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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/863649/psn-pdf
    February 28, 2024 - In Conversation With...Stephen Hines, PhD and Monika Haugstetter, MHA, MSN, RN, CPHQ about TeamSTEPPS 3.0 February 28, 2024 In Conversation With..Stephen Hines, PhD and Monika Haugstetter, MHA, MSN, RN, CPHQ about TeamSTEPPS 3.0. PSNet [internet]. 2024. https://psnet.ahrq.gov/perspective/conversation-withstephen-…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74121/psn-pdf
    November 30, 2021 - Hidden Danger! Insidious Postpartum Bleeding After Emergency Cesarean Delivery. November 30, 2021 Leiserowitz GS, Hedriana H. Hidden Danger! Insidious Postpartum Bleeding After Emergency Cesarean Delivery. PSNet [internet]. 2021. https://psnet.ahrq.gov/web-mm/hidden-danger-insidious-postpartum-bleeding-after-emerg…

  3. PSNet Curated Library (pdf file)

    psnet.ahrq.gov/print/pdf/node/866100
    August 30, 2023 - PSNet Curated Library AHRQ: Agency for Healthcare Research and Quality Nurse Wellbeing and Patient Safety Curated Library Foundations Keeping Patients Safe: Transforming the Work Environment of Nurses. Page A; Committee on the Work Environment for Nurses and Patient Safety, Board on Health Care Services. Wash…

  4. Isolated Clot, Real Error | PSNet

    psnet.ahrq.gov/web-mm/isolated-clot-real-error
    December 01, 2013 - SPOTLIGHT CASE Isolated Clot, Real Error Citation Text: Parks A, Fang MC. Isolated Clot, Real Error. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. Copy Citation Format: Google Scholar BibTeX EndNote X3…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34785/psn-pdf
    February 18, 2011 - Diseases of medical progress. February 18, 2011 MOSER RH. Diseases of medical progress. N Engl J Med. 1956;255(13):606-14. https://psnet.ahrq.gov/issue/diseases-medical-progress This review shares a perspective that the history of medicine provides numerous examples of how emerging illnesses develop from sound the…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73960/psn-pdf
    October 13, 2021 - Therapeutic duplication on the general surgical wards. October 13, 2021 Huynh I, Rajendran T. Therapeutic duplication on the general surgical wards. BMJ Open Qual. 2021;10(3):e001363. doi:10.1136/bmjoq-2021-001363. https://psnet.ahrq.gov/issue/therapeutic-duplication-general-surgical-wards Unintentional therapeuti…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35348/psn-pdf
    October 26, 2007 - Medical Error. October 26, 2007 National Patient Safety Agency, Medical Defence Union, Medical Protection Society. London, UK: National Patient Safety Agency; 2005. https://psnet.ahrq.gov/issue/medical-error This two-part report focuses on the experience of committing a medical error, along with strategies to red…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38785/psn-pdf
    September 02, 2009 - An ethnographic study of classifying and accounting for risk at the sharp end of medical wards. September 2, 2009 Dixon-Woods M, Suokas A, Pitchforth E, et al. An ethnographic study of classifying and accounting for risk at the sharp end of medical wards. Soc Sci Med. 2009;69(3):362-9. doi:10.1016/j.socscimed.2009.…

  9. AHRQ's Healthcare Extension Service Logic Model | Agency for Healthcare Research and Quality

    www.ahrq.gov/pcor/healthcare-extension-services/technical-resources/logic-model.html
    September 01, 2024 - AHRQ's Healthcare Extension Service Logic Model This Logic Model (PDF, 423 KB) shows how AHRQ's Healthcare Extension Service is intended to provide state-based solutions for healthcare improvement, and is a guide for planning, implementation, and evaluation efforts. The Logic Model identifies the initiatives'…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60944/psn-pdf
    September 23, 2020 - Flexibilization of science, cognitive biases, and the COVID-19 pandemic. September 23, 2020 Oliveira J. e Silva L, Vidor MV, Zarpellon de Araújo V, et al. Flexibilization of science, cognitive biases, and the COVID-19 pandemic. Mayo Clin Proc. 2020;95(9):1842-1844. doi:10.1016/j.mayocp.2020.06.037. https://psnet.a…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43864/psn-pdf
    January 28, 2015 - Starter Kit for Alarm Fatigue. January 28, 2015 National Association of Clinical Nurse Specialists; NACNS. https://psnet.ahrq.gov/issue/starter-kit-alarm-fatigue Alarm fatigue has been identified as a serious problem that affects the safety of nursing care. This toolkit provides checklists, resources, and implemen…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42111/psn-pdf
    March 13, 2013 - "Just like EKGs!" Should EEGs undergo a confirmatory interpretation by a clinical neurophysiologist? March 13, 2013 Benbadis SR. "Just like EKGs!" Should EEGs undergo a confirmatory interpretation by a clinical neurophysiologist? Neurology. 2013;80(1 Suppl 1):S47-51. doi:10.1212/WNL.0b013e3182797539. https://psnet…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41589/psn-pdf
    July 02, 2014 - The relationship between response time and diagnostic accuracy. July 2, 2014 Sherbino J, Dore KL, Wood TJ, et al. The relationship between response time and diagnostic accuracy. Acad Med. 2012;87(6):785-791. doi:10.1097/ACM.0b013e318253acbd. https://psnet.ahrq.gov/issue/relationship-between-response-time-and-diagn…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46855/psn-pdf
    February 21, 2018 - Leadership and vision for a culture of safety. February 21, 2018 Gandhi TK. NEJM Catalyst. February 8, 2018. https://psnet.ahrq.gov/issue/leadership-and-vision-culture-safety Leadership has an important role in establishing a culture of safety in health care organizations. This commentary describes key skills requ…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47049/psn-pdf
    July 10, 2019 - Injectable Opioid Shortages: Suggestions for Management and Conservation. July 10, 2019 University of Utah Drug Information Service; ASHP; American Society of Health-System Pharmacists. https://psnet.ahrq.gov/issue/injectable-opioid-shortages-suggestions-management-and-conservation Efforts to limit the availabilit…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74259/psn-pdf
    January 19, 2022 - Diagnostic reasoning in cardiovascular medicine. January 19, 2022 Brush JE, Sherbino J, Norman GR. Diagnostic reasoning in cardiovascular medicine. BMJ. 2022;376:e064389. doi:10.1136/bmj-2021-064389. https://psnet.ahrq.gov/issue/diagnostic-reasoning-cardiovascular-medicine Misdiagnosis of heart failure can lead to…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36140/psn-pdf
    September 29, 2010 - Roxane Laboratories initiates a nationwide voluntary recall of a single manufacturing lot of Azathioprine tablets in the U.S. and Puerto Rico. September 29, 2010 MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; July 13, 2006. https://psnet.ahrq.gov/issue/roxane-laboratories-initiates-nati…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38878/psn-pdf
    September 26, 2016 - Reducing the disruptive effects of interruption: a cognitive framework for analysing the costs and benefits of intervention strategies. September 26, 2016 Boehm-Davis DA, Remington R. Reducing the disruptive effects of interruption: a cognitive framework for analysing the costs and benefits of intervention strateg…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44980/psn-pdf
    April 27, 2016 - Surgeon agreement at the time of handover, a prospective cohort study. April 27, 2016 Hilsden R, Moffat B, Knowles S, et al. Surgeon agreement at the time of handover, a prospective cohort study. World J Emerg Surg. 2016;11:11. doi:10.1186/s13017-016-0065-6. https://psnet.ahrq.gov/issue/surgeon-agreement-time-hand…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43732/psn-pdf
    January 07, 2015 - Rethinking diagnostic delay in cancer: how difficult is the diagnosis? January 7, 2015 Lyratzopoulos G, Wardle J, Rubin G. Rethinking diagnostic delay in cancer: how difficult is the diagnosis? BMJ. 2014;349:g7400. doi:10.1136/bmj.g7400. https://psnet.ahrq.gov/issue/rethinking-diagnostic-delay-cancer-how-difficult…
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