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  1. 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…
  2. 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]…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37429/psn-pdf
    February 17, 2011 - Outcomes of care by hospitalists, general internists, and family physicians.  February 17, 2011 Lindenauer PK, Rothberg MB, Pekow PS, et al. Outcomes of Care by Hospitalists, General Internists, and Family Physicians. New Engl J Med. 2007;357(25):2589-2600. doi:10.1056/nejmsa067735. https://psnet.ahrq.gov/issue/ou…
  4. psnet.ahrq.gov/web-mm/around-block
    March 04, 2020 - Around the Block Citation Text: Minichiello T. Around the Block. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …
  5. Psn-Pdf (pdf file)

    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…
  6. Psn-Pdf (pdf file)

    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…
  7. Psn-Pdf (pdf file)

    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…
  8. psnet.ahrq.gov/sites/default/files/2023-06/hurried_huddle_0.pdf
    January 01, 2023 - Microsoft PowerPoint - Spotlight Case_Anesthesia Error During Cesarean_06.22.2023 - Final.pptx Spotlight Hurried Team Huddle and Poor Communication: Unsafe Practice During Anesthesia for Emergency Cesarean Delivery Source and Credits • This presentation is based on the June 2023 AHRQ WebM&M Spotlight Case o See…
  9. psnet.ahrq.gov/web-mm/chest-pain-rural-hospital
    June 02, 2021 - SPOTLIGHT CASE Chest Pain in a Rural Hospital Citation Text: MacKinney CA, Mohr NM. Chest Pain in a Rural Hospital. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. Copy Citation Format: Google Scholar Bi…
  10. Psn-Pdf (pdf file)

    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…
  11. Psn-Pdf (pdf file)

    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. …
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49696/psn-pdf
    December 01, 2013 - New Oral Anticoagulants December 1, 2013 Fang MC. New Oral Anticoagulants. PSNet [internet]. 2013. https://psnet.ahrq.gov/web-mm/new-oral-anticoagulants Case Objectives Review properties of newer target-specific oral anticoagulants (TSOACs) such as dabigatran, rivaroxaban, and apixaban. State key perioperative c…
  13. Psn-Pdf (pdf file)

    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…
  14. Psn-Pdf (pdf file)

    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…
  15. Psn-Pdf (pdf file)

    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…
  16. psnet.ahrq.gov/perspective/conversation-withbarbara-pelletreau-and-john-riggi-about-cybersecurity
    March 27, 2024 - In Conversation with...Barbara Pelletreau and John Riggi about Cybersecurity Barbara Pelletreau, RN; John Riggi | March 27, 2024  Also Read the Essay View more articles from the same authors. Citation Text: Pelletreau B, Riggi J. In Conversation with..Barbara Pe…
  17. psnet.ahrq.gov/perspective/cybersecurity-and-how-maintain-patient-safety
    March 27, 2024 - Cybersecurity and How to Maintain Patient Safety Barbara Pelletreau, RN; John Riggi; Bryan M. Gale, MA; Sarah E. Mossburg, RN, PhD | March 27, 2024  Also Read the Conversation View more articles from the same authors. Citation Text: Pelletreau B, Riggi J, Gale B…
  18. Psn-Pdf (pdf file)

    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.…
  19. Psn-Pdf (pdf file)

    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…
  20. Psn-Pdf (pdf file)

    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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