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2741. Changing the work environment in ICUs to achieve patient-focused care: the time has come. | PSNet
      psnet.ahrq.gov/issue/changing-work-environment-icus-achieve-patient-focused-care-time-has-come
      April 05, 2023 - Commentary Changing the work environment in ICUs to achieve patient-focused care: the time has come. Citation Text: McCauley K, Irwin RS. Changing the work environment in ICUs to achieve patient-focused care: the time has come. Chest. 2006;130(5):1571-8. Copy Citation Format: …

2742. The interpretability of doctor identification badges in UK hospitals: a survey of nurses and patients. | PSNet
      psnet.ahrq.gov/issue/interpretability-doctor-identification-badges-uk-hospitals-survey-nurses-and-patients
      October 07, 2013 - Study The interpretability of doctor identification badges in UK hospitals: a survey of nurses and patients. Citation Text: Hickerton BC, Fitzgerald DJ, Perry E, et al. The interpretability of doctor identification badges in UK hospitals: a survey of nurses and patients. BMJ Qual Saf. 20…

2743. Walking Patient, Missing Drain | PSNet
      psnet.ahrq.gov/web-mm/walking-patient-missing-drain
      April 01, 2006 - Walking Patient, Missing Drain Citation Text: Olkowski BF, Ravenel M, Stiefel MF. Walking Patient, Missing Drain. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. Copy Citation Format: Google Scholar BibTeX EndNote …

2744. Swiss Cheese Model. | PSNet
      psnet.ahrq.gov/issue/swiss-cheese-model
      March 27, 2005 - Image/Poster Swiss Cheese Model. Citation Text: Swiss Cheese Model. Adapted from: Reason JT. Managing the Risks of Organizational Accidents. Aldershot, Hants, England: Ashgate: 1997. Copy Citation Save Save to your library Print Download PDF …

2745. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60579/psn-pdf
      June 10, 2020 - primer/coronavirus-disease-2019-covid-19-and-safety-older-adults https://psnet.ahrq.gov/issue/keeping-nursing-home-residents-and-staff-safe-era-covid

2746. Are We Pushing Graduate Nurses Too Fast? | PSNet
      psnet.ahrq.gov/web-mm/are-we-pushing-graduate-nurses-too-fast
      November 16, 2022 - Are We Pushing Graduate Nurses Too Fast? Citation Text: Spector ND. Are We Pushing Graduate Nurses Too Fast? . PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011. Copy Citation Format: Google Scholar BibTeX EndNote X3…

2747. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/851190/psn-pdf
      July 05, 2023 - Patient safety and sense of security when telemonitoring chronic conditions at home: the views of patients and healthcare professionals - a qualitative study. July 5, 2023 Ekstedt M, Nordheim ES, Hellström A, et al. Patient safety and sense of security when telemonitoring chronic conditions at home: the views of p…

2748. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49503/psn-pdf
      February 01, 2006 - Workaround Error February 1, 2006 Pape T. Workaround Error. PSNet [internet]. 2006. https://psnet.ahrq.gov/web-mm/workaround-error The Case A retired 81-year-old physician with metastatic colon cancer was admitted to an acute care hospital with pneumonia and congestive heart failure (CHF). After his acute hospita…

2749. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/61043/psn-pdf
      October 21, 2020 - Clinical predictors for unsafe direct discharge home patients from intensive care units. October 21, 2020 Lau VI, Priestap FA, Lam JNH, et al. Clinical predictors for unsafe direct discharge home patients from intensive care units. J Intensive Care Med. 2020;35(10):1067-1073. doi:10.1177/0885066618811810. https://…

2750. Implementation of a discharge education program to improve transitions of care for patients at high risk of medication errors. | PSNet
      psnet.ahrq.gov/issue/implementation-discharge-education-program-improve-transitions-care-patients-high-risk
      January 12, 2022 - Study Implementation of a discharge education program to improve transitions of care for patients at high risk of medication errors. Citation Text: Crannage AJ, Hennessey EK, Challen LM, et al. . Implementation of a discharge education program to improve transitions of care for patients …

2751. Health Care Comes Home: The Human Factors. | PSNet
      psnet.ahrq.gov/issue/health-care-comes-home-human-factors
      June 08, 2011 - Book/Report Health Care Comes Home: The Human Factors. Citation Text: Health Care Comes Home: The Human Factors. Committee on the Role of Human Factors in Home Health Care. Washington, DC: National Research Council; 2011. ISBN: 9780309212366. Copy Citation Save …

2752. Harm From Alarm Fatigue | PSNet
      psnet.ahrq.gov/web-mm/harm-alarm-fatigue
      February 14, 2018 - SPOTLIGHT CASE Harm From Alarm Fatigue Citation Text: Pelter MM, Drew BJ. Harm From Alarm Fatigue. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015. Copy Citation Format: Google Scholar BibTeX EndNote X3 X…

2753. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73153/psn-pdf
      April 28, 2021 - Two Cases of Retained Vaginal Packing: When Writing an Order is Not Enough April 28, 2021 Gibbs VC. Two Cases of Retained Vaginal Packing: When Writing an Order is Not Enough. PSNet [internet]. 2021. https://psnet.ahrq.gov/web-mm/two-cases-retained-vaginal-packing-when-writing-order-not-enough Disclosure of Relev…

2754. Urinary Retention Dilemma | PSNet
      psnet.ahrq.gov/web-mm/urinary-retention-dilemma
      March 01, 2013 - Urinary Retention Dilemma Citation Text: Joseph AC. Urinary Retention Dilemma. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged…

2755. 2009 National Patient Safety Goals. | PSNet
      psnet.ahrq.gov/issue/2009-national-patient-safety-goals
      August 03, 2016 - Commentary 2009 National Patient Safety Goals. Citation Text: Saufl NM. 2009 National Patient Safety Goals. J Perianesth Nurs. 2009;24(2):114-8. doi:10.1016/j.jopan.2009.01.008. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote ta…

2756. Multifactorial Medication Mishap | PSNet
      psnet.ahrq.gov/web-mm/multifactorial-medication-mishap
      September 01, 2016 - SPOTLIGHT CASE Multifactorial Medication Mishap Citation Text: Yang A. Multifactorial Medication Mishap. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014. Copy Citation Format: Google Scholar BibTeX EndNot…

2757. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33598/psn-pdf
      June 15, 2024 - Approximately half of the 1.6 million nursing home residents in the United States fall each year, and

2758. Errors in Sepsis Management | PSNet
      psnet.ahrq.gov/web-mm/errors-sepsis-management
      November 03, 2015 - SPOTLIGHT CASE Errors in Sepsis Management Citation Text: Shimabukuro D. Errors in Sepsis Management. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015. Copy Citation Format: Google Scholar BibTeX EndNote X…

2759. Surveys on Patient Safety Culture (SOPS) Medical Office Survey: 2024 User Database Report. | PSNet
      psnet.ahrq.gov/issue/surveys-patient-safety-culture-sops-medical-office-survey-2024-user-database-report
      January 14, 2024 - January 14, 2024 AHRQ Nursing Home Survey on Patient Safety Culture: 2019 User Comparative

2760. Protecting children from iatrogenic harm during COVID19 pandemic. | PSNet
      psnet.ahrq.gov/issue/protecting-children-iatrogenic-harm-during-covid19-pandemic
      December 02, 2020 - Outbreak: 3.0 January 29, 2021 Expanding frontiers of risk management: care safety in nursing … home during COVID-19 pandemic.