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3401. Tubing safety in the obstetric setting: preventing medication errors. | PSNet
      psnet.ahrq.gov/issue/tubing-safety-obstetric-setting-preventing-medication-errors
      November 04, 2020 - Tailoring Interventions for Patient Safety (TIPS) program to engage older adults in fall prevention in a nursing … home.

3402. Caution: coloured medication and the colour blind. | PSNet
      psnet.ahrq.gov/issue/caution-coloured-medication-and-colour-blind
      April 24, 2018 - April 24, 2018 Omissions of care in nursing home settings: a narrative review.

3403. A national safety board made transportation safer and could do the same for health care, advocates say. | PSNet
      psnet.ahrq.gov/issue/national-safety-board-made-transportation-safer-and-could-do-same-health-care-advocates-say
      August 09, 2023 - August 23, 2023 Nursing home workers warned government about safety violations before

3404. Common formats allow uniform collection and reporting of patient safety data by patient safety organizations. | PSNet
      psnet.ahrq.gov/issue/common-formats-allow-uniform-collection-and-reporting-patient-safety-data-patient-safety
      May 20, 2009 - June 22, 2022 Agency information collection activities: Nursing Home Survey on Patient

3405. Roadmap to Health Care Safety for Massachusetts. | PSNet
      psnet.ahrq.gov/issue/roadmap-health-care-safety-massachusetts
      June 15, 2016 - View More Related Resources Surveys on Patient Safety Culture Nursing … Home Survey: User Database Report.

3406. Hospital Reporting Program: Annual Summary. | PSNet
      psnet.ahrq.gov/issue/hospital-reporting-program-annual-summary
      August 17, 2022 - Copy Citation Related Resources From the Same Author(s) The Nursing Home

3407. Origin of Adverse Drug Events in US Hospitals, 2011. | PSNet
      psnet.ahrq.gov/issue/origin-adverse-drug-events-us-hospitals-2011
      January 11, 2017 - May 11, 2016 AHRQ Nursing Home Survey on Patient Safety Culture: 2014 User Comparative

3408. Common Formats for Patient Safety Data Collection. | PSNet
      psnet.ahrq.gov/issue/common-formats-patient-safety-data-collection
      October 08, 2024 - June 22, 2022 Agency information collection activities: Nursing Home Survey on Patient

3409. Assessment of the safety of discharging select patients directly home from the intensive care unit: a multicenter population-based cohort study. | PSNet
      psnet.ahrq.gov/issue/assessment-safety-discharging-select-patients-directly-home-intensive-care-unit-multicenter
      May 20, 2020 - Study Assessment of the safety of discharging select patients directly home from the intensive care unit: a multicenter population-based cohort study. Citation Text: Stelfox HT, Soo A, Niven DJ, et al. Assessment of the Safety of Discharging Select Patients Directly Home From the Intensi…

3410. Making Do | PSNet
      psnet.ahrq.gov/web-mm/making-do
      September 05, 2018 - Making Do Citation Text: Bradley LD. Making Do. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Downloa…

3411. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50843/psn-pdf
      January 29, 2020 - Incomplete Orders for Hypertonic Saline to Treat Hyponatremia January 29, 2020 Wiegley N, Morfín JA. Incomplete Orders for Hypertonic Saline to Treat Hyponatremia. PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/incomplete-orders-hypertonic-saline-treat-hyponatremia The Case A 54-year-old man was brought t…

3412. Central, not Epidural | PSNet
      psnet.ahrq.gov/web-mm/central-not-epidural
      August 28, 2024 - Central, not Epidural Citation Text: Simmons D. Central, not Epidural. 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 XML EndNote 7 XML Endnote tagged PubMedI…

3413. Spotlight Case September 2006 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.134_slideshow.ppt
      September 01, 2006 - Spotlight Case September 2006 Spotlight Case September 2006 Triple Handoff Source and Credits This presentation is based on the September 2006 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available through the Web site Commentary by: Arpana Vidyarthi, MD, UCSF Sc…

3414. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49586/psn-pdf
      May 01, 2009 - Vial Mistakes Involving Heparin May 1, 2009 Vanderveen T. Vial Mistakes Involving Heparin. PSNet [internet]. 2009. https://psnet.ahrq.gov/web-mm/vial-mistakes-involving-heparin The Case A 65-year-old man was admitted to the hospital for an elective left carotid endarterectomy. During the procedure, the surgeon re…

3415. Learning from diagnostic errors to improve patient safety when GPs work in or alongside emergency departments: incorporating realist methodology into patient safety incident report analysis. | PSNet
      psnet.ahrq.gov/issue/learning-diagnostic-errors-improve-patient-safety-when-gps-work-or-alongside-emergency
      December 15, 2021 - Organizational readiness to change as a leverage point for improving safety: a national nursing … home survey.

3416. Complications of Vascular Access Procedures in Patients with Kidney Disease | PSNet
      psnet.ahrq.gov/web-mm/complications-vascular-access-procedures-patients-kidney-disease
      November 15, 2023 - Complications of Vascular Access Procedures in Patients with Kidney Disease Citation Text: Young SR, Chen I. Complications of Vascular Access Procedures in Patients with Kidney Disease. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. …

3417. Confidential Physician Feedback Reports: Designing for Optimal Impact on Performance. | PSNet
      psnet.ahrq.gov/issue/confidential-physician-feedback-reports-designing-optimal-impact-performance
      May 11, 2016 - May 11, 2016 Resident Safety Practices in Nursing Home Settings.

3418. Clinical Uncertainty in Primary Care: The Challenge of Collaborative Engagement. | PSNet
      psnet.ahrq.gov/issue/clinical-uncertainty-primary-care-challenge-collaborative-engagement
      December 23, 2008 - Tailoring Interventions for Patient Safety (TIPS) program to engage older adults in fall prevention in a nursing … home.

3419. Toolkit to Engage High-Risk Patients in Safe Transitions Across Ambulatory Settings. | PSNet
      psnet.ahrq.gov/issue/toolkit-engage-high-risk-patients-safe-transitions-across-ambulatory-settings
      March 11, 2017 - March 11, 2017 Resident Safety Practices in Nursing Home Settings.

3420. A crisis within a crisis. | PSNet
      psnet.ahrq.gov/issue/crisis-within-crisis
      May 05, 2021 - May 5, 2021 Nursing home workers warned government about safety violations before COVID