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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…
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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…
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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…
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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…
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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…
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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.
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…
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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 …
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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…
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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.
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Format:
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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…
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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-…
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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…
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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 …
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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…
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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
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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…
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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…
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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…
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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…
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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…