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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72834/psn-pdf
    March 10, 2021 - Approach to Improving Patient Safety: Communication March 10, 2021 Schnipper JL, Fitall E, Hall KK, et al. Approach to Improving Patient Safety: Communication . PSNet [internet]. 2021. https://psnet.ahrq.gov/perspective/approach-improving-patient-safety-communication Introduction Each one of the countless necessa…

  2. Breathe Easy: Safe Tracheostomy Management | PSNet

    psnet.ahrq.gov/web-mm/breathe-easy-safe-tracheostomy-management
    June 07, 2023 - Breathe Easy: Safe Tracheostomy Management Citation Text: Russell MS, Russell MD. Breathe Easy: Safe Tracheostomy Management. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015. Copy Citation Format: Google Scholar Bib…

  3. To Dilute or Not Dilute: Drug Errors and Consequences in the Operating Room | PSNet

    psnet.ahrq.gov/web-mm/dilute-or-not-dilute-drug-errors-and-consequences-operating-room
    July 28, 2021 - To Dilute or Not Dilute: Drug Errors and Consequences in the Operating Room Citation Text: Aldwinckle R, Florendo E. To Dilute or Not Dilute: Drug Errors and Consequences in the Operating Room. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Se…

  4. Spotlight Case [MONTH] 2003 (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.152_slideshow.ppt
    June 01, 2007 - Spotlight Case [MONTH] 2003 Spotlight Case June 2007 Beeline to Spine Source and Credits This presentation is based on June 2007 AHRQ WebM&M Spotlight Case See full article at http://webmm.ahrq.gov CME credit is available online Commentary by: Gerald W. Smetana, MD, Harvard Medical School, Beth Israel D…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49677/psn-pdf
    February 01, 2013 - CVC Placement: Speak Now or Do Not Use the Line February 1, 2013 Ault M, Rosen B. CVC Placement: Speak Now or Do Not Use the Line. PSNet [internet]. 2013. https://psnet.ahrq.gov/web-mm/cvc-placement-speak-now-or-do-not-use-line The Case A 48-year-old woman with a history of hypertension, psychiatric illness, and a…

  6. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2022-10/spotlight_case_missed_pneumothorax_10.09.2022_-_final.pdf
    January 01, 2022 - Spotlight Spotlight False Assumptions Result in a Missed Pneumothorax after Bronchoscopy with Transbronchial Biopsy Source and Credits • This presentation is based on the September 2022 AHRQ WebM&M Spotlight Case o See the full article at https://psnet.ahrq.gov/webmm o CME credit is available o Commentary by:…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49582/psn-pdf
    April 01, 2009 - Breakage of a PICC Line April 1, 2009 Dimov V. Breakage of a PICC Line. PSNet [internet]. 2009. https://psnet.ahrq.gov/web-mm/breakage-picc-line Case Objectives Appreciate the incidence and consequences of PICC line breakage. Understand the risk factors for PICC line breakage. Understand the treatment options in…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60933/psn-pdf
    September 23, 2020 - Seroprevalence of SARS-CoV-2 among frontline health care personnel in a multistate hospital network--13 academic medical centers, April-June 2020. September 23, 2020 Self WH, Tenforde MW, Stubblefield WB, et al. Seroprevalence of SARS-CoV-2 among frontline health care personnel in a multistate hospital network - 1…

  9. Patient Safety Tools: Improving Safety at the Point of Care. | PSNet

    psnet.ahrq.gov/issue/patient-safety-tools-improving-safety-point-care-0
    September 08, 2021 - Multi-use Website Patient Safety Tools: Improving Safety at the Point of Care. Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL November 14, 2011 Produced in conjunction with it…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39422/psn-pdf
    March 23, 2011 - Organisational readiness: exploring the preconditions for success in organisation-wide patient safety improvement programmes. March 23, 2011 Burnett S, Benn J, Pinto A, et al. Organisational readiness: exploring the preconditions for success in organisation-wide patient safety improvement programmes. Qual Saf Heal…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50702/psn-pdf
    December 04, 2019 - Smart pumps improve medication safety but increase alert burden in neonatal care December 4, 2019 Melton KR, Timmons K, Walsh KE, et al. Smart pumps improve medication safety but increase alert burden in neonatal care. BMC Medical Inform Decis Mak. 2019;19(1):213. doi:10.1186/s12911-019-0945-2. https://psnet.ahrq.…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847533/psn-pdf
    April 12, 2023 - Linking patient safety climate with missed nursing care in labor and delivery units: findings from the LaborRNs survey. April 12, 2023 Zhong J, Simpson KR, Spetz J, et al. Linking patient safety climate with missed nursing care in labor and delivery units: findings from the LaborRNs survey. J Patient Saf. 2023;19(…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45937/psn-pdf
    September 29, 2017 - Opioid-prescribing patterns of emergency physicians and risk of long-term use. September 29, 2017 Barnett ML, Olenski AR, Jena AB. Opioid-Prescribing Patterns of Emergency Physicians and Risk of Long- Term Use. N Engl J Med. 2017;376(7):663-673. doi:10.1056/NEJMsa1610524. https://psnet.ahrq.gov/issue/opioid-prescr…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50890/psn-pdf
    February 12, 2020 - Impact of pharmacist-led multidisciplinary medication review on the safety and medication cost of the elderly people living in a nursing home: a before-after study. February 12, 2020 Leguelinel-Blache G, Castelli C, Rolain J, et al. Impact of pharmacist-led multidisciplinary medication review on the safety and med…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45117/psn-pdf
    August 03, 2016 - Using computerized prescriber order entry to limit overrides from automated dispensing cabinets. August 3, 2016 Drake E, Srinivas P, Trujillo T. Using computerized prescriber order entry to limit overrides from automated dispensing cabinets. Am J Health-Syst Pharm. 2016;73(14):1033-1035. doi:10.2146/ajhp150564. ht…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837141/psn-pdf
    May 18, 2022 - The effects of leadership curricula with and without implicit bias training on graduate medical education: a multicenter randomized trial. May 18, 2022 Hansen M, Harrod T, Bahr N, et al. The effects of leadership curricula with and without implicit bias training on graduate medical education: a multicenter randomi…

  17. AHRQ Announces Areas of Interest for Research on Healthcare–Associated Infections. | PSNet

    psnet.ahrq.gov/issue/ahrq-announces-areas-interest-research-healthcare-associated-infections
    June 14, 2024 - Government Resource AHRQ Announces Areas of Interest for Research on Healthcare–Associated Infections. Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL December 22, 2010 This an…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39495/psn-pdf
    September 20, 2011 - Safe Practices for Better Healthcare: 2010 Update. September 20, 2011 Washington, DC: National Quality Forum; 2010. https://psnet.ahrq.gov/issue/safe-practices-better-healthcare-2010-update The National Quality Forum originally published the Safe Practices for Better Healthcare in 2003. These practices are intende…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41370/psn-pdf
    September 01, 2016 - Evaluating alert fatigue over time to EHR-based clinical trial alerts: findings from a randomized controlled study. September 1, 2016 Embi P, Leonard AC. Evaluating alert fatigue over time to EHR-based clinical trial alerts: findings from a randomized controlled study. J Am Med Inform Assoc. 2012;19(e1):e145-8. ht…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37260/psn-pdf
    January 02, 2017 - A visual medication schedule to improve anticoagulation control: a randomized, controlled trial. January 2, 2017 Machtinger EL, Wang F, Chen L-L, et al. A visual medication schedule to improve anticoagulation control: a randomized, controlled trial. Jt Comm J Qual Patient Saf. 2007;33(10):625-35. https://psnet.ahr…
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