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psnet.ahrq.gov/node/49719/psn-pdf
September 01, 2014 - No BP During NIBP
September 1, 2014
Görges M, Ansermino MJ. No BP During NIBP. PSNet [internet]. 2014.
https://psnet.ahrq.gov/web-mm/no-bp-during-nibp
The Case
An otherwise healthy 49-year-old man with atrial fibrillation was scheduled for ablation in the catheterization
laboratory under general endotracheal anes…
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psnet.ahrq.gov/node/33786/psn-pdf
May 01, 2015 - Video to Improve Patient Safety: Clinical and Educational
Uses
May 1, 2015
Xiao Y, Mackenzie CF, Seagull JF. Video to Improve Patient Safety: Clinical and Educational Uses. PSNet
[internet]. 2015.
https://psnet.ahrq.gov/perspective/video-improve-patient-safety-clinical-and-educational-uses
Perspective
Reports of…
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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…
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psnet.ahrq.gov/web-mm/superficial-report-leads-deep-problem
July 01, 2012 - "Superficial" Report Leads to "Deep" Problem
Citation Text:
Dhaliwal G. "Superficial" Report Leads to "Deep" Problem. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009.
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Format:
Google Scholar BibTeX EndN…
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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.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
…
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psnet.ahrq.gov/node/867849/psn-pdf
February 26, 2025 - High Reliability Organization (HRO) Principles and Patient
Safety
February 26, 2025
Vogus T, Lee M, Mossburg SE. High Reliability Organization (HRO) Principles and Patient Safety. PSNet
[internet]. 2025.
https://psnet.ahrq.gov/perspective/high-reliability-organization-hro-principles-and-patient-safety
In To Err I…
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psnet.ahrq.gov/web-mm/sloppy-and-paste
February 02, 2011 - Sloppy and Paste
Citation Text:
Hirschtick RE. Sloppy and Paste. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …
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psnet.ahrq.gov/node/49528/psn-pdf
January 01, 2015 - Prevalence and sources of
patients' unmet expectations for care.
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psnet.ahrq.gov/node/49639/psn-pdf
November 01, 2011 - Given that the true prevalence of near misses is likely quite high, capturing even a fraction of these
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psnet.ahrq.gov/node/49633/psn-pdf
September 01, 2011 - Pressure Ulcers in America: Prevalence, Incidence, and
Implications for the Future.
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psnet.ahrq.gov/node/49584/psn-pdf
April 01, 2009 - Experts estimate that their prevalence ranges from less than 2% of hospitals (for fully operational EMRs
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.332_slideshow.ppt
September 01, 2014 - Prevalence and characteristics of hospitalized adults on chronic opioid therapy.
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psnet.ahrq.gov/sites/default/files/2024-03/delayed_diagnosis_and_treatment_of_sle.pdf
January 01, 2024 - – Given the high prevalence of primary psychiatric conditions in young adults, it is difficult to
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psnet.ahrq.gov/node/854897/psn-pdf
October 31, 2023 - overlooking critical
issues.3 The problem of alert desensitization is exacerbated by the relatively high prevalence
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psnet.ahrq.gov/sites/default/files/2023-03/challenging_case_of_multiple_suicide_attempts_in_a_complex_patient_with_psychiatric_comorbidities.pdf
January 01, 2023 - Characterizing the phenomenology of passive suicidal ideation: a systematic review and meta-analysis of its prevalence
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psnet.ahrq.gov/node/49550/psn-pdf
December 01, 2007 - literature review for the Patient Safety Indicators (4) described only one study (8) that
quantified the prevalence
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psnet.ahrq.gov/node/49642/psn-pdf
December 01, 2011 - https://psnet.ahrq.gov/web-mm/order-interrupted-text-multitasking-mishap
Case Objectives
State the prevalence
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psnet.ahrq.gov/node/49712/psn-pdf
June 01, 2014 - psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
and a high prevalence
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psnet.ahrq.gov/node/33723/psn-pdf
December 01, 2011 - Prevalence and variation of physical
restraint use in acute care settings in the US.
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psnet.ahrq.gov/node/50949/psn-pdf
February 26, 2020 - directions may include the use of advance informatic tools
and RFID could significantly reduce the prevalence