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AHRQ: Agency for Healthcare Research and Quality

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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43670/psn-pdf
    November 12, 2014 - Incidents resulting from staff leaving normal duties to attend medical emergency team calls. November 12, 2014 Investigators CMETIS, Cheung W, Sahai V, et al. Incidents resulting from staff leaving normal duties to attend medical emergency team calls. Med J Aust. 2014;201(9):528-31. https://psnet.ahrq.gov/issue/in…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39396/psn-pdf
    November 02, 2014 - Unmet Needs: Teaching Physicians to Provide Safe Patient Care. November 2, 2014 Boston, MA: Lucian Leape Institute at the National Patient Safety Foundation; March 2010. https://psnet.ahrq.gov/issue/unmet-needs-teaching-physicians-provide-safe-patient-care Medical schools face an urgent need to transform their cur…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50458/psn-pdf
    October 09, 2019 - Success of a resident-led safety council: a model for satisfying CLER Pathways to Excellence patient safety goals. October 9, 2019 Cohen SP, Pelletier JH, Ladd JM, et al. Success of a resident-led safety council: a model for satisfying CLER Pathways to Excellence patient safety goals. J Gen Intern Med. 2019;11(2):…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43174/psn-pdf
    December 12, 2014 - Adverse drug event detection in pediatric oncology and hematology patients: using medication triggers to identify patient harm in a specialized pediatric patient population. December 12, 2014 Call RJ, Burlison JD, Robertson JJ, et al. Adverse drug event detection in pediatric oncology and hematology patients: usin…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36907/psn-pdf
    September 14, 2012 - Serious Reportable Events in Healthcare—2011 Update. September 14, 2012 Washington DC: National Quality Forum; December 2011. https://psnet.ahrq.gov/issue/serious-reportable-events-healthcare-2011-update The National Quality Forum originally defined 27 health care "never events"—patient safety events that pose ser…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44249/psn-pdf
    February 12, 2019 - Community Pharmacy Survey on Patient Safety Culture 2015 User Comparative Database Report. February 12, 2019 Famolaro T, Yount N, Sorra J, et al. Rockville, MD: Agency for Healthcare Research and Quality; June 2015. AHRQ Publication No. 15-0041-EF. https://psnet.ahrq.gov/issue/community-pharmacy-survey-patient-saf…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45067/psn-pdf
    May 11, 2016 - Hospital Survey on Patient Safety Culture: 2016 User Comparative Database Report. May 11, 2016 Famolaro T, Yount ND, Burns W, Flashner E, Liu H, Sorra J. Rockville, MD: Agency for Healthcare Research and Quality; March 2016. AHRQ Publication No. 16-00121-EF. https://psnet.ahrq.gov/issue/hospital-survey-patient-saf…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60176/psn-pdf
    April 01, 2020 - Health and social care-associated harm amongst vulnerable children in primary care: mixed methods analysis of national safety reports. April 1, 2020 Omar A, Rees P, Cooper A, et al. Health and social care-associated harm amongst vulnerable children in primary care: mixed methods analysis of national safety reports…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35633/psn-pdf
    January 16, 2024 - Patient Safety. January 16, 2024 Province of Manitoba, CA. https://psnet.ahrq.gov/issue/patient-safety-25 This government organization supports patient safety efforts in Manitoba by supporting activities that include mandatory critical incident reporting and investigations. https://psnet.ahrq.gov/issue/patient-sa…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41805/psn-pdf
    October 31, 2012 - Call to Action: Safeguarding the Integrity of Healthcare Quality and Safety Systems. October 31, 2012 Glenview, IL: National Association of Healthcare Quality; October 2012. https://psnet.ahrq.gov/issue/call-action-safeguarding-integrity-healthcare-quality-and-safety-systems This report describes a framework to en…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35646/psn-pdf
    December 16, 2008 - The National Report Card on the State of Emergency Medicine. December 16, 2008 American College of Emergency Physicians; ACEP https://psnet.ahrq.gov/issue/national-report-card-state-emergency-medicine This Web site provides access to emergency medical services evaluations in four categories: access, quality and p…

  12. Noise: a Flaw in Human Judgement. | PSNet

    psnet.ahrq.gov/issue/noise-flaw-human-judgement
    January 07, 2019 - Book/Report Noise: a Flaw in Human Judgement. Citation Text: Noise: a Flaw in Human Judgement. Kahneman D, Sibony O, Sunstein CR. London, UK: William Collins; 2021. ISBN 9780008472566. Copy Citation Save Save to your library Print Share Face…

  13. IV potassium given epidurally: getting to the "route" of the problem. | PSNet

    psnet.ahrq.gov/issue/iv-potassium-given-epidurally-getting-route-problem
    April 20, 2022 - Newspaper/Magazine Article IV potassium given epidurally: getting to the "route" of the problem. Citation Text: IV potassium given epidurally: getting to the "route" of the problem. ISMP Medication Safety Alert! Acute care edition. April 6, 2006. Copy Citation Save …

  14. AHRQ Health Care Innovations Exchange. | PSNet

    psnet.ahrq.gov/issue/ahrq-health-care-innovations-exchange
    December 24, 2008 - Multi-use Website AHRQ Health Care Innovations Exchange. Citation Text: AHRQ Health Care Innovations Exchange. Agency for Healthcare Research and Quality. 2008-2016. Copy Citation Save Save to your library Print Download PDF Share Facebook …

  15. Informed Patient Institute. | PSNet

    psnet.ahrq.gov/issue/informed-patient-institute
    July 14, 2010 - Multi-use Website Informed Patient Institute. Citation Text: Informed Patient Institute. Annapolis, MD. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL …

  16. Questions to ask about radiation safety. | PSNet

    psnet.ahrq.gov/issue/questions-ask-about-radiation-safety
    June 01, 2015 - Fact Sheet/FAQs Questions to ask about radiation safety. Citation Text: Questions to ask about radiation safety. The American Society for Radiation Oncology Copy Citation Save Save to your library Print Download PDF Share Facebook Twi…

  17. Surviving a bad diagnosis. | PSNet

    psnet.ahrq.gov/issue/surviving-bad-diagnosis
    January 19, 2022 - Newspaper/Magazine Article Surviving a bad diagnosis. Citation Text: Surviving a bad diagnosis. Hobson K. US News News and World Report. September 13, 2016. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitt…

  18. ISMP Guidelines for Optimizing Safe Implementation and Use of Smart Infusion Pumps. | PSNet

    psnet.ahrq.gov/issue/ismp-guidelines-optimizing-safe-implementation-and-use-smart-infusion-pumps
    June 07, 2017 - Organizational Policy/Guidelines ISMP Guidelines for Optimizing Safe Implementation and Use of Smart Infusion Pumps. Citation Text: ISMP Guidelines for Optimizing Safe Implementation and Use of Smart Infusion Pumps. Horsham, PA: Institute for Safe Medication Practices; 2020. Copy …

  19. WHO Patient Safety Curriculum Guide: Multi-Professional Edition. | PSNet

    psnet.ahrq.gov/issue/who-patient-safety-curriculum-guide-multi-professional-edition
    February 14, 2024 - Book/Report WHO Patient Safety Curriculum Guide: Multi-Professional Edition. Citation Text: WHO Patient Safety Curriculum Guide: Multi-Professional Edition. WHO Patient Safety. Geneva, Switzerland: World Health Organization; October 2011. ISBN: 9789241501958. Copy Citation …

  20. Cardiovascular drugs: linked to many errors. | PSNet

    psnet.ahrq.gov/issue/cardiovascular-drugs-linked-many-errors
    June 07, 2006 - Newspaper/Magazine Article Cardiovascular drugs: linked to many errors. Citation Text: Cardiovascular drugs: linked to many errors. Santell JP. Drug Topics. June 20, 2005. Copy Citation Save Save to your library Print Download PDF Share F…
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