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  1. Errors of omission: missed nursing care. | PSNet

    psnet.ahrq.gov/issue/errors-omission-missed-nursing-care
    September 27, 2017 - Review Errors of omission: missed nursing care. Citation Text: Kalisch BJ, Xie B. Errors of Omission: Missed Nursing Care. West J Nurs Res. 2014;36(7):875-890. doi:10.1177/0193945914531859. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML …

  2. When medical error becomes personal, activism becomes painful. | PSNet

    psnet.ahrq.gov/issue/when-medical-error-becomes-personal-activism-becomes-painful
    August 21, 2019 - Newspaper/Magazine Article When medical error becomes personal, activism becomes painful. Citation Text: When medical error becomes personal, activism becomes painful. Millenson M. Forbes. September 16, 2022. Copy Citation Save Save to your library Print …

  3. Index of Clinical Topics | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/tools/mrsa-prevention/toolkit/clinical-topics.html
    October 01, 2024 - MRSA Prevention Toolkit: ICUs & Non-ICUs Index of Clinical Topics Previous Page Next Page Table of Contents MRSA Prevention Toolkit: ICUs & Non-ICUs The Four Key Strategies of MRSA Prevention The Importance of MRSA Prevention Decolonization Tools & Resources for Decolonization Tools & Reso…

  4. Missed or Rationed Nursing Care. | PSNet

    psnet.ahrq.gov/issue/missed-or-rationed-nursing-care
    February 12, 2020 - Special or Theme Issue Missed or Rationed Nursing Care. Citation Text: Missed or Rationed Nursing Care. J Nurs Manag. 2020;28(8): i-iv, 1767-2275. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter …

  5. HCUP Facts and Figures: Statistics on Hospital-Based Care in the United States, 2008

    hcup-us.ahrq.gov/reports/factsandfigures/2008/TOC_2008.jsp
    January 01, 2008 - HCUP Facts and Figures: Statistics on Hospital-Based Care in the United States, 2008 An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact…

  6. DOD Should Improve Its Process for Clinical Adverse Actions against Providers. | PSNet

    psnet.ahrq.gov/issue/dod-should-improve-its-process-clinical-adverse-actions-against-providers
    May 16, 2018 - Book/Report DOD Should Improve Its Process for Clinical Adverse Actions against Providers. Citation Text: DOD Should Improve Its Process for Clinical Adverse Actions against Providers. Washington, DC: United States Government Accounting Office; April 11, 2024. Publication GAO-24-106107. …

  7. 047-Ss-Faqs-Staff-Safety-Side-Effects (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/047-ss-faqs-staff-safety-side-effects.docx
    April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI Preoperative Decolonization Staff – Frequently Asked Questions: Safety and Side Effects Surgical Services For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries​ The products we are recommending for surgical site infection (SSI) preven…

  8. ACOG Committee Opinion #590: preparing for clinical emergencies in obstetrics and gynecology. | PSNet

    psnet.ahrq.gov/issue/acog-committee-opinion-590-preparing-clinical-emergencies-obstetrics-and-gynecology
    May 22, 2019 - Commentary ACOG Committee Opinion #590: preparing for clinical emergencies in obstetrics and gynecology. Citation Text: Improvement AC of O and GC on PS and Q. Committee opinion no. 590: preparing for clinical emergencies in obstetrics and gynecology. Obstet Gynecol. 2014;123(3):722-5. d…

  9. ACOG Committee Opinion No. 447: patient safety in obstetrics and gynecology. | PSNet

    psnet.ahrq.gov/issue/acog-committee-opinion-no-447-patient-safety-obstetrics-and-gynecology
    July 19, 2017 - Commentary ACOG Committee Opinion No. 447: patient safety in obstetrics and gynecology. Citation Text: Improvement AC of O and GCC on PS and Q. ACOG Committee Opinion No. 447: Patient safety in obstetrics and gynecology. Obstet Gynecol. 2009;114(6):1424-7. doi:10.1097/AOG.0b013e3181c6f90…

  10. American College of Radiology White Paper on MR Safety: 2004 Update and Revisions. | PSNet

    psnet.ahrq.gov/issue/american-college-radiology-white-paper-mr-safety-2004-update-and-revisions
    September 28, 2022 - Clinical Guideline American College of Radiology White Paper on MR Safety: 2004 Update and Revisions. Citation Text: doi:10.2214/ajr.182.5.182111. Copy Citation Format: DOI BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation …

  11. Adverse Events. | PSNet

    psnet.ahrq.gov/issue/adverse-events-0
    September 20, 2011 - Multi-use Website Adverse Events. Citation Text: Adverse Events. United States Office of the Inspector General: 2010-2023. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Cop…

  12. Discharge from Mental Health Care: Making it Safe and Patient-centred. | PSNet

    psnet.ahrq.gov/issue/discharge-mental-health-care-making-it-safe-and-patient-centred
    October 07, 2020 - Book/Report Discharge from Mental Health Care: Making it Safe and Patient-centred. Citation Text: Discharge from Mental Health Care: Making it Safe and Patient-centred. Manchester, UK: Parliamentary and Health Service Ombudsman; March 2024. Copy Citation Save Sa…

  13. Obstacles to research on the effects of interruptions in healthcare. | PSNet

    psnet.ahrq.gov/issue/obstacles-research-effects-interruptions-healthcare
    April 19, 2017 - Commentary Obstacles to research on the effects of interruptions in healthcare. Citation Text: Grundgeiger T, Dekker SWA, Sanderson P, et al. Obstacles to research on the effects of interruptions in healthcare. BMJ Qual Saf. 2016;25(6):392-5. doi:10.1136/bmjqs-2015-004083. Copy Citatio…

  14. Inpatient notes: diagnostic excellence starts with an incessant watch. | PSNet

    psnet.ahrq.gov/issue/inpatient-notes-diagnostic-excellence-starts-incessant-watch
    August 31, 2022 - Commentary Inpatient notes: diagnostic excellence starts with an incessant watch. Citation Text: Dhaliwal G. Annals for Hospitalists Inpatient Notes - Diagnostic Excellence Starts With an Incessant Watch. Ann Intern Med. 2017;167(8):HO2-HO3. doi:10.7326/m17-2447. Copy Citation Form…

  15. Acting Locally: Working in Clinical Microsystems CD-ROM. | PSNet

    psnet.ahrq.gov/issue/acting-locally-working-clinical-microsystems-cd-rom
    May 20, 2019 - Special or Theme Issue Acting Locally: Working in Clinical Microsystems CD-ROM. Citation Text: Acting Locally: Working in Clinical Microsystems CD-ROM. Oakbrook Terrance, IL: Joint Commission Resources; 2005. ISBN 9780866889865. Copy Citation Save Save to yo…

  16. A National Trauma Care System: Integrating Military and Civilian Trauma Systems to Achieve Zero Preventable Deaths After Injury. | PSNet

    psnet.ahrq.gov/issue/national-trauma-care-system-integrating-military-and-civilian-trauma-systems-achieve-zero
    September 12, 2018 - Book/Report A National Trauma Care System: Integrating Military and Civilian Trauma Systems to Achieve Zero Preventable Deaths After Injury. Citation Text: A National Trauma Care System: Integrating Military and Civilian Trauma Systems to Achieve Zero Preventable Deaths After Injury. Nat…

  17. Zebra in the intensive care unit: a metacognitive reflection on misdiagnosis. | PSNet

    psnet.ahrq.gov/issue/zebra-intensive-care-unit-metacognitive-reflection-misdiagnosis
    October 19, 2022 - Commentary Zebra in the intensive care unit: a metacognitive reflection on misdiagnosis. Citation Text: Gillon SA, Radford ST. Zebra in the intensive care unit: a metacognitive reflection on misdiagnosis. Crit Care Resusc. 2012;14(3):216-20. Copy Citation Format: Google Sch…

  18. Adverse glycemic events and critical emergencies. | PSNet

    psnet.ahrq.gov/issue/adverse-glycemic-events-and-critical-emergencies
    December 14, 2022 - Newspaper/Magazine Article Adverse glycemic events and critical emergencies. Citation Text: Adverse glycemic events and critical emergencies. ISMP Medication Safety Alert! Acute care edition. December 2, 2021;(24)1-4. Copy Citation Save Save to your library …

  19. A concept analysis of systems thinking. | PSNet

    psnet.ahrq.gov/issue/concept-analysis-systems-thinking
    August 20, 2018 - Review A concept analysis of systems thinking. Citation Text: Stalter AM, Phillips JM, Ruggiero JS, et al. A Concept Analysis of Systems Thinking. Nurs Forum. 2017;52(4):323-330. doi:10.1111/nuf.12196. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML En…

  20. Disposition of Comments for Pulmonary Arterial Hypertension: Screening, Management, and Treatment (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/hypertension-pulmonary-arterial_disposition-comments.pdf
    April 25, 2013 - Public Reviewer - ACCP 1 Executive Summary ES-3 Would recommend using the current definition of
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