gov/issue/quality-and-safety-education-nurses-0
    June 01, 2016 - Course Material/Curriculum Quality and Safety Education for Nurses. Citation Text: Quality and Safety Education for Nurses. University of North Carolina at Chapel Hill School of Nursing. Copy Citation Save Save to your library Print Download PDF …

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