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psnet.ahrq.gov/node/44231/psn-pdf
January 22, 2016 - Just-in-time training for high-risk low-volume therapies:
an approach to ensure patient safety.
January 22, 2016
Helman S, Lisanti AJ, Adams A, et al. Just-in-Time Training for High-Risk Low-Volume Therapies: An
Approach to Ensure Patient Safety. J Nurs Care Qual. 2016;31(1):33-9.
doi:10.1097/NCQ.0000000000000131.…
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psnet.ahrq.gov/node/60664/psn-pdf
July 08, 2020 - Applying the Medications at Transitions and Clinical
Handoffs Toolkit in a rural primary care clinic:
implications for nursing, patients, and caregivers.
July 8, 2020
Jarrett T, Cochran J, Baus A. Applying the Medications at Transitions and Clinical Handoffs Toolkit in a
rural primary care clinic: implications for…
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psnet.ahrq.gov/node/44901/psn-pdf
March 30, 2016 - Medication safety pharmacy technician in a large, tertiary
care, community hospital.
March 30, 2016
Brown KN, Bergsbaken J, Reichard JS. Medication safety pharmacy technician in a large, tertiary care,
community hospital. Am J Health Syst Pharm. 2016;73(4):188-191. doi:10.2146/ajhp150098.
https://psnet.ahrq.gov/is…
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psnet.ahrq.gov/perspective/balancing-supervision-and-autonomy-ongoing-tension
February 01, 2012 - Balancing Supervision and Autonomy: An Ongoing Tension
C. Jessica Dine, MD, MA; and Jennifer S. Myers, MD | February 1, 2012
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Citation Text:
Dine JC, Myers JS. Balancing Supervision and Autonomy:…
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psnet.ahrq.gov/web-mm/stroke-error
February 01, 2016 - SPOTLIGHT CASE
A Stroke of Error
Citation Text:
Barrett KM. A Stroke of Error. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014.
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psnet.ahrq.gov/perspective/patient-safety-amid-nursing-workforce-challenges
April 24, 2024 - Patient Safety Amid Nursing Workforce Challenges
Katie Boston-Leary, PhD, MBA, MHA, RN, NEA-BC, Merton Lee, PharmD, PhD, Sarah E. Mossburg, RN, PhD | April 24, 2024
Also Read the Conversation
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Citation Text:
Leary KB, L…
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psnet.ahrq.gov/perspective/safety-and-medical-education
December 01, 2013 - Annual Perspective
Safety and Medical Education
Sumant Ranji, MD | January 1, 2014
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Citation Text:
Ranji SR. Safety and Medical Education. PSNet [internet]. Rockville (MD): Agency for Healt…
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psnet.ahrq.gov/perspective/conversation-withkatie-boston-leary-about-patient-safety-amid-nursing-workforce
April 24, 2024 - In Conversation with...Katie Boston-Leary about Patient Safety Amid Nursing Workforce Challenges
Katie Boston-Leary, PhD, MBA, MHA, RN, NEA-BC, CCT
| April 24, 2024
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Citation Text:
Leary KB. In Con…
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psnet.ahrq.gov/node/49537/psn-pdf
June 01, 2007 - Beeline to Spine
June 1, 2007
Smetana GW. Beeline to Spine. PSNet [internet]. 2007.
https://psnet.ahrq.gov/web-mm/beeline-spine
Case Objectives
Understand the elements of preoperative medical evaluation.
Appreciate the limited role for preoperative laboratory testing.
Appreciate the importance of communication a…
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psnet.ahrq.gov/web-mm/monitoring-fetal-health
September 08, 2010 - SPOTLIGHT CASE
Monitoring Fetal Health
Citation Text:
Scerbo MW, Abuhamad AZ. Monitoring Fetal Health . PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015.
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psnet.ahrq.gov/web-mm/always-check-muscle-twitch-residual-neuromuscular-block-after-removal-gastric-balloon
January 29, 2021 - Always Check the Muscle Twitch: Residual Neuromuscular Block After Removal of a Gastric Balloon
Citation Text:
Bohringer C, Ashley S. Always Check the Muscle Twitch: Residual Neuromuscular Block After Removal of a Gastric Balloon. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality,…
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psnet.ahrq.gov/node/853435/psn-pdf
September 13, 2023 - Assessing the utility of ChatGPT throughout the entire
clinical workflow: development and usability study.
September 13, 2023
Rao A, Pang M, Kim J, et al. Assessing the utility of ChatGPT throughout the entire clinical workflow:
development and usability study. J Med Internet Res. 2023;25:e48659. doi:10.2196/48659.…
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psnet.ahrq.gov/node/60256/psn-pdf
April 22, 2020 - A critical review: moral injury in nurses in the aftermath of
a patient safety incident.
April 22, 2020
Stovall M, Hansen L, van Ryn M. A critical review: moral injury in nurses in the aftermath of a patient safety
incident. J Nurs Scholarsh. 2020;52(3):320-328. doi:10.1111/jnu.12551.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/45274/psn-pdf
July 20, 2016 - Medication safety in neonatal care: a review of medication
errors among neonates.
July 20, 2016
Krzyzaniak N, Bajorek B. Medication safety in neonatal care: a review of medication errors among
neonates. Ther Adv Drug Saf. 2016;7(3):102-119. doi:10.1177/2042098616642231.
https://psnet.ahrq.gov/issue/medication-safe…
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psnet.ahrq.gov/node/60275/psn-pdf
April 29, 2020 - Misreading injectable medications—causes and
solutions: an integrative literature review.
April 29, 2020
Borradale H, Andersen P, Wallis M, et al. Misreading injectable medications—causes and solutions: an
integrative literature review. J Patient Saf. 2020. doi:10.1016/j.jcjq.2020.01.007.
https://psnet.ahrq.gov/is…
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psnet.ahrq.gov/node/48157/psn-pdf
August 21, 2019 - Recommendations for using the Revised Safer Dx
instrument to help measure and improve diagnostic
safety.
August 21, 2019
Singh H, Khanna A, Spitzmueller C, et al. Recommendations for using the Revised Safer Dx Instrument to
help measure and improve diagnostic safety. Diagnosis (Berl). 2019;6(4):315-323. doi:10.151…
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psnet.ahrq.gov/node/847724/psn-pdf
April 19, 2023 - Defining avoidable healthcare-associated harm in
prisons: a mixed-method development study.
April 19, 2023
Keers RN, Wainwright V, McFadzean J, et al. Defining avoidable healthcare-associated harm in prisons: a
mixed-method development study. PLOS One. 2023;18(3):e0282021. doi:10.1371/journal.pone.0282021.
https:/…
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psnet.ahrq.gov/node/46314/psn-pdf
November 01, 2020 - AHRQ Safety Program for Improving Antibiotic Use.
July 9, 2019
Agency for Healthcare Research and Quality, Johns Hopkins Medicine Armstrong Institute for Patient
Safety and Quality, and University of Chicago.
https://psnet.ahrq.gov/issue/ahrq-safety-program-improving-antibiotic-use
Improving antibiotic use is a st…
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psnet.ahrq.gov/node/73657/psn-pdf
September 01, 2021 - Communication failures contributing to patient injury in
anaesthesia malpractice claims.
September 1, 2021
Douglas RN, Stephens LS, Posner KL, et al. Communication failures contributing to patient injury in
anaesthesia malpractice claims. Br J Anaesth. 2021;127(3):470-478. doi:10.1016/j.bja.2021.05.030.
https://ps…
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psnet.ahrq.gov/node/43792/psn-pdf
January 07, 2015 - Patient safety risks associated with telecare: a systematic
review and narrative synthesis of the literature.
January 7, 2015
Guise V, Anderson JE, Wiig S. Patient safety risks associated with telecare: a systematic review and
narrative synthesis of the literature. BMC Health Serv Res. 2014;14:588. doi:10.1186/s129…