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  1. The federal government's oversight of CT safety: regulatory possibilities. | PSNet

    psnet.ahrq.gov/issue/federal-governments-oversight-ct-safety-regulatory-possibilities
    February 13, 2019 - December 4, 2016 Recommended responsibilities for management of MR safety.

  2. Cultivating a culture of medication safety in prelicensure nursing students. | PSNet

    psnet.ahrq.gov/issue/cultivating-culture-medication-safety-prelicensure-nursing-students
    July 25, 2018 - April 22, 2015 Implementing AORN recommended practices for medication safety.

  3. Implementing handoff communication. | PSNet

    psnet.ahrq.gov/issue/implementing-handoff-communication
    August 25, 2010 - July 5, 2013 Implementing AORN recommended practices for transfer of patient care information

  4. Decreasing 30-day readmission rates. | PSNet

    psnet.ahrq.gov/issue/decreasing-30-day-readmission-rates
    July 19, 2018 - July 5, 2013 Implementing AORN recommended practices for transfer of patient care information

  5. Patient experience must move beyond bad apples. | PSNet

    psnet.ahrq.gov/issue/patient-experience-must-move-beyond-bad-apples
    September 02, 2009 - , 2023 Managing interruptions to improve diagnostic decision-making: strategies and recommended

  6. Influence of workplace demands on nurses' perception of patient safety. | PSNet

    psnet.ahrq.gov/issue/influence-workplace-demands-nurses-perception-patient-safety
    September 29, 2010 - July 19, 2023 Low rate of completion of recommended tests and referrals in an academic

  7. The checklist: recognize limits, but harness its power. | PSNet

    psnet.ahrq.gov/issue/checklist-recognize-limits-harness-its-power
    September 07, 2016 - March 13, 2013 Implementing AORN recommended practices for laser safety.

  8. Reducing the Safety Hazards of Monitor Alert and Alarm Fatigue | PSNet

    psnet.ahrq.gov/perspective/reducing-safety-hazards-monitor-alert-and-alarm-fatigue
    May 01, 2016 - However, once enough data has been collected, it is recommended that alarms be configured specifically

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837958/psn-pdf
    December 01, 2021 - ambulance patient to the hospital.3 Similarly, the British National Health Service (NHS) Confederation recommended

  10. Discharged Blindly | PSNet

    psnet.ahrq.gov/web-mm/discharged-blindly
    October 26, 2022 - Discharged Blindly Citation Text: Iezzoni LI. Discharged Blindly. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867655/psn-pdf
    February 26, 2025 - Learning Health Systems for Patient Safety February 26, 2025 Savitz LA, Sousane Z, Mossburg SE. Learning Health Systems for Patient Safety. PSNet [internet]. 2025. https://psnet.ahrq.gov/perspective/learning-health-systems-patient-safety Despite an observable decrease in adverse events in health care over time, rat…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846922/psn-pdf
    March 29, 2023 - Enhancing Support for Patients’ Social Needs to Reduce Hospital Readmissions and Improve Health Outcomes March 29, 2023 https://psnet.ahrq.gov/innovation/enhancing-support-patients-social-needs-reduce-hospital-readmissions- and-improve-health Summary With increasing recognition that health is linked to the condit…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49791/psn-pdf
    April 01, 2017 - Wrong-side Bedside Paravertebral Block: Preventing the Preventable April 1, 2017 Barrington MJ, Uda Y. Wrong-side Bedside Paravertebral Block: Preventing the Preventable. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/wrong-side-bedside-paravertebral-block-preventing-preventable The Case An 84-year-old wo…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49727/psn-pdf
    March 01, 2015 - Critical Opportunity Lost March 1, 2015 Genzen JR, Signorelli HN. Critical Opportunity Lost. PSNet [internet]. 2015. https://psnet.ahrq.gov/web-mm/critical-opportunity-lost The Case A 55-year-old woman presented to the emergency department (ED) with new onset chest pain. She reported eating a heavy dinner the pre…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49463/psn-pdf
    October 14, 2004 - Moved Too Soon October 1, 2004 Lindenauer PK. Moved Too Soon. PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/moved-too-soon The Case A 67-year-old man was admitted to a general hospital ward after undergoing a laminectomy. Two hours after arriving, while the patient was still groggy from anesthesia, a nurs…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60547/psn-pdf
    May 28, 2020 - The Role of the FDA in Ensuring Device Safety May 28, 2020 Fitall E, Hall KK, Gale B. The Role of the FDA in Ensuring Device Safety . PSNet [internet]. 2020. https://psnet.ahrq.gov/perspective/role-fda-ensuring-device-safety Introduction The Food and Drug Administration (FDA) plays a critical role in ensuring the …

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33860/psn-pdf
    June 01, 2018 - Safety Considerations in Building a Point-of-Care Ultrasound Program June 1, 2018 Moore C. Safety Considerations in Building a Point-of-Care Ultrasound Program. PSNet [internet]. 2018. https://psnet.ahrq.gov/perspective/safety-considerations-building-point-care-ultrasound-program Perspective At the American Colle…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49832/psn-pdf
    June 01, 2018 - Febrile Neutropenia and an Almost Fatal Medication Error June 1, 2018 Faig J, Zerillo JA. Febrile Neutropenia and an Almost Fatal Medication Error. PSNet [internet]. 2018. https://psnet.ahrq.gov/web-mm/febrile-neutropenia-and-almost-fatal-medication-error The Case A 33-year-old woman with recently diagnosed acute …

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33640/psn-pdf
    September 01, 2006 - What Can the Rest of the Health Care System Learn from the VA's Quality and Safety Transformation? September 1, 2006 Jha AK. What Can the Rest of the Health Care System Learn from the VA's Quality and Safety Transformation? PSNet [internet]. 2006. https://psnet.ahrq.gov/perspective/what-can-rest-health-care-system…

  20. Spotlight Case July 2008 (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.179_slideshow.ppt
    July 01, 2008 - Spotlight Case July 2008 Spotlight Case July 2008 Dependence vs. Pain Source and Credits This presentation is based on the July 2008 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Adam J. Gordon, MD, MPH University of Pittsburgh School of M…
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