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psnet.ahrq.gov/node/49477/psn-pdf
April 01, 2005 - Hold the tPA
April 1, 2005
Fagan SC. Hold the tPA. PSNet [internet]. 2005.
https://psnet.ahrq.gov/web-mm/hold-tpa
The Case
A 74-year-old woman with a history of atrial fibrillation on warfarin therapy came to the emergency
department (ED) 1 hour after the sudden onset of aphasia and right-sided weakness. A non-co…
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psnet.ahrq.gov/node/33601/psn-pdf
December 15, 2024 - Electronic Health Records
December 15, 2024
Electronic Health Records. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/electronic-health-records
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the patient safet…
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psnet.ahrq.gov/primer/strategies-and-approaches-investigating-patient-safety-events
March 15, 2025 - Strategies and Approaches for Investigating Patient Safety Events
Citation Text:
Shaikh U. Strategies and Approaches for Investigating Patient Safety Events. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022.
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psnet.ahrq.gov/primer/opioid-safety
December 15, 2024 - Opioid Safety
Citation Text:
Opioid Safety. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
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psnet.ahrq.gov/issue/network-patient-safety-databases
December 24, 2008 - Database/Directory
Network of Patient Safety Databases.
Citation Text:
Network of Patient Safety Databases. Agency for Healthcare Research and Quality.
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psnet.ahrq.gov/node/45222/psn-pdf
June 08, 2016 - A program to prevent catheter-associated urinary tract
infection in acute care.
June 8, 2016
Saint S, Greene T, Krein SL, et al. A Program to Prevent Catheter-Associated Urinary Tract Infection in
Acute Care. New Engl J Med. 2016;374(22):2111-2119. doi:10.1056/NEJMoa1504906.
https://psnet.ahrq.gov/issue/program-pr…
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psnet.ahrq.gov/issue/medical-errors-and-safety-systems
March 19, 2008 - Special or Theme Issue
Medical Errors and Safety Systems.
Citation Text:
Medical Errors and Safety Systems. Pearlman MD, ed. Clin Obstet Gynecol. 2010;53(3):471-585.
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psnet.ahrq.gov/issue/clinical-errors-and-medical-negligence
March 01, 2023 - Review
Clinical errors and medical negligence.
Citation Text:
Oyebode F. Clinical errors and medical negligence. Med Princ Pract. 2013;22(4):323-33. doi:10.1159/000346296.
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DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged P…
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psnet.ahrq.gov/issue/using-medication-reconciliation-prevent-errors
March 27, 2024 - Sentinel Event Alerts
Using medication reconciliation to prevent errors.
Citation Text:
Using medication reconciliation to prevent errors. Sentinel Event Alert. 2006;35(35):1-4.
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psnet.ahrq.gov/issue/hospitals-move-cut-dangerous-lab-errors
August 17, 2016 - Newspaper/Magazine Article
Hospitals move to cut dangerous lab errors.
Citation Text:
Hospitals move to cut dangerous lab errors. Landro L.
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psnet.ahrq.gov/node/45758/psn-pdf
July 21, 2017 - Arrival by ambulance explains variation in mortality by
time of admission: retrospective study of admissions to
hospital following emergency department attendance in
England.
July 21, 2017
Anselmi L, Meacock R, Kristensen SR, et al. Arrival by ambulance explains variation in mortality by time of
admission: retros…
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psnet.ahrq.gov/issue/towel-safety-message
October 24, 2012 - Newspaper/Magazine Article
A towel with a safety message.
Citation Text:
A towel with a safety message. Lerner M.
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psnet.ahrq.gov/issue/what-doctor-missed
August 17, 2016 - Newspaper/Magazine Article
What the doctor missed.
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October 6, 2010
View more articles from the same authors.
Reporting how mal…
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psnet.ahrq.gov/node/836844/psn-pdf
April 07, 2022 - Pharmacist-led mobile health intervention and transplant
medication safety: a randomized controlled clinical trial.
April 7, 2022
Gonzales HM, Fleming JN, Gebregziabher M, et al. Pharmacist-led mobile health intervention and
transplant medication safety: a randomized controlled clinical trial. Clin J Am Soc Nephrol…
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psnet.ahrq.gov/issue/compendium-2000-2005
September 06, 2011 - Book/Report
Compendium of Reports.
Citation Text:
Compendium of Reports. Washington DC: National Quality Forum.
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psnet.ahrq.gov/node/38825/psn-pdf
October 12, 2009 - Implementation of a mandatory checklist of protocols and
objectives improves compliance with a wide range of
evidence-based intensive care unit practices.
October 12, 2009
Byrnes MC, Schuerer DJE, Schallom ME, et al. Implementation of a mandatory checklist of protocols and
objectives improves compliance with a wid…
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psnet.ahrq.gov/issue/second-opinion-consult-computer
June 03, 2020 - Newspaper/Magazine Article
For second opinion, consult a computer?
Citation Text:
For second opinion, consult a computer? Hafner K.
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psnet.ahrq.gov/issue/when-patient-handoffs-go-terribly-wrong
May 01, 2013 - Newspaper/Magazine Article
When patient handoffs go terribly wrong.
Citation Text:
When patient handoffs go terribly wrong. Chen PW.
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psnet.ahrq.gov/node/40203/psn-pdf
February 09, 2011 - Changes in safety attitude and relationship to decreased
postoperative morbidity and mortality following
implementation of a checklist-based surgical safety
intervention.
February 9, 2011
Haynes AB, Weiser TG, Berry WR, et al. Changes in safety attitude and relationship to decreased
postoperative morbidity and mo…
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psnet.ahrq.gov/issue/hospitals-target-risks-color-wristbands
August 17, 2016 - Newspaper/Magazine Article
Hospitals target risks of color wristbands.
Citation Text:
Hospitals target risks of color wristbands. Landro L.
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