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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73100/psn-pdf
    March 31, 2021 - Public comment period extended for strategies to improve patient safety: Draft Report to Congress for Public Comment and Review by the National Academy of Medicine. March 31, 2021 Fed Register. 2021;86(51):14752-14753. https://psnet.ahrq.gov/issue/public-comment-period-extended-strategies-improve-patient-safety-d…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37709/psn-pdf
    April 23, 2008 - Inappropriate medication use in the elderly: results from a quality improvement project in 99 primary care practices. April 23, 2008 Wessell AM, Nietert PJ, Jenkins RG, et al. Inappropriate medication use in the elderly: Results from a quality improvement project in 99 primary care practices. Am J Geriatr Pharmacot…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38099/psn-pdf
    October 01, 2008 - Decreased bile duct injury rate during laparoscopic cholecystectomy in the era of the 80-hour resident workweek. October 1, 2008 Yaghoubian A, Saltmarsh G, Rosing DK, et al. Decreased bile duct injury rate during laparoscopic cholecystectomy in the era of the 80-hour resident workweek. Arch Surg. 2008;143(9):847-5…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852803/psn-pdf
    August 23, 2023 - Sentinel Event Alert 67: Preserving Patient Safety After a Cyberattack. August 23, 2023 Sentinel Event Alert 67: Preserving Patient Safety After a Cyberattack. Jt Comm J Qual Patient Saf. 2023;49(12):724-729. doi:10.1016/j.jcjq.2023.07.006. https://psnet.ahrq.gov/issue/sentinel-event-alert-67-preserving-patient-sa…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74070/psn-pdf
    November 10, 2021 - ERs are swamped with seriously ill patients, although many don’t have Covid. November 10, 2021 Wells K. Health Shots. National Public Radio. October 29, 2021. https://psnet.ahrq.gov/issue/ers-are-swamped-seriously-ill-patients-although-many-dont-have-covid Emergency department (ED) crowding stemming from treatment…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45866/psn-pdf
    March 08, 2017 - Medication safety in the neonatal intensive care unit: big measures for our smallest patients. March 8, 2017 Rostas SE. Medication Safety in the Neonatal Intensive Care Unit: Big Measures for Our Smallest Patients. J Perinat Neonatal Nurs. 2017;31(1):15-19. doi:10.1097/JPN.0000000000000230. https://psnet.ahrq.gov/…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47129/psn-pdf
    September 05, 2018 - Impact of medication reconciliation for improving transitions of care. September 5, 2018 Redmond P, Grimes TC, McDonnell R, et al. Impact of medication reconciliation for improving transitions of care. Cochrane Database Syst Rev. 2018;8(8):CD010791. doi:10.1002/14651858.CD010791.pub2. https://psnet.ahrq.gov/issue/…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46763/psn-pdf
    January 27, 2019 - Human-simulation-based learning to prevent medication error: a systematic review. January 27, 2019 Sarfati L, Ranchon F, Vantard N, et al. Human-simulation-based learning to prevent medication error: A systematic review. J Eval Clin Pract. 2019;25(1):11-20. doi:10.1111/jep.12883. https://psnet.ahrq.gov/issue/human…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865974/psn-pdf
    May 29, 2024 - Minimizing bias when using artificial intelligence in critical care medicine. May 29, 2024 Ranard BL, Park S, Jia Y, et al. Minimizing bias when using artificial intelligence in critical care medicine. J Crit Care. 2024;82:154796. doi:10.1016/j.jcrc.2024.154796. https://psnet.ahrq.gov/issue/minimizing-bias-when-us…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48005/psn-pdf
    May 08, 2019 - Why your doctor's white coat can be a threat to your health. May 8, 2019 Haun N, Hooper-Lane C, Safdar N. Healthcare Personnel Attire and Devices as Fomites: A Systematic Review. Infect Control Hosp Epidemiol. 2016;37(11):1367-1373. https://psnet.ahrq.gov/issue/why-your-doctors-white-coat-can-be-threat-your-health…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73966/psn-pdf
    October 13, 2021 - Prescribing errors with low-molecular-weight heparins. October 13, 2021 Slikkerveer M, van de Plas A, Driessen JHM, et al. Prescribing errors with low-molecular-weight heparins. J Patient Saf. 2021;17(7):e587-e592. doi:10.1097/pts.0000000000000417. https://psnet.ahrq.gov/issue/prescribing-errors-low-molecular-weigh…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46205/psn-pdf
    September 20, 2017 - The impact of checklists on inpatient safety outcomes: a systematic review of randomized controlled trials. September 20, 2017 Boyd J, Wu G, Stelfox HT. The Impact of Checklists on Inpatient Safety Outcomes: A Systematic Review of Randomized Controlled Trials. J Hosp Med. 2017;12(8):675-682. doi:10.12788/jhm.2788. …
  13. psnet.ahrq.gov/web-mm/beeline-spine
    March 01, 2014 - SPOTLIGHT CASE Beeline to Spine Citation Text: Smetana GW. Beeline to Spine. 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 Endno…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73128/psn-pdf
    July 01, 2022 - Hospital at Home? Care Reduces Costs, Readmissions, and Complications and Enhances Satisfaction for Elderly Patients. April 7, 2021 https://psnet.ahrq.gov/innovation/hospital-homesm-care-reduces-costs-readmissions-and-complications- and-enhances Summary The Hospital at Homesm program provides hospital-level care…
  15. psnet.ahrq.gov/web-mm/acute-respiratory-arrest-pregnancy
    August 15, 2018 - Acute Respiratory Arrest in Pregnancy Citation Text: Sibai B. Acute Respiratory Arrest in Pregnancy. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNot…
  16. psnet.ahrq.gov/web-mm/fire-hole-or-fire
    August 03, 2017 - Fire in the Hole!—An OR Fire Citation Text: Mehta SP, Domino KM. Fire in the Hole!—An OR Fire. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XM…
  17. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.407_slideshow.ppt
    May 01, 2017 - PowerPoint Presentation Spotlight Diagnostic Delay in the Emergency Department 1 Source and Credits This presentation is based on the May 2017 AHRQ WebM&M Spotlight Case See the full article at https://psnet.ahrq.gov/webmm CME credit is available Commentary by: Kyle Marshall, MD, Geisinger Medical Center, Danv…
  18. psnet.ahrq.gov/web-mm/chemotherapy-extravasation
    September 24, 2010 - Chemotherapy Extravasation Citation Text: Schulmeister L. Chemotherapy Extravasation. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49687/psn-pdf
    August 21, 2013 - Emergency Error August 21, 2013 Symons NRA. Emergency Error. PSNet [internet]. 2013. https://psnet.ahrq.gov/web-mm/emergency-error Case Objectives State that emergency surgery is high risk and has high mortality. Appreciate that emergency laparotomy is a particularly high-risk procedure with a high likelihood of …
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72778/psn-pdf
    February 24, 2021 - Distractions in the cardiac catheterisation laboratory: impact for cardiologists and patient safety. February 24, 2021 Mahadevan K, Cowan E, Kalsi N, et al. Distractions in the cardiac catheterisation laboratory: impact for cardiologists and patient safety. Open Heart. 2020;7(2). doi:10.1136/openhrt-2020-001260. h…

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