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  1. psnet.ahrq.gov/perspective/unintended-consequences-florida-medical-liability-legislation
    February 01, 2003 - The Unintended Consequences of Florida Medical Liability Legislation Paul Barach, MD, MPH | December 1, 2005  View more articles from the same authors. Citation Text: Barach P. The Unintended Consequences of Florida Medical Liability Legislation. PSNet [internet].…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49731/psn-pdf
    April 01, 2015 - Fire in the Hole!—An OR Fire April 1, 2015 Mehta SP, Domino KM. Fire in the Hole!—An OR Fire. PSNet [internet]. 2015. https://psnet.ahrq.gov/web-mm/fire-hole-or-fire The Case A patient was taken to the operating room (OR) to undergo a planned laparoscopic subtotal colon resection for a biopsy-proven adenocarcinom…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49492/psn-pdf
    November 01, 2005 - Reconciling Doses November 1, 2005 Federico F. Reconciling Doses. PSNet [internet]. 2005. https://psnet.ahrq.gov/web-mm/reconciling-doses Case Objectives List the steps involved in medication reconciliation. Describe the role of each of the stakeholders in medication reconciliation. Discuss how medication reconc…
  4. psnet.ahrq.gov/web-mm/hospital-admission-due-high-dose-methotrexate-drug-interaction
    October 01, 2003 - Hospital Admission Due to High-Dose Methotrexate Drug Interaction Citation Text: Siegel LC, Gandhi TK. Hospital Admission Due to High-Dose Methotrexate Drug Interaction. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009. Copy Cit…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49797/psn-pdf
    June 01, 2017 - Diagnostic Overshadowing Dangers June 1, 2017 Raven MC. Diagnostic Overshadowing Dangers. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/diagnostic-overshadowing-dangers The Case A 72-year-old woman with history of opioid abuse was sent to the emergency department (ED) from a methadone clinic because she a…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49637/psn-pdf
    October 01, 2011 - The Dropped "No" October 1, 2011 Johnson AJ. The Dropped "No". PSNet [internet]. 2011. https://psnet.ahrq.gov/web-mm/dropped-no The Case A 62-year-old man with a history of cirrhosis was admitted with increasing abdominal girth and swelling in his legs. Because the leg swelling was somewhat more pronounced in his…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33772/psn-pdf
    September 01, 2014 - In Conversation With… Rosemary Gibson, MSc September 1, 2014 In Conversation With… Rosemary Gibson, MSc. PSNet [internet]. 2014. https://psnet.ahrq.gov/perspective/conversation-rosemary-gibson-msc Editor's note: Rosemary Gibson, MSc, is Senior Advisor to The Hastings Center and an editor for JAMA Internal Medicin…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33624/psn-pdf
    December 01, 2005 - In Conversation with…Troyen A. Brennan, MD, JD, MPH December 1, 2005 In Conversation with…Troyen A. Brennan, MD, JD, MPH. PSNet [internet]. 2005. https://psnet.ahrq.gov/perspective/conversation-withtroyen-brennan-md-jd-mph Dr. Robert Wachter, Editor, AHRQ WebM&M: What got you interested in the law and its interface…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46998/psn-pdf
    August 01, 2019 - 10 Facts on Patient Safety. June 27, 2018 Patient Safety and Risk Management Service Delivery and Safety. Geneva, Switzerland; World Health Organization: August 2019. https://psnet.ahrq.gov/issue/10-facts-patient-safety This publication highlights statistics that illustrate the global impact of patient harm. The i…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37087/psn-pdf
    October 03, 2011 - Improving patient safety in the ED waiting room. October 3, 2011 Blank FSJ, Santoro J, Maynard AM, et al. Improving patient safety in the ED waiting room. Journal of emergency nursing: JEN : official publication of the Emergency Department Nurses Association. 2007;33(4):331-5. https://psnet.ahrq.gov/issue/improvin…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45663/psn-pdf
    November 09, 2016 - Nursing Home Antimicrobial Stewardship Guide. November 9, 2016 Rockville, MD: Agency for Healthcare Research and Quality; October 2016. https://psnet.ahrq.gov/issue/nursing-home-antimicrobial-stewardship-guide Antimicrobial stewardship is one strategy to reduce health care–associated infections in a variety of set…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45064/psn-pdf
    April 20, 2016 - Making Care Safer. April 20, 2016 Agency for Healthcare Research and Quality. Priorities in Focus. March 2016. https://psnet.ahrq.gov/issue/making-care-safer The National Quality Strategy is part of AHRQ's ongoing efforts to enhance patient safety. This brief summarizes the results of the Partnership for Patients …
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42584/psn-pdf
    September 11, 2013 - Cardiac surgical ICU care: eliminating "preventable" complications. September 11, 2013 Shake JG, Pronovost P, Whitman GJR. Cardiac surgical ICU care: eliminating "preventable" complications. J Card Surg. 2013;28(4):406-13. doi:10.1111/jocs.12124. https://psnet.ahrq.gov/issue/cardiac-surgical-icu-care-eliminating-p…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42613/psn-pdf
    September 25, 2013 - Approaches to decreasing medication and other care errors in the ICU. September 25, 2013 Valentin A. Approaches to decreasing medication and other care errors in the ICU. Curr Opin Crit Care. 2013;19(5):474-9. doi:10.1097/MCC.0b013e328364d4f9. https://psnet.ahrq.gov/issue/approaches-decreasing-medication-and-other…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42664/psn-pdf
    August 11, 2014 - Positive deviance: a new tool for infection prevention and patient safety. August 11, 2014 Marra AR, Santos OFPD, Neto MC, et al. Positive Deviance: A New Tool for Infection Prevention and Patient Safety. Curr Infect Dis Rep. 2013. https://psnet.ahrq.gov/issue/positive-deviance-new-tool-infection-prevention-and-pa…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42185/psn-pdf
    April 10, 2013 - Improving patient safety in medicine: is the model of anaesthesia care enough? April 10, 2013 Haller G. Improving patient safety in medicine: is the model of anaesthesia care enough? Swiss Med Wkly. 2013;143:w13770. doi:10.4414/smw.2013.13770. https://psnet.ahrq.gov/issue/improving-patient-safety-medicine-model-an…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36914/psn-pdf
    March 21, 2017 - Reasons for after-hours calls by hospital floor nurses to on-call physicians. March 21, 2017 Bernstam E, Pancheri KK, Johnson CM, et al. Reasons for after-hours calls by hospital floor nurses to on- call physicians. Jt Comm J Qual Patient Saf. 2007;33(6):342-9. https://psnet.ahrq.gov/issue/reasons-after-hours-call…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44693/psn-pdf
    June 15, 2016 - Safety. June 15, 2016 Center for Health Design. https://psnet.ahrq.gov/issue/safety-0 Elements of the health care work environment can affect the care delivery. This website highlights design considerations for health care facilities that can help reduce noise, falls, and hospital-acquired infections. The collect…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60162/psn-pdf
    March 25, 2020 - Patient Safety Improvement Act of 2020. March 25, 2020 SB 3380. 116th Congress (2020). https://psnet.ahrq.gov/issue/patient-safety-improvement-act-2020 This bill submits amendments to existing US federal law to strengthen state-organized efforts to improve health care-associated infection control efforts, pediatri…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38602/psn-pdf
    January 14, 2025 - World Hand Hygiene Day. January 14, 2025 World Health Organization https://psnet.ahrq.gov/issue/save-lives-clean-your-hands This global initiative raises awareness about hand hygiene as a strategy to reduce health care–associated infections. The initiative highlights Save Lives: Clean Your Hands, an annual promoti…

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