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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46243/psn-pdf
    June 05, 2019 - AHRQ Safety Program for Improving Surgical Care and Recovery. June 5, 2019 Agency for Healthcare Research and Quality. https://psnet.ahrq.gov/issue/ahrq-safety-program-improving-surgical-care-and-recovery Patients are vulnerable to harm after surgery. This program used methods from the Comprehensive Unit- based S…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47627/psn-pdf
    January 16, 2019 - Safety of overlapping inpatient orthopaedic surgery: a multicenter study. January 16, 2019 Dy CJ, Osei DA, Maak TG, et al. Safety of Overlapping Inpatient Orthopaedic Surgery: A Multicenter Study. J Bone Joint Surg Am. 2018;100(22):1902-1911. doi:10.2106/JBJS.17.01625. https://psnet.ahrq.gov/issue/safety-overlappi…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44782/psn-pdf
    January 13, 2016 - The Swiss cheese model of adverse event occurrence—closing the holes. January 13, 2016 Stein JE, Heiss K. The Swiss cheese model of adverse event occurrence--Closing the holes. Semin Pediatr Surg. 2015;24(6):278-82. doi:10.1053/j.sempedsurg.2015.08.003. https://psnet.ahrq.gov/issue/swiss-cheese-model-adverse-event…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44041/psn-pdf
    April 01, 2015 - Potentially dangerous confusion between Bloxiverz (neostigmine) injection and Vazculep (phenylephrine) injection. April 1, 2015 National Alert Network. Horsham, PA: Institute for Safe Medication Practices; Bethesda, MD: American Society of Health-System Pharmacists. March 23, 2015 https://psnet.ahrq.gov/issue/pot…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50867/psn-pdf
    February 05, 2020 - Cognitive testing of older clinicians prior to recredentialing. February 5, 2020 Cooney L, Balcezak T. Cognitive Testing of Older Clinicians Prior to Recredentialing. JAMA. 2020;323(2):179-180. doi:10.1001/jama.2019.18665. https://psnet.ahrq.gov/issue/cognitive-testing-older-clinicians-prior-recredentialing In an…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60004/psn-pdf
    January 01, 2021 - Association of overlapping cardiac surgery with short- term patient outcomes. March 3, 2020 Glauser G, Goodrich S, McClintock SD, et al. Association of overlapping cardiac surgery with short-term patient outcomes. J Thorac Cardiovasc Surg. 2021;162(1):155-164.e2. doi:10.1016/j.jtcvs.2019.11.136. https://psnet.ahrq…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47971/psn-pdf
    June 14, 2019 - Evidence-based medicine: a cornerstone for clinical care but not for quality improvement. June 14, 2019 Mondoux S, Shojania KG. Evidence-based medicine: A cornerstone for clinical care but not for quality improvement. J Eval Clin Pract. 2019;25(3):363-368. doi:10.1111/jep.13135. https://psnet.ahrq.gov/issue/eviden…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44540/psn-pdf
    September 30, 2015 - The bare minimum: the reality of global anaesthesia and patient safety. September 30, 2015 McQueen K, Coonan T, Ottaway A, et al. The Bare Minimum: The Reality of Global Anaesthesia and Patient Safety. World J Surg. 2015;39(9):2153-60. doi:10.1007/s00268-015-3101-x. https://psnet.ahrq.gov/issue/bare-minimum-realit…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45621/psn-pdf
    November 09, 2016 - Impact of age on anaesthesiologists' competence: a narrative review. November 9, 2016 Giacalone M, Zaouter C, Mion S, et al. Impact of age on anaesthesiologists' competence: A narrative review. Eur J Anaesthesiol. 2016;33(11):787-793. https://psnet.ahrq.gov/issue/impact-age-anaesthesiologists-competence-narrative-…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60567/psn-pdf
    June 03, 2020 - Keeping Nursing Home Residents and Staff Safe in the Era of COVID-19. June 3, 2020 National Academy of Medicine. April-June 2020. https://psnet.ahrq.gov/issue/keeping-nursing-home-residents-and-staff-safe-era-covid-19 Nursing homes are care environments that are particularly challenged by the COVID-19 pandemic. Th…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44014/psn-pdf
    March 20, 2019 - Patient Centered Medical Home Resource Center: Quality and Safety. March 20, 2019 Agency for Healthcare Research and Quality. https://psnet.ahrq.gov/issue/patient-centered-medical-home-resource-center-quality-and-safety The Patient Centered Medical Home (PCMH) concept reorganizes primary care services to ensure th…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47048/psn-pdf
    April 22, 2023 - National Prescription Drug Take Back Day. April 16, 2023 Drug Enforcement Administration. April 22, 2023. https://psnet.ahrq.gov/issue/national-prescription-drug-take-back-day Removing unused medications from the home can help prevent accidental exposure to unneeded medications and limit their availability for mis…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866651/psn-pdf
    September 04, 2024 - Diagnostic Stewardship as a Model to Improve the Quality and Safety of Diagnosis. September 4, 2024 Diagnostic Stewardship As A Model To Improve The Quality And Safety Of Diagnosis. Rockville, MD: Agency for Healthcare Research and Quality; May 2024. AHRQ report no. 24-0010-6-EF https://psnet.ahrq.gov/issue/diagno…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34770/psn-pdf
    April 17, 2017 - Clinical Risk Management. Enhancing Patient Safety. 2nd ed. April 17, 2017 Vincent CA, ed. London, UK: BMJ Books; 2001. ISBN: 9780727913920. https://psnet.ahrq.gov/issue/clinical-risk-management-enhancing-patient-safety-2nd-ed Vincent has updated his text on risk management, infusing it with concepts directly rela…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46540/psn-pdf
    August 08, 2018 - Preventing adverse events in cataract surgery: recommendations from a Massachusetts expert panel. August 8, 2018 Nanji KC, Roberto SA, Morley MG, et al. Preventing Adverse Events in Cataract Surgery: Recommendations From a Massachusetts Expert Panel. Anesth Analg. 2018;126(5):1537-1547. doi:10.1213/ANE.00000000000…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38387/psn-pdf
    February 04, 2009 - Obstetrician-gynecologists' opinions about patient safety: costs and liability remain problems; are mandated reports a solution? February 4, 2009 Stumpf PG, Anderson B, Lawrence H, et al. Obstetrician-gynecologists' opinions about patient safety: costs and liability remain problems; are mandated reports a solution…
  17. psnet.ahrq.gov/web-mm/troubling-amine
    September 01, 2003 - A Troubling Amine Citation Text: Flynn EA. A Troubling Amine. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …
  18. psnet.ahrq.gov/web-mm/outbreak
    January 29, 2015 - Outbreak Citation Text: Rothman R, Stapleton S. Outbreak. 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 PubMedId RIS …
  19. psnet.ahrq.gov/perspective/safety-retail-pharmacy
    May 11, 2016 - Safety in the Retail Pharmacy Michelle A. Chui, PharmD, PhD | October 1, 2018  View more articles from the same authors. Citation Text: Chui MA. Safety in the Retail Pharmacy. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Departme…
  20. psnet.ahrq.gov/web-mm/untimely-end-despite-end-life-care-planning
    February 01, 2012 - An Untimely End Despite End-of-Life Care Planning Citation Text: Elia G, Barbour S, Anderson WG. An Untimely End Despite End-of-Life Care Planning. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. Copy Citation Format: …

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