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  1. Emergency department communication links and patterns. | PSNet

    psnet.ahrq.gov/issue/emergency-department-communication-links-and-patterns
    October 23, 2013 - Study Emergency department communication links and patterns. Citation Text: Fairbanks RJ, Bisantz A, Sunm M. Emergency department communication links and patterns. Ann Emerg Med. 2007;50(4):396-406. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7…

  2. Wrong-site surgery. | PSNet

    psnet.ahrq.gov/issue/wrong-site-surgery-1
    September 02, 2020 - Commentary Wrong-site surgery. Citation Text: Engelhardt KE, Barnard C, Bilimoria KY. Wrong-Site Surgery. JAMA. 2017;318(20):2033-2034. doi:10.1001/jama.2017.17177. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId R…

  3. Patient handoffs. | PSNet

    psnet.ahrq.gov/issue/patient-handoffs
    June 17, 2014 - Newspaper/Magazine Article Patient handoffs. Citation Text: Runy LA. Patient handoffs. Hospitals & health networks. 2008;82(5):7 p following 40, 2. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download…

  4. Identifying patients with sepsis on the hospital wards. | PSNet

    psnet.ahrq.gov/issue/identifying-patients-sepsis-hospital-wards
    October 19, 2022 - Review Identifying patients with sepsis on the hospital wards. Citation Text: Bhattacharjee P, Edelson DP, Churpek MM. Identifying Patients With Sepsis on the Hospital Wards. Chest. 2016;151(4). doi:10.1016/j.chest.2016.06.020. Copy Citation Format: DOI Google Scholar BibTe…

  5. Infants at risk: when nurse fatigue jeopardizes quality care. | PSNet

    psnet.ahrq.gov/issue/infants-risk-when-nurse-fatigue-jeopardizes-quality-care
    September 13, 2006 - Study Infants at risk: when nurse fatigue jeopardizes quality care. Citation Text: Infants at risk: when nurse fatigue jeopardizes quality care. Dean GE; Scott LD; Rogers AE. Copy Citation Save Save to your library Print Download PDF Share …

  6. Improving Patient Safety: The Intersection of Safety Culture, Clinician and Staff Support, and Patient Safety Organizations. | PSNet

    psnet.ahrq.gov/issue/improving-patient-safety-intersection-safety-culture-clinician-and-staff-support-and-patient
    April 15, 2015 - Book/Report Improving Patient Safety: The Intersection of Safety Culture, Clinician and Staff Support, and Patient Safety Organizations. Citation Text: Improving Patient Safety: The Intersection of Safety Culture, Clinician and Staff Support, and Patient Safety Organizations. Miller RG, …

  7. Among the elderly, many mental illnesses go undiagnosed. | PSNet

    psnet.ahrq.gov/issue/among-elderly-many-mental-illnesses-go-undiagnosed
    May 15, 2024 - Commentary Among the elderly, many mental illnesses go undiagnosed. Citation Text: Bor JS. Among the elderly, many mental illnesses go undiagnosed. Health Aff (Millwood). 2015;34(5):727-31. doi:10.1377/hlthaff.2015.0314. Copy Citation Format: DOI Google Scholar PubMed BibTe…

  8. Surgical 'never events': how common are adverse occurrences? | PSNet

    psnet.ahrq.gov/issue/surgical-never-events-how-common-are-adverse-occurrences
    November 16, 2022 - Commentary Surgical 'never events': how common are adverse occurrences? Citation Text: West JC. Surgical ‘never events’: How common are adverse occurrences? Journal of Healthcare Risk Management. 2009;26(1). doi:10.1002/jhrm.5600260105. Copy Citation Format: DOI Google Sc…

  9. Clinical Lab Quality: CMS and Survey Organization Oversight Should Be Strengthened. | PSNet

    psnet.ahrq.gov/issue/clinical-lab-quality-cms-and-survey-organization-oversight-should-be-strengthened
    September 28, 2010 - Government Resource Clinical Lab Quality: CMS and Survey Organization Oversight Should Be Strengthened. Citation Text: Clinical Lab Quality: CMS and Survey Organization Oversight Should Be Strengthened. Washington DC; Government Accountability Office; June 2006. Report no GAO-06-416.…

  10. The safety of hospital stroke care. | PSNet

    psnet.ahrq.gov/issue/safety-hospital-stroke-care
    December 02, 2020 - Study The safety of hospital stroke care. Citation Text: Holloway RG, Tuttle D, Baird T, et al. The safety of hospital stroke care. Neurology. 2007;68(8):550-555. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  11. Factors influencing patient safety during postoperative handover. | PSNet

    psnet.ahrq.gov/issue/factors-influencing-patient-safety-during-postoperative-handover
    March 03, 2021 - Review Factors influencing patient safety during postoperative handover. Citation Text: Factors influencing patient safety during postoperative handover. Rose M, Newman SD. AANA J. 2016;84:329-338. Copy Citation Save Save to your library Print Download P…

  12. Unpredictable drug shortages: an ethical framework for short-term rationing in hospitals. | PSNet

    psnet.ahrq.gov/issue/unpredictable-drug-shortages-ethical-framework-short-term-rationing-hospitals
    May 09, 2014 - Commentary Unpredictable drug shortages: an ethical framework for short-term rationing in hospitals. Citation Text: Rosoff PM. Unpredictable drug shortages: an ethical framework for short-term rationing in hospitals. Am J Bioeth. 2012;12(1):1-9. doi:10.1080/15265161.2011.634483. Copy…

  13. Misinformation in the medical literature: what role do error and fraud play? | PSNet

    psnet.ahrq.gov/issue/misinformation-medical-literature-what-role-do-error-and-fraud-play
    November 02, 2011 - Commentary Misinformation in the medical literature: what role do error and fraud play? Citation Text: Steen G. Misinformation in the medical literature: what role do error and fraud play? J Med Ethics. 2011;37(8):498-503. doi:10.1136/jme.2010.041830. Copy Citation Format: …

  14. Reducing cognitive errors in dermatology: can anything be done? | PSNet

    psnet.ahrq.gov/issue/reducing-cognitive-errors-dermatology-can-anything-be-done
    September 29, 2010 - Commentary Reducing cognitive errors in dermatology: can anything be done? Citation Text: Dunbar M, Helms SE, Brodell RT. Reducing cognitive errors in dermatology: can anything be done? J Am Acad Dermatol. 2013;69(5):810-813. doi:10.1016/j.jaad.2013.07.008. Copy Citation Format: …

  15. An organizational framework to reduce professional burnout and bring back joy in practice. | PSNet

    psnet.ahrq.gov/issue/organizational-framework-reduce-professional-burnout-and-bring-back-joy-practice
    February 03, 2016 - Commentary An organizational framework to reduce professional burnout and bring back joy in practice. Citation Text: Swensen S, Shanafelt TD. An Organizational Framework to Reduce Professional Burnout and Bring Back Joy in Practice. Jt Comm J Qual Patient Saf. 2017;43(6):308-313. doi:10.…

  16. Kenneth W. Kizer, MD, MPH: health care quality evangelist. | PSNet

    psnet.ahrq.gov/issue/kenneth-w-kizer-md-mph-health-care-quality-evangelist
    July 28, 2014 - Commentary Kenneth W. Kizer, MD, MPH: health care quality evangelist. Citation Text: Kizer KW. Kenneth W. Kizer, MD, MPH: health care quality evangelist. Interview by Brian Vastag. JAMA. 2001;285(7):869-71. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML E…

  17. Respectful, trusting relationships are essential for patient safety, especially the surgeon-anesthesiologist dyad. | PSNet

    psnet.ahrq.gov/issue/respectful-trusting-relationships-are-essential-patient-safety-especially-surgeon
    December 08, 2024 - Meeting/Conference Proceedings Respectful, trusting relationships are essential for patient safety, especially the surgeon-anesthesiologist dyad. Citation Text: Respectful, trusting relationships are essential for patient safety, especially the surgeon-anesthesiologist dyad. Cooper J. An…

  18. Reporting near-miss events in nursing homes. | PSNet

    psnet.ahrq.gov/issue/reporting-near-miss-events-nursing-homes
    January 24, 2018 - Commentary Reporting near-miss events in nursing homes. Citation Text: Wagner LM, Capezuti E, Ouslander JG. Reporting near-miss events in nursing homes. Nurs Outlook. 2006;54(2). doi:10.1016/j.outlook.2006.01.003. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3…

  19. 4 Tk2 T1-Medical Care Referral Form (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK2_T1-Medical_Care_Referral_Form.pdf
    May 01, 2014 - Advancing Excellence in Health Care www.ahrq.gov Agency for Healthcare Research and Quality MEDICAL CARE REFERRAL FORM USE IN ALL SITUATIONS WHEN A RESIDENT HAS A NEW PROBLEM AND INFECTION MAY BE SUSPECTED, AND IS BEING REFERRED TO A MEDICAL CARE PROVIDER, INCLUDING TRANSFER TO AN EMERGENCY DEPARTMENT OR HOSPIT…

  20. When Do You Need An Antibiotic? (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/reduce/when-need-antibiotic.pdf
    March 01, 2017 - When Do You Need An Antibiotic? When Do You Need An Antibiotic? Taking antibiotics when you don’t need them is like leaving the lights on all the time. The lights may burn out, leaving you in the dark when you most need them. If you use antibiotics when you don’t need them, they may not work when you get s…
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