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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49814/psn-pdf
    December 01, 2017 - Miscommunication in the OR Leads to Anticoagulation Mishap December 1, 2017 Solsky I, Haynes AB. Miscommunication in the OR Leads to Anticoagulation Mishap. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/miscommunication-or-leads-anticoagulation-mishap The Case A 63-year-old man with a history of coronary…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33623/psn-pdf
    December 01, 2005 - The Unintended Consequences of Florida Medical Liability Legislation December 1, 2005 Barach P. The Unintended Consequences of Florida Medical Liability Legislation. PSNet [internet]. 2005. https://psnet.ahrq.gov/perspective/unintended-consequences-florida-medical-liability-legislation Perspective Quality health …
  3. psnet.ahrq.gov/web-mm/dilute-or-not-dilute-drug-errors-and-consequences-operating-room
    July 28, 2021 - Standardization of drug concentrations can also be effective in reducing dilution errors. 1 , 5 , 9
  4. psnet.ahrq.gov/web-mm/discharge-against-medical-advice
    July 01, 2017 - Reducing Errors and Adverse Outcomes Associated with Discharges AMA How can health care professionals
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33645/psn-pdf
    February 01, 2007 - Solutions There are two promising approaches to reducing the risk of cognitive error.
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72834/psn-pdf
    March 10, 2021 - Reducing the complexity of discharge information takes into greater consideration the limited health
  7. psnet.ahrq.gov/web-mm/breathe-easy-safe-tracheostomy-management
    June 07, 2023 - June 9, 2011 Reducing catheter-associated bloodstream infections in the pediatric intensive
  8. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2022-10/spotlight_case_missed_pneumothorax_10.09.2022_-_final.pdf
    January 01, 2022 - clinical settings, for tasks such as identifying correct surgical sites in the operating room and reducing
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49574/psn-pdf
    November 01, 2008 - thereby takes significant portions of clinical judgment out of the ordering process, a key step in reducing
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49742/psn-pdf
    September 01, 2015 - to ping pong back and forth between hospitals and postacute care facilities, increasing costs while reducing
  11. psnet.ahrq.gov/perspective/conversation-alison-holmes-md-mph
    March 01, 2014 - It's all part of improving the quality of care and reducing harm.
  12. psnet.ahrq.gov/print/pdf/node/866419
    March 27, 2024 - PSNet Curated Library AHRQ: Agency for Healthcare Research and Quality Artificial Intelligence: System-Level Considerations Curated Library Foundations Generative artificial intelligence, patient safety and healthcare quality: a review. Howell MD. BMJ Qual Saf. 2024;33:748-754. Artificial intelligence (AI) is…
  13. psnet.ahrq.gov/curated-library/nurse-wellbeing-and-patient-safety
    August 30, 2023 - Breadcrumb Home The PSNet Collection Curated Libraries Subscribed Nurse Wellbeing and Patient Safety  Download  Share Facebook Twitter Linkedin Copy URL Subscribe Created By: Lorri Zipperer, Cybrarian, AHRQ…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49735/psn-pdf
    June 01, 2015 - Anchoring Bias With Critical Implications June 1, 2015 Etchells E. Anchoring Bias With Critical Implications. PSNet [internet]. 2015. https://psnet.ahrq.gov/web-mm/anchoring-bias-critical-implications Case Objectives Appreciate that diagnostic errors are common in primary and ambulatory care. Define premature clo…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44724/psn-pdf
    November 25, 2015 - What's in your kit? A safety checkup may be in order. November 25, 2015 Paparella S. What's In Your Kit? A Safety Checkup May Be In Order. Journal of emergency nursing: JEN : official publication of the Emergency Department Nurses Association. 2015;41(6):513-5. doi:10.1016/j.jen.2015.07.001. https://psnet.ahrq.gov…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47165/psn-pdf
    June 13, 2018 - Changing how we think about healthcare improvement. June 13, 2018 Braithwaite J. Changing how we think about healthcare improvement. BMJ. 2018;361:k2014. doi:10.1136/bmj.k2014. https://psnet.ahrq.gov/issue/changing-how-we-think-about-healthcare-improvement In learning organizations, leadership behavior creates a s…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40281/psn-pdf
    August 25, 2011 - Effects of a clinical pharmacist service on health-related quality of life and prescribing of drugs: a randomised controlled trial. August 25, 2011 Bladh L, Ottosson E, Karlsson J, et al. Effects of a clinical pharmacist service on health-related quality of life and prescribing of drugs: a randomised controlled tr…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34594/psn-pdf
    January 04, 2017 - John M. Eisenberg Patient Safety Awards. The Leapfrog Group for Patient Safety: rewarding higher standards. January 4, 2017 Eikel C, Delbanco S. John M. Eisenberg Patient Safety Awards. The Leapfrog Group for Patient Safety: rewarding higher standards. Jt Comm J Qual Saf. 2003;29(12):634-9. https://psnet.ahrq.gov/…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45826/psn-pdf
    January 18, 2017 - Ensuring staff safety when treating potentially violent patients. January 18, 2017 Roca RP, Charen B, Boronow J. Ensuring Staff Safety When Treating Potentially Violent Patients. JAMA. 2016;316(24):2669-2670. doi:10.1001/jama.2016.18260. https://psnet.ahrq.gov/issue/ensuring-staff-safety-when-treating-potentially-…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44123/psn-pdf
    July 11, 2018 - The 2014 John M. Eisenberg Patient Safety and Quality Awards. July 11, 2018 Jt Comm J Qual Patient Saf. 2015;41(5):195-211. https://psnet.ahrq.gov/issue/2014-john-m-eisenberg-patient-safety-and-quality-awards Articles in this special issue highlight the achievements of the 2014 John M. Eisenberg Patient Safety and…

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