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9441. Spotlight Case July 2008 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.242_slideshow.ppt
      June 01, 2011 - Spotlight Case July 2008 Spotlight Case The ECG is Not Normal * * Source and Credits This presentation is based on the June 2011 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Abigail Zuger, MD, Columbia University Editor, AHRQ WebM&M: Robe…

9442. Spotlight Case [MONTH] 2003 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.221_slideshow.ppt
      July 01, 2010 - Spotlight Case [MONTH] 2003 Spotlight Case Weighing in on Surgical Safety * * Source and Credits This presentation is based on the July 2010 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Jay B. Brodsky, MD, Stanford University Medical Cente…

9443. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/841306/psn-pdf
      December 14, 2022 - Resilient Healthcare and the Safety-I and Safety-II Frameworks December 14, 2022 Deutsch ES, Van CM, Mossburg SE. Resilient Healthcare and the Safety-I and Safety-II Frameworks. PSNet [internet]. 2022. https://psnet.ahrq.gov/perspective/resilient-healthcare-and-safety-i-and-safety-ii-frameworks Resilient healthca…

9444. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33871/psn-pdf
      December 22, 2018 - Maternal Safety December 22, 2018 Lyndon A. Maternal Safety. PSNet [internet]. 2018. https://psnet.ahrq.gov/perspective/maternal-safety Annual Perspective 2018 The Context of Maternal Safety Childbirth-related maternal health outcomes have been worsening for some time in the United States. After a dramatic reduc…

9445. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33587/psn-pdf
      June 15, 2024 - Missed Nursing Care June 15, 2024 Missed Nursing Care. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/missed-nursing-care 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 patient safety field. Last reviewed…

9446. Spotlight Case July 2008 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.248_slideshow.ppt
      September 01, 2011 - Spotlight Case July 2008 Spotlight Case The Safety and Quality of Long Term Care * * Source and Credits This presentation is based on the September 2011 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Amy A. Vogelsmeier, PhD, RN, GCNS-BC, Uni…

9447. Managing health care worker fatigue: maximizing alertness to keep patients safe. | PSNet
      psnet.ahrq.gov/issue/managing-health-care-worker-fatigue-maximizing-alertness-keep-patients-safe
      May 24, 2006 - Newspaper/Magazine Article February 29, 2012 Managing health care worker fatigue: maximizing alertness to keep patients safe. Citation Text: Joint Commission. Copy Citation Save Print Share Facebook Twitter Linkedin …

9448. 2005 Safety Alert: ZyPREXA (olanzapine). | PSNet
      psnet.ahrq.gov/issue/2005-safety-alert-zyprexa-olanzapine
      February 13, 2008 - Press Release/Announcement 2005 Safety Alert: ZyPREXA (olanzapine). Save Print Share Facebook Twitter Linkedin Copy URL March 27, 2005 A "Dear Healthcare Professional" announcement reporting on confusion betwee…

9449. Diagnostic Errors in Medicine 2010. | PSNet
      psnet.ahrq.gov/issue/diagnostic-errors-medicine-2010
      April 24, 2013 - Audiovisual Diagnostic Errors in Medicine 2010. Save Print Share Facebook Twitter Linkedin Copy URL January 5, 2011 This conference on diagnostic errors discussed methods for reducing their incidence and impa…

9450. Handover: Improving the Continuity of Patient Care Through Identification and Implementation of Novel Handover Processes in Europe. | PSNet
      psnet.ahrq.gov/issue/handover-improving-continuity-patient-care-through-identification-and-implementation-novel
      December 18, 2013 - Slideset Handover: Improving the Continuity of Patient Care Through Identification and Implementation of Novel Handover Processes in Europe. Citation Text: University Medical Centre Utrecht; UMCU. Copy Citation Save Print Share Facebook …

9451. Health literacy—a quality and patient safety imperative. | PSNet
      psnet.ahrq.gov/issue/health-literacy-quality-and-patient-safety-imperative
      October 18, 2006 - Newspaper/Magazine Article Health literacy—a quality and patient safety imperative. Citation Text: The Commonwealth Fund Copy Citation Save Print Share Facebook Twitter Linkedin Copy URL November 29, 2…

9452. Plan would compile, analyze medical errors. | PSNet
      psnet.ahrq.gov/issue/plan-would-compile-analyze-medical-errors
      December 07, 2005 - Newspaper/Magazine Article Plan would compile, analyze medical errors. Save Save to your library Print Share Facebook Twitter Linkedin Copy URL August 3, 2005 This article presents the newly passed Patient Safety and Qu…

9453. The Hidden Surcharge Americans Pay for Hospital Errors. | PSNet
      psnet.ahrq.gov/issue/hidden-surcharge-americans-pay-hospital-errors
      June 08, 2016 - Measurement Tool/Indicator The Hidden Surcharge Americans Pay for Hospital Errors. Citation Text: Leapfrog Group. Copy Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL August 7, 201…

9454. Nora Institute for Surgical Patient Safety. | PSNet
      psnet.ahrq.gov/issue/nora-institute-surgical-patient-safety
      March 25, 2009 - Multi-use Website Nora Institute for Surgical Patient Safety. Citation Text: American College of Surgeons; ACS. Copy Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL November 12, …

9455. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50831/psn-pdf
      January 29, 2020 - "Everybody makes mistakes": children's views on medical errors and disclosure. January 29, 2020 Koller D, Binder MJ, Alexander S, et al. "Everybody Makes Mistakes": Children's Views on Medical Errors and Disclosure. J Ped Nurs. 2019;49:1-9. doi:10.1016/j.pedn.2019.07.014. https://psnet.ahrq.gov/issue/everybody-mak…

9456. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44764/psn-pdf
      February 10, 2016 - Human factors—recognising and minimising errors in our day to day practice. February 10, 2016 Green B, Tsiroyannis C, Brennan PA. Human factors--recognising and minimising errors in our day to day practice. Oral Dis. 2016;22(1):19-22. doi:10.1111/odi.12384. https://psnet.ahrq.gov/issue/human-factors-recognising-an…

9457. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46562/psn-pdf
      April 16, 2018 - "To err is human" but disclosure must be taught: a simulation-based assessment study. April 16, 2018 Crimmins AC, Wong AH, Bonz JW, et al. "To Err Is Human" but Disclosure Must be Taught: A Simulation- Based Assessment Study. Simul Healthc. 2018;13(2):107-116. doi:10.1097/SIH.0000000000000273. https://psnet.ahrq.g…

9458. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43403/psn-pdf
      August 06, 2014 - Strategies to enhance adoption of ventilator-associated pneumonia prevention interventions: a systematic literature review. August 6, 2014 Goutier JM, Holzmueller CG, Edwards KC, et al. Strategies to enhance adoption of ventilator-associated pneumonia prevention interventions: a systematic literature review. Infec…

9459. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45826/psn-pdf
      January 18, 2017 - Ensuring staff safety when treating potentially violent patients. January 18, 2017 Roca RP, Charen B, Boronow J. Ensuring Staff Safety When Treating Potentially Violent Patients. JAMA. 2016;316(24):2669-2670. doi:10.1001/jama.2016.18260. https://psnet.ahrq.gov/issue/ensuring-staff-safety-when-treating-potentially-…

9460. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46564/psn-pdf
      December 06, 2017 - Can the aviation industry be useful in teaching oncology about safety? December 6, 2017 Davies JM, Delaney G. Can the Aviation Industry be Useful in Teaching Oncology about Safety? Clin Oncol (R Coll Radiol). 2017;29(10):669-675. doi:10.1016/j.clon.2017.06.007. https://psnet.ahrq.gov/issue/can-aviation-industry-be…