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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-…
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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…
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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…
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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 …
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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…
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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-…
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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.…