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  1. psnet.ahrq.gov/primer/checklists
    September 15, 2024 - Checklists Citation Text: Checklists. 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 RIS Download Citation…
  2. psnet.ahrq.gov/curated-library/rapid-response-systems
    September 15, 2024 - Breadcrumb Home The PSNet Collection Curated Libraries Subscribed Rapid Response Systems  Download  Share Facebook Twitter Linkedin Copy URL Subscribe Created By: AHRQ Date Created: January 24, 20…
  3. psnet.ahrq.gov/primer/rapid-response-systems
    July 18, 2024 - Rapid Response Systems Citation Text: Rapid Response Systems. 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 RIS …
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46060/psn-pdf
    October 31, 2017 - Do hospitals support second victims? Collective insights from patient safety leaders in Maryland. October 31, 2017 Edrees HH, Morlock L, Wu AW. Do Hospitals Support Second Victims? Collective Insights From Patient Safety Leaders in Maryland. Jt Comm J Qual Saf. 2017;43(9):471-483. doi:10.1016/j.jcjq.2017.01.008. h…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47379/psn-pdf
    November 14, 2018 - Analysis of medication therapy discontinuation orders in new electronic prescriptions and opportunities for implementing CancelRx. November 14, 2018 Yang Y, Ward-Charlerie S, Kashyap N, et al. Analysis of medication therapy discontinuation orders in new electronic prescriptions and opportunities for implementing C…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47248/psn-pdf
    September 26, 2018 - Frequency and nature of potentially harmful preventable problems in primary care from the patient's perspective with clinician review: a population-level survey in Great Britain. September 26, 2018 Stocks SJ, Donnelly A, Esmail A, et al. Frequency and nature of potentially harmful preventable problems in primary …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46000/psn-pdf
    April 26, 2017 - Diagnostic error in the emergency department: follow up of patients with minor trauma in the outpatient clinic. April 26, 2017 Moonen P-J, Mercelina L, Boer W, et al. Diagnostic error in the Emergency Department: follow up of patients with minor trauma in the outpatient clinic. Scand J Trauma Resusc Emerg Med. 2017…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35571/psn-pdf
    April 06, 2011 - Overestimation of clinical diagnostic performance caused by low necropsy rates. April 6, 2011 Shojania KG, Burton EC, McDonald KM, et al. Overestimation of clinical diagnostic performance caused by low necropsy rates. Qual Saf Health Care. 2005;14(6):408-13. https://psnet.ahrq.gov/issue/overestimation-clinical-dia…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39987/psn-pdf
    September 20, 2011 - Fall prevention in acute care hospitals: a randomized trial. September 20, 2011 Dykes PC, Carroll DL, Hurley A, et al. Fall prevention in acute care hospitals: a randomized trial. JAMA. 2010;304(17):1912-1918. doi:10.1001/jama.2010.1567. https://psnet.ahrq.gov/issue/fall-prevention-acute-care-hospitals-randomized-t…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44043/psn-pdf
    September 20, 2017 - Incident learning in pursuit of high reliability: implementing a comprehensive, low-threshold reporting program in a large, multisite radiation oncology department. September 20, 2017 Gabriel PE, Volz E, Bergendahl HW, et al. Incident learning in pursuit of high reliability: implementing a comprehensive, low-thre…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46559/psn-pdf
    December 22, 2018 - Effect of promoting high-quality staff interactions on fall prevention in nursing homes: a cluster-randomized trial. December 22, 2018 Colón-Emeric CS, Corazzini K, McConnell ES, et al. Effect of Promoting High-Quality Staff Interactions on Fall Prevention in Nursing Homes: A Cluster-Randomized Trial. JAMA Intern M…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45760/psn-pdf
    February 08, 2017 - Safe practices for copy and paste in the EHR. Systematic review, recommendations, and novel model for health IT collaboration. February 8, 2017 Tsou AY, Lehmann CU, Michel J, et al. Safe Practices for Copy and Paste in the EHR. Systematic Review, Recommendations, and Novel Model for Health IT Collaboration. Appl C…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35877/psn-pdf
    July 23, 2010 - National Quality Forum 30 safe practices: priority and progress in Iowa hospitals. July 23, 2010 Ward MM, Evans TC, Spies AJ, et al. National Quality Forum 30 safe practices: priority and progress in Iowa hospitals. Am J Med Qual. 2006;21(2):101-8. https://psnet.ahrq.gov/issue/national-quality-forum-30-safe-practi…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42379/psn-pdf
    August 08, 2013 - Prevalence and nature of adverse medical device events in hospitalized children. August 8, 2013 Brady PW, Varadarajan K, Peterson LE, et al. Prevalence and nature of adverse medical device events in hospitalized children. J Hosp Med. 2013;8(7):390-3. doi:10.1002/jhm.2058. https://psnet.ahrq.gov/issue/prevalence-an…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43678/psn-pdf
    April 22, 2015 - 'Connecting the dots': leveraging visual analytics to make sense of patient safety event reports. April 22, 2015 Ratwani RM, Fong A. 'Connecting the dots': leveraging visual analytics to make sense of patient safety event reports. J Am Med Inform Assoc. 2015;22(2):312-7. doi:10.1136/amiajnl-2014-002963. https://ps…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35802/psn-pdf
    January 02, 2017 - Reconciliation failures lead to medication errors. January 2, 2017 Santell JP. Reconciliation failures lead to medication errors. Jt Comm J Qual Patient Saf. 2006;32(4):225-9. https://psnet.ahrq.gov/issue/reconciliation-failures-lead-medication-errors Medication reconciliation represents an active effort of hospita…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34872/psn-pdf
    February 09, 2011 - Hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfaction. February 9, 2011 Aiken LH, Clarke S, Sloane DM, et al. Hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfaction. JAMA. 2002;288(16):1987-93. https://psnet.ahrq.gov/issue/hospital-nurse-staffing-and-p…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34656/psn-pdf
    May 27, 2011 - A look into the nature and causes of human errors in the intensive care unit. May 27, 2011 Donchin Y, Gopher D, Olin M, et al. A look into the nature and causes of human errors in the intensive care unit. Crit Care Med. 1995;23(2):294-300. https://psnet.ahrq.gov/issue/look-nature-and-causes-human-errors-intensive-…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49824/psn-pdf
    March 01, 2018 - Missing ECG and Missed Diagnosis Lead to Dangerous Delay March 1, 2018 O'Connor RE. Missing ECG and Missed Diagnosis Lead to Dangerous Delay. PSNet [internet]. 2018. https://psnet.ahrq.gov/web-mm/missing-ecg-and-missed-diagnosis-lead-dangerous-delay The Case A 35-year-old woman with no prior cardiac history calle…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49435/psn-pdf
    February 01, 2004 - X-ray Flip February 1, 2004 Shapiro MJ. X-ray Flip. PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/x-ray-flip The Case A 19-year-old man presented to the emergency department with respiratory distress after blunt chest trauma. A digital chest radiograph was labeled backwards; a "left" marker was mistakenly…

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