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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73200/psn-pdf
    April 28, 2021 - A Sweet Case of Hidden Hydrogen Ions April 28, 2021 Plante D, Falero A. A Sweet Case of Hidden Hydrogen Ions. PSNet [internet]. 2021. https://psnet.ahrq.gov/web-mm/sweet-case-hidden-hydrogen-ions The Case  A?24-year-old, Arabic-speaking?woman?with a history of type 1?diabetes?mellitus, gastroparesis,?and severe e…
  2. psnet.ahrq.gov/curated-library/organizational-learning
    September 01, 2025 - Breadcrumb Home The PSNet Collection Curated Libraries Subscribed Organizational Learning  Download  Share Facebook Twitter Linkedin Copy URL Subscribe Created By: Lorri Zipperer, Cybrarian, AHRQ PSNet Team…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60328/psn-pdf
    May 27, 2020 - Consensus guidelines for managing postoperative nausea and vomiting.
  4. psnet.ahrq.gov/web-mm/duplicate-therapies-retail-pharmacy
    August 05, 2022 - Duplicate Therapies in Retail Pharmacy Citation Text: Punatar N, Molla M, Lee S. Duplicate Therapies in Retail Pharmacy. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023. Copy Citation Format: Google Scholar BibTeX E…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46988/psn-pdf
    April 25, 2018 - Opioid Stewardship. April 25, 2018 Ochsner J. 2018;18(1):20-45. https://psnet.ahrq.gov/issue/opioid-stewardship Both organizational and national strategies are required to reduce opioid-related harm. This special issue section explores one health system's efforts to address the opioid epidemic. Articles discuss em…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46478/psn-pdf
    March 27, 2018 - Promote a culture of safety with good catch reports. March 27, 2018 Wallace SC, Mamrol C, Finley E. PA-PSRS Patient Saf Advis. September 2017;14. https://psnet.ahrq.gov/issue/promote-culture-safety-good-catch-reports Near misses or good catches present organizations with learning opportunities. Using data compariso…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/863221/psn-pdf
    February 28, 2024 - Using artificial intelligence to improve primary care for patients and clinicians. February 28, 2024 Sarkar U, Bates DW. Using artificial intelligence to improve primary care for patients and clinicians. JAMA Intern Med. 2024;184(4):343-344. doi:10.1001/jamainternmed.2023.7965. https://psnet.ahrq.gov/issue/using-a…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35069/psn-pdf
    June 22, 2009 - Towards an organization with a memory: exploring the organizational generation of adverse events in health care. June 22, 2009 Smith D, Toft B. Towards an organization with a memory: exploring the organizational generation of adverse events in health care. Health Serv Manage Res. 2005;18(2). doi:10.1258/0951484053…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39275/psn-pdf
    February 03, 2010 - Medical librarians supporting information systems project lifecycles toward improved patient safety. February 3, 2010 Saimbert MK, Zhang Y, Pierce J, et al. Medical librarians supporting information systems project lifecycles toward improved patient safety. Medical librarians possess expertise to navigate various s…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38376/psn-pdf
    February 04, 2009 - Patient safety climate in 92 US hospitals: differences by work area and discipline. February 4, 2009 Singer SJ, Gaba DM, Falwell A, et al. Patient safety climate in 92 US hospitals: differences by work area and discipline. Med Care. 2009;47(1):23-31. doi:10.1097/MLR.0b013e31817e189d. https://psnet.ahrq.gov/issue/p…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72697/psn-pdf
    February 03, 2021 - Culture of safety: impact on improvement in infection prevention process and outcomes. February 3, 2021 Braun B, Chitavi SO, Suzuki H, et al. Culture of Safety: Impact on Improvement in Infection Prevention Process and Outcomes. Curr Infect Dis Rep. 2020;22(12):34. doi:10.1007/s11908-020-00741-y. https://psnet.ahr…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34592/psn-pdf
    January 04, 2017 - John M. Eisenberg Patient Safety Awards. Advocacy: the Lexington Veterans Affairs Medical Center. January 4, 2017 Kraman SS, Cranfill L, Hamm G, et al. John M. Eisenberg Patient Safety Awards. Advocacy: the Lexington Veterans Affairs Medical Center. Jt Comm J Qual Improv. 2002;28(12):646-50. https://psnet.ahrq.gov…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44803/psn-pdf
    January 27, 2016 - Examining the relationship among ambulatory surgical settings work environment, nurses' characteristics, and medication errors reporting. January 27, 2016 Farag AA, Anthony MK. Examining the Relationship Among Ambulatory Surgical Settings Work Environment, Nurses' Characteristics, and Medication Errors Reporting. …
  14. psnet.ahrq.gov/web-mm/management-csf-leaks-after-elective-spine-surgery-routine-laminectomy-leads-fatal-discitis
    March 09, 2022 - SPOTLIGHT CASE Management of CSF Leaks After Elective Spine Surgery: Routine Laminectomy Leads to Fatal Discitis and Sepsis Citation Text: Castillo JA, Price R, Kim KD. Management of CSF Leaks After Elective Spine Surgery: Routine Laminectomy Leads to Fatal Discitis and Sepsis. PSNet [internet]. …
  15. psnet.ahrq.gov/issue/uneven-burden-maternal-mortality-us
    November 15, 2011 - Fact Sheet/FAQs The Uneven Burden of Maternal Mortality in the U.S. Citation Text: The Uneven Burden of Maternal Mortality in the U.S. NIHCM Foundation. Washington DC: National Institute for Health Care Management. August 2, 2022. Copy Citation Save Save to yo…
  16. psnet.ahrq.gov/issue/pathways-patient-safety
    May 06, 2015 - Toolkit Pathways for Patient Safety. Citation Text: Pathways for Patient Safety. Chicago, IL: Health Research and Educational Trust, Institute for Safe Medication Practices, Medical Group Management Association; 2009. Copy Citation Save Save to your library …
  17. psnet.ahrq.gov/issue/healthcare-quality-and-safety-workforce-report-new-imperatives-quality-and-safety-mean-new
    May 06, 2015 - Book/Report Healthcare Quality and Safety Workforce Report: New Imperatives for Quality and Safety Mean New Imperatives for Workforce Development. Citation Text: Healthcare Quality and Safety Workforce Report: New Imperatives for Quality and Safety Mean New Imperatives for Workforce Deve…
  18. psnet.ahrq.gov/issue/improving-nursing-unit-teamwork
    January 18, 2011 - Commentary Improving nursing unit teamwork. Citation Text: Kalisch BJ, Begeny SM. Improving nursing unit teamwork. J Nurs Adm. 2005;35(12):550-556. doi:10.1097/00005110-200512000-00009. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote t…
  19. psnet.ahrq.gov/issue/how-does-hospital-quality-management-drive-quality-results-deepening-our-understanding
    March 11, 2009 - Special or Theme Issue How Does Hospital Quality Management Drive Quality? Results From the "Deepening Our Understanding of Quality Improvement (DUQuE)" Project. Citation Text: How Does Hospital Quality Management Drive Quality? Results From the "Deepening Our Understanding of Quality Im…
  20. psnet.ahrq.gov/issue/ambulatory-safety-and-quality-program-health-it-portfolio-2007-2013
    August 01, 2012 - Grant Recipient Ambulatory Safety and Quality Program: Health IT Portfolio. Citation Text: Ambulatory Safety and Quality Program: Health IT Portfolio. Rockville,MD: Agency for Healthcare Research and Quality; July 2010. AHRQ Pub. No. 10-P004. Copy Citation Save Sa…

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