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  1. psnet.ahrq.gov/issue/ahrq-health-information-technology-research-2018-year-review
    May 07, 2014 - August 1, 2012 AHRQ Nursing Home Survey on Patient Safety Culture: 2019 User Comparative
  2. psnet.ahrq.gov/issue/addressing-disease-related-malnutrition-hospitalized-patients-call-national-goal
    June 12, 2018 - Bottom Up June 1, 2012 Trends in Nursing Home Deficiencies and Complaints.
  3. psnet.ahrq.gov/issue/pharmacist-staffing-technology-use-and-implementation-medication-safety-practices-rural
    September 27, 2010 - multidisciplinary medication review on the safety and medication cost of the elderly people living in a nursinghome: a before-after study.
  4. psnet.ahrq.gov/issue/evolution-safety-culture
    March 17, 2021 - September 28, 2022 Communication disparities between nursing home team members.
  5. psnet.ahrq.gov/issue/learning-samples-one-or-fewer
    December 21, 2017 - Tailoring Interventions for Patient Safety (TIPS) program to engage older adults in fall prevention in a nursinghome.
  6. psnet.ahrq.gov/issue/incidence-accidental-awareness-during-general-anaesthesia-obstetrics-multicentre-prospective
    December 10, 2024 - December 5, 2022 Resident Safety Practices in Nursing Home Settings.
  7. psnet.ahrq.gov/issue/quali-quantitative-analysis-new-model-evaluation-unusual-cases-hospital-performance
    October 25, 2018 - Systematic review of the prevalence of medication errors resulting in hospitalization and death of nursinghome residents.
  8. psnet.ahrq.gov/issue/effects-work-hour-reduction-residents-lives-systematic-review
    March 02, 2011 - A national implementation project to prevent catheter-associated urinary tract infection in nursinghome residents.
  9. psnet.ahrq.gov/issue/medical-problem-solving-analysis-clinical-reasoning
    July 18, 2018 - Organizational readiness to change as a leverage point for improving safety: a national nursinghome survey.
  10. psnet.ahrq.gov/issue/quality-improvement-decrease-specimen-mislabeling-transfusion-medicine
    September 11, 2024 - Study Quality improvement to decrease specimen mislabeling in transfusion medicine. Citation Text: Quillen K, Murphy K. Quality improvement to decrease specimen mislabeling in transfusion medicine. Arch Pathol Lab Med. 2006;130(8):1196-1198. Copy Citation Format: Google S…
  11. psnet.ahrq.gov/issue/balancing-risk-my-life-politics-risk-hospital-operating-theatre-department
    July 20, 2010 - Commentary 'Balancing risk, that is my life': The politics of risk in a hospital operating theatre department. Citation Text: McDonald R, Waring J, Harrison S. ‘Balancing risk, that is my life’: The politics of risk in a hospital operating theatre department. Health Risk Soc. 2005;7(4)…
  12. psnet.ahrq.gov/issue/doctors-saved-her-life-she-didnt-want-them
    November 02, 2016 - Newspaper/Magazine Article Doctors saved her life. She didn’t want them to. Citation Text: Raphael K. Doctors saved her life. She didn’t want them to. New York Times. August 26, 2024; Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pu…
  13. psnet.ahrq.gov/issue/reduced-postdischarge-incidents-after-implementation-hospital-home-transition-intervention
    September 06, 2023 - Study Reduced postdischarge incidents after implementation of a hospital-to-home transition intervention for children with medical complexity. Citation Text: Huth K, Hotz A, Emara N, et al. Reduced postdischarge incidents after implementation of a hospital-to-home transition intervention…
  14. psnet.ahrq.gov/issue/detection-adverse-events-affected-record-review-methodology-evaluation-harvard-medical
    August 05, 2020 - Study Is detection of adverse events affected by record review methodology? An evaluation of the "Harvard Medical Practice Study" method and the "Global Trigger Tool." Citation Text: Unbeck M, Schildmeijer K, Henriksson P, et al. Is detection of adverse events affected by record review …
  15. psnet.ahrq.gov/issue/healthcare-professional-and-patient-codesign-and-validation-mechanism-service-users-feedback
    January 08, 2020 - Study Healthcare professional and patient codesign and validation of a mechanism for service users to feedback patient safety experiences following a care transfer: a qualitative study. Citation Text: Scott J, Heavey E, Waring J, et al. Healthcare professional and patient codesign and va…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854849/psn-pdf
    October 31, 2023 - “Copy and Paste” Notes and Autopopulated Text in the Electronic Health Records October 31, 2023 MacDonald S. “Copy and Paste” Notes and Autopopulated Text in the Electronic Health Records. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/copy-and-paste-notes-and-autopopulated-text-electronic-health-record Th…
  17. psnet.ahrq.gov/web-mm/discharged-blindly
    October 26, 2022 - Discharged Blindly Citation Text: Iezzoni LI. Discharged Blindly. 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…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49556/psn-pdf
    March 01, 2008 - Hold That Order March 1, 2008 Grissinger M. Hold That Order. PSNet [internet]. 2008. https://psnet.ahrq.gov/web-mm/hold-order The Case A 25-year-old woman with a history of a pituitary tumor was admitted with hypernatremia. Because of her previous pituitary resection and radiation, the patient had a long history …
  19. psnet.ahrq.gov/web-mm/solution-iv-or-irrigation-fluid-administration-errors-operating-room
    January 29, 2021 - Is that solution for IV or irrigation?: Fluid administration errors in the operating room. Citation Text: Bohringer C. Is that solution for IV or irrigation?: Fluid administration errors in the operating room.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of He…
  20. psnet.ahrq.gov/web-mm/wrong-blade-lack-familiarity-pediatric-emergency-equipment
    June 01, 2018 - The Wrong Blade: A Lack of Familiarity With Pediatric Emergency Equipment Citation Text: Katznelson J. The Wrong Blade: A Lack of Familiarity With Pediatric Emergency Equipment. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. …

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