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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73455/psn-pdf
    June 30, 2021 - Paroxysmal Supraventricular Tachycardia Masquerading as Panic Attacks June 30, 2021 Martin DT, O’Leary D. Paroxysmal Supraventricular Tachycardia Masquerading as Panic Attacks. PSNet [internet]. 2021. https://psnet.ahrq.gov/web-mm/paroxysmal-supraventricular-tachycardia-masquerading-panic-attacks The Case At the…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49480/psn-pdf
    May 01, 2005 - Diagnosing Diagnostic Mistakes May 1, 2005 McNutt RA, Abrams RI, Hasler S. Diagnosing Diagnostic Mistakes. PSNet [internet]. 2005. https://psnet.ahrq.gov/web-mm/diagnosing-diagnostic-mistakes Learning Objectives Understand the biases that may contribute to overcalling medical errors Describe the impact of conside…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33767/psn-pdf
    May 01, 2014 - Innovations in Promoting Hand Hygiene Compliance May 1, 2014 Marra AR, Edmond MB. Innovations in Promoting Hand Hygiene Compliance. PSNet [internet]. 2014. https://psnet.ahrq.gov/perspective/innovations-promoting-hand-hygiene-compliance Perspective One hundred sixty-five years after the publication of Ignaz Semmel…
  4. psnet.ahrq.gov/perspective/conversation-christine-cassel-md
    February 26, 2025 - In Conversation With… Christine Cassel, MD June 1, 2015  Citation Text: In Conversation With… Christine Cassel, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015. Copy Citation For…
  5. psnet.ahrq.gov/web-mm/medication-mix-leads-patient-death
    July 08, 2022 - Medication Mix-Up Leads to Patient Death Citation Text: Sanchez L, Romano PS. Medication Mix-Up Leads to Patient Death. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023. Copy Citation Format: Google Scholar BibTeX En…
  6. psnet.ahrq.gov/web-mm/july-syndrome
    July 01, 2011 - July Syndrome Citation Text: Young JQ. July Syndrome. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS D…
  7. psnet.ahrq.gov/issue/impact-closed-loop-electronic-prescribing-and-administration-system-prescribing-errors
    November 13, 2009 - Study The impact of a closed-loop electronic prescribing and administration system on prescribing errors, administration errors and staff time: a before-and-after study. Citation Text: Franklin BD, O'Grady K, Donyai P, et al. The impact of a closed-loop electronic prescribing and admin…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38203/psn-pdf
    November 05, 2008 - Addressing prehospital patient safety using the science of injury prevention and control. November 5, 2008 Meisel ZF, Hargarten S, Vernick J. Addressing prehospital patient safety using the science of injury prevention and control. Prehosp Emerg Care. 2008;12(4):411-6. doi:10.1080/10903120802290851. https://psnet.…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42481/psn-pdf
    August 14, 2013 - Drug administration errors in hospital inpatients: a systematic review. August 14, 2013 Berdot S, Gillaizeau F, Caruba T, et al. Drug administration errors in hospital inpatients: a systematic review. PLoS One. 2013;8(6):e68856. doi:10.1371/journal.pone.0068856. https://psnet.ahrq.gov/issue/drug-administration-err…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36225/psn-pdf
    July 10, 2008 - Transfers of patient care between house staff on internal medicine wards: a national survey. July 10, 2008 Horwitz LI, Krumholz HM, Green M, et al. Transfers of patient care between house staff on internal medicine wards: a national survey. Arch Intern Med. 2006;166(11):1173-7. https://psnet.ahrq.gov/issue/transfe…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43825/psn-pdf
    January 28, 2015 - A systematic review of adult admissions to ICUs related to adverse drug events. January 28, 2015 Jolivot P-A, Hindlet P, Pichereau C, et al. A systematic review of adult admissions to ICUs related to adverse drug events. Crit Care. 2014;18(6):643. doi:10.1186/s13054-014-0643-5. https://psnet.ahrq.gov/issue/systema…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42360/psn-pdf
    April 16, 2018 - Wrong-patient medication errors: an analysis of event reports in Pennsylvania and strategies for prevention. April 16, 2018 Yang A, Grissinger M. PA-PSRS Patient Saf Advis. June 2013;10:41-49. https://psnet.ahrq.gov/issue/wrong-patient-medication-errors-analysis-event-reports-pennsylvania-and- strategies-preventio…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43898/psn-pdf
    February 11, 2015 - Special Section on Patient Safety and Quality in Healthcare. February 11, 2015 Andersen HB, Lipczak H, Borch-Johnsen K, eds. Cogn Technol Work. 2015;17:1-155. https://psnet.ahrq.gov/issue/special-section-patient-safety-and-quality-healthcare Articles in this special issue explore patient safety from a sociotechnic…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40577/psn-pdf
    July 06, 2011 - Reducing potentially fatal errors associated with high doses of insulin: a successful multifaceted multidisciplinary prevention strategy. July 6, 2011 Dooley MJ, Wiseman M, McRae A, et al. Reducing potentially fatal errors associated with high doses of insulin: a successful multifaceted multidisciplinary preventio…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46614/psn-pdf
    November 29, 2017 - Interventions to improve hand hygiene compliance in the ICU: a systematic review. November 29, 2017 Lydon S, Power M, McSharry J, et al. Interventions to Improve Hand Hygiene Compliance in the ICU. Crit Care Med. 2017;45(11). doi:10.1097/ccm.0000000000002691. https://psnet.ahrq.gov/issue/interventions-improve-hand…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34927/psn-pdf
    June 23, 2009 - Health Care Quality and Disparities: Lessons from the First National Reports. June 23, 2009 Kelley E, Moy E, Dayton E, et al. Med Care. 2005:43(3):I1-I88. https://psnet.ahrq.gov/issue/health-care-quality-and-disparities-lessons-first-national-reports Highlights from AHRQ's two inaugural reports, the 2003 National …
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35619/psn-pdf
    June 24, 2010 - Studying patient safety in health care organizations: accentuate the qualitative. June 24, 2010 Hoff TJ, Sutcliffe K. Studying patient safety in health care organizations: accentuate the qualitative. Jt Comm J Qual Patient Saf. 2006;32(1):5-15. https://psnet.ahrq.gov/issue/studying-patient-safety-health-care-organ…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41390/psn-pdf
    January 31, 2013 - A systematic review of patient tracking systems for use in the pediatric emergency department. January 31, 2013 Dobson I, Doan Q, Hung G. A systematic review of patient tracking systems for use in the pediatric emergency department. J Emerg Med. 2013;44(1):242-8. doi:10.1016/j.jemermed.2012.02.017. https://psnet.a…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36335/psn-pdf
    February 01, 2011 - Rapid response teams—walk, don't run. February 1, 2011 Winters BD, Pham JC, Pronovost PJ. Rapid Response Teams—Walk, Don't Run. JAMA. 2006;296(13). doi:10.1001/jama.296.13.1645. https://psnet.ahrq.gov/issue/rapid-response-teams-walk-dont-run Rapid response teams (RRTs) have been widely advocated as a means of aver…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35006/psn-pdf
    October 25, 2013 - HealthGrades Quality Study: Second Annual Patient Safety in American Hospitals Study. October 25, 2013 Health Grades, Inc; 2005. https://psnet.ahrq.gov/issue/healthgrades-quality-study-second-annual-patient-safety-american-hospitals- study The first version of this now annual report on the safety of hospitalized …

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