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  1. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2020-05/final_may-spotlight-fatal_pca_slides_05.01.2020_cme_review-revised.pdf
    January 01, 2020 - desaturation compared with intermittent nursing spot-checks – Deaths most frequently occur overnight when nurse … Avoiding Adverse Events Secondary to Opioid-Induced Respiratory Depression: Implications for Nurse Executives

  2. Are incorrectly used drugs more frequently involved in adverse drug reactions? A prospective study. | PSNet

    psnet.ahrq.gov/issue/are-incorrectly-used-drugs-more-frequently-involved-adverse-drug-reactions-prospective-study
    March 08, 2017 - December 6, 2006 Physician and nurse well-being and preferred interventions to address … prevent medication errors in drugs administered to children by mouth or gastric tube: a programme for nurses

  3. Part 2 of the 9th Annual Communication, Apology, and Resolution (CARe) Forum. | PSNet

    psnet.ahrq.gov/issue/part-2-9th-annual-communication-apology-and-resolution-care-forum
    June 19, 2019 - Meeting/Conference Proceedings Part 2 of the 9th Annual Communication, Apology, and Resolution (CARe) Forum. Citation Text: Betsy Lehman Center for Patient Safety. June 2, 2022. Copy Citation Save Save to your library Print Share Facebook Tw…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37613/psn-pdf
    March 12, 2008 - intervention-decrease-catheter-related-bloodstream-infections-icu https://psnet.ahrq.gov/issue/effect-executive-walk-rounds-nurse-safety-climate-attitudes-randomized-trial-clinical-units

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45255/psn-pdf
    January 23, 2017 - emergency medications, administering medications at nonstandard times, number of doses being given, nurse

  6. The safety of inpatient pediatrics: preventing medical errors and injuries among hospitalized children. | PSNet

    psnet.ahrq.gov/issue/safety-inpatient-pediatrics-preventing-medical-errors-and-injuries-among-hospitalized
    November 16, 2022 - November 3, 2010 Unit-based care teams and the frequency and quality of physician–nurse

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43323/psn-pdf
    January 07, 2015 - A past AHRQ WebM&M commentary describes how a nurse entered an outpatient prescription for the wrong

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43279/psn-pdf
    October 20, 2014 - protocols, and establishing a robust quality assurance mechanism (including a dedicated patient safety nurse

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47149/psn-pdf
    June 06, 2018 - psnet.ahrq.gov/primer/leadership-role-improving-safety https://psnet.ahrq.gov/issue/effect-executive-walk-rounds-nurse-safety-climate-attitudes-randomized-trial-clinical-units

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37544/psn-pdf
    June 16, 2011 - specific dimensions of safety—were found even before clinicians underwent teamwork training, and faculty, nurse

  11. COVID-19 Special Series | PSNet

    psnet.ahrq.gov/issue/covid-19-special-series
    May 09, 2009 - Meeting/Conference Proceedings COVID-19 Special Series Citation Text: COVID-19 Special Series COVID-19 Special Series. Institute for Healthcare Improvement. Copy Citation Save Save to your library Print Share Facebook Twitter Linkedin…

  12. Achieving Excellence in the Diagnosis of Acute Cardiovascular Events: Proceedings of a Workshop–in Brief. | PSNet

    psnet.ahrq.gov/issue/achieving-excellence-diagnosis-acute-cardiovascular-events
    May 12, 2021 - Book/Report Achieving Excellence in the Diagnosis of Acute Cardiovascular Events: Proceedings of a Workshop–in Brief. Citation Text: Achieving Excellence in the Diagnosis of Acute Cardiovascular Events: Proceedings of a Workshop–in Brief. National Academies of Sciences, Engineering, and …

  13. ‘They treat me like I’m old and stupid’: seniors decry health providers’ age bias. | PSNet

    psnet.ahrq.gov/issue/they-treat-me-im-old-and-stupid-seniors-decry-health-providers-age-bias
    December 05, 2018 - Newspaper/Magazine Article ‘They treat me like I’m old and stupid’: seniors decry health providers’ age bias. Citation Text: ‘They treat me like I’m old and stupid’: seniors decry health providers’ age bias. Graham J. Kaiser Health News. October 20, 2021. Copy Citation …

  14. Diagnosis in the Era of Digital Health and Artificial Intelligence: A Workshop. | PSNet

    psnet.ahrq.gov/issue/diagnosis-era-digital-health-and-artificial-intelligence-workshop
    September 26, 2023 - Meeting/Conference Proceedings Diagnosis in the Era of Digital Health and Artificial Intelligence: A Workshop. Citation Text: Diagnosis in the Era of Digital Health and Artificial Intelligence: A Workshop. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7…

  15. Eliminating Serious, Preventable, and Costly Medical Errors - Never Events. | PSNet

    psnet.ahrq.gov/issue/eliminating-serious-preventable-and-costly-medical-errors-never-events
    May 26, 2021 - Press Release/Announcement Eliminating Serious, Preventable, and Costly Medical Errors - Never Events. Citation Text: Eliminating Serious, Preventable, and Costly Medical Errors - Never Events. Baltimore, MD: Centers for Medicare and Medicaid Services; May 18, 2006. Copy Citation …

  16. Unequal Treatment Revisited: A Workshop Series. | PSNet

    psnet.ahrq.gov/issue/unequal-treatment-revisited-workshop-series
    September 12, 2018 - Audiovisual Presentation Unequal Treatment Revisited: A Workshop Series. Citation Text: Unequal Treatment Revisited: A Workshop Series. Committee on Unequal Treatment. Washington DC: National Academies of Sciences, Engineering and Medicine; 2023-2024. Copy Citation Save…

  17. Diagnostic Strategy for the COVID-19 Pandemic – Bench to Bedside to Blueprint for Policymakers. | PSNet

    psnet.ahrq.gov/issue/diagnostic-strategy-covid-19-pandemic-bench-bedside-blueprint-policymakers
    April 17, 2025 - Meeting/Conference Proceedings Diagnostic Strategy for the COVID-19 Pandemic – Bench to Bedside to Blueprint for Policymakers. Citation Text: Diagnostic Strategy for the COVID-19 Pandemic – Bench to Bedside to Blueprint for Policymakers. Armstrong Institute for Patient Safety and Quality…

  18. Order from Chaos: Accelerating Care Integration. | PSNet

    psnet.ahrq.gov/issue/order-chaos-accelerating-care-integration
    November 02, 2014 - Book/Report Order from Chaos: Accelerating Care Integration. Citation Text: Order from Chaos: Accelerating Care Integration. Boston, MA: Lucian Leape Institute at the National Patient Safety Foundation; October 2012. Copy Citation Save Save to your library …

  19. Check your medical records for dangerous errors. | PSNet

    psnet.ahrq.gov/issue/check-your-medical-records-dangerous-errors
    November 03, 2021 - Newspaper/Magazine Article Check your medical records for dangerous errors. Citation Text: Check your medical records for dangerous errors. Graham J. Kaiser Health News. November 21, 2018. Copy Citation Save Save to your library Print Download PDF …

  20. Special Issue on Medication Safety. | PSNet

    psnet.ahrq.gov/issue/special-issue-medication-safety
    June 26, 2019 - Special or Theme Issue Special Issue on Medication Safety. Citation Text: Special Issue on Medication Safety. Chui MA, Pohjanoksa-Mäntylä M, Snyder ME, eds. Res Social Adm Pharm. 2019;15(7):811-906. Copy Citation Save Save to your library Print Downloa…
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