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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49432/psn-pdf
    February 09, 2004 - Delay in Initiating Antibiotics Results in Fatal Error February 1, 2004 Bellini LM. Delay in Initiating Antibiotics Results in Fatal Error. PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/delay-initiating-antibiotics-results-fatal-error Case Objectives Understand the importance of ongoing patient re-evaluati…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60543/psn-pdf
    May 27, 2020 - Wrong Catheter in the Right Patient May 27, 2020 Chia C, Molla M. Wrong Catheter in the Right Patient. PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/wrong-catheter-right-patient The Case  A 55-year-old man with history of emphysema was admitted to the hospital for pneumonia. The patient had two?peripheral…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49489/psn-pdf
    September 01, 2005 - Double Trouble September 1, 2005 Gurwitz JH. Double Trouble. PSNet [internet]. 2005. https://psnet.ahrq.gov/web-mm/double-trouble Case Objectives Appreciate the incidence of adverse drug events in older persons List preventative measures that can be used to minimize medication errors in this population Encourage…
  4. psnet.ahrq.gov/primer/discharge-planning-and-transitions-care
    June 15, 2024 - Discharge Planning and Transitions of Care Citation Text: Bajorek SA, McElroy V. Discharge Planning and Transitions of Care. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020. Copy Citation Format: Google Scholar BibT…
  5. psnet.ahrq.gov/web-mm/lapse-antibiotics-leads-sepsis
    November 21, 2021 - Lapse in Antibiotics Leads to Sepsis Citation Text: Levy MM. Lapse in Antibiotics Leads to Sepsis. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote …
  6. psnet.ahrq.gov/web-mm/primary-workaround-secondary-complication
    January 24, 2018 - Primary Workaround, Secondary Complication Citation Text: Debono D, Levett-Jones T. Primary Workaround, Secondary Complication. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. Copy Citation Format: Google Scholar B…
  7. psnet.ahrq.gov/perspective/conversation-susan-mcgrath-phd-and-george-blike-md-about-surveillance-monitoring
    April 26, 2023 - In Conversation with... Susan McGrath, PhD and George Blike, MD about Surveillance Monitoring April 26, 2023  Also Read the Essay Citation Text: In Conversation with.. Susan McGrath, PhD and George Blike, MD about Surveillance Monitoring. PSNet [internet]. 2023.In…
  8. psnet.ahrq.gov/perspective/conversation-patricia-dykes-about-ongoing-journey-prevent-patient-falls
    December 18, 2024 - In Conversation with Patricia Dykes about The Ongoing Journey to Prevent Patient Falls Patricia Dykes, PhD, MA, RN, FAAN, FACMI, Zoe Sousane, BS, Sarah E. Mossburg, RN, PhD | December 18, 2024  Also Read the Essay View more articles from the same authors. Citation…
  9. psnet.ahrq.gov/perspective/ongoing-journey-prevent-patient-falls
    December 18, 2024 - The Ongoing Journey to Prevent Patient Falls Patricia Dykes, PhD, MA, RN, FAAN, FACMI, Zoe Sousane, BS, Sarah E. Mossburg, RN, PhD | December 18, 2024  Also Read the Conversation View more articles from the same authors. Citation Text: Dykes PC, Sousane Z, Mossb…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72495/psn-pdf
    November 25, 2020 - Adverse events in Italian nursing homes during the COVID-19 epidemic: a national survey. November 25, 2020 Lombardo FL, Salvi E, Lacorte E, et al. Adverse events in Italian nursing homes during the COVID-19 epidemic: a national survey. Front Psychiatry. 2020;11:578465. https://psnet.ahrq.gov/issue/adverse-events-i…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867684/psn-pdf
    March 05, 2025 - Development of a preliminary patient safety classification system for generative AI. March 5, 2025 Hose B-Z, Handley JL, Biro J, et al. Development of a preliminary patient safety classification system for generative AI. BMJ Qual Saf. 2025;34(2):130-132. doi:10.1136/bmjqs-2024-017918. https://psnet.ahrq.gov/issue/…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866595/psn-pdf
    August 28, 2024 - Implementation, Adoption, and Scaling Workgroup: Landscape Assessment on the Use of Artificial Intelligence to Scale PC CDS. August 28, 2024 Kawamoto K, Greysen SR, Heaney-Huls K, et al. Implementation, Adoption, And Scaling Workgroup: Landscape Assessment On The Use Of Artificial Intelligence To Scale Pc Cds. Roc…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/860388/psn-pdf
    January 10, 2024 - Patient reasoning: patients' and care partners' perceptions of diagnostic accuracy in emergency care. January 10, 2024 Dukhanin V, McDonald KM, Gonzalez N, et al. Patient reasoning: patients' and care partners' perceptions of diagnostic accuracy in emergency care. Med Decis Making. 2024;44(1):102-111. doi:10.1177/…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/839313/psn-pdf
    November 02, 2022 - The impact of meaningful use and electronic health records on hospital patient safety. November 2, 2022 Trout KE, Chen L-W, Wilson FA, et al. The impact of meaningful use and electronic health records on hospital patient safety. Int J Environ Res Public Health. 2022;19(19):12525. doi:10.3390/ijerph191912525. https…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847531/psn-pdf
    April 12, 2023 - Strengthening open disclosure after incidents in maternity care: a realist synthesis of international research evidence. April 12, 2023 Adams M, Hartley J, Sanford N, et al. Strengthening open disclosure after incidents in maternity care: a realist synthesis of international research evidence. BMC Health Serv Res.…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47932/psn-pdf
    August 21, 2019 - Ensuring effective care transition communication: implementation of an electronic medical record-based tool for improved cancer treatment handoffs between clinic and infusion nurses. August 21, 2019 Pandya C, Clarke T, Scarsella E, et al. Ensuring Effective Care Transition Communication: Implementation of an Elec…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851189/psn-pdf
    July 05, 2023 - So many ways to be wrong: completeness and accuracy in a prospective study of OR-to-ICU handoff standardization. July 5, 2023 Conn Busch J, Wu J, Anglade E, et al. So many ways to be wrong: completeness and accuracy in a prospective study of OR-to-ICU handoff standardization. Jt Comm J Qual Patient Saf. 2023;49(8)…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852275/psn-pdf
    January 01, 2024 - Improving emergency medicine clinician awareness of prehospital-administered medications. August 9, 2023 Kamta J, Fregoso B, Lee A, et al. Improving emergency medicine clinician awareness of prehospital- administered medications. Prehosp Emerg Care. 2024;28(3):506-512. doi:10.1080/10903127.2023.2238815. https://p…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838250/psn-pdf
    October 06, 2022 - The impact of electronic communication of medication discontinuation (CancelRx) on medication safety: a pilot study. October 6, 2022 Pitts S, Yang Y, Woodroof T, et al. The impact of electronic communication of medication discontinuation (CancelRx) on medication safety: a pilot study. J Patient Saf. 2022;18(6):e93…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45199/psn-pdf
    June 15, 2016 - Towards safer transitions: a curriculum to teach and assess hospital-to-hospice handoffs. June 15, 2016 Darrah NJ, O'Connor NR. Toward Safer Transitions: A Curriculum to Teach and Assess Hospital-to- Hospice Handoffs. J Pain Symptom Manage. 2016;51(6):959-962.e2. doi:10.1016/j.jpainsymman.2016.01.012. https://psn…

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