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  1. Independent double checks: worth the effort if used judiciously and properly. | PSNet

    psnet.ahrq.gov/issue/independent-double-checks-worth-effort-if-used-judiciously-and-properly
    January 23, 2019 - Newspaper/Magazine Article Independent double checks: worth the effort if used judiciously and properly. Citation Text: Independent double checks: worth the effort if used judiciously and properly. ISMP Medication Safety Alert! Acute Care Edition. June 6, 2019;24:1-7. Copy Citation …

  2. Framework for a High Performance Health System for the United States. | PSNet

    psnet.ahrq.gov/issue/framework-high-performance-health-system-united-states
    April 12, 2006 - Book/Report Framework for a High Performance Health System for the United States. Citation Text: Framework for a High Performance Health System for the United States. Mongan JJ. New York, NY; The Commonwealth Fund: 2006. Copy Citation Save Save to your library…

  3. Coronavirus Commission for Safety and Quality in Nursing Homes. | PSNet

    psnet.ahrq.gov/issue/coronavirus-commission-safety-and-quality-nursing-homes
    May 26, 2021 - Book/Report Coronavirus Commission for Safety and Quality in Nursing Homes. Citation Text: Coronavirus Commission for Safety and Quality in Nursing Homes. Centers for Medicare and Medicaid Services. McLean, VA: MITRE Corporation; September 2020. Copy Citation …

  4. Maryland Hospital Patient Safety Program Annual Report. | PSNet

    psnet.ahrq.gov/issue/maryland-hospital-patient-safety-program-annual-report
    December 24, 2008 - Book/Report Maryland Hospital Patient Safety Program Annual Report. Citation Text: Maryland Hospital Patient Safety Program Annual Report. Office of Health Care Quality. Baltimore, MD: Maryland Department of Health and Mental Hygiene. Copy Citation Save Save to yo…

  5. An evolving hospital quality star rating system from CMS: aligning the stars. | PSNet

    psnet.ahrq.gov/issue/evolving-hospital-quality-star-rating-system-cms-aligning-stars
    December 13, 2017 - Commentary An evolving hospital quality star rating system from CMS: aligning the stars. Citation Text: Bilimoria KY, Barnard C. An evolving hospital quality star rating system from CMS: aligning the stars. JAMA. 2021;325(21):2151-2152. doi:10.1001/jama.2021.6946. Copy Citation For…

  6. Medication communication: a concept analysis. | PSNet

    psnet.ahrq.gov/issue/medication-communication-concept-analysis
    June 16, 2021 - Review Medication communication: a concept analysis. Citation Text: Manias E. Medication communication: a concept analysis. J Adv Nurs. 2010;66(4):933-43. doi:10.1111/j.1365-2648.2009.05225.x. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 X…

  7. Preventing errors when preparing and administering medications via enteral feeding tubes. | PSNet

    psnet.ahrq.gov/issue/preventing-errors-when-preparing-and-administering-medications-enteral-feeding-tubes
    November 30, 2016 - Newspaper/Magazine Article Preventing errors when preparing and administering medications via enteral feeding tubes. Citation Text: Preventing errors when preparing and administering medications via enteral feeding tubes. ISMP Medication Safety Alert! Acute care edition. November 17, 202…

  8. Systematic Systems Analysis: A Practical Approach to Patient Safety Reviews. | PSNet

    psnet.ahrq.gov/issue/systematic-systems-analysis-practical-approach-patient-safety-reviews
    October 27, 2015 - Book/Report Systematic Systems Analysis: A Practical Approach to Patient Safety Reviews. Citation Text: Systematic Systems Analysis: A Practical Approach to Patient Safety Reviews. Duchscherer C, Davies JM. Calgary, Alberta, Canada: Health Quality Council of Alberta; 2012. Copy Citatio…

  9. Perioperative medication errors: uncovering risk from behind the drapes. | PSNet

    psnet.ahrq.gov/issue/perioperative-medication-errors-uncovering-risk-behind-drapes
    March 27, 2018 - Newspaper/Magazine Article Perioperative medication errors: uncovering risk from behind the drapes. Citation Text: Perioperative medication errors: uncovering risk from behind the drapes. Cierniak KH, Gaunt MJ, Grissinger M. PA-PSRS Patient Saf Advis. 2018;15(4):1-17. Copy Citation …

  10. I’m an ER doctor: here’s what I found when I asked ChatGPT to diagnose my patients. | PSNet

    psnet.ahrq.gov/issue/im-er-doctor-heres-what-i-found-when-i-asked-chatgpt-diagnose-my-patients
    November 06, 2012 - Newspaper/Magazine Article I’m an ER doctor: here’s what I found when I asked ChatGPT to diagnose my patients. Citation Text: I’m an ER doctor: here’s what I found when I asked ChatGPT to diagnose my patients. Tamayo-Sarver J. Fast Company. March 13, 2023. Copy Citation …

  11. Junior doctors' shifts and sleep deprivation. | PSNet

    psnet.ahrq.gov/issue/junior-doctors-shifts-and-sleep-deprivation
    October 16, 2012 - Commentary Junior doctors' shifts and sleep deprivation. Citation Text: Murray A, Pounder R, Mather H, et al. Junior doctors' shifts and sleep deprivation. BMJ. 2005;330(7505):1404. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote ta…

  12. Toolkit for Preventing CLABSI and CAUTI in ICUs. | PSNet

    psnet.ahrq.gov/issue/toolkit-preventing-clabsi-and-cauti-icus
    December 24, 2008 - Toolkit Toolkit for Preventing CLABSI and CAUTI in ICUs. Citation Text: Toolkit for Preventing CLABSI and CAUTI in ICUs. Rockville, MD: Agency for Healthcare Research and Quality; April 2022. Copy Citation Save Save to your library Print Download PDF …

  13. Examining the Relationship Between Health IT and Ambulatory Care Workflow Redesign. | PSNet

    psnet.ahrq.gov/issue/examining-relationship-between-health-it-and-ambulatory-care-workflow-redesign
    December 24, 2008 - Book/Report Examining the Relationship Between Health IT and Ambulatory Care Workflow Redesign. Citation Text: Examining the Relationship Between Health IT and Ambulatory Care Workflow Redesign. Zheng K, Ciemins EL, Lanham HJ, et al. Rockville, MD: Agency for Healthcare Research and Qual…

  14. Blind obedience and an unnecessary workup for hypoglycemia: a teachable moment. | PSNet

    psnet.ahrq.gov/issue/blind-obedience-and-unnecessary-workup-hypoglycemia-teachable-moment
    March 14, 2022 - Commentary Blind obedience and an unnecessary workup for hypoglycemia: a teachable moment. Citation Text: Wang EY, Patrick L, Connor DM. Blind Obedience and an Unnecessary Workup for Hypoglycemia: A Teachable Moment. JAMA Intern Med. 2018;178(2):279-280. doi:10.1001/jamainternmed.2017.71…

  15. Adverse glycemic events and critical emergencies. | PSNet

    psnet.ahrq.gov/issue/adverse-glycemic-events-and-critical-emergencies
    December 14, 2022 - Newspaper/Magazine Article Adverse glycemic events and critical emergencies. Citation Text: Adverse glycemic events and critical emergencies. ISMP Medication Safety Alert! Acute care edition. December 2, 2021;(24)1-4. Copy Citation Save Save to your library …

  16. ACOG Committee Opinion #590: preparing for clinical emergencies in obstetrics and gynecology. | PSNet

    psnet.ahrq.gov/issue/acog-committee-opinion-590-preparing-clinical-emergencies-obstetrics-and-gynecology
    May 22, 2019 - Commentary ACOG Committee Opinion #590: preparing for clinical emergencies in obstetrics and gynecology. Citation Text: Improvement AC of O and GC on PS and Q. Committee opinion no. 590: preparing for clinical emergencies in obstetrics and gynecology. Obstet Gynecol. 2014;123(3):722-5. d…

  17. Radiation Therapy Safety: The Critical Role of the Radiation Therapist. | PSNet

    psnet.ahrq.gov/issue/radiation-therapy-safety-critical-role-radiation-therapist
    June 20, 2014 - Book/Report Radiation Therapy Safety: The Critical Role of the Radiation Therapist. Citation Text: Radiation Therapy Safety: The Critical Role of the Radiation Therapist. Odle TG, Rosier N. Albuquerque, NM: American Society of Radiologic Technologists Education and Research Foundatio…

  18. Acting Locally: Working in Clinical Microsystems CD-ROM. | PSNet

    psnet.ahrq.gov/issue/acting-locally-working-clinical-microsystems-cd-rom
    May 20, 2019 - Special or Theme Issue Acting Locally: Working in Clinical Microsystems CD-ROM. Citation Text: Acting Locally: Working in Clinical Microsystems CD-ROM. Oakbrook Terrance, IL: Joint Commission Resources; 2005. ISBN 9780866889865. Copy Citation Save Save to yo…

  19. Maternal and Infant Health Inequality: New Evidence from Linked Administrative Data. | PSNet

    psnet.ahrq.gov/issue/maternal-and-infant-health-inequality-new-evidence-linked-administrative-data
    August 23, 2017 - Book/Report Maternal and Infant Health Inequality: New Evidence from Linked Administrative Data. Citation Text: Maternal and Infant Health Inequality: New Evidence from Linked Administrative Data. Kennedy-Moulton K, Miller S, Persson P, et al. Cambridge, MA: National Bureau of Econo…

  20. Situativity: A Family of Social Cognitive Theories for Clinical Reasoning and Error. | PSNet

    psnet.ahrq.gov/issue/situativity-family-social-cognitive-theories-clinical-reasoning-and-error
    June 08, 2022 - Special or Theme Issue Situativity: A Family of Social Cognitive Theories for Clinical Reasoning and Error. Citation Text: Situativity: A Family of Social Cognitive Theories for Clinical Reasoning and Error. Durning S, Holmboe E, Graber ML, eds. Diagnosis(Berl). 2020;7(3):151-344. Co…
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