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  1. psnet.ahrq.gov/web-mm/picking-cause-stroke
    August 07, 2024 - Picking Up the Cause of the Stroke Citation Text: Chopra V. Picking Up the Cause of the Stroke. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 X…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33637/psn-pdf
    August 01, 2006 - In Conversation with...Lucian Leape, MD August 1, 2006 In Conversation with..Lucian Leape, MD. PSNet [internet]. 2006. https://psnet.ahrq.gov/perspective/conversation-withlucian-leape-md Dr. Robert Wachter, Editor, AHRQ WebM&M: What kind of career did you fashion for yourself prior to getting involved in safety an…
  3. www.ahrq.gov/cahps/bibliography/index.html
    November 01, 2024 - CAHPS Bibliography Browse or search for publications about the development and use of CAHPS surveys and other topics related to assessing patients’ experiences with care. Results 1-50 of 575 Bibliography Items Found Pagination 1 2 3 4 5 6 7 8 9 …
  4. hcup-us.ahrq.gov/db/nation/kid/tools/stats/KID_2000_SummaryStats_Hospital.PDF
    January 01, 2000 - please refer to the section on Description of Data Elements. For more information about the coding of HCUP data elements, HCUP Summary Statistics Report: KID 2000 - Hospital File 1 Means of Continuous Data Elements 10:14 Monday, May 1, 2006 please refer to the section on Description of Data Elements. For more infor…
  5. psnet.ahrq.gov/web-mm/patient-safety-events-involving-opioid-dose-stacking
    July 08, 2022 - SPOTLIGHT CASE Patient Safety Events Involving Opioid Dose Stacking Citation Text: Porras H, Lammers C. Patient Safety Events Involving Opioid Dose Stacking. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022. Copy Cita…
  6. psnet.ahrq.gov/perspective/improving-diagnostic-safety-and-quality
    January 31, 2024 - Annual Perspective Improving Diagnostic Safety and Quality Jawad Al-Khafaji, MD, MHSA, Merton Lee, PhD, PharmD, Sarah Mossburg, RN, PhD | April 26, 2023  View more articles from the same authors. Citation Text: Al-Khafaji J, Lee M, Mossburg S. Improving Di…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45307/psn-pdf
    September 07, 2016 - End Sepsis. September 7, 2016 1212 Avenue of the Americas, 5th Floor, New York, NY 10036. 212-244- 6294 contact@endsepsis.org https://psnet.ahrq.gov/issue/rory-staunton-foundation-sepsis-prevention Sepsis is a serious condition that can be rapidly fatal if it is not promptly diagnosed and treated. T…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42090/psn-pdf
    March 06, 2013 - Adverse drug events in a paediatric intensive care unit: a prospective cohort. March 6, 2013 Silva DCB, Araujo OR, Arduini RG, et al. Adverse drug events in a paediatric intensive care unit: a prospective cohort. BMJ Open. 2013;3(2):e001868. doi:10.1136/bmjopen-2012-001868. https://psnet.ahrq.gov/issue/adverse-dru…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39319/psn-pdf
    March 05, 2010 - The incidence and nature of prescribing and medication administration errors in paediatric inpatients. March 5, 2010 Ghaleb M, Barber N, Franklin BD, et al. The incidence and nature of prescribing and medication administration errors in paediatric inpatients. Arch Dis Child. 2010;95(2):113-8. doi:10.1136/adc.2009.…
  10. www.ahrq.gov/teamstepps-program/evidence-base/index.html
    July 01, 2023 - TeamSTEPPS: Research/Evidence Base TeamSTEPPS ® has been used by healthcare professionals across the United States. The research cataloged here describes some of the approaches used to implement TeamSTEPPS 3.0 in specific settings of care, as well as evaluation efforts to quantify or qualify the impact of us…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47477/psn-pdf
    November 14, 2018 - Losing Laura. November 14, 2018 DeMarco P. Globe Magazine. November 3, 2018. https://psnet.ahrq.gov/issue/losing-laura This magazine article reports on the preventable death of a patient during an acute asthma attack. Written by the patient's husband, the article outlines the failures that led to her death despite…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39184/psn-pdf
    January 06, 2010 - Patient safety attitudes of paediatric trainee physicians. January 6, 2010 Parry G, Horowitz L, Goldmann D. Patient safety attitudes of paediatric trainee physicians. Qual Saf Health Care. 2009;18(6):462-6. doi:10.1136/qshc.2006.020230. https://psnet.ahrq.gov/issue/patient-safety-attitudes-paediatric-trainee-physic…
  13. www.ahrq.gov/hai/cusp/clabsi-final-companion/clabsicompapg.html
    January 01, 2013 - Eliminating CLABSI, A National Patient Safety Imperative: Final Report Companion Guide Appendix G. Readiness Assessment Previous Page   Table of Contents Eliminating CLABSI, A National Patient Safety Imperative: Final Report Companion Guide Preface Methods Participation Outcomes Adult Non-…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41631/psn-pdf
    September 24, 2016 - Interruption handling strategies during paediatric medication administration. September 24, 2016 Colligan L, Bass EJ. Interruption handling strategies during paediatric medication administration. BMJ Qual Saf. 2012;21(11):912-7. doi:10.1136/bmjqs-2011-000292. https://psnet.ahrq.gov/issue/interruption-handling-stra…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61052/psn-pdf
    April 01, 2019 - Inadvertent Administration of an Oral Liquid Medicine into a Vein. April 1, 2019 Farnborough, UK; Healthcare Safety Investigation Branch: April 2019. https://psnet.ahrq.gov/issue/inadvertent-administration-oral-liquid-medicine-vein Wrong route medication administration is a never event. This report examined the co…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41637/psn-pdf
    February 20, 2013 - Codeine use in certain children after tonsillectomy and/or adenoidectomy may lead to rare, but life-threatening adverse events or death. February 20, 2013 MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; August 15, 2012. (Updated February 20, 2013) https://psnet.ahrq.gov/issue/codeine-us…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41888/psn-pdf
    December 12, 2012 - ACOG Committee Opinion #546: tracking and reminder systems. December 12, 2012 Improvement AC of O and GC on PS and Q. Committee Opinion No.546: Tracking and reminder systems. Obstet Gynecol. 2012;120(6):1535-7. doi:10.1097/01.AOG.0000423820.92906.d0. https://psnet.ahrq.gov/issue/acog-committee-opinion-546-tracking…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45153/psn-pdf
    May 18, 2016 - Structuring feedback and debriefing to achieve mastery learning goals. May 18, 2016 Eppich W, Hunt EA, Duval-Arnould JM, et al. Structuring feedback and debriefing to achieve mastery learning goals. Acad Med. 2015;90(11):1501-8. doi:10.1097/ACM.0000000000000934. https://psnet.ahrq.gov/issue/structuring-feedback-an…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867145/psn-pdf
    November 13, 2024 - Technology, Education and Safety. November 13, 2024 Technology, Education and Safety. Harbell MW, ed. Curr Opin Anaesthesiol. 2024;37(6):666-742. https://psnet.ahrq.gov/issue/technology-education-and-safety-3 Despite consummate efforts to improve safety, errors still occur in anesthesiology. This special collection…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73380/psn-pdf
    June 09, 2021 - Wrong Site Surgery–Wrong Tooth Extraction. June 9, 2021 Farnborough, UK: Healthcare Safety Investigation Branch; April 2021. https://psnet.ahrq.gov/issue/wrong-site-surgery-wrong-tooth-extraction Wrong-site surgery in dentistry is a frequent and persistent never event. This report examines a case of pediatric wron…