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  1. Misplaced Nasogastric Tube Resulting in Aspiration | PSNet

    psnet.ahrq.gov/web-mm/misplaced-nasogastric-tube-resulting-aspiration
    August 01, 2009 - Misplaced Nasogastric Tube Resulting in Aspiration Citation Text: Singh A, Huang C. Misplaced Nasogastric Tube Resulting in Aspiration. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024. Copy Citation Format: Google S…

  2. US poison control center calls for infants 6 months of age and younger. | PSNet

    psnet.ahrq.gov/issue/us-poison-control-center-calls-infants-6-months-age-and-younger
    November 16, 2022 - A national implementation project to prevent catheter-associated urinary tract infection in nursing … home residents.

  3. Developing and evaluating clinical leadership interventions for frontline healthcare providers: a review of the literature. | PSNet

    psnet.ahrq.gov/issue/developing-and-evaluating-clinical-leadership-interventions-frontline-healthcare-providers
    May 01, 2024 - Review Emerging Classic Developing and evaluating clinical leadership interventions for frontline healthcare providers: a review of the literature. Citation Text: Mianda S, Voce A. Developing and evaluating clinical leadership interventions for frontline healthc…

  4. Analysis of staff safety concerns. | PSNet

    psnet.ahrq.gov/issue/analysis-staff-safety-concerns
    July 19, 2023 - Study Analysis of staff safety concerns. Citation Text: Davidson J, Lamontagne G, Burnell L, et al. Analysis of Staff Safety Concerns. J Nurs Care Qual. 2012;28(2). doi:10.1097/ncq.0b013e318277e874. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 X…

  5. Optimizing Graduate Medical Trainee (Resident) Hours and Work Schedules to Improve Patient Safety. | PSNet

    psnet.ahrq.gov/issue/optimizing-graduate-medical-trainee-resident-hours-and-work-schedules-improve-patient-safety
    July 05, 2008 - Book/Report Optimizing Graduate Medical Trainee (Resident) Hours and Work Schedules to Improve Patient Safety. Citation Text: Optimizing Graduate Medical Trainee (Resident) Hours and Work Schedules to Improve Patient Safety. Ulmer C, Wolman DM, Johns MME, eds. Committee on Optimizing Gra…

  6. Concealed renal insufficiency and adverse drug reactions in elderly hospitalized patients. | PSNet

    psnet.ahrq.gov/issue/concealed-renal-insufficiency-and-adverse-drug-reactions-elderly-hospitalized-patients
    March 27, 2024 - Study Concealed renal insufficiency and adverse drug reactions in elderly hospitalized patients. Citation Text: Corsonello A, Pedone C, Corica F, et al. Concealed renal insufficiency and adverse drug reactions in elderly hospitalized patients. Arch Intern Med. 2005;165(7):790-5. Copy…

  7. Confirming delivery: understanding the role of the hospitalized patient in medication administration safety. | PSNet

    psnet.ahrq.gov/issue/confirming-delivery-understanding-role-hospitalized-patient-medication-administration-safety
    March 02, 2016 - Study Confirming delivery: understanding the role of the hospitalized patient in medication administration safety. Citation Text: Macdonald M, Heilemann MS, MacKinnon NJ, et al. Confirming delivery: understanding the role of the hospitalized patient in medication administration safety. Q…

  8. Training operating room teams in damage control surgery for trauma: a followup study of the Norwegian model. | PSNet

    psnet.ahrq.gov/issue/training-operating-room-teams-damage-control-surgery-trauma-followup-study-norwegian-model
    December 29, 2014 - Study Training operating room teams in damage control surgery for trauma: a followup study of the Norwegian model. Citation Text: Hansen KS, Uggen PE, Brattebø G, et al. Training operating room teams in damage control surgery for trauma: a followup study of the Norwegian model. J Am Co…

  9. Risk management and patient safety in the artificial intelligence era: a systematic review. | PSNet

    psnet.ahrq.gov/issue/risk-management-and-patient-safety-artificial-intelligence-era-systematic-review
    February 15, 2023 - Review Risk management and patient safety in the artificial intelligence era: a systematic review. Citation Text: Ferrara M, Bertozzi G, Di Fazio N, et al. Risk management and patient safety in the artificial intelligence era: a systematic review. Healthcare (Basel). 2024;12(5):549. doi:…

  10. With a little help from my friends: the positive contribution of teamwork to safety behaviour in public hospitals. | PSNet

    psnet.ahrq.gov/issue/little-help-my-friends-positive-contribution-teamwork-safety-behaviour-public-hospitals
    July 22, 2020 - Study With a little help from my friends: the positive contribution of teamwork to safety behaviour in public hospitals. Citation Text: Trinchero E, Kominis G, Dudau A, et al. With a little help from my friends: the positive contribution of teamwork to safety behaviour in public hospital…

  11. Validating patient safety in the endoscopy unit using The Joint Commission standards. | PSNet

    psnet.ahrq.gov/issue/validating-patient-safety-endoscopy-unit-using-joint-commission-standards
    March 02, 2011 - Commentary Validating patient safety in the endoscopy unit using The Joint Commission standards. Citation Text: Ragsdale JA. Validating patient safety in the endoscopy unit using the joint commission standards. Gastroenterol Nurs. 2011;34(3):218-23. doi:10.1097/SGA.0b013e3181d6e4b1. …

  12. Differences in safety report event types submitted by graduate medical education trainees compared with other healthcare team members. | PSNet

    psnet.ahrq.gov/issue/differences-safety-report-event-types-submitted-graduate-medical-education-trainees-compared
    November 11, 2020 - Study Differences in safety report event types submitted by graduate medical education trainees compared with other healthcare team members. Citation Text: Cohen SP, McLean HS, Milne J, et al. Differences in Safety Report Event Types Submitted by Graduate Medical Education Trainees Compa…

  13. Impact of incorporating pharmacy claims data into electronic medication reconciliation. | PSNet

    psnet.ahrq.gov/issue/impact-incorporating-pharmacy-claims-data-electronic-medication-reconciliation
    September 01, 2016 - Study Impact of incorporating pharmacy claims data into electronic medication reconciliation. Citation Text: Phansalkar S, Her QL, Tucker AD, et al. Impact of incorporating pharmacy claims data into electronic medication reconciliation. Am J Health Syst Pharm. 2015;72(3):212-7. doi:10.21…

  14. The impact of hospital-acquired conditions on Medicare program payments. | PSNet

    psnet.ahrq.gov/issue/impact-hospital-acquired-conditions-medicare-program-payments
    November 18, 2016 - Study The impact of hospital-acquired conditions on Medicare program payments. Citation Text: Kandilov AMG, Coomer NM, Dalton K. The impact of hospital-acquired conditions on Medicare program payments. Medicare Medicaid Res Rev. 2014;4(4). doi:10.5600/mmrr.004.04.a01. Copy Citation …

  15. Webmm Spotlight Suicide Risk Assessment (pdf file)

    psnet.ahrq.gov/sites/default/files/2019-11/webmm_spotlight_suicide_risk_assessment.pdf
    January 01, 2019 - Spotlight Missed Opportunities for Suicide Risk Assessment Source and Credits • This presentation is based on the November 2019 AHRQ WebM&M Spotlight Case ○ See the full article at https://psnet.ahrq.gov/webmm ○ CME credit is available • Commentary by: Glen Xiong, MD & Debra Kahn, MD ○ Editors in Chief, AHRQ We…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49639/psn-pdf
    November 01, 2011 - Near Miss with Bedside Medications November 1, 2011 Wu AW. Near Miss with Bedside Medications. PSNet [internet]. 2011. https://psnet.ahrq.gov/web-mm/near-miss-bedside-medications Case Objectives Understanding the definition of near miss—also known as close call. Appreciate the importance of close calls in reducin…

  17. Sustaining Improvement. | PSNet

    psnet.ahrq.gov/issue/sustaining-improvement
    January 09, 2019 - November 1, 2016 Resident Safety Practices in Nursing Home Settings.

  18. Unite for Safe Care. | PSNet

    psnet.ahrq.gov/issue/unite-care
    October 20, 2021 - June 24, 2020 Keeping Nursing Home Residents and Staff Safe in the Era of COVID-19.

  19. Nutrition Support Safety. | PSNet

    psnet.ahrq.gov/issue/nutrition-support-safety
    July 10, 2024 - March 25, 2015 AHRQ Nursing Home Survey on Patient Safety Culture: 2019 User Comparative

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49603/psn-pdf
    June 01, 2010 - Fatal Error in Neonate: Does "Just Culture" Provide an Answer? June 1, 2010 Dekker SWA. Fatal Error in Neonate: Does "Just Culture" Provide an Answer? PSNet [internet]. 2010. https://psnet.ahrq.gov/web-mm/fatal-error-neonate-does-just-culture-provide-answer Case Objectives Describe the just culture approach to in…
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