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7481. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42143/psn-pdf
      October 07, 2015 - Re-Engineered Discharge (RED) Toolkit. October 7, 2015 Jack B, Paasche-Orlow M, Mitchell S, Forsythe S, Martin J. Rockville, MD: Agency for Healthcare Research and Quality; September 2015. AHRQ Publication No. 12(13)-0084. https://psnet.ahrq.gov/issue/re-engineered-discharge-red-toolkit This toolkit provides infor…

7482. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34879/psn-pdf
      February 03, 2011 - Missing clinical information during primary care visits. February 3, 2011 Smith PC, Araya-Guerra R, Bublitz C, et al. Missing clinical information during primary care visits. JAMA. 2005;293(5):565-71. https://psnet.ahrq.gov/issue/missing-clinical-information-during-primary-care-visits This survey of 253 primary ca…

7483. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34137/psn-pdf
      February 06, 2018 - Anesthesia Patient Safety Foundation. February 6, 2018 P.O. Box 6668, Rochester, MN 55903. https://psnet.ahrq.gov/issue/anesthesia-patient-safety-foundation The Anesthesia Patient Safety Foundation's (APSF) mission is to ensure that no patient is harmed by the effects of anesthesia. To achieve that mission, APSF s…

7484. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34878/psn-pdf
      April 04, 2005 - Not quite fail-safe: computerizing isn't a panacea for dangerous drug errors, study shows. April 4, 2005 Boodman SC. Washington Post. March 22, 2005; Page HE01. https://psnet.ahrq.gov/issue/not-quite-fail-safe-computerizing-isnt-panacea-dangerous-drug-errors-study- shows Computerized provider order entry is revea…

7485. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36164/psn-pdf
      September 29, 2010 - Recommendations for quality assurance and improvement in surgical and autopsy pathology. September 29, 2010 Pathology A of D of A and S, Nakhleh RE, Coffin C, et al. Recommendations for quality assurance and improvement in surgical and autopsy pathology. Hum Pathol. 2006;37(8):985-8. https://psnet.ahrq.gov/issue/r…

7486. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37070/psn-pdf
      April 21, 2011 - Excessive work hours of physicians in training in El Salvador: putting patients at risk. April 21, 2011 Taylor KRF. Excessive work hours of physicians in training in El Salvador: putting patients at risk. PLoS Med. 2007;4(7):e205. https://psnet.ahrq.gov/issue/excessive-work-hours-physicians-training-el-salvador-pu…

7487. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38567/psn-pdf
      April 15, 2009 - 2009 National Patient Safety Goals. April 15, 2009 Saufl NM. 2009 National Patient Safety Goals. J Perianesth Nurs. 2009;24(2):114-8. doi:10.1016/j.jopan.2009.01.008. https://psnet.ahrq.gov/issue/2009-national-patient-safety-goals This commentary provides background on the development of the Joint Commission's 200…

7488. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35036/psn-pdf
      March 29, 2007 - Escape Fire: Designs for the Future of Health Care. March 29, 2007 Berwick DM. San Francisco, CA: John Wiley & Sons; 2004. https://psnet.ahrq.gov/issue/escape-fire-designs-future-health-care This book presents a decade's worth of keynote speeches made by the Institute for Healthcare Improvement's cofounder and pre…

7489. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73174/psn-pdf
      April 21, 2021 - Take Charge: 5 Steps to Safer Healthcare. April 21, 2021 Wantagh, NY; Pulse Center for Patient Safety, Education & Advocacy. https://psnet.ahrq.gov/issue/take-charge-5-steps-safer-healthcare Patients can be active partners in their own safe care. This five-step program provides information and education for pa…

7490. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41409/psn-pdf
      November 26, 2014 - Do first opinions affect second opinions? November 26, 2014 Vashitz G, Pliskin JS, Parmet Y, et al. Do First Opinions Affect Second Opinions? J Gen Intern Med. 2012;27(10). doi:10.1007/s11606-012-2056-y. https://psnet.ahrq.gov/issue/do-first-opinions-affect-second-opinions This study found some evidence that the r…

7491. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37865/psn-pdf
      April 23, 2012 - FDA 101: How to Use the Consumer Complaint System and MedWatch. April 23, 2012 FDA Consumer Health Information. Silver Spring, MD: US Food and Drug Administration; February 27, 2009. https://psnet.ahrq.gov/issue/fda-101-how-use-consumer-complaint-system-and-medwatch This fact sheet provides information for consum…

7492. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50896/psn-pdf
      February 12, 2020 - Medical abbreviations that have contradictory or ambiguous meanings. February 12, 2020 Davis N. ISMP Medication Safety Alert! Acute care edition! January 30, 2020;25(2):1-5. https://psnet.ahrq.gov/issue/medical-abbreviations-have-contradictory-or-ambiguous-meanings Multiple organizations have identified using…

7493. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46769/psn-pdf
      November 07, 2018 - The Kentucky Institute for Patient Safety and Quality. November 7, 2018 Kentucky Institute for Patient Safety and Quality; KIPSQ. https://psnet.ahrq.gov/issue/kentucky-institute-patient-safety-and-quality The Kentucky Institute for Patient Safety and Quality offers the support of a patient safety organization and …

7494. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33920/psn-pdf
      December 12, 2018 - Policy Positions and Guidelines. December 12, 2018 Amercian Society of Health-System Pharmacists; ASHP. https://psnet.ahrq.gov/issue/policy-positions-and-guidelines This searchable listing of the American Society of Health-System Pharmacists policy and guideline collection provides user access to various content a…

7495. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41357/psn-pdf
      May 24, 2012 - Influences observed on incidence and reporting of medication errors in anesthesia. May 24, 2012 Cooper L, DiGiovanni N, Schultz L, et al. Influences observed on incidence and reporting of medication errors in anesthesia. Can J Anaesth. 2012;59(6):562-70. doi:10.1007/s12630-012-9696-6. https://psnet.ahrq.gov/issue/…

7496. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41508/psn-pdf
      July 11, 2012 - Complications in surgery: root cause analysis and preventive measures. July 11, 2012 Chung KC, Kotsis S. Complications in surgery: root cause analysis and preventive measures. Plast Reconstr Surg. 2012;129(6):1421-1427. doi:10.1097/PRS.0b013e31824ecda0. https://psnet.ahrq.gov/issue/complications-surgery-root-cause…

7497. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47614/psn-pdf
      October 19, 2020 - Patient. October 19, 2020 Canadian Patient Safety Institute; https://psnet.ahrq.gov/issue/patient Patient stories and insights related to medical mishaps can inspire and motivate work to enhance health care safety. This annual podcast series uses patient accounts of medical errors to collaboratively explore solut…

7498. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37330/psn-pdf
      January 05, 2012 - Unreported errors in the intensive care unit: a case study of the way we work. January 5, 2012 Henneman EA. Unreported errors in the intensive care unit: a case study of the way we work. Crit Care Nurse. 2007;27(5):27-34; quiz 35. https://psnet.ahrq.gov/issue/unreported-errors-intensive-care-unit-case-study-way-we…

7499. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41691/psn-pdf
      September 19, 2012 - Events associated with the prescribing, dispensing, and administering of medication loading doses. September 19, 2012 Carson SL, Gaunt MJ. PA-PSRS Patient Saf Advis. 2012;9:82-88. https://psnet.ahrq.gov/issue/events-associated-prescribing-dispensing-and-administering-medication- loading-doses This article discuss…

7500. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39377/psn-pdf
      March 17, 2010 - Measuring and comparing safety climate in intensive care units. March 17, 2010 France DJ, Greevy RA, Liu X, et al. Measuring and comparing safety climate in intensive care units. Med Care. 2010;48(3):279-84. doi:10.1097/MLR.0b013e3181c162d6. https://psnet.ahrq.gov/issue/measuring-and-comparing-safety-climate-inten…