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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49677/psn-pdf
    February 01, 2013 - CVC Placement: Speak Now or Do Not Use the Line February 1, 2013 Ault M, Rosen B. CVC Placement: Speak Now or Do Not Use the Line. PSNet [internet]. 2013. https://psnet.ahrq.gov/web-mm/cvc-placement-speak-now-or-do-not-use-line The Case A 48-year-old woman with a history of hypertension, psychiatric illness, and a…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49582/psn-pdf
    April 01, 2009 - Breakage of a PICC Line April 1, 2009 Dimov V. Breakage of a PICC Line. PSNet [internet]. 2009. https://psnet.ahrq.gov/web-mm/breakage-picc-line Case Objectives Appreciate the incidence and consequences of PICC line breakage. Understand the risk factors for PICC line breakage. Understand the treatment options in…
  3. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.152_slideshow.ppt
    June 01, 2007 - Spotlight Case [MONTH] 2003 Spotlight Case June 2007 Beeline to Spine Source and Credits This presentation is based on June 2007 AHRQ WebM&M Spotlight Case See full article at http://webmm.ahrq.gov CME credit is available online Commentary by: Gerald W. Smetana, MD, Harvard Medical School, Beth Israel D…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72618/psn-pdf
    December 23, 2020 - Nudge Unit Supports Physician, Patient Behavioral Changes Towards Medical Decisions that Improve Care Value and Quality of Care December 23, 2020 https://psnet.ahrq.gov/innovation/nudge-unit-supports-physician-patient-behavioral-changes-towards- medical-decisions Summary Nudges are a change in the way choices ar…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851971/psn-pdf
    July 31, 2023 - Failure to Adhere to Dietary Restrictions Leading to Complications and Poor Follow-up July 31, 2023 Bohringer C, Bourgeois J, Xiong G, et al. Failure to adhere to dietary restrictions leading to complications and poor follow-up. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/failure-adhere-dietary-restricti…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60242/psn-pdf
    March 01, 2021 - preventative care and management services through this program has shown to improve patient outcomes, such reducing … Best bets for reducing Medicare costs for dual eligible beneficiaries: assessing the evidence.
  7. psnet.ahrq.gov/perspective/conversation-ashish-k-jha-md-mph
    May 01, 2013 - research that all of us face is not becoming too wedded to any particular solution for improving quality, reducing … harm, or reducing health care costs.
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41175/psn-pdf
    December 31, 2014 - Design and implementation of an automated email notification system for results of tests pending at discharge. December 31, 2014 Dalal A, Schnipper JL, Poon EG, et al. Design and implementation of an automated email notification system for results of tests pending at discharge. J Am Med Inform Assoc. 2012;19(4):52…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43695/psn-pdf
    August 02, 2015 - The medical liability climate and prospects for reform. August 2, 2015 Mello MM, Studdert DM, Kachalia A. The medical liability climate and prospects for reform. JAMA. 2014;312(20):2146-55. doi:10.1001/jama.2014.10705. https://psnet.ahrq.gov/issue/medical-liability-climate-and-prospects-reform This review of natio…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47835/psn-pdf
    April 24, 2019 - Facilitation of surgical innovation: is it possible to speed the introduction of new technology while simultaneously improving patient safety? April 24, 2019 Marcus RK, Lillemoe HA, Caudle AS, et al. Facilitation of Surgical Innovation: Is It Possible to Speed the Introduction of New Technology While Simultaneousl…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47333/psn-pdf
    October 10, 2018 - Changing dynamics of the drug overdose epidemic in the United States from 1979 through 2016. October 10, 2018 Jalal H, Buchanich JM, Roberts MS, et al. Changing dynamics of the drug overdose epidemic in the United States from 1979 through 2016. Science (1979). 2018;361(6408). doi:10.1126/science.aau1184. https://p…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44197/psn-pdf
    November 03, 2015 - Effect of the World Health Organization checklist on patient outcomes: a stepped wedge cluster randomized controlled trial. November 3, 2015 Haugen AS, Søfteland E, Almeland SK, et al. Effect of the World Health Organization checklist on patient outcomes: a stepped wedge cluster randomized controlled trial. Ann Su…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44471/psn-pdf
    September 27, 2016 - Two sides of the safety coin?: how patient engagement and safety climate jointly affect error occurrence in hospital units. September 27, 2016 Schiffinger M, Latzke M, Steyrer J. Two sides of the safety coin?: How patient engagement and safety climate jointly affect error occurrence in hospital units. Health Care …
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44881/psn-pdf
    August 16, 2017 - A comparative effectiveness analysis of the implementation of surgical safety checklists in a tertiary care hospital. August 16, 2017 Bock M, Fanolla A, Segur-Cabanac I, et al. A Comparative Effectiveness Analysis of the Implementation of Surgical Safety Checklists in a Tertiary Care Hospital. JAMA Surg. 2016;151(…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45385/psn-pdf
    January 03, 2017 - Viewing prevention of catheter-associated urinary tract infection as a system: using systems engineering and human factors engineering in a quality improvement project in an academic medical center. January 3, 2017 Rhee C, Phelps E, Meyer B, et al. Viewing Prevention of Catheter-Associated Urinary Tract Infection …
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40013/psn-pdf
    July 24, 2011 - Patient participation in surgical site marking: can this be an additional tool to help avoid wrong-site surgery? July 24, 2011 Bergal LM, Schwarzkopf R, Walsh M, et al. Patient participation in surgical site marking: can this be an additional tool to help avoid wrong-site surgery? J Patient Saf. 2010;6(4):221-5. h…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845361/psn-pdf
    March 29, 2023 - A standardized marking procedure for ENT operations to prevent wrong-site surgery: development, establishment and subsequent evaluation among patients and medical personnel. March 29, 2023 Rohrmeier C, Abudan Al-Masry N, Keerl R, et al. A standardized marking procedure for ENT operations to prevent wrong-site sur…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40221/psn-pdf
    July 21, 2011 - The association between a prolonged stay in the emergency department and adverse events in older patients admitted to hospital: a retrospective cohort study. July 21, 2011 Ackroyd-Stolarz S, Guernsey R, Mackinnon NJ, et al. The association between a prolonged stay in the emergency department and adverse events in…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46806/psn-pdf
    January 01, 2020 - Examining the relationship of an all-cause harm patient safety measure and critical performance measures at the frontline of care. February 28, 2018 Sammer C, Hauck L, Jones C, et al. Examining the Relationship of an All-Cause Harm Patient Safety Measure and Critical Performance Measures at the Frontline of Care. …
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43323/psn-pdf
    January 07, 2015 - Unrealized potential and residual consequences of electronic prescribing on pharmacy workflow in the outpatient pharmacy. January 7, 2015 Nanji KC, Rothschild JM, Boehne JJ, et al. Unrealized potential and residual consequences of electronic prescribing on pharmacy workflow in the outpatient pharmacy. J Am Med Inf…

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