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  1. Periodic Issue | PSNet

    psnet.ahrq.gov/periodic-issue/periodic-issue-303
    August 25, 2021 - August 4, 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, reports,…

  2. Patient Safety Innovations Exchange | PSNet

    psnet.ahrq.gov/innovations-exchange
    May 01, 2021 - Patient Safety Innovations Exchange The Patient Safety Innovations Exchange highlights important innovations that can lead to improvements in patient safety. It is based on AHRQ’s Health Care Innovations Exchange , which shares many health care innovations,…

  3. Economic evaluation of healthcare safety: which attributes of safety do healthcare professionals consider most important in resource allocation decisions? | PSNet

    psnet.ahrq.gov/issue/economic-evaluation-healthcare-safety-which-attributes-safety-do-healthcare-professionals
    July 01, 2012 - Study Economic evaluation of healthcare safety: which attributes of safety do healthcare professionals consider most important in resource allocation decisions? Citation Text: Steuten L, Buxton M. Economic evaluation of healthcare safety: which attributes of safety do healthcare profes…

  4. Effort in human factors performance and decision making. | PSNet

    psnet.ahrq.gov/issue/effort-human-factors-performance-and-decision-making
    August 31, 2022 - Commentary Effort in human factors performance and decision making. Citation Text: Wickens CD. Effort in human factors performance and decision making. Hum Factors. 2014;56(8):1329-36. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote t…

  5. Reflecting on change. | PSNet

    psnet.ahrq.gov/issue/reflecting-change
    December 02, 2009 - Commentary Reflecting on change. Citation Text: Wagstaff R. Reflecting on change. Nurs Manag (Harrow). 2006;13(2):12-7. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation …

  6. Fall-related injuries in acute care: reducing the risk of harm. | PSNet

    psnet.ahrq.gov/issue/fall-related-injuries-acute-care-reducing-risk-harm
    March 28, 2018 - Review Fall-related injuries in acute care: reducing the risk of harm. Citation Text: Hook ML, Winchel S. Fall-related injuries in acute care: reducing the risk of harm. Medsurg Nurs. 2006;15(6):370-7, 381. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML…

  7. Patient safety and surgeons: why the resistance? | PSNet

    psnet.ahrq.gov/issue/patient-safety-and-surgeons-why-resistance
    September 23, 2020 - Commentary Patient safety and surgeons: why the resistance? Citation Text: Hoover EL. Patient safety and surgeons: why the resistance? Arch Surg. 2007;142(12):1127-8. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS…

  8. Collaborating to manage vendor interactions and protect quality of care in the OR.  | PSNet

    psnet.ahrq.gov/issue/collaborating-manage-vendor-interactions-and-protect-quality-care-or
    October 14, 2020 - Commentary Collaborating to manage vendor interactions and protect quality of care in the OR.  Citation Text: Gutman ME. Collaborating to manage vendor interactions and protect quality of care in the OR. Journal of Healthcare Risk Management. 2009;25(3). doi:10.1002/jhrm.5600250306. …

  9. A salutary tale of mistaken identity in testicular cancer. | PSNet

    psnet.ahrq.gov/issue/salutary-tale-mistaken-identity-testicular-cancer
    June 01, 2022 - Study A salutary tale of mistaken identity in testicular cancer. Citation Text: Waterston A, Seywright M, White J. A salutary tale of mistaken identity in testicular cancer. Urol Oncol. 2006;24(5):407-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML En…

  10. A quality improvement study: medication error leading to thyrotoxicosis and death. | PSNet

    psnet.ahrq.gov/issue/quality-improvement-study-medication-error-leading-thyrotoxicosis-and-death
    September 13, 2017 - Study A quality improvement study: medication error leading to thyrotoxicosis and death. Citation Text: Levine JM. A quality improvement study: medication error leading to thyrotoxicosis and death. J Am Med Dir Assoc. 2004;5(6):410-3. Copy Citation Format: Google Scholar P…

  11. Engineering risk analysis of a hospital oxygen supply system. | PSNet

    psnet.ahrq.gov/issue/engineering-risk-analysis-hospital-oxygen-supply-system
    July 23, 2014 - Commentary Engineering risk analysis of a hospital oxygen supply system. Citation Text: Deleris LA, Yeo GL, Seiver A, et al. Engineering risk analysis of a hospital oxygen supply system. Med Decis Making. 2006;26(2):162-72. Copy Citation Format: Google Scholar PubMed BibT…

  12. Triage Time Bomb | PSNet

    psnet.ahrq.gov/web-mm/triage-time-bomb
    September 01, 2008 - Triage Time Bomb Citation Text: Washington DL. Triage Time Bomb. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  13. Acute Care Admission of the Behavioral Health Patient | PSNet

    psnet.ahrq.gov/web-mm/acute-care-admission-behavioral-health-patient
    July 19, 2023 - Acute Care Admission of the Behavioral Health Patient Citation Text: Weiss AP, Rosenbaum JF. Acute Care Admission of the Behavioral Health Patient. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013. Copy Citation Format: …

  14. Written Signout: It Only Works If You Use The Right One | PSNet

    psnet.ahrq.gov/web-mm/written-signout-it-only-works-if-you-use-right-one
    April 24, 2018 - Written Signout: It Only Works If You Use The Right One Citation Text: Lewis K, Rosenbluth G. Written Signout: It Only Works If You Use The Right One. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. Copy Citation Format: …

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33697/psn-pdf
    June 01, 2010 - What Do We Know About Emergency Department Safety? June 1, 2010 Sklar DP, Crandall CS. What Do We Know About Emergency Department Safety? PSNet [internet]. 2010. https://psnet.ahrq.gov/perspective/what-do-we-know-about-emergency-department-safety Perspective Emergency medicine has evolved from a location, with var…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49763/psn-pdf
    June 01, 2016 - July Syndrome June 1, 2016 Young JQ. July Syndrome. PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/july-syndrome The Case A 64-year-old man was seen in the thoracic surgery clinic in June after being diagnosed with a right lower lobe lung cancer. The attending surgeon saw the patient along with his fellow,…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33691/psn-pdf
    December 01, 2009 - How to Identify and Manage Problem Behaviors December 1, 2009 Rosenstein AH, O'Daniel M. How to Identify and Manage Problem Behaviors. PSNet [internet]. 2009. https://psnet.ahrq.gov/perspective/how-identify-and-manage-problem-behaviors Perspective The 1999 Institute of Medicine report highlighted the need for heal…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33853/psn-pdf
    March 01, 2018 - In Conversation With… Linda Aiken, PhD, RN March 1, 2018 In Conversation With… Linda Aiken, PhD, RN. PSNet [internet]. 2018. https://psnet.ahrq.gov/perspective/conversation-linda-aiken-phd-rn Editor's note: Dr. Aiken is Claire M. Fagin Leadership Professor of Nursing, Professor of Sociology, and Director of the Ce…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49706/psn-pdf
    January 01, 2015 - Clostridium Difficile Relapse Secondary to Medication Access Issue April 1, 2014 Walker PC, Nagel J. Clostridium Difficile Relapse Secondary to Medication Access Issue. PSNet [internet]. 2014. https://psnet.ahrq.gov/web-mm/clostridium-difficile-relapse-secondary-medication-access-issue The Case A 24-year-old wom…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836978/psn-pdf
    May 16, 2022 - Check Twice, Transport Once May 16, 2022 DePew A, Rice J, Chou J. Check Twice, Transport Once. PSNet [internet]. 2022. https://psnet.ahrq.gov/web-mm/check-twice-transport-once The Case Case #1: A 26-year-old woman (Patient A) presented to the Emergency Department (ED) with abdominal pain and was diagnosed with “s…
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