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  1. Pharmacist involvement in a rapid-response team at a community hospital. | PSNet

    psnet.ahrq.gov/issue/pharmacist-involvement-rapid-response-team-community-hospital
    August 08, 2018 - Commentary Pharmacist involvement in a rapid-response team at a community hospital. Citation Text: Cooper BE. Pharmacist involvement in a rapid-response team at a community hospital. Am J Health Syst Pharm. 2007;64(7):694, 697-8. Copy Citation Format: Google Scholar PubMe…

  2. Patient handoffs. | PSNet

    psnet.ahrq.gov/issue/patient-handoffs
    June 17, 2014 - Newspaper/Magazine Article Patient handoffs. Citation Text: Runy LA. Patient handoffs. Hospitals & health networks. 2008;82(5):7 p following 40, 2. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download…

  3. The science and economics of improving clinical communication. | PSNet

    psnet.ahrq.gov/issue/science-and-economics-improving-clinical-communication
    November 18, 2015 - Commentary The science and economics of improving clinical communication. Citation Text: O'Byrne WT, Weavind L, Selby J. The science and economics of improving clinical communication. Anesthesiol Clin. 2008;26(4):729-44, vii. doi:10.1016/j.anclin.2008.07.010. Copy Citation Format…

  4. Patient death after inadvertent infusion of PRN medication hanging on bedside intravenous (IV) pole. | PSNet

    psnet.ahrq.gov/issue/patient-death-after-inadvertent-infusion-prn-medication-hanging-bedside-intravenous-iv-pole
    April 17, 2024 - Newspaper/Magazine Article Patient death after inadvertent infusion of PRN medication hanging on bedside intravenous (IV) pole. Citation Text: Patient death after inadvertent infusion of PRN medication hanging on bedside intravenous (IV) pole. ISMP Medication Safety Alert! Acute Care. 20…

  5. Medical and surgical comanagement after elective hip and knee arthroplasty: a randomized, controlled trial. | PSNet

    psnet.ahrq.gov/issue/medical-and-surgical-comanagement-after-elective-hip-and-knee-arthroplasty-randomized
    January 22, 2014 - Study Medical and surgical comanagement after elective hip and knee arthroplasty: a randomized, controlled trial. Citation Text: Huddleston JM, Long KH, Naessens JM, et al. Medical and surgical comanagement after elective hip and knee arthroplasty: a randomized, controlled trial. Ann I…

  6. Acknowledgements | Agency for Healthcare Research and Quality

    www.ahrq.gov/prevention/resources/chronic-care/ccrm-atlas-suppl/acknowledgement.html
    October 01, 2013 - Potential Measures for Clinical-Community Relationships Acknowledgements Previous Page Next Page Table of Contents Potential Measures for Clinical-Community Relationships Acknowledgements Executive Summary Introduction Potential Measure Development Methodology Potential Measures Clinic/C…

  7. Metric units and the preferred dosing of orally administered liquid medications. | PSNet

    psnet.ahrq.gov/issue/metric-units-and-preferred-dosing-orally-administered-liquid-medications
    April 11, 2011 - Organizational Policy/Guidelines Metric units and the preferred dosing of orally administered liquid medications. Citation Text: Metric Units and the Preferred Dosing of Orally Administered Liquid Medications. doi:10.1542/peds.2015-0072. Copy Citation Format: DOI Google Sch…

  8. Level IV evidence—adverse anecdote and clinical practice. | PSNet

    psnet.ahrq.gov/issue/level-iv-evidence-adverse-anecdote-and-clinical-practice
    October 06, 2021 - Commentary Level IV evidence—adverse anecdote and clinical practice. Citation Text: Stuebe AM. Level IV evidence--adverse anecdote and clinical practice. N Engl J Med. 2011;365(1):8-9. doi:10.1056/NEJMp1102632. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNot…

  9. Learning from adverse events and near misses. | PSNet

    psnet.ahrq.gov/issue/learning-adverse-events-and-near-misses
    January 15, 2020 - Commentary Learning from adverse events and near misses. Citation Text: Greenberg CC. Learning from adverse events and near misses. J Gastrointest Surg. 2009;13(1):3-5. doi:10.1007/s11605-008-0693-6. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML En…

  10. The path to safe and reliable healthcare. | PSNet

    psnet.ahrq.gov/issue/path-safe-and-reliable-healthcare
    August 20, 2018 - Commentary The path to safe and reliable healthcare. Citation Text: Leonard MW, Frankel A. The path to safe and reliable healthcare. Patient Educ Couns. 2010;80(3). doi:10.1016/j.pec.2010.07.001. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML…

  11. How a series of errors led to recurrent hypoglycemia. | PSNet

    psnet.ahrq.gov/issue/how-series-errors-led-recurrent-hypoglycemia
    April 23, 2014 - Commentary How a series of errors led to recurrent hypoglycemia. Citation Text: Singh R. How a series of errors led to recurrent hypoglycemia. J Fam Pract. 2006;55(6):489-97. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pu…

  12. Appendix E. Culture Type Map to Procedure Types | Agency for Healthcare Research and Quality

    www.ahrq.gov/research/findings/final-reports/ssi/ssiape.html
    April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Appendix E. Culture Type Map to Procedure Types Previous Page Next Page Table of Contents Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Executive Summary Chapte…

  13. Appendix F. Algorithms | Agency for Healthcare Research and Quality

    www.ahrq.gov/research/findings/final-reports/ssi/ssiapf.html
    April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Appendix F. Algorithms Previous Page Next Page Table of Contents Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Executive Summary Chapter 1. Administration Cha…

  14. Perioperative pharmacology: a framework for perioperative medication safety. | PSNet

    psnet.ahrq.gov/issue/perioperative-pharmacology-framework-perioperative-medication-safety
    December 19, 2012 - Commentary Perioperative pharmacology: a framework for perioperative medication safety. Citation Text: Hicks RW, Wanzer LJ, Goeckner BL. Perioperative Pharmacology: A Framework for Perioperative Medication Safety. AORN J. 2010;93(1):136-145. doi:10.1016/j.aorn.2010.08.020. Copy Citat…

  15. Patient Safety Organizations: Hospital Participation, Value, and Challenges. | PSNet

    psnet.ahrq.gov/issue/patient-safety-organizations-hospital-participation-value-and-challenges
    February 11, 2015 - Book/Report Patient Safety Organizations: Hospital Participation, Value, and Challenges. Citation Text: Patient Safety Organizations: Hospital Participation, Value, and Challenges. US Department of Health and Human Services; Office of the Inspector General, September 2019. OIG Report N…

  16. Tubing misconnections: normalization of deviance. | PSNet

    psnet.ahrq.gov/issue/tubing-misconnections-normalization-deviance
    December 16, 2015 - Review Tubing misconnections: normalization of deviance. Citation Text: Simmons D, Symes L, Guenter P, et al. Tubing misconnections: normalization of deviance. Nutr Clin Pract. 2011;26(3):286-293. doi:10.1177/0884533611406134. Copy Citation Format: DOI Google Scholar PubM…

  17. Reducing surgical complications. | PSNet

    psnet.ahrq.gov/issue/reducing-surgical-complications
    January 03, 2018 - Commentary Reducing surgical complications. Citation Text: Griffin F. Reducing surgical complications. Jt Comm J Qual Patient Saf. 2007;33(11):660-5. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Downlo…

  18. Trends in adverse events over time: why are we not improving? | PSNet

    psnet.ahrq.gov/issue/trends-adverse-events-over-time-why-are-we-not-improving
    October 02, 2019 - Commentary Trends in adverse events over time: why are we not improving? Citation Text: Shojania KG, Thomas EJ. Trends in adverse events over time: why are we not improving? BMJ Qual Saf. 2013;22(4):273-7. doi:10.1136/bmjqs-2013-001935. Copy Citation Format: DOI Google Sc…

  19. FDA Guidance Document: Hospital Bed System Dimensional and Assessment Guidance to Reduce Entrapment. | PSNet

    psnet.ahrq.gov/issue/fda-guidance-document-hospital-bed-system-dimensional-and-assessment-guidance-reduce
    July 01, 2009 - Organizational Policy/Guidelines FDA Guidance Document: Hospital Bed System Dimensional and Assessment Guidance to Reduce Entrapment. Citation Text: FDA Guidance Document: Hospital Bed System Dimensional and Assessment Guidance to Reduce Entrapment. Rockville MD: Center for Devices a…

  20. When should a leader apologize—and when not? | PSNet

    psnet.ahrq.gov/issue/when-should-leader-apologize-and-when-not
    October 07, 2020 - Commentary When should a leader apologize—and when not? Citation Text: Kellerman B. When should a leader apologize and when not? Harv Bus Rev. 2006;84(4):72-81; 148. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RI…
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