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6541. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/61080/psn-pdf
      October 28, 2020 - Preventing Complications during Aneurysm Clipping – the Role of Neuromonitoring. October 28, 2020 DeLemos C. Preventing Complications during Aneurysm Clipping – the Role of Neuromonitoring. PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/preventing-complications-during-aneurysm-clipping-role-neuromonitoring …

6542. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/853772/psn-pdf
      September 27, 2023 - Insulin Administration: Pen vs Vial – Similar, but Not Interchangeable September 27, 2023 Camarillo H. Insulin Administration: Pen vs Vial – Similar, but Not Interchangeable. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/insulin-administration-pen-vs-vial-similar-not-interchangeable The Case A fourteen-ye…

6543. Which End Is Which? | PSNet
      psnet.ahrq.gov/web-mm/which-end-which
      February 09, 2011 - Which End Is Which? Citation Text: Campbell AR. Which End Is Which?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId …

6544. Comparative Health System Performance Initiative: Compendium of U.S. Health Systems, 2018, Technical Documentation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/2018-compendium-techdoc.pdf
      January 01, 2018 - Using system hospitals’ ratio of residents to beds, systems are categorized as a system that includes … Systems with no residents reported among member non-Federal general acute care hospitals are considered … the number of hospitals (acute and total), beds, discharges, and full-time-equivalent interns and residents … Number of residents in systems Provides a systemwide measure of the total count of full-time- equivalent … interns and residents in the system in non-Federal general acute care hospitals according to HCRIS.

6545. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39927/psn-pdf
      February 17, 2011 - The ACGME’s final duty-hour standards—special PGY-1 limits and strategic napping. February 17, 2011 Iglehart JK. The ACGME's final duty-hour standards—special PGY-1 limits and strategic napping. N Engl J Med. 2010;363(17):1589-1591. https://psnet.ahrq.gov/issue/acgmes-final-duty-hour-standards-special-pgy-1-limits…

6546. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46039/psn-pdf
      April 05, 2017 - Retained lumbar catheter tip. April 5, 2017 DeLancey JO, Barnard C, Bilimoria KY. Retained Lumbar Catheter Tip. JAMA. 2017;317(12):1269-1270. doi:10.1001/jama.2017.1713. https://psnet.ahrq.gov/issue/retained-lumbar-catheter-tip Retained surgical items are considered a sentinel event. Discussing an incident involvi…

6547. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34696/psn-pdf
      June 23, 2015 - A piece of my mind. Coping with fallibility. June 23, 2015 Levinson W, Dunn PM. A piece of my mind. Coping with fallibility. JAMA. 1989;261(15):2252. https://psnet.ahrq.gov/issue/piece-my-mind-coping-fallibility The authors relate personal experiences with physician error, including the professional and emotional …

6548. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46021/psn-pdf
      May 24, 2017 - Patient Safety Huddle. May 24, 2017 VA National Center for Patient Safety. https://psnet.ahrq.gov/issue/patient-safety-huddle The Department of Veterans Affairs consistently contributes to innovation and improvement efforts in patient safety. This 27-episode podcast series offers short interviews with experts in t…

6549. Mental Health and COVID-19 Information and Resources: Frontline COVID-19 Workers | Agency for Healthcare Research and Quality
      www.ahrq.gov/nursing-home/resources/mental-health-covid-info.html
      June 01, 2022 - Mental Health and COVID-19 Information and Resources: Frontline COVID-19 Workers Resource: Mental Health and COVID-19 Information and Resources:  Frontline COVID-19 Workers The COVID-19 Frontline Workers Screener from Mental Health America offers ideas to help if you are feeling overwhelmed. This site also…

6550. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41484/psn-pdf
      September 26, 2012 - An institution-wide handoff task force to standardise and improve physician handoffs. September 26, 2012 Horwitz LI, Schuster KM, Thung SF, et al. An institution-wide handoff task force to standardise and improve physician handoffs. BMJ Qual Saf. 2012;21(10):863-71. https://psnet.ahrq.gov/issue/institution-wide-ha…

6551. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42858/psn-pdf
      January 15, 2014 - Early access to a neurologist reduces the rate of missed diagnosis in young strokes. January 15, 2014 Mohamed W, Bhattacharya P, Chaturvedi S. Early access to a neurologist reduces the rate of missed diagnosis in young strokes. J Stroke Cerebrovasc Dis. 2013;22(8):e332-7. doi:10.1016/j.jstrokecerebrovasdis.2013.01…

6552. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42111/psn-pdf
      March 13, 2013 - "Just like EKGs!" Should EEGs undergo a confirmatory interpretation by a clinical neurophysiologist? March 13, 2013 Benbadis SR. "Just like EKGs!" Should EEGs undergo a confirmatory interpretation by a clinical neurophysiologist? Neurology. 2013;80(1 Suppl 1):S47-51. doi:10.1212/WNL.0b013e3182797539. https://psnet…

6553. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37379/psn-pdf
      March 28, 2012 - Identifying modifiable barriers to medication error reporting in the nursing home setting. March 28, 2012 Handler S, Perera S, Olshansky EF, et al. Identifying modifiable barriers to medication error reporting in the nursing home setting. J Am Med Dir Assoc. 2007;8(9):568-74. https://psnet.ahrq.gov/issue/identifyi…

6554. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41500/psn-pdf
      May 10, 2013 - First year nursing students' viewpoints about compromised clinical safety. May 10, 2013 Killam LA, Mossey S, Montgomery P, et al. First year nursing students' viewpoints about compromised clinical safety. Nurse Educ Today. 2013;33(5):475-80. doi:10.1016/j.nedt.2012.05.010. https://psnet.ahrq.gov/issue/first-year-n…

6555. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42516/psn-pdf
      February 04, 2016 - "Excuse me": teaching interns to speak up. February 4, 2016 O'Connor P, Byrne D, O'Dea A, et al. "Excuse me:" teaching interns to speak up. Jt Comm J Qual Patient Saf. 2013;39(9):426-431. https://psnet.ahrq.gov/issue/excuse-me-teaching-interns-speak Previous research has shown that junior physicians may be unwilli…

6556. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37216/psn-pdf
      July 28, 2010 - Discharge rounds in the 80-hour workweek: importance of the trauma nurse practitioner. July 28, 2010 Haan JM, Dutton RP, Willis M, et al. Discharge rounds in the 80-hour workweek: importance of the trauma nurse practitioner. J Trauma. 2007;63(2):339-43. https://psnet.ahrq.gov/issue/discharge-rounds-80-hour-workwee…

6557. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35671/psn-pdf
      June 25, 2010 - Nursing Homes: Despite Increased Oversight, Challenges Remain in Ensuring High-Quality Care and Resident Safety. June 25, 2010 Washington DC; Government Accountability Office; 2005. Report no. GAO-06-117. https://psnet.ahrq.gov/issue/nursing-homes-despite-increased-oversight-challenges-remain-ensuring-high- quali…

6558. Staff-Safety-Assessment (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/staff-safety-assessment.docx
      June 01, 2021 - AHRQ Safety Program for Improving Antibiotic Use Staff Safety Assessment PURPOSE OF THIS FORM: To discuss issues that may result in antibiotic-associated adverse events or have the potential to cause adverse events that could negatively impact patient safety. All health care providers are encouraged to complete t…

6559. Lessons from Nursing Home Staff to Address Burnout and Enhance Joy in Work | Agency for Healthcare Research and Quality
      www.ahrq.gov/nursing-home/resources/lessons-nursing-home-staff.html
      April 01, 2022 - Lessons from Nursing Home Staff to Address Burnout and Enhance Joy in Work Resource: Lessons from Nursing Home Staff to Address Burnout and Enhance Joy in Work ​Clinical Conversations is a program from the Network of the National Library of Medicine for training clinicians and other clinical staff who intera…

6560. Trauma-Informed Organizational Change Manual | Agency for Healthcare Research and Quality
      www.ahrq.gov/nursing-home/resources/trauma-informed.html
      May 01, 2021 - Trauma-Informed Organizational Change Manual Resource: Trauma-Informed Organizational Change Manual This manual guides organizations and systems in planning for, implementing and sustaining a trauma-informed organizational change. This manual provides a step-by-step guide with tools intended for anyone inte…