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3481. The Result Stopped Here | PSNet
      psnet.ahrq.gov/web-mm/result-stopped-here
      December 01, 2006 - The Result Stopped Here Citation Text: Astion ML. The Result Stopped Here. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pub…

3482. PSNet Curated Library (pdf file)
      psnet.ahrq.gov/print/pdf/node/74277
      January 01, 2021 - PSNet Curated Library AHRQ: Agency for Healthcare Research and Quality Medication/Drug Errors Curated Library Primers Medication Administration Errors Paul MacDowell, PharmD, BCPS, Ann Cabri, PharmD, and Michaela Davis, MSN, RN, CNS | March, 12 2021 Medication administration errors are a persistent patient saf…

3483. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49838/psn-pdf
      August 01, 2018 - An Untimely End Despite End-of-Life Care Planning August 1, 2018 Elia G, Barbour S, Anderson WG. An Untimely End Despite End-of-Life Care Planning. PSNet [internet]. 2018. https://psnet.ahrq.gov/web-mm/untimely-end-despite-end-life-care-planning The Case A 76-year-old man was admitted to the intensive care unit (…

3484. Do Me a Favor | PSNet
      psnet.ahrq.gov/web-mm/do-me-favor
      September 12, 2016 - Do Me a Favor Citation Text: Williamson A. Do Me a Favor. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

3485. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44743/psn-pdf
      December 22, 2017 - Patients' and providers' perceptions of the preventability of hospital readmission: a prospective, observational study in four European countries. December 22, 2017 van Galen LS, Brabrand M, Cooksley T, et al. Patients' and providers' perceptions of the preventability of hospital readmission: a prospective, observ…

3486. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/849329/psn-pdf
      May 24, 2023 - Interorganizational health information exchange-related patient safety incidents: a descriptive register-based qualitative study. May 24, 2023 Hyvämäki P, Sneck S, Meriläinen M, et al. Interorganizational health information exchange-related patient safety incidents: a descriptive register-based qualitative study. …

3487. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/864868/psn-pdf
      March 27, 2024 - Inpatient Transitions of Care: Challenges and Safety Practices March 27, 2024 Satake A, McElroy V. Inpatient Transitions of Care: Challenges and Safety Practices. PSNet [internet]. 2024. https://psnet.ahrq.gov/primer/inpatient-transitions-care-challenges-and-safety-practices Background Transitions of care occur …

3488. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49502/psn-pdf
      February 01, 2006 - Deciphering the Code February 1, 2006 Goldstein MK. Deciphering the Code. PSNet [internet]. 2006. https://psnet.ahrq.gov/web-mm/deciphering-code The Case An 85-year-old man with advanced oxygen-dependent chronic obstructive pulmonary disease (COPD) presented to the emergency department (ED) with increasing shortn…

3489. The One That Got Away—Elopement of a Suicidal Patient in the Emergency Department. | PSNet
      psnet.ahrq.gov/web-mm/one-got-away-elopement-suicidal-patient-emergency-department
      September 27, 2023 - The One That Got Away—Elopement of a Suicidal Patient in the Emergency Department. Citation Text: Bourgeois JA, Xiong G, Barnes DK, et al. The One That Got Away—Elopement of a Suicidal Patient in the Emergency Department.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Depa…

3490. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837748/psn-pdf
      August 05, 2022 - Challenges of Diabetes Management and Medication Reconciliation August 5, 2022 Lee S, Molla M. Challenges of Diabetes Management and Medication Reconciliation . PSNet [internet]. 2022. https://psnet.ahrq.gov/web-mm/challenges-diabetes-management-and-medication-reconciliation The Cases Case #1: A 53-year-old man …

3491. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/846170/psn-pdf
      March 15, 2023 - Duplicate Therapies in Retail Pharmacy March 15, 2023 Punatar N, Molla M, Lee S. Duplicate Therapies in Retail Pharmacy. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/duplicate-therapies-retail-pharmacy The Cases Case 1: A middle-aged man with a past medical history of heart failure with reduced ejection f…

3492. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49678/psn-pdf
      March 01, 2013 - A Weighty Mistake March 1, 2013 Bokser SJ. A Weighty Mistake. PSNet [internet]. 2013. https://psnet.ahrq.gov/web-mm/weighty-mistake Case Objectives Understand factors associated with weight-based dosing medication errors in pediatric populations. Describe how adoption of computerized provider order entry (CPOE) s…

3493. Taking Charge of Your Healthcare: Your Path to Being an Empowered Patient. | PSNet
      psnet.ahrq.gov/issue/taking-charge-your-healthcare-your-path-being-empowered-patient
      May 24, 2017 - Toolkit Taking Charge of Your Healthcare: Your Path to Being an Empowered Patient. Citation Text: Taking Charge of Your Healthcare: Your Path to Being an Empowered Patient. Chicago, IL: Consumers Advancing Patient Safety; 2009. Copy Citation Save Save to your libr…

3494. Educating for Safety. | PSNet
      psnet.ahrq.gov/issue/educating-safety
      December 09, 2020 - Special or Theme Issue Educating for Safety. Citation Text: Educating for Safety. Am J Pharm Edu. 2011;75(7):e140-e143.   Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin …

3495. Patient Safety and Quality Improvement Act of 2005--HHS guidance regarding patient safety work product and providers' external obligations. | PSNet
      psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-act-2005-hhs-guidance-regarding-patient-safety-work
      December 24, 2008 - June 22, 2022 Agency information collection activities: Nursing Home Survey on Patient

3496. Missed steps in the preanesthetic set-up. | PSNet
      psnet.ahrq.gov/issue/missed-steps-preanesthetic-set
      June 26, 2019 - January 19, 2012 The association of nursing home characteristics and quality with adverse

3497. Hospital Survey on Patient Safety Culture: 2007 Comparative Database Report. | PSNet
      psnet.ahrq.gov/issue/hospital-survey-patient-safety-culture-2007-comparative-database-report
      February 12, 2019 - April 6, 2022 AHRQ Nursing Home Survey on Patient Safety Culture: 2019 User Comparative

3498. What happens when things go wrong? | PSNet
      psnet.ahrq.gov/issue/what-happens-when-things-go-wrong
      April 24, 2018 - A national implementation project to prevent catheter-associated urinary tract infection in nursing … home residents.

3499. Ambulatory medication errors and adverse events involved in medicine-related malpractice cases from 2011 to 2021. | PSNet
      psnet.ahrq.gov/issue/ambulatory-medication-errors-and-adverse-events-involved-medicine-related-malpractice-cases
      November 18, 2016 - July 1, 2019 Communication disparities between nursing home team members.

3500. National Healthcare Quality and Disparities Report Chartbook on Patient Safety. | PSNet
      psnet.ahrq.gov/issue/national-healthcare-quality-and-disparities-report-chartbook-patient-safety-0
      May 02, 2017 - View More Related Resources Surveys on Patient Safety Culture Nursing … Home Survey: User Database Report.