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psnet.ahrq.gov/node/49681/psn-pdf
April 01, 2013 - Total Parenteral Nutrition, Multifarious Errors
April 1, 2013
Boullata JI. Total Parenteral Nutrition, Multifarious Errors. PSNet [internet]. 2013.
https://psnet.ahrq.gov/web-mm/total-parenteral-nutrition-multifarious-errors
Case Objectives
Define parenteral nutrition (PN).
Describe the PN-use process.
Identify …
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psnet.ahrq.gov/node/836942/psn-pdf
April 27, 2022 - Saline Flush Leads to Acute Paralysis of an Awake
Patient: Risks of Improper Medication Labeling in an
Operating Room
April 27, 2022
Kriss RS. Saline Flush Leads to Acute Paralysis of an Awake Patient: Risks of Improper Medication
Labeling in an Operating Room. PSNet [internet]. 2022.
https://psnet.ahrq.gov/web-m…
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psnet.ahrq.gov/issue/talkingquality
December 24, 2008 - Multi-use Website
TalkingQuality.
Citation Text:
TalkingQuality. Agency for Healthcare Research and Quality.
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psnet.ahrq.gov/issue/preventing-adverse-events-caused-emergency-electrical-power-system-failures
July 31, 2023 - Sentinel Event Alerts
Preventing adverse events caused by emergency electrical power system failures.
Citation Text:
Preventing adverse events caused by emergency electrical power system failures. Sentinel Event Alert. 2006;37(37):1-3.
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psnet.ahrq.gov/issue/reports-hospital-and-asc-performance
October 02, 2024 - Book/Report
Reports on Hospital and ASC Performance.
Citation Text:
Reports On Hospital And Asc Performance. Washington DC: The Leapfrog Group; September 2024.
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Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
Dow…
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psnet.ahrq.gov/node/33575/psn-pdf
March 15, 2025 - Patient Engagement and Safety
March 15, 2025
Patient Engagement and Safety. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/patient-engagement-and-safety
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the pati…
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psnet.ahrq.gov/node/841139/psn-pdf
December 14, 2022 - Open wider: Failure to use an interpreter results in
fractured teeth and hypoxia during a simple elective
operation.
December 14, 2022
Bohringer C, Godoy L. Open wider: Failure to use an interpreter results in fractured teeth and hypoxia
during a simple elective operation. PSNet [internet]. 2022.
https://psnet.ah…
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psnet.ahrq.gov/node/33596/psn-pdf
June 01, 2025 - hospital-inpatient-prospective-payment-system-ipps-and-long-term-care-hospital-prospective-0
https://psnet.ahrq.gov//mailto:itokareva@ucdavis.edu
Professor of Internal Medicine and Pediatrics
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psnet.ahrq.gov/issue/high-reliability-health-care
May 06, 2015 - Measurement Tool/Indicator
High Reliability in Health Care.
Citation Text:
High Reliability in Health Care. Joint Commission Center for Transforming Healthcare.
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psnet.ahrq.gov/issue/common-formats-patient-safety-data-collection-and-event-reporting-0
December 24, 2008 - Multi-use Website
Common formats for patient safety data collection and event reporting.
Citation Text:
Common formats for patient safety data collection and event reporting. Agency for Healthcare Research and Quality.
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psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-40
January 17, 2018 - Commentary
ISMP medication error report analysis.
Citation Text:
ISMP medication error report analysis. Cohen MR; Smetzer JL.
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psnet.ahrq.gov/issue/delivering-safety-over-convenience
October 01, 2014 - Newspaper/Magazine Article
Delivering safety over convenience.
Citation Text:
Delivering safety over convenience. Clark C.
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psnet.ahrq.gov/issue/aorn-position-statement-criminalization-human-errors-perioperative-setting
May 01, 2022 - Organizational Policy/Guidelines
AORN Position Statement on Criminalization of Human Errors in the Perioperative Setting.
Citation Text:
AORN Position Statement on Criminalization of Human Errors in the Perioperative Setting. AORN J. 2018;108(1):64-65. doi:10.1002/aorn.12292.
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psnet.ahrq.gov/issue/special-issue-teamwork
March 23, 2022 - Special or Theme Issue
Special Issue on Teamwork.
Citation Text:
Special Issue on Teamwork. Salas E, Rosen MA, eds. BMJ Qual Saf. 2013;22(5):369-448.
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psnet.ahrq.gov/issue/ed-revamp-team-approach-care-reduces-errors-boosts-patient-and-clinician-satisfaction
June 14, 2023 - Newspaper/Magazine Article
ED revamp: team approach to care reduces errors, boosts patient and clinician satisfaction.
Citation Text:
ED revamp: team approach to care reduces errors, boosts patient and clinician satisfaction. ED management : the monthly update on emergency department m…
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psnet.ahrq.gov/issue/aorn-guidance-statement-do-not-use-abbreviations-acronyms-dosage-designations-and-symbols
November 26, 2024 - Commentary
AORN guidance statement: "do-not-use" abbreviations, acronyms, dosage designations, and symbols.
Citation Text:
AORN Guidance Statement: "do-not-use" abbreviations, acronyms, dosage designations, and symbols. AORN J. 2006;84(3):489-92.
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psnet.ahrq.gov/issue/devil-inside-wired-medicine
May 30, 2018 - Newspaper/Magazine Article
The devil inside wired medicine.
Citation Text:
The devil inside wired medicine. Langreth R. Forbes Magazine. May 11, 2009;183:40.
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psnet.ahrq.gov/issue/policy-positions-and-guidelines
July 10, 2019 - Database/Directory
Policy Positions and Guidelines.
Citation Text:
Policy Positions and Guidelines. Amercian Society of Health-System Pharmacists; ASHP.
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psnet.ahrq.gov/issue/emergency-response-outpatient-oncology-care-improving-patient-safety
March 16, 2023 - Commentary
Emergency response in outpatient oncology care: improving patient safety.
Citation Text:
Schiavone R. Emergency response in outpatient oncology care: improving patient safety. Clin J Oncol Nurs. 2009;13(4):440-2. doi:10.1188/09.CJON.440-442.
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psnet.ahrq.gov/innovation/critical-care-resource-nurse-team-patient-safety-and-quality-outcomes-model
July 23, 2024 - EMERGING INNOVATIONS
Critical care resource nurse team: a patient safety and quality outcomes model.
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November 16, 2022
Rapid response …