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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42463/psn-pdfJuly 31, 2013 - Safety Problems With Your Child's Medical Device? July 31, 2013 Consumer Updates. Silver Spring, MD: US Food and Drug Administration; July 16, 2013. https://psnet.ahrq.gov/issue/safety-problems-your-childs-medical-device This information sheet covers how misuse of medical devices in children may contribute to adver… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40688/psn-pdfNovember 16, 2016 - Guide to Infection Prevention for Outpatient Settings: Minimum Expectations for Safe Care. November 16, 2016 Atlanta, GA: Centers for Disease Control and Prevention; 2011. https://psnet.ahrq.gov/issue/guide-infection-prevention-outpatient-settings-minimum-expectations-safe-care This report suggests strategies to p… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35646/psn-pdfDecember 16, 2008 - The National Report Card on the State of Emergency Medicine. December 16, 2008 American College of Emergency Physicians; ACEP https://psnet.ahrq.gov/issue/national-report-card-state-emergency-medicine This Web site provides access to emergency medical services evaluations in four categories: access, quality and p… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36161/psn-pdfFebruary 17, 2011 - Language barriers to health care in the United States. February 17, 2011 Flores G. Language barriers to health care in the United States. N Engl J Med. 2006;355(3):229-31. https://psnet.ahrq.gov/issue/language-barriers-health-care-united-states The author discusses how language barriers can compromise a patient's h… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35607/psn-pdfJanuary 23, 2012 - The Patients' View: 2004 ISQSH National Survey. January 23, 2012 Dublin: Irish Society for Quality and Safety in Healthcare; 2004. https://psnet.ahrq.gov/issue/patients-view-2004-isqsh-national-survey This report provides results from a 26-hospital survey investigating areas of service and care weakness in Irish h… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37611/psn-pdfFebruary 15, 2011 - SBAR for patients. February 15, 2011 Denham CR. SBAR for Patients. J Patient Saf. 2008;4(1). doi:10.1097/pts.0b013e2181660c06. https://psnet.ahrq.gov/issue/sbar-patients This commentary presents information and background on the standardized communication process known as SBAR (situation, background, assessment, a… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39153/psn-pdfDecember 02, 2009 - Checking the right boxes, but failing the patient. December 2, 2009 Rifkin D. New York Times. November 16, 2009;Science Desk:5. https://psnet.ahrq.gov/issue/checking-right-boxes-failing-patient Reporting on cases of miscommunication and missed diagnosis, this news column illustrates how strictly following quality … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41202/psn-pdfMarch 07, 2012 - Reducing latent errors, drift errors, and stakeholder dissonance. March 7, 2012 Samaras GM. Work: J Prev Assess Rehabil. 2012;41:1948-1955. https://psnet.ahrq.gov/issue/reducing-latent-errors-drift-errors-and-stakeholder-dissonance This commentary discusses system and user errors in health information technology a… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35071/psn-pdfNovember 04, 2015 - Implementation, CPOE, and medication errors. November 4, 2015 Bradley V. Implementation, CPOE, and medication errors. Comput Inform Nurs. 2005;23(3):113-114, 138. https://psnet.ahrq.gov/issue/implementation-cpoe-and-medication-errors In this editorial, a nurse informaticist responds to issues raised by the March … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35964/psn-pdfAugust 10, 2010 - Using technology to promote perinatal patient safety. August 10, 2010 McCartney PR. Using technology to promote perinatal patient safety. J Obstet Gynecol Neonatal Nurs. 2006;35(3):424-31. https://psnet.ahrq.gov/issue/using-technology-promote-perinatal-patient-safety The author presents recommendations for using h… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/33906/psn-pdfOctober 18, 2017 - Your Medicine, Be Smart, Be Safe. October 18, 2017 Rockville, MD: Agency for Healthcare Research and Quality: 2011. AHRQ publication no. 11-0049-A. https://psnet.ahrq.gov/issue/your-medicine-be-smart-be-safe This Web site assists consumers in learning how to take medications safely. The materials answer common que… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35148/psn-pdfJune 13, 2011 - IOM panel reviews lessons for medication safety. June 13, 2011 Young D. https://psnet.ahrq.gov/issue/iom-panel-reviews-lessons-medication-safety This article summarizes comments made at the second meeting of the Committee on Identifying and Preventing Medication Errors. Topics covered include teamwork, engaging pa… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39159/psn-pdfMay 04, 2010 - Radiologists' responses to inadequate referrals. May 4, 2010 Lysdahl KB, Hofmann BM, Espeland A. Radiologists' responses to inadequate referrals. Eur Radiol. 2010;20(5):1227-33. doi:10.1007/s00330-009-1640-y. https://psnet.ahrq.gov/issue/radiologists-responses-inadequate-referrals Radiologists frequently receive i… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39632/psn-pdfMay 20, 2016 - Medical Liability Reform & Patient Safety Initiative. May 20, 2016 Agency for Healthcare Research and Quality; AHRQ. https://psnet.ahrq.gov/issue/medical-liability-reform-patient-safety-initiative This website disseminates information regarding an AHRQ-funded initiative to implement and evaluate medical liability … -
psnet.ahrq.gov/sites/default/files/2021-02/final_feb_2021_spotlight_delay_in_appropriate_dx.pdfJanuary 01, 2021 - Microsoft PowerPoint - FINAL Feb 2021 Spotlight_Delay in Appropriate DX.pptx - Read-Only Spotlight Delay in Appropriate Diagnosis and Treatment Leading to Death from Pulmonary Embolism Source and Credits • This presentation is based on the February 2021 AHRQ WebM&M Spotlight Case o See the full article at ht…
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/867656/psn-pdfFebruary 26, 2025 - In Conversation with Lucy Savitz about Learning Health Systems for Patient Safety February 26, 2025 Savitz LA, Sousane Z, Mossburg SE. In Conversation with Lucy Savitz about Learning Health Systems for Patient Safety. PSNet [internet]. 2025. https://psnet.ahrq.gov/perspective/conversation-lucy-savitz-about-learnin… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/864867/psn-pdfApril 10, 2024 - Hindsight is 20/20: Thrombolytics for Alcohol Intoxication April 10, 2024 Hindsight is 20/20: Thrombolytics for Alcohol Intoxication. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/hindsight-2020-thrombolytics-alcohol-intoxication Disclosure of Relevant Financial Relationships: As a provider accredited by th… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/843234/psn-pdfJanuary 01, 2013 - Overdose of Gabapentin and Oxycodone in a Patient with End-Stage Renal Disease: A Case for Appropriate Interruptive Drug-Disease Alerts. February 1, 2023 Keenan CR, MacDonald S, Takeshita A, et al. Overdose of Gabapentin and Oxycodone in a Patient with End-Stage Renal Disease: A Case for Appropriate Interruptive D… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60363/psn-pdfMarch 01, 2021 - Transition Coaches® Reduce Readmissions for Medicare Patients With Complex Postdischarge Needs Originally published on June 12, 2020 Last updated on January 11, 2021 https://psnet.ahrq.gov/innovation/transition-coachesr-reduce-readmissions-medicare-patients-complex- postdischarge-needs Summary Under a program kn… -
psnet.ahrq.gov/perspective/human-factors-engineering-can-teach-you-how-be-surprised-againNovember 01, 2006 - Human Factors Engineering Can Teach You How to Be Surprised Again John Gosbee, MD, MS | November 1, 2006 Also Read a Conversation View more articles from the same authors. Citation Text: Gosbee JW. Human Factors Engineering Can Teach You How to Be Surprised Aga…
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