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4861. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50902/psn-pdf
      February 12, 2020 - Improving care by using patient feedback. February 12, 2020 National Institute for Health Research. Southampton, UK: NIHR Dissemination Centre; December 2019. https://psnet.ahrq.gov/issue/improving-care-using-patient-feedback Patient feedback is a problematic source of patient safety improvement information. This r…

4862. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36239/psn-pdf
      October 20, 2010 - Delayed or missed diagnosis of cervical spine injuries. October 20, 2010 Platzer P, Hauswirth N, Jaindl M, et al. Delayed or Missed Diagnosis of Cervical Spine Injuries. The Journal of Trauma: Injury, Infection, and Critical Care. 2006;61(1). doi:10.1097/01.ta.0000196673.58429.2a. https://psnet.ahrq.gov/issue/delay…

4863. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42443/psn-pdf
      January 07, 2015 - Medical audible alarms: a review. January 7, 2015 Edworthy J. Medical audible alarms: a review. J Am Med Inform Assoc. 2013;20(3):584-9. doi:10.1136/amiajnl-2012-001061. https://psnet.ahrq.gov/issue/medical-audible-alarms-review This review examines design, implementation, and standardization concerns related to a…

4864. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43259/psn-pdf
      June 11, 2014 - OpenFDA. June 11, 2014 US Food and Drug Administration; FDA. https://psnet.ahrq.gov/issue/openfda This Web site provides access to large publicly available datasets for adverse drug events to enable developers, researchers, and consumers to use this information when designing medication safety improvement plans o…

4865. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38709/psn-pdf
      June 17, 2009 - Enteral feeding misconnections: an update. June 17, 2009 Guenter P, Hicks RW, Simmons D. Enteral feeding misconnections: an update. Nutr Clin Pract. 2009;24(3):325-34. doi:10.1177/0884533609335174. https://psnet.ahrq.gov/issue/enteral-feeding-misconnections-update This review surveys information on enteral nutriti…

4866. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35430/psn-pdf
      September 24, 2016 - Interruptive communication patterns in the intensive care unit ward round. September 24, 2016 Alvarez G, Coiera E. Interruptive communication patterns in the intensive care unit ward round. Int J Med Inform. 2005;74(10):791-6. https://psnet.ahrq.gov/issue/interruptive-communication-patterns-intensive-care-unit-war…

4867. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42827/psn-pdf
      August 13, 2014 - Findings and Lessons From the AHRQ Ambulatory Safety and Quality Program. August 13, 2014 Rockville, MD: Agency for Healthcare Research and Quality; August 2013. AHRQ Publication No. 13-0067- EF. https://psnet.ahrq.gov/issue/findings-and-lessons-ahrq-ambulatory-safety-and-quality-program This report summarizes fi…

4868. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36363/psn-pdf
      October 10, 2019 - Condition Help. October 10, 2019 Pittsburg, PA: UPMC Shadyside Hospital: 2019. https://psnet.ahrq.gov/issue/condition-help This brochure informs patients and their families about the Condition H helpline at University of Pittsburgh Medical Center (UPMC) Shadyside hospital, which can be used to call a rapid respons…

4869. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36220/psn-pdf
      October 19, 2010 - Copying and pasting of examinations within the electronic medical record. October 19, 2010 Thielke S, Hammond K, Helbig S. Copying and pasting of examinations within the electronic medical record. Int J Med Inform. 2007;76 Suppl 1:S122-8. https://psnet.ahrq.gov/issue/copying-and-pasting-examinations-within-electro…

4870. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36139/psn-pdf
      September 29, 2010 - Trends influencing the cost of care and patient safety. September 29, 2010 Clark R. Trends influencing the cost of care and patient safety. Decision-making in five key areas can improve clinical and economic performance. Health management technology. 2006;27(7):18, 20-1. https://psnet.ahrq.gov/issue/trends-influenc…

4871. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37647/psn-pdf
      March 26, 2008 - Complying with the 2008 national patient safety goals. March 26, 2008 Catalano K, Fickenscher K. Complying with the 2008 National Patient Safety Goals. AORN J. 2008;87(3):547-56. doi:10.1016/j.aorn.2007.12.029. https://psnet.ahrq.gov/issue/complying-2008-national-patient-safety-goals This article reviews the Joint…

4872. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38647/psn-pdf
      May 20, 2009 - A next act for patient safety. May 20, 2009 Viola AF, Kallem C, Bronnert J. A next act for patient safety. J AHIMA. 2009;80(4):30-5; quiz 37-8. https://psnet.ahrq.gov/issue/next-act-patient-safety This article provides an overview of the Patient Safety and Quality Improvement Act and addresses the potential roles …

4873. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36048/psn-pdf
      September 27, 2010 - Can technology improve intershift report? What the research reveals. September 27, 2010 Strople B, Ottani P. Can Technology Improve Intershift Report? What the Research Reveals. Journal of Professional Nursing. 2006;22(3). doi:10.1016/j.profnurs.2006.03.007. https://psnet.ahrq.gov/issue/can-technology-improve-inte…

4874. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33970/psn-pdf
      March 07, 2005 - Failure in Safety-Critical Systems: A Handbook of Accident and Incident Reporting. March 7, 2005 Johnson CW. Glasgow, Scotland: University of Glasgow Press; 2003. ISBN 0852617844. https://psnet.ahrq.gov/issue/failure-safety-critical-systems-handbook-accident-and-incident-reporting The author provides engineers and…

4875. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42079/psn-pdf
      August 15, 2018 - Ambulatory Safety and Quality Program: Health IT Portfolio. August 15, 2018 Rockville,MD: Agency for Healthcare Research and Quality; July 2010. AHRQ Pub. No. 10-P004. https://psnet.ahrq.gov/issue/ambulatory-safety-and-quality-program-health-it-portfolio-2007-2013 This publication summarizes a funding initiative t…

4876. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44313/psn-pdf
      November 28, 2023 - Resilient Health Care Society. November 28, 2023 Sweden. https://psnet.ahrq.gov/issue/resilient-health-care-society Resilience engineering provides a structure to enable teams and organizations to respond to emergent problems. This initiative supports networking and research related to this approach to ensure the …

4877. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42143/psn-pdf
      October 07, 2015 - Re-Engineered Discharge (RED) Toolkit. October 7, 2015 Jack B, Paasche-Orlow M, Mitchell S, Forsythe S, Martin J. Rockville, MD: Agency for Healthcare Research and Quality; September 2015. AHRQ Publication No. 12(13)-0084. https://psnet.ahrq.gov/issue/re-engineered-discharge-red-toolkit This toolkit provides infor…

4878. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34137/psn-pdf
      February 06, 2018 - Anesthesia Patient Safety Foundation. February 6, 2018 P.O. Box 6668, Rochester, MN 55903. https://psnet.ahrq.gov/issue/anesthesia-patient-safety-foundation The Anesthesia Patient Safety Foundation's (APSF) mission is to ensure that no patient is harmed by the effects of anesthesia. To achieve that mission, APSF s…

4879. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36028/psn-pdf
      March 28, 2011 - Computer based medication error reporting: insights and implications. March 28, 2011 Miller MR, Clark JS, Lehmann CU. Computer based medication error reporting: insights and implications. Qual Saf Health Care. 2006;15(3):208-13. https://psnet.ahrq.gov/issue/computer-based-medication-error-reporting-insights-and-im…

4880. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38475/psn-pdf
      March 10, 2011 - Effect of alerts for drug dosage adjustment in inpatients with renal insufficiency. March 10, 2011 Sellier E, Colombet I, Sabatier B, et al. Effect of alerts for drug dosage adjustment in inpatients with renal insufficiency. J Am Med Inform Assoc. 2009;16(2):203-10. doi:10.1197/jamia.M2805. https://psnet.ahrq.gov/…