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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33805/psn-pdf
    April 01, 2016 - In Conversation With… Thomas J. Nasca, MD, MACP April 1, 2016 In Conversation With… Thomas J. Nasca, MD, MACP. PSNet [internet]. 2016. https://psnet.ahrq.gov/perspective/conversation-thomas-j-nasca-md-macp Editor's note: Dr. Nasca is Chief Executive Officer of the Accreditation Council for Graduate Medical Educat…
  2. psnet.ahrq.gov/web-mm/slow-down-right-drug-wrong-formulation
    October 13, 2018 - Slow Down: Right Drug, Wrong Formulation Citation Text: Amato MG, Schiff G. Slow Down: Right Drug, Wrong Formulation. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. Copy Citation Format: Google Scholar BibTeX EndN…
  3. psnet.ahrq.gov/issue/hospital-board-and-management-practices-are-strongly-related-hospital-performance-clinical
    October 27, 2021 - Study Classic Hospital board and management practices are strongly related to hospital performance on clinical quality metrics. Citation Text: Tsai TC, Jha AK, Gawande AA, et al. Hospital board and management practices are strongly related to hospital performanc…
  4. psnet.ahrq.gov/innovation/pharmacist-led-mobile-health-intervention-and-transplant-medication-safety-randomized
    April 07, 2021 - EMERGING INNOVATIONS Pharmacist-led mobile health intervention and transplant medication safety: a randomized controlled clinical trial. Citation Text: Gonzales HM, Fleming JN, Gebregziabher M, et al. Pharmacist-led mobile health intervention and transplant medication safety: a randomized controll…
  5. psnet.ahrq.gov/about-psnet
    September 01, 2015 - About PSNet AHRQ Patient Safety Network (PSNet) is a national web-based resource featuring the latest news and essential resources on patient safety. The site offers weekly updates of patient safety literature, news, tools, and meetings ("Current Issue"), and a vast set of carefully annotated links to important researc…
  6. psnet.ahrq.gov/innovation/esimpler-dynamic-electronic-health-record-integrated-checklist-clinical-decision-support
    June 16, 2021 - EMERGING INNOVATIONS eSIMPLER: a dynamic, electronic health record-integrated checklist for clinical decision support during PICU daily rounds. Citation Text: Geva A, Albert BD, Hamilton S, et al. eSIMPLER: a dynamic, electronic health record-integrated checklist for clinical decision support duri…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33576/psn-pdf
    December 15, 2024 - Wrong-Site, Wrong-Procedure, and Wrong-Patient Surgery December 15, 2024 Wrong-Site, Wrong-Procedure, and Wrong-Patient Surgery. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/wrong-site-wrong-procedure-and-wrong-patient-surgery PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editoria…
  8. psnet.ahrq.gov/web-mm/total-parenteral-nutrition-multifarious-errors
    January 23, 2017 - SPOTLIGHT CASE Total Parenteral Nutrition, Multifarious Errors Citation Text: Boullata JI. Total Parenteral Nutrition, Multifarious Errors. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013. Copy Citation Format: …
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72516/psn-pdf
    November 25, 2020 - Premature Closure: Was It Just Syncope? November 25, 2020 Maurier D, Barnes DK. Premature Closure: Was It Just Syncope? PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/premature-closure-was-it-just-syncope Disclosure of Relevant Financial Relationships: As a provider accredited by the Accreditation Council fo…
  10. psnet.ahrq.gov/web-mm/too-many-cooks-kitchen
    March 07, 2018 - SPOTLIGHT CASE Too Many Cooks in the Kitchen Citation Text: Dutton RP. Too Many Cooks in the Kitchen. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020. Copy Citation Format: Google Scholar BibTeX EndNote X…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49415/psn-pdf
    September 01, 2003 - Intubation Mishap September 1, 2003 Weinger MB, Blike G. Intubation Mishap. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/intubation-mishap Case Objectives To understand and apply a structured method of human factors case analysis To describe the key components of effective teamwork To understand the imp…
  12. psnet.ahrq.gov/web-mm/wrong-patients-blood-evaluating-near-miss-wrong-transfusion-event
    July 01, 2017 - SPOTLIGHT CASE “This is the wrong patient's blood!”: Evaluating a Near-Miss Wrong Transfusion Event Citation Text: Barnhard S. “This is the wrong patient's blood!”: Evaluating a Near-Miss Wrong Transfusion Event. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Dep…
  13. psnet.ahrq.gov/issue/insurers-stop-paying-care-linked-errors
    January 18, 2023 - Newspaper/Magazine Article Insurers stop paying for care linked to errors. Citation Text: Insurers stop paying for care linked to errors. Fuhrmans V. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter …
  14. psnet.ahrq.gov/issue/biggest-mistake-doctors-make
    October 09, 2013 - Newspaper/Magazine Article The biggest mistake doctors make. Citation Text: The biggest mistake doctors make. Landro L. Wall Street Journal. November 17, 2013. Copy Citation Save Save to your library Print Download PDF Share Facebook…
  15. psnet.ahrq.gov/issue/improving-patient-safety-culture-practical-guide
    April 23, 2014 - Toolkit Improving Patient Safety Culture – A Practical Guide. Citation Text: Improving Patient Safety Culture – A Practical Guide. London, UK: NHS England; July 2023. Copy Citation Save Save to your library Print Download PDF Share Facebook…
  16. psnet.ahrq.gov/issue/pressure-injury-prevention-hospitals-training-program
    May 01, 2017 - Multi-use Website Pressure Injury Prevention in Hospitals Training Program. Citation Text: Pressure Injury Prevention in Hospitals Training Program. Rockville, MD: Agency for Healthcare Research and Quality; September 2017. Copy Citation Save Save to your library …
  17. psnet.ahrq.gov/issue/your-medicine-be-smart-be-safe
    March 22, 2017 - Fact Sheet/FAQs Your Medicine, Be Smart, Be Safe. Citation Text: Your Medicine, Be Smart, Be Safe. Rockville, MD: Agency for Healthcare Research and Quality: 2011. AHRQ publication no. 11-0049-A. Copy Citation Save Save to your library Print Download PDF…
  18. psnet.ahrq.gov/issue/medication-safety-dashboard
    April 15, 2020 - Government Resource Medication Safety Dashboard. Citation Text: Medication Safety Dashboard. National Health Service. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL …
  19. psnet.ahrq.gov/issue/drug-labeling-and-packaging-looking-beyond-what-meets-eye
    April 16, 2018 - Newspaper/Magazine Article Drug labeling and packaging — looking beyond what meets the eye. Citation Text: Drug labeling and packaging — looking beyond what meets the eye. PA-PSRS Patient Safety Advisory. Copy Citation Save Save to your library Print Dow…
  20. psnet.ahrq.gov/issue/ahrq-2010-annual-conference
    December 24, 2008 - Government Resource AHRQ 2010 Annual Conference. Citation Text: AHRQ 2010 Annual Conference. Agency for Healthcare Research and Quality; AHRQ. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linke…

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