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Spotlight Case (ppt file)
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.206_slideshow.pptOctober 01, 2009 - Spotlight Case Spotlight Case Difficult Encounters: A CMO and CNO Respond Source and Credits This presentation is based on the October 2009 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Ernie Ring, MD; Jane Hirsch, RN, MS UCSF Medical Cen… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46098/psn-pdfJuly 24, 2017 - Prospective evaluation of a multifaceted intervention to improve outcomes in intensive care: the Promoting Respect and Ongoing Safety through Patient Engagement Communication and Technology study. July 24, 2017 Dykes PC, Rozenblum R, Dalal A, et al. Prospective Evaluation of a Multifaceted Intervention to Improve … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45210/psn-pdfSeptember 27, 2016 - Increased risk of burnout for physicians and nurses involved in a patient safety incident. September 27, 2016 Van Gerven E, Elst TV, Vandenbroeck S, et al. Increased Risk of Burnout for Physicians and Nurses Involved in a Patient Safety Incident. Med Care. 2016;54(10):937-943. doi:10.1097/MLR.0000000000000582. ht… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/844537/psn-pdfFebruary 15, 2023 - Intended and unintended consequences: changes in opioid prescribing practices for postsurgical, acute, and chronic pain indications following two policies in North Carolina, 2012-2018 - controlled and single-series interrupted time series analyses. February 15, 2023 Maierhofer CN, Ranapurwala SI, DiPrete BL, et a… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39143/psn-pdfFebruary 14, 2011 - Impact of a pharmacist-facilitated hospital discharge program: a quasi-experimental study. February 14, 2011 Walker PC, Bernstein SJ, Jones JNT, et al. Impact of a pharmacist-facilitated hospital discharge program: a quasi-experimental study. Arch Intern Med. 2009;169(21):2003-10. doi:10.1001/archinternmed.2009.398… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60561/psn-pdfJune 03, 2020 - Not sick enough to worry? "Influenza-like" symptoms and work-related behavior among healthcare workers and other professionals: results of a global survey. June 3, 2020 Tartari E, Saris K, Kenters N, et al. Not sick enough to worry? "Influenza-like" symptoms and work-related behavior among healthcare workers and o… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44823/psn-pdfFebruary 15, 2017 - US poison control center calls for infants 6 months of age and younger. February 15, 2017 Kang M, Brooks DE. US Poison Control Center Calls for Infants 6 Months of Age and Younger. Pediatrics. 2016;137(2):e20151865. doi:10.1542/peds.2015-1865. https://psnet.ahrq.gov/issue/us-poison-control-center-calls-infants-6-m… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39372/psn-pdfSeptember 20, 2011 - Notification of abnormal lab test results in an electronic medical record: do any safety concerns remain? September 20, 2011 Singh H, Thomas EJ, Sittig DF, et al. Notification of abnormal lab test results in an electronic medical record: do any safety concerns remain? Am J Med. 2010;123(3):238-44. doi:10.1016/j.am… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35854/psn-pdfFebruary 09, 2011 - Safe but sound: patient safety meets evidence-based medicine. February 9, 2011 Shojania KG, Duncan BW, McDonald KM, et al. Safe but Sound. JAMA. 2003;288(4):508-513. doi:10.1001/jama.288.4.508. https://psnet.ahrq.gov/issue/safe-sound-patient-safety-meets-evidence-based-medicine This commentary summarizes the work… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47603/psn-pdfMarch 20, 2019 - Electronic patient identification for sample labeling reduces wrong blood in tube errors. March 20, 2019 Kaufman RM, Dinh A, Cohn CS, et al. Electronic patient identification for sample labeling reduces wrong blood in tube errors. Transfusion (Paris). 2019;59(3):972-980. doi:10.1111/trf.15102. https://psnet.ahrq.g… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60552/psn-pdfJune 03, 2020 - Personal protective equipment for preventing highly infectious diseases due to exposure to contaminated body fluids in healthcare staff. June 3, 2020 Verbeek JH, Rajamaki B, Ijaz S, et al. Personal protective equipment for preventing highly infectious diseases due to exposure to contaminated body fluids in healthc… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46986/psn-pdfJune 27, 2018 - A multi-hospital before–after observational study using a point-prevalence approach with an infusion safety intervention bundle to reduce intravenous medication administration errors. June 27, 2018 Schnock KO, Dykes PC, Albert J, et al. A Multi-hospital Before-After Observational Study Using a Point- Prevalence A… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46842/psn-pdfJune 22, 2018 - Do EPs change their clinical behaviour in the hallway or when a companion is present? A cross-sectional survey. June 22, 2018 Stoklosa H, Scannell M, Ma Z, et al. Do EPs change their clinical behaviour in the hallway or when a companion is present? A cross-sectional survey. Emerg Med J. 2018;35(7):406-411. doi:10.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42788/psn-pdfJanuary 19, 2014 - Demonstrating high reliability on accountability measures at The Johns Hopkins Hospital. January 19, 2014 Pronovost P, Demski R, Callender T, et al. Demonstrating high reliability on accountability measures at the Johns Hopkins Hospital. Jt Comm J Qual Patient Saf. 2013;39(12):531-544. https://psnet.ahrq.gov/issue… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73241/psn-pdfMay 12, 2021 - Delayed or failure to follow-up abnormal breast cancer screening mammograms in primary care: a systematic review. May 12, 2021 Reece JC, Neal EFG, Nguyen P, et al. Delayed or failure to follow-up abnormal breast cancer screening mammograms in primary care: a systematic review. BMC Cancer. 2021;21(1):373. doi:10.11… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43341/psn-pdfJuly 23, 2014 - Effectiveness of different nursing handover styles for ensuring continuity of information in hospitalised patients. July 23, 2014 Smeulers M, Lucas C, Vermeulen H. Effectiveness of different nursing handover styles for ensuring continuity of information in hospitalised patients. Cochrane Database of Syst Rev. 2014… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42711/psn-pdfOctober 31, 2014 - Characterising the complexity of medication safety using a human factors approach: an observational study in two intensive care units. October 31, 2014 Carayon P, Wetterneck TB, Cartmill R, et al. Characterising the complexity of medication safety using a human factors approach: an observational study in two inten… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44004/psn-pdfSeptember 01, 2016 - Impact of computerized physician order entry alerts on prescribing in older patients. September 1, 2016 Lester PE, Rios-Rojas L, Islam S, et al. Impact of computerized physician order entry alerts on prescribing in older patients. Drugs Aging. 2015;32(3):227-33. doi:10.1007/s40266-015-0244-2. https://psnet.ahrq.go… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44372/psn-pdfJune 21, 2016 - Hospital characteristics associated with penalties in the Centers for Medicare & Medicaid Services Hospital- Acquired Condition Reduction Program. June 21, 2016 Rajaram R, Chung JW, Kinnier C, et al. Hospital Characteristics Associated With Penalties in the Centers for Medicare & Medicaid Services Hospital-Acquire… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47392/psn-pdfJanuary 23, 2019 - Effects of a multifaceted medication reconciliation quality improvement intervention on patient safety: final results of the MARQUIS study. January 23, 2019 Schnipper JL, Mixon A, Stein J, et al. Effects of a multifaceted medication reconciliation quality improvement intervention on patient safety: final results o…
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