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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37067/psn-pdf
    October 03, 2011 - Using an interactive voice response system to improve patient safety following hospital discharge. October 3, 2011 Forster AJ, van Walraven C. Using an interactive voice response system to improve patient safety following hospital discharge. J Eval Clin Pract. 2007;13(3):346-51. https://psnet.ahrq.gov/issue/using-…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47667/psn-pdf
    February 27, 2019 - It is time to define antimicrobial never events. February 27, 2019 Liu J, Kaye KS, Mercuro NJ, et al. It is time to define antimicrobial never events. Infect Control Hosp Epidemiol. 2019;40(2):206-207. doi:10.1017/ice.2018.313. https://psnet.ahrq.gov/issue/it-time-define-antimicrobial-never-events Never events are…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46330/psn-pdf
    September 24, 2017 - Systemic error in radiology. September 24, 2017 Waite S, Scott JM, Legasto A, et al. Systemic Error in Radiology. AJR Am J Roentgenol. 2017;209(3):629- 639. doi:10.2214/AJR.16.17719. https://psnet.ahrq.gov/issue/systemic-error-radiology Radiology interpretation errors can contribute to diagnostic error. This comme…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44806/psn-pdf
    February 03, 2016 - Are Workarounds Ethical? Managing Moral Problems in Health Care Systems. February 3, 2016 Berlinger N. New York, NY: Oxford University Press; 2016. ISBN: 9780190269296. https://psnet.ahrq.gov/issue/are-workarounds-ethical-managing-moral-problems-health-care-systems Workarounds indicate process weaknesses that can …
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43455/psn-pdf
    December 15, 2014 - What about doctors? The impact of medical errors. December 15, 2014 Elwahab SA, Doherty E. What about doctors? The impact of medical errors. Surgeon. 2014;12(6):297-300. doi:10.1016/j.surge.2014.06.004. https://psnet.ahrq.gov/issue/what-about-doctors-impact-medical-errors Patients are the first victims when medica…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851196/psn-pdf
    July 05, 2023 - Patient falls while under supervision: trends from incident reporting. July 5, 2023 Roberts M. Patient falls while under supervision: trends from incident reporting. Br J Nurs. 2023;32(11):508-513. doi:10.12968/bjon.2023.32.11.508. https://psnet.ahrq.gov/issue/patient-falls-while-under-supervision-trends-incident-…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73585/psn-pdf
    August 11, 2021 - Breast cancer screening and overdiagnosis. August 11, 2021 Bulliard J?L, Beau A?B, Njor S, et al. Breast cancer screening and overdiagnosis. Int J Cancer. 2021;149(4):846-853. doi:10.1002/ijc.33602. https://psnet.ahrq.gov/issue/breast-cancer-screening-and-overdiagnosis Overdiagnosis of breast cancer and the result…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844757/psn-pdf
    September 11, 2019 - Diagnostic overshadowing in dentistry. September 11, 2019 Clough S, Handley P. Diagnostic overshadowing in dentistry. Br Dent J. 2019;227(4):311-315. doi:10.1038/s41415-019-0623-x. https://psnet.ahrq.gov/issue/diagnostic-overshadowing-dentistry Assumptions, communication barriers, and implicit biases can compromis…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41747/psn-pdf
    November 26, 2012 - Workplace engagement and workers' compensation claims as predictors for patient safety culture. November 26, 2012 Thorp J, Baqai W, Witters D, et al. Workplace engagement and workers' compensation claims as predictors for patient safety culture. J Patient Saf. 2012;8(4):194-201. doi:10.1097/PTS.0b013e3182699942. h…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72796/psn-pdf
    March 03, 2021 - Patient safety. Factors for and perceived consequences of nursing errors by nursing staff in home care services. March 3, 2021 Jachan DE, Müller?Werdan U, Lahmann NA. Patient safety. Factors for and perceived consequences of nursing errors by nursing staff in home care services. Nurs Open. 2021;8(2):755-765. doi:1…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34801/psn-pdf
    February 10, 2011 - Medication prescribing errors in a teaching hospital. February 10, 2011 Lesar TS, Briceland LL, Delcoure K, et al. Medication prescribing errors in a teaching hospital. JAMA. 1990;263(17):2329-34. https://psnet.ahrq.gov/issue/medication-prescribing-errors-teaching-hospital This study analyzed nearly 290,000 medica…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846162/psn-pdf
    July 01, 2020 - The effect of virtual nursing and missed nursing care. July 1, 2020 Schuelke S, Aurit S, Connot N, et al. The effect of virtual nursing and missed nursing care. Nurs Adm Q. 2020;44(3):280-287. doi:10.1097/naq.0000000000000419. https://psnet.ahrq.gov/issue/effect-virtual-nursing-and-missed-nursing-care The COVID-19…
  13. AHRQ_Brand_NameOnly (xls file)

    www.ahrq.gov/sites/default/files/wysiwyg/nhguide/3_TK2_T2-Antibiotic_Use_Tracking_Sheet_Final.xlsx
    October 01, 2016 - Sheet1 Nursing Home Antimicrobial Stewardship Guide Toolkit 2. Monitor and Sustain Stewardship Tool 2. Antibiotic Use Tracking Sheet Month: Resident Name/Identifier Room # Admit Date Admit From Onset Date Urinary Tract Infection Respiratory Skin/Soft Tissue Gastrointestinal Other Infection (Specify) Signs & Sympt…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40296/psn-pdf
    October 01, 2014 - Applying trigger tools to detect adverse events associated with outpatient surgery. October 1, 2014 Rosen AK, Mull HJ, Kaafarani HMA, et al. Applying trigger tools to detect adverse events associated with outpatient surgery. J Patient Saf. 2011;7(1):45-59. doi:10.1097/PTS.0b013e31820d164b. https://psnet.ahrq.gov/i…
  15. effectivehealthcare.ahrq.gov/sites/default/files/pdf/transparency-neuropathy_research-protocol.pdf
    September 01, 2016 - Transparency of Reporting Requirements: Effectiveness of Treatments Options for the Prevention of Complications and Treatment of Symptoms of Diabetic Peripheral Neuropathy Source: www.effectivehealthcare.ahrq.gov Published online: September 1, 2016 Evidence-based Practice Center Methodology Repor t Pr…
  16. psnet.ahrq.gov/web-mm/when-psychiatric-symptoms-are-not
    September 20, 2011 - When "Psychiatric" Symptoms Are Not Citation Text: Goldberg RJ. When "Psychiatric" Symptoms Are Not. 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 EndNot…
  17. www.ahrq.gov/hai/cauti-tools/phys-championsgd/section5.html
    October 01, 2015 - Resident Physicians as Champions in Preventing Device-Associated Infections Resident Physicians as Safety Champions Previous Page Next Page Table of Contents Resident Physicians as Champions in Preventing Device-Associated Infections Preamble and Summary Epidemiology of Invasive Devices and Comp…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49736/psn-pdf
    June 01, 2015 - Inflicting Confusion June 1, 2015 Scott FI, Lichtenstein GR. Inflicting Confusion. PSNet [internet]. 2015. https://psnet.ahrq.gov/web-mm/inflicting-confusion The Case A 26-year-old man with recently diagnosed Crohn disease presented to the emergency department with acute-onset abdominal pain, nausea, vomiting, an…
  19. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.182_slideshow.ppt
    September 01, 2008 - Spotlight Case July 2008 Spotlight Case Empiric Steroids: the Good, the Bad, and the Ugly Source and Credits This presentation is based on the September 2008 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Edward D. Harris, Jr, MD, Stanford U…
  20. hcup-us.ahrq.gov/db/nation/nis/tools/stats/MaskedStats_NIS_2015Q1Q3_Dx_Pr_Grps.PDF
    November 08, 2017 - please refer to the section on Description of Data Elements. For more information about the coding of HCUP data elements, HCUP Summary Statistics Report: NIS 2015 DX_PR_GRPS File, Q1-Q3 22:59 Wednesday, November 8, 2017 1 Means of Continuous Data Elements please refer to the section on Description of Data Elements.…