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  1. psnet.ahrq.gov/issue/using-agency-healthcare-research-and-quality-patient-safety-indicators-targeting-nursing
    April 03, 2017 - Study Using the Agency for Healthcare Research and Quality Patient Safety Indicators for targeting nursing quality improvement. Citation Text: Zrelak PA, Utter GH, Sadeghi B, et al. Using the Agency for Healthcare Research and Quality patient safety indicators for targeting nursing qua…
  2. psnet.ahrq.gov/issue/color-coded-medication-safety-system-reduces-community-pediatric-emergency-nursing-medication
    April 05, 2023 - Study Color coded medication safety system reduces community pediatric emergency nursing medication errors. Citation Text: Feleke R, Kalynych CJ, Lundblom B, et al. Color coded medication safety system reduces community pediatric emergency nursing medication errors. J Patient Saf. 2009…
  3. psnet.ahrq.gov/issue/pediatric-weight-errors-and-resultant-medication-dosing-errors-emergency-department
    August 04, 2021 - Study Pediatric weight errors and resultant medication dosing errors in the emergency department. Citation Text: Hirata KM, Kang AH, Ramirez G, et al. Pediatric Weight Errors and Resultant Medication Dosing Errors in the Emergency Department. Pediatr Emerg Care. 2019;35(9):637-642. doi:1…
  4. psnet.ahrq.gov/issue/knowledge-translation-critical-care-factors-associated-prescription-commonly-recommended-best
    October 31, 2011 - Study Knowledge translation in critical care: factors associated with prescription of commonly recommended best practices for critically ill patients. Citation Text: Ilan R, Fowler RA, Geerts R, et al. Knowledge translation in critical care: factors associated with prescription of comm…
  5. psnet.ahrq.gov/issue/prospective-pilot-intervention-study-prevent-medication-errors-drugs-administered-children
    December 04, 2015 - Study Prospective pilot intervention study to prevent medication errors in drugs administered to children by mouth or gastric tube: a programme for nurses, physicians and parents. Citation Text: Bertsche T, Bertsche A, Krieg E-M, et al. Prospective pilot intervention study to prevent m…
  6. psnet.ahrq.gov/issue/nursing-practice-hospitalised-older-people-safety-and-harm
    April 24, 2018 - Review Nursing practice with hospitalised older people: safety and harm. Citation Text: Dahlke SA, Hunter KF, Negrin K. Nursing practice with hospitalised older people: Safety and harm. Int J Older People Nurs. 2019;14(1):e12220. doi:10.1111/opn.12220. Copy Citation Format: …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33563/psn-pdf
    September 16, 2024 - Culture of Safety September 16, 2024 Culture of Safety. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/culture-safety PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current research and practice in the patient safety field. Last reviewed in …
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49399/psn-pdf
    May 01, 2003 - Ectopic or Not? May 1, 2003 Givens VM, Lipscomb GH. Ectopic or Not? PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/ectopic-or-not The Case The patient is a 24-year-old woman, gravida 4, para 1, ectopic 1, at 6 weeks from her last menstrual period. She presents to the emergency department with a 3-day histo…
  9. 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: …
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33711/psn-pdf
    May 01, 2011 - The Second Victim Phenomenon: A Harsh Reality of Health Care Professions May 1, 2011 Scott SD. The Second Victim Phenomenon: A Harsh Reality of Health Care Professions. PSNet [internet]. 2011. https://psnet.ahrq.gov/perspective/second-victim-phenomenon-harsh-reality-health-care-professions Perspective The Instit…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851555/psn-pdf
    July 31, 2023 - Bandemia as a Harbinger of Stercoral Colitis and Impending Perforation July 31, 2023 Flynn S, Barnes DK. Bandemia as a Harbinger of Stercoral Colitis and Impending Perforation. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/bandemia-harbinger-stercoral-colitis-and-impending-perforation The Case A 56-year-…
  12. psnet.ahrq.gov/web-mm/preventing-complications-during-aneurysm-clipping-role-neuromonitoring
    July 02, 2011 - Preventing Complications during Aneurysm Clipping – the Role of Neuromonitoring. Citation Text: DeLemos C. Preventing Complications during Aneurysm Clipping – the Role of Neuromonitoring.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Service…
  13. psnet.ahrq.gov/perspective/disclosure-medical-error
    January 01, 2009 - Disclosure of Medical Error Allen Kachalia, MD, JD | January 1, 2009  Also Read a Conversation View more articles from the same authors. Citation Text: Kachalia A. Disclosure of Medical Error. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and …
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837784/psn-pdf
    August 05, 2022 - In Conversation With... Francoise Marvel, MD August 5, 2022 In Conversation With.. Francoise Marvel, MD. PSNet [internet]. 2022. https://psnet.ahrq.gov/perspective/conversation-francoise-marvel-md Editor’s note: Francoise A. Marvel, MD, is an assistant professor of medicine within the Division of Cardiology at Joh…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74120/psn-pdf
    November 30, 2021 - treatment or not, the interdisciplinary palliative care team would have played an active role in 1) managing
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41235/psn-pdf
    March 21, 2012 - ASHRM Patient Safety Portal. March 21, 2012 https://psnet.ahrq.gov/issue/ashrm-patient-safety-portal This Web site provides access to educational resources for risk managers including articles, quizzes, and webinars covering a variety of patient safety topics. https://psnet.ahrq.gov/issue/ashrm-patient-safety-port…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36170/psn-pdf
    December 30, 2012 - Standardizing safety. December 30, 2012 Meyers S. Standardizing safety. Trustee. 2006;59(7):12-4, 21, 1. https://psnet.ahrq.gov/issue/standardizing-safety The author describes how several hospitals implemented crew resource management programs to improve communication. https://psnet.ahrq.gov/issue/standardizing-s…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40877/psn-pdf
    February 05, 2018 - Fire Safety. February 5, 2018 Council on Surgical & Perioperative Safety. https://psnet.ahrq.gov/issue/fire-safety This initiative provides information on surgical fires and makes recommendations to address the risk of fires during surgery. https://psnet.ahrq.gov/issue/fire-safety https://psnet.ahrq.gov/issue/pra…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35903/psn-pdf
    May 04, 2015 - Costly issues of an uncommunicative OR. May 4, 2015 Neil R. Costly issues of an uncommunicative OR. Materials management in health care. 2006;15(3):30-3. https://psnet.ahrq.gov/issue/costly-issues-uncommunicative-or This article discusses initiatives for better communication and teamwork in the operating room in or…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40414/psn-pdf
    September 02, 2016 - Drug shortages: a pharmacy informatics perspective. September 2, 2016 Edillo PN. https://psnet.ahrq.gov/issue/drug-shortages-pharmacy-informatics-perspective This article describes the impact of medication shortages on health systems and discusses how to manage them. https://psnet.ahrq.gov/issue/drug-shortages-ph…

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