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A Mistaken Dose of Naloxone  | PSNet

psnet.ahrq.gov/web-mm/mistaken-dose-naloxone

March 21, 2009 - A Mistaken Dose of Naloxone  Citation Text: Cutler E, Gunawardena D. A Mistaken Dose of Naloxone . PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote …

Preventable Transfer to the Hospital | PSNet

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March 31, 2022 - Preventable Transfer to the Hospital Citation Text: Agrawal G, Kashkouli P, Bakerjian D. Preventable Transfer to the Hospital. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022. Copy Citation Format: Google Scholar Bi…

On the Other Hand | PSNet

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December 12, 2012 - On the Other Hand Citation Text: Henneman EA. On the Other Hand. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2007. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

Periodic Issue | PSNet

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December 31, 2024 - January 22, 2025 Weekly Issue PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient safety literature, news, conferences, report…

Unintentional Ketamine Overdose in the Operating Room – Mixing Up the Ampules | PSNet

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March 25, 2020 - Unintentional Ketamine Overdose in the Operating Room – Mixing Up the Ampules Citation Text: Bohringer C. Unintentional Ketamine Overdose in the Operating Room – Mixing Up the Ampules. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2…

Discharge Instructions in the PACU: Who Remembers? | PSNet

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August 05, 2009 - Discharge Instructions in the PACU: Who Remembers? Citation Text: Engel KG. Discharge Instructions in the PACU: Who Remembers?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013. Copy Citation Format: Google Scholar B…

ISMP medication error report analysis. | PSNet

psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-42

September 26, 2017 - Commentary ISMP medication error report analysis. Citation Text: Cohen MR, Smetzer JL. Oral Syringes: A Crucial and Economical Risk-Reduction Strategy that has Not Been Fully Utilized; Caution regarding Once-Weekly Levothyroxine; When Drug Strengths Differ by 10-Fold; Lower Colchicine Do…

Enhancing patient safety during hand-offs: standardized communication and teamwork using the 'SBAR' method. | PSNet

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July 22, 2010 - Commentary Enhancing patient safety during hand-offs: standardized communication and teamwork using the 'SBAR' method. Citation Text: Enhancing patient safety during hand-offs: standardized communication and teamwork using the 'SBAR' method. Hohenhaus S, Powell S, Hohenhaus JT. Am J …

Understanding the Role of Facility Design in the Acquisition and Prevention of Healthcare-Associated Infections. | PSNet

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March 28, 2018 - Special or Theme Issue Understanding the Role of Facility Design in the Acquisition and Prevention of Healthcare-Associated Infections. Citation Text: Understanding the Role of Facility Design in the Acquisition and Prevention of Healthcare-Associated Infections. Hamilton DK, Stichle…

Insurers' Medical Loss Ratios and Quality Improvement Spending in 2011. | PSNet

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March 05, 2010 - Book/Report Insurers' Medical Loss Ratios and Quality Improvement Spending in 2011. Citation Text: Insurers' Medical Loss Ratios and Quality Improvement Spending in 2011. Hall M, McCue MJ. New York, NY: The Commonwealth Fund; March 22, 2013. Copy Citation Save …

Call to Action: Preventable Health Care Harm Is a Public Health Crisis and Patient Safety Requires a Coordinated Public Health Response. | PSNet

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November 23, 2016 - Book/Report Call to Action: Preventable Health Care Harm Is a Public Health Crisis and Patient Safety Requires a Coordinated Public Health Response. Citation Text: Call to Action: Preventable Health Care Harm Is a Public Health Crisis and Patient Safety Requires a Coordinated Public Heal…

Transforming Health Care: A Compendium of Reports From the National Patient Safety Foundation's Lucian Leape Institute. | PSNet

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November 23, 2016 - Book/Report Transforming Health Care: A Compendium of Reports From the National Patient Safety Foundation's Lucian Leape Institute. Citation Text: Transforming Health Care: A Compendium of Reports From the National Patient Safety Foundation's Lucian Leape Institute. Boston, MA: National …

Electronic prescribing vulnerabilities: height and weight mix-up leads to dosing error. | PSNet

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June 10, 2018 - Newspaper/Magazine Article Electronic prescribing vulnerabilities: height and weight mix-up leads to dosing error. Citation Text: Electronic prescribing vulnerabilities: height and weight mix-up leads to dosing error. ISMP Medication Safety Alert! Acute care edition. August 26, 2010;15:1…

Diagnosis: Interpreting the Shadows. | PSNet

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June 29, 2016 - Book/Report Diagnosis: Interpreting the Shadows. Citation Text: Diagnosis: Interpreting the Shadows. Croskerry P, Cosby KS, Graber ML, Singh H. Boca Raton, FL: CRC Press; 2017. ISBN: 9781409432333. Copy Citation Save Save to your library Print Download P…

The Patient Education Materials Assessment Tool (PEMAT) and User's Guide: An Instrument to Assess the Understandability and Actionability of Print and Audiovisual Patient Education Materials. | PSNet

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December 24, 2008 - Toolkit The Patient Education Materials Assessment Tool (PEMAT) and User's Guide: An Instrument to Assess the Understandability and Actionability of Print and Audiovisual Patient Education Materials. Citation Text: The Patient Education Materials Assessment Tool (PEMAT) and User's Guid…

Healthcare Quality and Safety Workforce Report: New Imperatives for Quality and Safety Mean New Imperatives for Workforce Development. | PSNet

psnet.ahrq.gov/issue/healthcare-quality-and-safety-workforce-report-new-imperatives-quality-and-safety-mean-new

May 06, 2015 - Book/Report Healthcare Quality and Safety Workforce Report: New Imperatives for Quality and Safety Mean New Imperatives for Workforce Development. Citation Text: Healthcare Quality and Safety Workforce Report: New Imperatives for Quality and Safety Mean New Imperatives for Workforce Deve…

Call to Action: Safeguarding the Integrity of Healthcare Quality and Safety Systems. | PSNet

psnet.ahrq.gov/issue/call-action-safeguarding-integrity-healthcare-quality-and-safety-systems

November 09, 2022 - Book/Report Call to Action: Safeguarding the Integrity of Healthcare Quality and Safety Systems. Citation Text: Call to Action: Safeguarding the Integrity of Healthcare Quality and Safety Systems. Glenview, IL: National Association of Healthcare Quality; October 2012. Copy Citati…

The untold story of a cyberattack, a hospital and a dying woman. | PSNet

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August 25, 2021 - Newspaper/Magazine Article The untold story of a cyberattack, a hospital and a dying woman. Citation Text: The untold story of a cyberattack, a hospital and a dying woman. Ralston W. Wired Magazine. November 11, 2020. Copy Citation Save Save to your library …

A piece of my mind. Speak up. | PSNet

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September 30, 2015 - Commentary A piece of my mind. Speak up. Citation Text: Merrill DG. Speak Up. JAMA. 2017;317(23). doi:10.1001/jama.2017.2022. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation …

Patient and Family Engagement in Primary Care: Case Studies. | PSNet

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November 01, 2016 - Book/Report Patient and Family Engagement in Primary Care: Case Studies. Citation Text: Patient and Family Engagement in Primary Care: Case Studies. Rockville, MD: Agency for Healthcare Research and Quality; September 2016. AHRQ Publication No. 16-0035-2-EF. Copy Citation …

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