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  1. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.158_slideshow.ppt
    September 01, 2007 - Spotlight Case [MONTH] 2003 Spotlight Case September 2007 Medication Reconciliation: Whose Job Is It? Source and Credits This presentation is based on the September 2007 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Eric G. Poon, MD, MPH, Ha…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33634/psn-pdf
    May 04, 2006 - The Wild West: Patient Safety in Office-Based Anesthesia May 1, 2006 Kaushal R, Upadhyayula S, Gaba DM, et al. The Wild West: Patient Safety in Office-Based Anesthesia. PSNet [internet]. 2006. https://psnet.ahrq.gov/perspective/wild-west-patient-safety-office-based-anesthesia Perspective Over the last decade, sur…
  3. psnet.ahrq.gov/perspective/weekend-effect
    April 01, 2008 - Annual Perspective The Weekend Effect Sumant Ranji, MD | January 1, 2017  View more articles from the same authors. Citation Text: Ranji SR. The Weekend Effect. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Hea…
  4. psnet.ahrq.gov/web-mm/if-you-say-so-taking-syringe-face-value-operating-room
    January 01, 2015 - If You Say So: Taking a Syringe at Face Value in the Operating Room Citation Text: Lyndon A, Lim S. If You Say So: Taking a Syringe at Face Value in the Operating Room. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Cita…
  5. psnet.ahrq.gov/web-mm/central-not-epidural
    August 28, 2024 - Central, not Epidural Citation Text: Simmons D. Central, not Epidural. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedI…
  6. psnet.ahrq.gov/web-mm/fumbled-handoff
    September 01, 2006 - Fumbled Handoff Citation Text: Vidyarthi A. Fumbled Handoff. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …
  7. psnet.ahrq.gov/web-mm/one-ace-too-many
    June 21, 2016 - One ACE Too Many Citation Text: Juurlink DN. One ACE Too Many. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …
  8. psnet.ahrq.gov/issue/preventing-accidents-and-injuries-mri-suite
    July 18, 2024 - Press Release/Announcement Preventing accidents and injuries in the MRI suite. Citation Text: Preventing accidents and injuries in the MRI suite. Sentinel Event Alert. 2008;38(38):1-3. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote t…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43362/psn-pdf
    November 23, 2014 - A systematic review of teamwork in the intensive care unit: what do we know about teamwork, team tasks, and improvement strategies? November 23, 2014 Dietz AS, Pronovost P, Mendez-Tellez PA, et al. A systematic review of teamwork in the intensive care unit: what do we know about teamwork, team tasks, and improveme…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43857/psn-pdf
    August 02, 2015 - A checklist-based intervention to improve surgical outcomes in Michigan: evaluation of the Keystone Surgery program. August 2, 2015 Reames BN, Krell RW, Campbell D, et al. A checklist-based intervention to improve surgical outcomes in Michigan: evaluation of the Keystone Surgery program. JAMA Surg. 2015;150(3):208…
  11. psnet.ahrq.gov/issue/preventing-and-managing-impact-anesthesia-awareness
    May 27, 2020 - Sentinel Event Alerts Preventing, and managing the impact of, anesthesia awareness. Citation Text: Preventing, and managing the impact of, anesthesia awareness. Sentinel Event Alert. 2004;32:1-3. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XM…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47437/psn-pdf
    November 02, 2018 - Engaging hospital patients in the medication reconciliation process using tablet computers. November 2, 2018 Prey JE, Polubriaginof F, Grossman L, et al. Engaging hospital patients in the medication reconciliation process using tablet computers. J Am Med Inform Assoc. 2018;25(11):1460-1469. doi:10.1093/jamia/ocy11…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46822/psn-pdf
    April 12, 2019 - Effect of an in-hospital multifaceted clinical pharmacist intervention on the risk of readmission: a randomized clinical trial. April 12, 2019 Ravn-Nielsen LV, Duckert M-L, Lund ML, et al. Effect of an In-Hospital Multifaceted Clinical Pharmacist Intervention on the Risk of Readmission: A Randomized Clinical Trial…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43802/psn-pdf
    August 02, 2015 - Association of the 2011 ACGME resident duty hour reforms with mortality and readmissions among hospitalized Medicare patients. August 2, 2015 Patel MS, Volpp KG, Small DS, et al. Association of the 2011 ACGME resident duty hour reforms with mortality and readmissions among hospitalized Medicare patients. JAMA. 201…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41461/psn-pdf
    April 05, 2013 - Residents' response to duty-hour regulations—a follow- up national survey. April 5, 2013 Drolet BC, Christopher DA, Fischer SA. Residents' response to duty-hour regulations--a follow-up national survey. N Engl J Med. 2012;366(24):e35. doi:10.1056/NEJMp1202848. https://psnet.ahrq.gov/issue/residents-response-duty-h…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39549/psn-pdf
    March 22, 2011 - The impact of traditional and smart pump infusion technology on nurse medication administration performance in a simulated inpatient unit. March 22, 2011 Trbovich PL, Pinkney S, Cafazzo JA, et al. The impact of traditional and smart pump infusion technology on nurse medication administration performance in a simul…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39438/psn-pdf
    March 23, 2011 - Time to listen: a review of methods to solicit patient reports of adverse events. March 23, 2011 King A, Daniels J, Lim J, et al. Time to listen: a review of methods to solicit patient reports of adverse events. Qual Saf Health Care. 2010;19(2):148-57. doi:10.1136/qshc.2008.030114. https://psnet.ahrq.gov/issue/tim…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41458/psn-pdf
    June 19, 2012 - What stops hospital clinical staff from following protocols? An analysis of the incidence and factors behind the failure of bedside clinical staff to activate the rapid response system in a multi-campus Australian metropolitan healthcare service. June 19, 2012 Shearer B, Marshall S, Buist MD, et al. What stops ho…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44268/psn-pdf
    November 23, 2016 - A patient-initiated voluntary online survey of adverse medical events: the perspective of 696 injured patients and families. November 23, 2016 Southwick FS, Cranley NM, Hallisy JA. A patient-initiated voluntary online survey of adverse medical events: the perspective of 696 injured patients and families. BMJ Qual …
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46405/psn-pdf
    October 13, 2018 - Children's hospitals' solutions for patient safety collaborative impact on hospital-acquired harm. October 13, 2018 Lyren A, Brilli RJ, Zieker K, et al. Children's Hospitals' Solutions for Patient Safety Collaborative Impact on Hospital-Acquired Harm. Pediatrics. 2017;140(3). doi:10.1542/peds.2016-3494. https://ps…

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