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psnet.ahrq.gov/node/865429/psn-pdf
April 24, 2024 - Institutions should have protocols and specific checklists for
maintaining important resuscitation equipment
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psnet.ahrq.gov/node/857061/psn-pdf
November 27, 2023 - Joan Stanley: So I’ve mentioned that in 2021, the AACN member institutions overwhelmingly approved
The
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psnet.ahrq.gov/web-mm/lack-sepsis-recognition-leads-delay-care-following-cesarean-delivery
November 30, 2021 - from the military and then modified for use at Kaiser Permanente, 14 has been widely adapted in many institutions
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psnet.ahrq.gov/web-mm/when-meds-dont-reach-bed
May 16, 2022 - 25 26 27 28
Vouchers and Manufacturer’s Coupon Programs
As was done in this case, institutions
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psnet.ahrq.gov/perspective/role-fda-ensuring-device-safety
May 28, 2020 - While the agency does not have the authority to dictate how institutions may connect their electronic
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psnet.ahrq.gov/web-mm/impact-communication-medication-errors
August 01, 2009 - Some institutions recognize concomitant use of 5 or more prescription drugs (excluding over-the-counter
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psnet.ahrq.gov/perspective/conversation-j-bryan-sexton-phd-ma
February 26, 2025 - But institutions can only do that so much.
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psnet.ahrq.gov/node/853081/psn-pdf
August 30, 2023 - (NDNQI) database, and we had some individual
quality metrics that were specific to our care at our institutions
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psnet.ahrq.gov/periodic-issue/periodic-issue-280
February 10, 2021 - February 24, 2021 Weekly Issue
PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly
Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient
safety literature, news, conferences, repor…
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psnet.ahrq.gov/issue/incidence-adverse-drug-reactions-hospitalized-patients-meta-analysis-prospective-studies
October 04, 2017 - Study
Classic
Incidence of adverse drug reactions in hospitalized patients: a meta-analysis of prospective studies.
Citation Text:
Lazarou J, Pomeranz BH, Corey PN. Incidence of adverse drug reactions in hospitalized patients: a meta-analysis of prospective st…
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psnet.ahrq.gov/issue/incidence-adverse-events-swedish-hospitals-retrospective-medical-record-review-study
August 05, 2009 - Study
The incidence of adverse events in Swedish hospitals: a retrospective medical record review study.
Citation Text:
Soop M, Fryksmark U, Köster M, et al. The incidence of adverse events in Swedish hospitals: a retrospective medical record review study. Int J Qual Health Care. 2009;…
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psnet.ahrq.gov/issue/teamwork-and-total-quality-management-durable-partnership
September 11, 2019 - Commentary
Teamwork and total quality management: a durable partnership.
Citation Text:
Cooney R, Sohal A. Teamwork and Total Quality Management: A Durable Partnership. Total Quality Management & Business Excellence. 2004;15(8). doi:10.1080/1478336042000255442.
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psnet.ahrq.gov/issue/free-lessons-aviation-safety
October 19, 2022 - Commentary
"Free lessons" in aviation safety.
Citation Text:
Rose A. “Free lessons” in aviation safety. Aircraft Engineering and Aerospace Technology. 2006;76(5). doi:10.1108/00022660410555130.
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Format:
DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML E…
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psnet.ahrq.gov/issue/making-journey-safe-recognising-and-responding-severe-sepsis-accident-and-emergency
April 27, 2022 - Commentary
Making the journey safe: recognising and responding to severe sepsis in accident and emergency.
Citation Text:
Pinnington S, Atterton B, Ingleby S. Making the journey safe: recognising and responding to severe sepsis in accident and emergency. BMJ Qual Improv Rep. 2016;5(1).
…
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psnet.ahrq.gov/issue/snomed-ct-electronic-health-record-enhances-anesthesia-patient-safety
March 14, 2022 - Commentary
SNOMED CT: electronic health record enhances anesthesia patient safety.
Citation Text:
Elevitch FR. SNOMED CT: electronic health record enhances anesthesia patient safety. AANA J. 2005;73(5):361-366.
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psnet.ahrq.gov/issue/use-critical-incident-reports-medical-education-perspective
May 30, 2018 - Commentary
Use of critical incident reports in medical education: a perspective.
Citation Text:
Branch WT. Use of critical incident reports in medical education. A perspective. J Gen Intern Med. 2005;20(11):1063-7.
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Format:
Google Scholar PubMed BibTeX EndNot…
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psnet.ahrq.gov/periodic-issue/periodic-issue-433
March 27, 2024 - March 27, 2024 Weekly Issue
PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly
Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient
safety literature, news, conferences, reports,…
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psnet.ahrq.gov/node/865374/psn-pdf
March 27, 2024 - Artificial Intelligence and Patient Safety: Promise and
Challenges
March 27, 2024
Tighe P, Mossburg S, Gale B. Artificial Intelligence and Patient Safety: Promise and Challenges. PSNet
[internet]. 2024.
https://psnet.ahrq.gov/perspective/artificial-intelligence-and-patient-safety-promise-and-challenges
Introducti…
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psnet.ahrq.gov/web-mm/hyponatremia-secondary-home-parenteral-nutrition-error
May 27, 2020 - Hyponatremia Secondary to Home Parenteral Nutrition Error
Citation Text:
Haas K, Lee A. Hyponatremia Secondary to Home Parenteral Nutrition Error. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2021.
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psnet.ahrq.gov/web-mm/fire-hole-or-fire
August 03, 2017 - Fire in the Hole!—An OR Fire
Citation Text:
Mehta SP, Domino KM. Fire in the Hole!—An OR Fire. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015.
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Google Scholar BibTeX EndNote X3 XML EndNote 7 XM…