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  1. Factors contributing to all-cause 30-day readmissions: a structured case series across 18 hospitals. | PSNet

    psnet.ahrq.gov/issue/factors-contributing-all-cause-30-day-readmissions-structured-case-series-across-18-hospitals
    October 19, 2022 - Study Classic Factors contributing to all-cause 30-day readmissions: a structured case series across 18 hospitals. Citation Text: Feigenbaum P, Neuwirth E, Trowbridge L, et al. Factors contributing to all-cause 30-day readmissions: a structured case series acr…

  2. Reconciling Doses | PSNet

    psnet.ahrq.gov/web-mm/reconciling-doses
    August 14, 2017 - for elective surgery patients will be different from that for patients admitted through the ED or a nursing … home.

  3. Patient-safety and quality initiatives in the intensive-care unit. | PSNet

    psnet.ahrq.gov/issue/patient-safety-and-quality-initiatives-intensive-care-unit
    February 25, 2009 - Study Patient-safety and quality initiatives in the intensive-care unit. Citation Text: Patient-safety and quality initiatives in the intensive-care unit. Winters B; Dorman T. Copy Citation Save Save to your library Print Download PDF Share …

  4. Project BOOST Increases Patient Understanding of Treatment and Follow-up Care | PSNet

    psnet.ahrq.gov/innovation/project-boost-increases-patient-understanding-treatment-and-follow-care
    February 26, 2025 - Project BOOST Increases Patient Understanding of Treatment and Follow-up Care Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL May 26, 2021 Innovation Contact …

  5. Prevalence and predictors of adverse events in older surgical patients: impact of the present on admission indicator. | PSNet

    psnet.ahrq.gov/issue/prevalence-and-predictors-adverse-events-older-surgical-patients-impact-present-admission
    October 04, 2023 - Study Prevalence and predictors of adverse events in older surgical patients: impact of the present on admission indicator. Citation Text: Kim H, Capezuti E, Kovner C, et al. Prevalence and predictors of adverse events in older surgical patients: impact of the present on admission indi…

  6. Assessing the safety of a new clinical decision support system for a national helpline. | PSNet

    psnet.ahrq.gov/issue/assessing-safety-new-clinical-decision-support-system-national-helpline
    February 08, 2023 - Study Assessing the safety of a new clinical decision support system for a national helpline. Citation Text: Luckraj N, Strazzari R, Coiera E, et al. Assessing the safety of a new clinical decision support system for a national helpline. Stud Health Technol Inform. 2024;310:514-518. doi:…

  7. Patient and Family Roles in Safety | PSNet

    psnet.ahrq.gov/perspective/patient-and-family-roles-safety
    June 14, 2023 - establishing bonds. 6 Negative effects on older adults from the restriction of family presence in nursing … homes and long-term care communities were observed, especially increases in depression and anxiety. … The Adverse Effects of the COVID-19 Pandemic on Nursing Home Resident Well-Being.

  8. In Conversation with... Beverley H. Johnson about The Role of Patient's Family In Reducing Harm | PSNet

    psnet.ahrq.gov/perspective/conversation-beverley-h-johnson-about-role-patients-family-reducing-harm
    June 14, 2023 - establishing bonds. 6 Negative effects on older adults from the restriction of family presence in nursing … homes and long-term care communities were observed, especially increases in depression and anxiety. … The Adverse Effects of the COVID-19 Pandemic on Nursing Home Resident Well-Being.

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49523/psn-pdf
    November 01, 2006 - Urinary Retention Dilemma November 1, 2006 Joseph AC. Urinary Retention Dilemma. PSNet [internet]. 2006. https://psnet.ahrq.gov/web-mm/urinary-retention-dilemma The Case Following an elective thyroidectomy, a 56-year-old man with a history of benign prostatic hypertrophy (BPH) and urinary hesitancy returned to th…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841476/psn-pdf
    December 14, 2022 - barriers-and-facilitators-reporting-medical-device-related-pressure-ulcers-qualitative https://psnet.ahrq.gov/issue/accuracy-pressure-ulcer-events-us-nursing-home-ratings

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44338/psn-pdf
    November 23, 2015 - medicare-and-medicaid-programs-reform-requirements-long-term-care-facilities-proposed-rule https://psnet.ahrq.gov/primer/culture-safety https://psnet.ahrq.gov/issue/ahrq-nursing-home-survey-patient-safety-culture

  12. Patient participation in patient safety still missing: patient safety experts' views. | PSNet

    psnet.ahrq.gov/issue/patient-participation-patient-safety-still-missing-patient-safety-experts-views
    February 13, 2019 - Study Patient participation in patient safety still missing: patient safety experts' views. Citation Text: Sahlström M, Partanen P, Rathert C, et al. Patient participation in patient safety still missing: Patient safety experts' views. Int J Nurs Pract. 2016;22(5):461-469. doi:10.1111/ij…

  13. Achieving a climate for patient safety by focusing on relationships. | PSNet

    psnet.ahrq.gov/issue/achieving-climate-patient-safety-focusing-relationships
    December 19, 2017 - Study Achieving a climate for patient safety by focusing on relationships. Citation Text: Manojlovich M, Kerr M, Davies B, et al. Achieving a climate for patient safety by focusing on relationships. Int J Qual Health Care. 2014;26(6):579-84. doi:10.1093/intqhc/mzu068. Copy Citation …

  14. Implementing a distraction-free practice with the Red Zone Medication Safety initiative. | PSNet

    psnet.ahrq.gov/issue/implementing-distraction-free-practice-red-zone-medication-safety-initiative
    November 16, 2022 - Commentary Implementing a distraction-free practice with the Red Zone Medication Safety initiative. Citation Text: Connor JA, Ahern JP, Cuccovia B, et al. Implementing a Distraction-Free Practice With the Red Zone Medication Safety Initiative. Dimens Crit Care Nurs. 2016;35(3):116-24. do…

  15. The Forgotten Med | PSNet

    psnet.ahrq.gov/web-mm/forgotten-med
    July 01, 2006 - The Forgotten Med Citation Text: Cucina R. The Forgotten Med. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  16. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2022-01/final_spotlight_stacked_opioid_administration_01.03.2022.pdf
    January 01, 2022 - Spotlight Spotlight Patient Safety Events Involving Opioid Dose Stacking Source and Credits • This presentation is based on the January 2022 AHRQ WebM&M Spotlight Case o See the full article at https://psnet.ahrq.gov/webmm o CME credit is available o Commentary by: Hollie Porras, PharmD, BCPS and Cathy Lammers…

  17. Total Parenteral Nutrition, Multifarious Errors | PSNet

    psnet.ahrq.gov/web-mm/total-parenteral-nutrition-multifarious-errors
    January 23, 2017 - SPOTLIGHT CASE Total Parenteral Nutrition, Multifarious Errors Citation Text: Boullata JI. Total Parenteral Nutrition, Multifarious Errors. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013. Copy Citation Format: …

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867359/psn-pdf
    December 18, 2024 - Importance of Following Safe Practices for Infant Feeding and Handling Expressed Breast Milk December 18, 2024 Shauer M, Perez DG, Chagolla B. Importance of Following Safe Practices for Infant Feeding and Handling Expressed Breast Milk. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/importance-following-saf…

  19. Remote patient monitoring during COVID-19: an unexpected patient safety benefit. | PSNet

    psnet.ahrq.gov/issue/remote-patient-monitoring-during-covid-19-unexpected-patient-safety-benefit
    July 20, 2022 - Commentary Remote patient monitoring during COVID-19: an unexpected patient safety benefit. Citation Text: Pronovost PJ, Cole MD, Hughes RM. Remote patient monitoring during COVID-19: an unexpected patient safety benefit. JAMA. 2022;327(12):1125-1126. doi:10.1001/jama.2022.2040. Copy C…

  20. Safety in pediatric hospice and palliative care: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/safety-pediatric-hospice-and-palliative-care-qualitative-study
    September 02, 2020 - Study Safety in pediatric hospice and palliative care: a qualitative study. Citation Text: Pestian T, Thienprayoon R, Grossoehme D, et al. Safety in pediatric hospice and palliative care: a qualitative study. Pediatr Qual Saf. 2020;5(4):e328. doi:10.1097/pq9.0000000000000328. Copy Cit…
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