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psnet.ahrq.gov/node/40394/psn-pdf
January 01, 2019 - Partnership for Patients.
October 6, 2016
Washington, DC: US Department of Health and Human Services.
https://psnet.ahrq.gov/issue/partnership-patients
Launched in 2011, the Partnership for Patients plans to invest approximately $1 billion total in an effort to
decrease preventable harm in United States hospitals.…
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psnet.ahrq.gov/node/842417/psn-pdf
January 11, 2023 - Scaling-up a pharmacist-led information technology
intervention (PINCER) to reduce hazardous prescribing in
general practices: multiple interrupted time series study.
January 11, 2023
Rodgers S, Taylor AC, Roberts SA, et al. Scaling-up a pharmacist-led information technology intervention
(PINCER) to reduce hazardo…
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psnet.ahrq.gov/node/73120/psn-pdf
April 07, 2021 - Medication reconciliation during hospitalization and in
hospital-home interface: an observational retrospective
study.
April 7, 2021
Volpi E, Giannelli A, Toccafondi G, et al. Medication reconciliation during hospitalization and in hospital-
home interface: an observational retrospective study. J Patient Saf. 2021…
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psnet.ahrq.gov/node/43779/psn-pdf
May 28, 2015 - Debriefing in the emergency department after clinical
events: a practical guide.
May 28, 2015
Kessler DO, Cheng A, Mullan PC. Debriefing in the Emergency Department After Clinical Events: A
Practical Guide. Ann Emerg Med. 2015;65(6):690-698. doi:10.1016/j.annemergmed.2014.10.019.
https://psnet.ahrq.gov/issue/debri…
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psnet.ahrq.gov/node/45989/psn-pdf
June 07, 2017 - Radiologic safety events within a pediatric emergency
medicine network.
June 7, 2017
Blumberg SM, Mahajan P, O?Connell KJ, et al. Radiologic Safety Events Within a Pediatric Emergency
Medicine Network. Pediatr Emerg Care. 2017;33(2):92-96. doi:10.1097/PEC.0000000000000684.
https://psnet.ahrq.gov/issue/radiologic-s…
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psnet.ahrq.gov/node/44373/psn-pdf
August 12, 2015 - Healthcare Utilizing Deliberate Discussion Linking Events
(HUDDLE): a systematic review.
August 12, 2015
Glymph DC, Olenick M, Barbera S, et al. Healthcare Utilizing Deliberate Discussion Linking Events
(HUDDLE): A Systematic Review. AANA J. 2015;83(3):183-188.
https://psnet.ahrq.gov/issue/healthcare-utilizing-del…
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psnet.ahrq.gov/node/35703/psn-pdf
July 13, 2010 - Injury and liability associated with monitored anesthesia
care: a closed claims analysis.
July 13, 2010
Bhananker SM, Posner KL, Cheney FW, et al. Injury and liability associated with monitored anesthesia
care: a closed claims analysis. Anesthesiology. 2006;104(2):228-234.
https://psnet.ahrq.gov/issue/injury-and-l…
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psnet.ahrq.gov/node/43147/psn-pdf
July 19, 2017 - ACOG Committee Opinion #590: preparing for clinical
emergencies in obstetrics and gynecology.
July 19, 2017
Improvement AC of O and GC on PS and Q. Committee opinion no. 590: preparing for clinical emergencies
in obstetrics and gynecology. Obstet Gynecol. 2014;123(3):722-5.
doi:10.1097/01.AOG.0000444442.04111.c6.
…
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psnet.ahrq.gov/perspective/conversation-edward-kelley-phd
December 01, 2014 - In Conversation With… Edward Kelley, PhD
December 1, 2014
Also Read an Essay
Citation Text:
In Conversation With… Edward Kelley, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014.
…
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psnet.ahrq.gov/node/39893/psn-pdf
November 02, 2010 - Surgical safety and hospital volume across a wide range
of interventions.
November 2, 2010
Eggli Y, Halfon P, Meylan D, et al. Surgical safety and hospital volume across a wide range of
interventions. Med Care. 2010;48(11):962-71. doi:10.1097/MLR.0b013e3181eaf9f6.
https://psnet.ahrq.gov/issue/surgical-safety-and-h…
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psnet.ahrq.gov/node/34886/psn-pdf
February 03, 2011 - Potentially inappropriate medication use among elderly
home care patients in Europe.
February 3, 2011
Fialová D, Topinková E, Gambassi G, et al. Potentially inappropriate medication use among elderly home
care patients in Europe. JAMA. 2005;293(11):1348-58.
https://psnet.ahrq.gov/issue/potentially-inappropriate-me…
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psnet.ahrq.gov/web-mm/local-anesthesia-induced-coma-during-total-knee-arthroplasty
October 27, 2021 - Local Anesthesia-Induced Coma During Total Knee Arthroplasty.
Citation Text:
Aldwinckle R. Local Anesthesia-Induced Coma During Total Knee Arthroplasty.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2021.
Copy Citation
Format…
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psnet.ahrq.gov/node/49476/psn-pdf
March 02, 2005 - Around the Block
March 1, 2005
Minichiello T. Around the Block. PSNet [internet]. 2005.
https://psnet.ahrq.gov/web-mm/around-block
The Case
A 77-year-old woman with multiple medical problems was admitted to the hospital for an elective knee
replacement. The orthopedic surgeon, recognizing the risk of deep vein th…
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psnet.ahrq.gov/node/840141/psn-pdf
November 16, 2022 - Toward zero harm: Mackenzie Health's journey toward
becoming a high reliability organization and eliminating
avoidable harm.
November 16, 2022
Wilson M-A, Sinno M, Hacker Teper M, et al. Toward zero harm: Mackenzie Health's journey toward
becoming a high reliability organization and eliminating avoidable harm. J P…
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psnet.ahrq.gov/web-mm/diagnostic-overshadowing-dangers
February 12, 2020 - Diagnostic Overshadowing Dangers
Citation Text:
Raven MC. Diagnostic Overshadowing Dangers. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML E…
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psnet.ahrq.gov/node/44866/psn-pdf
March 15, 2016 - Associations between attending physician workload,
teaching effectiveness, and patient safety.
March 15, 2016
Wingo MT, Halvorsen AJ, Beckman T, et al. Associations between attending physician workload, teaching
effectiveness, and patient safety. J Hosp Med. 2016;11(3):169-73. doi:10.1002/jhm.2540.
https://psnet.a…
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psnet.ahrq.gov/node/46001/psn-pdf
July 19, 2017 - Identifying hospitalized patients at risk for harm: a
comparison of nurse perceptions vs. electronic risk
assessment tool scores.
July 19, 2017
Stafos A, Stark S, Barbay K, et al. CE: Original Research: Identifying Hospitalized Patients at Risk for
Harm: A Comparison of Nurse Perceptions vs. Electronic Risk Assess…
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psnet.ahrq.gov/web-mm/hurried-team-huddle-and-poor-communication-unsafe-practice-during-anesthesia-emergency
September 27, 2023 - SPOTLIGHT CASE
Hurried Team Huddle and Poor Communication: Unsafe Practice During Anesthesia for Emergency Cesarean Delivery
Citation Text:
Curtin A, Schloemerkemper N. Hurried Team Huddle and Poor Communication: Unsafe Practice During Anesthesia for Emergency Cesarean Delivery.. PSNet [internet]…
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psnet.ahrq.gov/node/47671/psn-pdf
January 01, 2019 - Racial, ethnic, and socioeconomic disparities in patient
safety events for hospitalized children.
December 19, 2018
Stockwell DC, Landrigan CP, Toomey SL, et al. Racial, Ethnic, and Socioeconomic Disparities in Patient
Safety Events for Hospitalized Children. Hosp Pediatr. 2019;9(1):1-5. doi:10.1542/hpeds.2018-0131…
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psnet.ahrq.gov/perspective/african-partnerships-patient-safety-lessons-learned
December 01, 2014 - African Partnerships for Patient Safety: Lessons Learned
Shams B. Syed, MD, MPH | December 1, 2014
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Syed SS. African Partnerships for Patient Safety: Lessons Learned. PSNet [intern…