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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/863762/psn-pdf
    March 14, 2024 - Diagnostic Excellence: a Patient Safety Awareness Week Webinar. March 6, 2024 Institute for Healthcare Improvement. March 14, 2024. https://psnet.ahrq.gov/issue/diagnostic-excellence-patient-safety-awareness-week-webinar Diagnostic safety is core to care without harm. This webinar aligned with the 2024 Patient Saf…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/863650/psn-pdf
    February 28, 2024 - The original study found that gaps in data represented the biggest challenge to compliance because clinical
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49480/psn-pdf
    May 01, 2005 - Diagnosing Diagnostic Mistakes May 1, 2005 McNutt RA, Abrams RI, Hasler S. Diagnosing Diagnostic Mistakes. PSNet [internet]. 2005. https://psnet.ahrq.gov/web-mm/diagnosing-diagnostic-mistakes Learning Objectives Understand the biases that may contribute to overcalling medical errors Describe the impact of conside…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33702/psn-pdf
    November 01, 2010 - In Conversation with...Patrick S. Romano, MD, MPH November 1, 2010 In Conversation with..Patrick S. Romano, MD, MPH. PSNet [internet]. 2010. https://psnet.ahrq.gov/perspective/conversation-withpatrick-s-romano-md-mph Editor's note: Patrick S. Romano, MD, MPH, is Professor of Medicine and Pediatrics at the Universit…
  5. psnet.ahrq.gov/issue/investigating-association-alerts-national-mortality-surveillance-system-subsequent-hospital
    October 20, 2021 - Study Investigating the association of alerts from a national mortality surveillance system with subsequent hospital mortality in England: an interrupted time series analysis. Citation Text: Cecil E, Bottle A, Esmail A, et al. Investigating the association of alerts from a national morta…
  6. psnet.ahrq.gov/issue/impact-traditional-and-smart-pump-infusion-technology-nurse-medication-administration
    May 18, 2022 - Study The impact of traditional and smart pump infusion technology on nurse medication administration performance in a simulated inpatient unit. Citation Text: Trbovich PL, Pinkney S, Cafazzo JA, et al. The impact of traditional and smart pump infusion technology on nurse medication ad…
  7. psnet.ahrq.gov/web-mm/pocket-syringe-swap
    July 01, 2006 - The Commentary At first glance, the problem represented by this case seems trivially obvious.
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49687/psn-pdf
    August 21, 2013 - The committee's judgment was that this represented a diagnostic error and that this was a preventable
  9. psnet.ahrq.gov/web-mm/caution-interrupted
    October 01, 2016 - successful completion of a previous step, or when the point at which to resume the task is not clearly represented
  10. psnet.ahrq.gov/web-mm/liposuction-gone-awry
    July 01, 2003 - Such hematomas represented nearly one-third of reported sequelae.
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33682/psn-pdf
    April 01, 2009 - physician data are published on a rolling 3-year time period to make sure that adequate volumes are represented
  12. psnet.ahrq.gov/sites/default/files/2024-03/delayed_diagnosis_and_treatment_of_sle.pdf
    January 01, 2024 - Bourgeois, OD, MD and Glen Xiong, MD 8 BACKGROUND 9 Background (1) • This unfortunate case likely represented
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60035/psn-pdf
    September 22, 2023 - SOPS Medical Office Database. March 11, 2020 Agency for Healthcare Research and Quality (AHRQ). March 2020. https://psnet.ahrq.gov/issue/sops-medical-office-database This website provides a report and data repository representing medical offices that administered the AHRQ Surveys on Patient Safety Culture™ (SOPS®)…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60977/psn-pdf
    January 08, 2020 - represents a measure taken to enhance patient safety; with each “slice,” things can still go wrong, represented
  15. psnet.ahrq.gov/innovation/project-nurture-engages-pregnant-people-substance-use-disorder-improves-maternal-and
    September 23, 2024 - Project Nurture Engages Pregnant People with Substance Use Disorder, Improves Maternal and Infant Outcomes. Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL March 11, 2021 Innovation …
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50719/psn-pdf
    December 04, 2019 - A lot happens when you report a hazard or error to ISMP—there’s no “black hole” here! December 4, 2019 ISMP Medication Safety Alert! Acute Care Edition. November 7, 2019 https://psnet.ahrq.gov/issue/lot-happens-when-you-report-hazard-or-error-ismp-theres-no-black-hole-here The reporting and analysis of incidents i…
  17. psnet.ahrq.gov/primer/triggers-and-trigger-tools
    September 15, 2024 - Triggers and Trigger Tools Citation Text: Triggers and Trigger Tools. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47621/psn-pdf
    May 11, 2019 - 2018 update on pediatric medical overuse: a review. May 11, 2019 Coon ER, Quinonez RA, Morgan DJ, et al. 2018 Update on Pediatric Medical Overuse: A Review. JAMA Pediatr. 2019;173(4):379-384. doi:10.1001/jamapediatrics.2018.5550. https://psnet.ahrq.gov/issue/2018-update-pediatric-medical-overuse-review Overuse of …
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/843091/psn-pdf
    January 25, 2023 - Anesthesia outside of the OR: cause for patient safety concerns? January 25, 2023 DePeau-Wilson M. MedPage Today. January 13, 2023. https://psnet.ahrq.gov/issue/anesthesia-outside-or-cause-patient-safety-concerns The use of anesthesia in ambulatory settings presents both advantage and risk to patients and clinicia…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73572/psn-pdf
    August 04, 2021 - Center for Innovations in Quality, Effectiveness and Safety. IQuESt! August 4, 2021 Houston, TX:  Baylor College of Medicine. https://psnet.ahrq.gov/issue/center-innovations-quality-effectiveness-and-safety-iquest This Center represents a partnership with the Veterans Affairs Health Services Research & Develo…

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