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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41161/psn-pdf
    February 22, 2012 - An education-service partnership to achieve safety and quality improvement competencies in nursing. February 22, 2012 Fater KH, Ready R. An Education-Service Partnership to Achieve Safety and Quality Improvement Competencies in Nursing. Journal of Nursing Education. 2011;50(12). doi:10.3928/01484834-20110916- 02. …
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851917/psn-pdf
    January 01, 2024 - Incivility in healthcare: the impact of poor communication. August 2, 2023 Guppy JH, Widlund H, Munro R, et al. Incivility in healthcare: the impact of poor communication. BMJ Lead. 2024;8(1):83-87. doi:10.1136/leader-2022-000717. https://psnet.ahrq.gov/issue/incivility-healthcare-impact-poor-communication Incivi…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34885/psn-pdf
    February 07, 2019 - Doctor’s orders killed cancer patient: Dana-Farber admits drug overdose caused death of Globe columnist, damage to second woman. February 7, 2019 Knox RA. Boston Globe. March 23, 1995; metro/region:1. https://psnet.ahrq.gov/issue/doctors-orders-killed-cancer-patient-dana-farber-admits-drug-overdose- caused-death-…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44155/psn-pdf
    June 24, 2015 - Patient Safety Tool Kit. June 24, 2015 WHO Regional Office for the Eastern Mediterranean. Cairo, Egypt: World Health Organization; 2015. ISBN: 9789290220596. https://psnet.ahrq.gov/issue/patient-safety-tool-kit Patient safety programs should reflect local needs, motivate clinician and leadership engagement, and s…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37253/psn-pdf
    January 10, 2017 - American Hospital Association-McKesson Quest for Quality Prize. January 10, 2017 Jt Comm J Qual Patient Saf. 2007;33(10):592-604. https://psnet.ahrq.gov/issue/american-hospital-association-mckesson-quest-quality-prize-0 This issue includes articles highlighting the achievements of the 2007 AHA McKesson Quest …
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/864847/psn-pdf
    March 20, 2024 - Inter-hospital transfer is an independent risk factor for hospital-associated infection. March 20, 2024 Gardner C, Rubinfeld IS, Gupta AH, et al. Inter-hospital transfer is an independent risk factor for hospital- associated infection. Surg Infect (Larchmt). 2024;25(2):125-132. doi:10.1089/sur.2023.077. https://ps…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867015/psn-pdf
    October 23, 2024 - Supporting perioperative safety during a disaster through clinical crisis education. October 23, 2024 Kirkman A, Tripp H, Ward L, et al. Supporting perioperative safety during a disaster through clinical crisis education. AORN J. 2024;120(4):226-237. doi:10.1002/aorn.14217. https://psnet.ahrq.gov/issue/supporting-…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/861760/psn-pdf
    January 31, 2024 - Syringe Swap During Regional Block: A Case of Medication Error and Recovery January 31, 2024 Beres K, Gutierrez MC. Syringe Swap During Regional Block: A Case of Medication Error and Recovery. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/syringe-swap-during-regional-block-case-medication-error-and-recover…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841155/psn-pdf
    February 02, 2020 - Understanding unwarranted variation in clinical practice: a focus on network effects, reflective medicine and learning health systems. February 2, 2020 Atsma F, Elwyn G, Westert GP. Understanding unwarranted variation in clinical practice: a focus on network effects, reflective medicine and learning health systems…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841479/psn-pdf
    December 14, 2022 - Fast does not imply flawed: analyzing emergency physician productivity and medical errors. December 14, 2022 Hoot NR, Barbosa TJ, Chan HK, et al. Fast does not imply flawed: analyzing emergency physician productivity and medical errors. J Am Coll Emerg Physicians Open. 2022;3(6):e12849. doi:10.1002/emp2.12849. ht…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73113/psn-pdf
    April 07, 2021 - Analysis of results from event investigations in industrial and patient safety contexts. April 7, 2021 Harms-Ringdahl L. Analysis of results from event investigations in industrial and patient safety contexts. Safety. 2021;7(1):19. doi:10.3390/safety7010019. https://psnet.ahrq.gov/issue/analysis-results-event-inve…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74017/psn-pdf
    October 27, 2021 - Ensuring primary care diagnostic quality in the era of telemedicine. October 27, 2021 Willis JS, Tyler C, Schiff GD, et al. Ensuring primary care diagnostic quality in the era of telemedicine. Am J Med. 2021;134(9):1101-1103. doi:10.1016/j.amjmed.2021.04.027. https://psnet.ahrq.gov/issue/ensuring-primary-care-diag…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/863209/psn-pdf
    February 28, 2024 - Emergency department volume and delayed diagnosis of serious pediatric conditions. February 28, 2024 Michelson KA, Rees CA, Florin TA, et al. Emergency department volume and delayed diagnosis of serious pediatric conditions. JAMA Pediatr. 2024;178(4):362-368. doi:10.1001/jamapediatrics.2023.6672. https://psnet.ahr…
  14. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.311_slideshow.ppt
    December 01, 2013 - PowerPoint Presentation Spotlight Case New Oral Anticoagulants 1 This presentation is based on the December 2013 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Margaret C. Fang, MD, MPH, University of California, San Francisco Editor, AHRQ WebM&M…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35186/psn-pdf
    July 13, 2005 - Saving lives: hospitals have signed on to a six-part plan to avoid a multitude of unnecessary deaths. July 13, 2005 Comarow A. US News & World Report. July 2005 https://psnet.ahrq.gov/issue/saving-lives-hospitals-have-signed-six-part-plan-avoid-multitude-unnecessary- deaths This article, accompanying the widely r…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40897/psn-pdf
    November 02, 2011 - Infrequent physician use of implantable cardioverter- defibrillators risks patient safety. November 2, 2011 Lyman S, Sedrakyan A, Do H, et al. Infrequent physician use of implantable cardioverter-defibrillators risks patient safety. Heart. 2011;97(20):1655-60. doi:10.1136/hrt.2011.226282. https://psnet.ahrq.gov/is…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46081/psn-pdf
    April 19, 2017 - Why are medical errors still a leading cause of death? April 19, 2017 Headley M. https://psnet.ahrq.gov/issue/why-are-medical-errors-still-leading-cause-death This magazine article explores the need for robust research and effective reporting to better understand the prevalence of medical errors and how to prevent…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853433/psn-pdf
    September 13, 2023 - Outcomes of missed diagnosis of pediatric appendicitis, new-onset diabetic ketoacidosis, and sepsis in five pediatric hospitals. September 13, 2023 Michelson KA, Bachur RG, Grubenhoff JA, et al. Outcomes of missed diagnosis of pediatric appendicitis, new-onset diabetic ketoacidosis, and sepsis in five pediatric ho…
  19. psnet.ahrq.gov/web-mm/endotracheal-tube-fallout-patient-severe-obesity-during-eye-surgery
    January 29, 2021 - Endotracheal Tube Fallout in a Patient with Severe Obesity During Eye Surgery. Citation Text: Bohringer C. Endotracheal Tube Fallout in a Patient with Severe Obesity During Eye Surgery.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services.…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846768/psn-pdf
    March 29, 2023 - Endotracheal Tube Fallout in a Patient with Severe Obesity During Eye Surgery. March 29, 2023 Bohringer C. Endotracheal Tube Fallout in a Patient with Severe Obesity During Eye Surgery. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/endotracheal-tube-fallout-patient-severe-obesity-during-eye-surgery The Ca…

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