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2481. Engineering Safety into Practice through Implementation of the EHR SAFER Guides. | PSNet
      psnet.ahrq.gov/issue/engineering-safety-practice-through-implementation-ehr-safer-guides
      March 12, 2025 - Audiovisual Engineering Safety into Practice through Implementation of the EHR SAFER Guides. Citation Text: National Action Alliance for Patient and Workforce Safety. Engineering Safety into Practice through Implementation of the EHR SAFER Guides. January 21, 2025, 12:00 - 1:00 PM (easte…

2482. Quick Tips for Buying Medicines Over the Internet. | PSNet
      psnet.ahrq.gov/issue/buying-medicines-over-internet
      April 08, 2020 - Multi-use Website Quick Tips for Buying Medicines Over the Internet. Citation Text: Quick Tips for Buying Medicines Over the Internet. Food and Drug Administration. Copy Citation Save Save to your library Print Download PDF Share Facebook …

2483. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37865/psn-pdf
      April 23, 2012 - FDA 101: How to Use the Consumer Complaint System and MedWatch. April 23, 2012 FDA Consumer Health Information. Silver Spring, MD: US Food and Drug Administration; February 27, 2009. https://psnet.ahrq.gov/issue/fda-101-how-use-consumer-complaint-system-and-medwatch This fact sheet provides information for consum…

2484. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38537/psn-pdf
      November 15, 2017 - Engaging as partners in patient safety: the experience of librarians. November 15, 2017 Zipperer L, Sykes J. Patient Saf Qual Healthc. March/April 2009;6:28-30,32-33.  https://psnet.ahrq.gov/issue/engaging-partners-patient-safety-experience-librarians This survey explores the varied roles that medical librarians p…

2485. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49652/psn-pdf
      May 01, 2012 - Double Dose at Transfer May 1, 2012 Hackman JL. Double Dose at Transfer. PSNet [internet]. 2012. https://psnet.ahrq.gov/web-mm/double-dose-transfer The Case A 74-year-old man with history of diabetes and hypertension was admitted to the emergency department (ED) for left lower extremity pain, swelling, and erythe…

2486. Clinical Decision Support Systems | PSNet
      psnet.ahrq.gov/primer/clinical-decision-support-systems
      December 15, 2024 - Clinical Decision Support Systems Citation Text: Clinical Decision Support Systems. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote t…

2487. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33911/psn-pdf
      January 01, 2020 - Nursing Home Compare. December 22, 2014 Centers for Medicare and Medicaid Services. https://psnet.ahrq.gov/issue/centers-medicare-and-medicaid-services-cms-nursing-home-compare This website provides consumers with detailed information about the past performance of every Medicare- and Medicaid-certified nursing hom…

2488. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33902/psn-pdf
      December 22, 2014 - National Quality Measures Clearinghouse (NQMC). December 22, 2014 Agency for Healthcare Research and Quality. 1998-2018. https://psnet.ahrq.gov/issue/national-quality-measures-clearinghouse-nqmc This web-accessible database provided access to evidence-based quality measures and measure sets. The mission of the Nat…

2489. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42830/psn-pdf
      December 18, 2013 - How to Identify and Address Unsafe Conditions Associated With Health IT. December 18, 2013 Wallace C, Zimmer KP, Possanza L, Giannini R, Solomon R. Washington, DC: Office of the National Coordinator for Health Information Technology; November 15, 2013. https://psnet.ahrq.gov/issue/how-identify-and-address-unsafe-c…

2490. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49824/psn-pdf
      March 01, 2018 - Missing ECG and Missed Diagnosis Lead to Dangerous Delay March 1, 2018 O'Connor RE. Missing ECG and Missed Diagnosis Lead to Dangerous Delay. PSNet [internet]. 2018. https://psnet.ahrq.gov/web-mm/missing-ecg-and-missed-diagnosis-lead-dangerous-delay The Case A 35-year-old woman with no prior cardiac history calle…

2491. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49773/psn-pdf
      July 01, 2016 - Near Miss With Neonate October 1, 2016 Malana J, Lyndon A. Near Miss With Neonate. PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/near-miss-neonate The Case A 37-year-old pregnant woman was admitted to the hospital for scheduled induction of labor for postterm dates. Early the next morning, intravenous oxy…

2492. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49563/psn-pdf
      May 01, 2008 - Is It Safe to Be Direct? May 1, 2008 Kulkarni NS, Williams M. Is It Safe to Be Direct? PSNet [internet]. 2008. https://psnet.ahrq.gov/web-mm/it-safe-be-direct The Case   A 92-year-old man with hypertension and heart failure (HF) was evaluated by his primary care physician (PCP) for progressive shortness of breat…

2493. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50665/psn-pdf
      November 13, 2019 - The SECOND Trial November 13, 2019 Northwestern University Feinberg School of Medicine https://psnet.ahrq.gov/issue/second-trial Surgical resident well-being is paramount to ensuring safe surgical care and a healthy workforce. This website shares information on the Surgical Education Culture Optimization through t…

2494. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47805/psn-pdf
      May 29, 2019 - Better Health for Mothers and Babies. May 29, 2019 American Hospital Association. https://psnet.ahrq.gov/issue/better-health-mothers-and-babies Maternal harm is a patient safety concern that is increasingly prioritized in regulatory and care delivery environments. This website provides tools, policies, news articl…

2495. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37755/psn-pdf
      April 14, 2011 - An iconic language for the graphical representation of medical concepts. April 14, 2011 Lamy J-B, Duclos C, Bar-Hen A, et al. An iconic language for the graphical representation of medical concepts. BMC Med Inform Decis Mak. 2008;8:16. doi:10.1186/1472-6947-8-16. https://psnet.ahrq.gov/issue/iconic-language-graphi…

2496. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35279/psn-pdf
      June 30, 2009 - Results of a survey on medical error reporting systems in Korean hospitals. June 30, 2009 KIM J, Bates DW. Results of a survey on medical error reporting systems in Korean hospitals. Int J Med Inform. 2005;75(2). doi:10.1016/j.ijmedinf.2005.06.005. https://psnet.ahrq.gov/issue/results-survey-medical-error-reportin…

2497. Moved Too Soon | PSNet
      psnet.ahrq.gov/web-mm/moved-too-soon
      November 01, 2006 - Moved Too Soon Citation Text: Lindenauer PK. Moved Too Soon. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

2498. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49788/psn-pdf
      March 01, 2017 - Correct Treatment Plan for Incorrect Diagnosis: A Pharmacist Intervention March 1, 2017 Nelson SD. Correct Treatment Plan for Incorrect Diagnosis: A Pharmacist Intervention. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/correct-treatment-plan-incorrect-diagnosis-pharmacist-intervention The Case A 48-year…

2499. Spotlight Case [MONTH] 2003 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.158_slideshow.ppt
      September 01, 2007 - Spotlight Case [MONTH] 2003 Spotlight Case September 2007 Medication Reconciliation: Whose Job Is It? Source and Credits This presentation is based on the September 2007 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Eric G. Poon, MD, MPH, Ha…

2500. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49847/psn-pdf
      November 01, 2018 - Written Signout: It Only Works If You Use The Right One November 1, 2018 Lewis K, Rosenbluth G. Written Signout: It Only Works If You Use The Right One. PSNet [internet]. 2018. https://psnet.ahrq.gov/web-mm/written-signout-it-only-works-if-you-use-right-one The Case A 75-year-old man was hospitalized due to a stro…