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psnet.ahrq.gov/node/49392/psn-pdf
April 01, 2003 - Another Fall
April 1, 2003
Bogardus SG. Another Fall. PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/another-fall
Case Objectives
List risk factors for falls in hospitalized patients
Understand appropriate use of restraints
Identify system issues contributing to falls in hospitalized patients
Case & Comm…
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psnet.ahrq.gov/node/866618/psn-pdf
December 31, 2024 - A Fatal Twist in Pseudohyperkalemia
December 31, 2024
Devera JL, Barnes DK, Lewis WR. A Fatal Twist in Pseudohyperkalemia. PSNet [internet]. 2024.
https://psnet.ahrq.gov/web-mm/fatal-twist-pseudohyperkalemia
Disclosure of Relevant Financial Relationships: As a provider accredited by the Accreditation Council
for C…
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psnet.ahrq.gov/web-mm/anchoring-bias-critical-implications
June 15, 2022 - SPOTLIGHT CASE
Anchoring Bias With Critical Implications
Citation Text:
Etchells E. Anchoring Bias With Critical Implications. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015.
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psnet.ahrq.gov/web-mm/misplaced-nasogastric-tube-resulting-aspiration
August 01, 2009 - Misplaced Nasogastric Tube Resulting in Aspiration
Citation Text:
Singh A, Huang C. Misplaced Nasogastric Tube Resulting in Aspiration. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024.
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psnet.ahrq.gov/perspective/conversation-david-urbach-md-msc
June 12, 2019 - In Conversation With… David Urbach, MD, MSc
April 1, 2015
Citation Text:
In Conversation With… David Urbach, MD, MSc. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015.
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…
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psnet.ahrq.gov/web-mm/need-eat
February 10, 2021 - The Need to Eat
Citation Text:
Widaman AM. The Need to Eat. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
…
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psnet.ahrq.gov/node/45296/psn-pdf
September 21, 2016 - Comparison of medication safety systems in critical
access hospitals: combined analysis of two studies.
September 21, 2016
Cochran GL, Barrett RS, Horn SD. Comparison of medication safety systems in critical access hospitals:
Combined analysis of two studies. Am J Health Syst Pharm. 2016;73(15):1167-73.
doi:10.214…
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psnet.ahrq.gov/node/44216/psn-pdf
April 25, 2016 - Improving medication safety during hospital-based
transitions of care.
April 25, 2016
Sponsler KC, Neal EB, Kripalani S. Improving medication safety during hospital-based transitions of care.
Cleve Clin J Med. 2015;82(6):351-360. doi:10.3949/ccjm.82a.14025.
https://psnet.ahrq.gov/issue/improving-medication-safety-…
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psnet.ahrq.gov/node/46162/psn-pdf
July 26, 2017 - The association between patient safety indicators and
medical malpractice risk: evidence from Florida and
Texas.
July 26, 2017
Black BS, Wagner AR, Zabinski Z. The Association between Patient Safety Indicators and Medical
Malpractice Risk: Evidence from Florida and Texas. Am J Health Econ. 2017;3(2).
doi:10.1162/…
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psnet.ahrq.gov/node/837735/psn-pdf
July 27, 2022 - A quality improvement initiative using peer audit and
feedback to improve compliance with the surgical safety
checklist.
July 27, 2022
Fridrich A, Imhof A, Staender S, et al. A quality improvement initiative using peer audit and feedback to
improve compliance. Int J Qual Health Care. 2022;34(3). doi:10.1093/intqhc…
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psnet.ahrq.gov/node/44688/psn-pdf
February 23, 2018 - Improving diagnosis in health care—the next imperative
for patient safety.
February 23, 2018
Singh H, Graber ML. Improving Diagnosis in Health Care--The Next Imperative for Patient Safety. New
Engl J Med. 2015;373(26):2493-2495. doi:10.1056/NEJMp1512241.
https://psnet.ahrq.gov/issue/improving-diagnosis-health-care…
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psnet.ahrq.gov/node/837423/psn-pdf
June 15, 2022 - Evaluation and comparison of errors on nursing notes
created by online and offline speech recognition
technology and handwritten: an interventional study.
June 15, 2022
Peivandi S, Ahmadian L, Farokhzadian J, et al. Evaluation and comparison of errors on nursing notes
created by online and offline speech recogniti…
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psnet.ahrq.gov/node/866952/psn-pdf
October 16, 2024 - Introduction of a novel patient safety advisory: evaluation
of perceived information with a modified QPP
questionnaire-a case-control study.
October 16, 2024
Tubic B, Bånnsgård M, Gustavsson S, et al. Introduction of a novel patient safety advisory: evaluation of
perceived information with a modified QPP questionn…
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psnet.ahrq.gov/node/45452/psn-pdf
August 24, 2016 - What price must we pay for safety? Excessive cost of
EPINEPHrine auto-injectors leads to error-prone use of
ampuls or vials and unprepared consumers.
August 24, 2016
ISMP Medication Safety Alert! Acute Care Edition. August 11, 2016;21:1-3.
https://psnet.ahrq.gov/issue/what-price-must-we-pay-safety-excessive-cost-e…
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psnet.ahrq.gov/node/38721/psn-pdf
June 25, 2009 - Effect of bar-code–assisted medication administration on
medication error rates in an adult medical intensive care
unit.
June 25, 2009
DeYoung JL, Vanderkooi ME, Barletta JF. Effect of bar-code-assisted medication administration on
medication error rates in an adult medical intensive care unit. Am J Health Syst Ph…
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psnet.ahrq.gov/node/44886/psn-pdf
September 27, 2016 - Direct oral anticoagulants: new drugs with practical
problems. How can nurses help prevent patient harm?
September 27, 2016
Barras MA, Hughes D, Ullner M. Direct oral anticoagulants: New drugs with practical problems. How can
nurses help prevent patient harm? Nurs Health Sci. 2016;18(3):408-11. doi:10.1111/nhs.1226…
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psnet.ahrq.gov/node/837030/psn-pdf
May 04, 2022 - Comprehensive evaluation of using computerised
provider order-entry system for hospital discharge
orders.
May 4, 2022
Colombini N, Abbes M, Cherpin A, et al. Comprehensive evaluation of using computerised provider order-
entry system for hospital discharge orders. Int J Med Inform. 2022;160:104703.
doi:10.1016/j.…
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psnet.ahrq.gov/node/866438/psn-pdf
August 07, 2024 - Using machine learning or deep learning models in a
hospital setting to detect inappropriate prescriptions: a
systematic review.
August 7, 2024
Johns E, Alkanj A, Beck M, et al. Using machine learning or deep learning models in a hospital setting to
detect inappropriate prescriptions: a systematic review. Eur J Ho…
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psnet.ahrq.gov/node/43905/psn-pdf
March 04, 2015 - Suboptimal compliance with surgical safety checklists in
Colorado: a prospective observational study reveals
differences between surgical specialties.
March 4, 2015
Biffl WL, Gallagher AW, Pieracci FM, et al. Suboptimal compliance with surgical safety checklists in
Colorado: A prospective observational study revea…
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psnet.ahrq.gov/node/45529/psn-pdf
October 11, 2017 - Increasing compliance with the World Health Organization
surgical safety checklist—a regional health system's
experience.
October 11, 2017
Gitelis ME, Kaczynski A, Shear T, et al. Increasing compliance with the World Health Organization Surgical
Safety Checklist-A regional health system's experience. Am J Surg. 20…