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  1. Unexpected Drawbacks of Electronic Order Sets | PSNet

    psnet.ahrq.gov/web-mm/unexpected-drawbacks-electronic-order-sets
    December 01, 2017 - Unexpected Drawbacks of Electronic Order Sets Citation Text: McGreevey JD. Unexpected Drawbacks of Electronic Order Sets. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016. Copy Citation Format: Google Scholar BibTeX …

  2. Departure From Central Line Ritual | PSNet

    psnet.ahrq.gov/web-mm/departure-central-line-ritual
    October 13, 2018 - Departure From Central Line Ritual Citation Text: Ballard DW, Vinson DR, Mark DG. Departure From Central Line Ritual. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015. Copy Citation Format: Google Scholar BibTeX EndN…

  3. CVC Removal: A Procedure Like Any Other | PSNet

    psnet.ahrq.gov/web-mm/cvc-removal-procedure-any-other
    October 01, 2018 - CVC Removal: A Procedure Like Any Other Citation Text: Feil M. CVC Removal: A Procedure Like Any Other. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML End…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49497/psn-pdf
    December 01, 2005 - Slippery Slide Into Life December 1, 2005 Halamek LP. Slippery Slide Into Life. PSNet [internet]. 2005. https://psnet.ahrq.gov/web-mm/slippery-slide-life The Case A 25-year-old woman presented to the hospital in labor and at full gestation after receiving uncomplicated prenatal care. A third-year obstetrics and g…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49747/psn-pdf
    December 01, 2015 - Harm From Alarm Fatigue December 1, 2015 Pelter MM, Drew BJ. Harm From Alarm Fatigue. PSNet [internet]. 2015. https://psnet.ahrq.gov/web-mm/harm-alarm-fatigue Case Objectives Define alarm fatigue and describe potential errors that can occur due to alarm fatigue. Identify federal and national agencies focusing on …

  6. Discharge Against Medical Advice | PSNet

    psnet.ahrq.gov/web-mm/discharge-against-medical-advice
    July 01, 2017 - Discharge Against Medical Advice Citation Text: Hwang SW. Discharge Against Medical Advice. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML E…

  7. Facilitator-Notes (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module6/facilitator-notes.docx
    March 01, 2017 - Facilitator Notes SAY: The Sustainability module of this toolkit helps an organization maintain and sustain a process that has worked well. SLIDE 1 SAY: In this module we will— · Define sustainability and understand the importance of maintaining positive change · Describe the link between sustainability and spr…

  8. Serious Adverse Events Reports. | PSNet

    psnet.ahrq.gov/issue/serious-adverse-events-reports
    November 10, 2011 - Book/Report Serious Adverse Events Reports. Citation Text: Serious Adverse Events Reports. The Quality Improvement Committee. Wellington, New Zealand; 2006-2013. Copy Citation Save Save to your library Print Download PDF Share Facebook …

  9. Improving Education—A Key to Better Diagnostic Outcomes. | PSNet

    psnet.ahrq.gov/issue/improving-education-key-better-diagnostic-outcomes
    October 05, 2022 - Book/Report Improving Education—A Key to Better Diagnostic Outcomes. Citation Text: Improving Education—A Key to Better Diagnostic Outcomes. Olson APJ, Danielson J, Stanley J, et al. Rockville, MD: Agency for Healthcare Research and Quality; March 2022. AHRQ Publication No. 22-0026-1-EF …

  10. How Does Hospital Quality Management Drive Quality? Results From the "Deepening Our Understanding of Quality Improvement (DUQuE)" Project. | PSNet

    psnet.ahrq.gov/issue/how-does-hospital-quality-management-drive-quality-results-deepening-our-understanding
    March 11, 2009 - Special or Theme Issue How Does Hospital Quality Management Drive Quality? Results From the "Deepening Our Understanding of Quality Improvement (DUQuE)" Project. Citation Text: How Does Hospital Quality Management Drive Quality? Results From the "Deepening Our Understanding of Quality Im…

  11. Health Literacy: A Prescription to End Confusion. | PSNet

    psnet.ahrq.gov/issue/health-literacy-prescription-end-confusion
    August 15, 2012 - Book/Report Health Literacy: A Prescription to End Confusion. Citation Text: Health Literacy: A Prescription to End Confusion. Nielsen-Bohlman L; Panzer AM; Kindig DA; Board on Neuroscience and Behavioral Health, Institute of Medicine. Washington, DC: The National Academies Press; 2004. …

  12. How Can Health Care Organizations Become More Health Literate?: Workshop Summary. | PSNet

    psnet.ahrq.gov/issue/how-can-health-care-organizations-become-more-health-literate-workshop-summary
    October 08, 2014 - Book/Report How Can Health Care Organizations Become More Health Literate?: Workshop Summary. Citation Text: How Can Health Care Organizations Become More Health Literate?: Workshop Summary. Hernandez LM; Roundtable on Health Literacy; Board on Population Health and Public Health Pra…

  13. Could CDC guidelines be driving some opioid patients to suicide? | PSNet

    psnet.ahrq.gov/issue/could-cdc-guidelines-be-driving-some-opioid-patients-suicide
    March 23, 2022 - Newspaper/Magazine Article Could CDC guidelines be driving some opioid patients to suicide? Citation Text: Could CDC guidelines be driving some opioid patients to suicide? Dickson EJ. Rolling Stone. March 9, 2019. Copy Citation Save Save to your library Prin…

  14. Nursing Home Complaint Investigations.  | PSNet

    psnet.ahrq.gov/issue/nursing-home-complaint-investigations
    September 27, 2006 - Government Resource Nursing Home Complaint Investigations.  Citation Text: Nursing Home Complaint Investigations.  Levinson DR. Washington DC: Office of the Inspector General; July 2006. OEI-01-04-00340. Copy Citation Save Save to your library Print …

  15. The normalization of deviance: what are the perioperative risks? | PSNet

    psnet.ahrq.gov/issue/normalization-deviance-what-are-perioperative-risks
    July 15, 2020 - Commentary The normalization of deviance: what are the perioperative risks? Citation Text: McNamara SA. The normalization of deviance: what are the perioperative risks? AORN J. 2011;93(6):796-801. doi:10.1016/j.aorn.2011.02.009. Copy Citation Format: DOI Google Scholar Pu…

  16. High Reliability Organizations: A Healthcare Handbook for Patient Safety & Quality. | PSNet

    psnet.ahrq.gov/issue/high-reliability-organizations-healthcare-handbook-patient-safety-quality
    July 31, 2019 - Book/Report High Reliability Organizations: A Healthcare Handbook for Patient Safety & Quality. Citation Text: High Reliability Organizations: A Healthcare Handbook for Patient Safety & Quality. Oster C, Braaten J, eds. Indianapolis, IN: Sigma Theta Tau International; 2016. ISBN: 9781940…

  17. Neurologic patient safety: an in-depth study of malpractice claims. | PSNet

    psnet.ahrq.gov/issue/neurologic-patient-safety-depth-study-malpractice-claims
    November 11, 2015 - Study Neurologic patient safety: an in-depth study of malpractice claims. Citation Text: Glick TH, Cranberg LD, Hanscom RB, et al. Neurologic patient safety: an in-depth study of malpractice claims. Neurology. 2005;65(8):1284-6. Copy Citation Format: Google Scholar PubMed…

  18. NY Medicaid ups the ante: by refusing to pay for 14 'never events,' the nation's biggest Medicaid program could propel other states into action. | PSNet

    psnet.ahrq.gov/issue/ny-medicaid-ups-ante-refusing-pay-14-never-events-nations-biggest-medicaid-program-could
    December 16, 2009 - Newspaper/Magazine Article NY Medicaid ups the ante: by refusing to pay for 14 'never events,' the nation's biggest Medicaid program could propel other states into action. Citation Text: NY Medicaid ups the ante: by refusing to pay for 14 'never events,' the nation's biggest Medicaid p…

  19. Supplementary Advisory: Results of the PA-PSRS Workgroup on Pharmacy Computer System Safety. | PSNet

    psnet.ahrq.gov/issue/supplementary-advisory-results-pa-psrs-workgroup-pharmacy-computer-system-safety
    October 21, 2020 - Government Resource Supplementary Advisory: Results of the PA-PSRS Workgroup on Pharmacy Computer System Safety. Citation Text: Supplementary Advisory: Results of the PA-PSRS Workgroup on Pharmacy Computer System Safety. Patient Safety Advisory Copy Citation Save …

  20. Ordering of continuous renal replacement therapy in a computerized provider order entry system. | PSNet

    psnet.ahrq.gov/issue/ordering-continuous-renal-replacement-therapy-computerized-provider-order-entry-system
    April 01, 2024 - Commentary Ordering of continuous renal replacement therapy in a computerized provider order entry system. Citation Text: Ordering of continuous renal replacement therapy in a computerized provider order entry system. Oh SS; Sinclair-Pingel J; Feldott CC; Hargrove FR. Copy Citation …
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