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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42325/psn-pdf
    March 02, 2023 - Hospital discharge and readmission. March 2, 2023 Alper E, O'Malley TA, Greenwald J. UpToDate. February 3, 2023. https://psnet.ahrq.gov/issue/hospital-discharge-and-readmission This review examines hospital discharge, details elements of the process that can increase risk of readmission, and reveals interventions …
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41111/psn-pdf
    May 21, 2014 - Are they safe in there? Patient safety and trainees in the practice. May 21, 2014 Byrnes PD, Crawford M, Wong B. Are they safe in there? - patient safety and trainees in the practice. Aust Fam Physician. 2012;41(1-2):26-9. https://psnet.ahrq.gov/issue/are-they-safe-there-patient-safety-and-trainees-practice This …
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40704/psn-pdf
    August 17, 2011 - Plan for quality to improve patient safety at the point of care. August 17, 2011 Ehrmeyer SS. Plan for Quality to Improve Patient Safety at the Point of Care. Ann Saudi Med. 2011;31(4). doi:10.4103/0256-4947.83203. https://psnet.ahrq.gov/issue/plan-quality-improve-patient-safety-point-care This review discusses t…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35517/psn-pdf
    November 17, 2016 - Joint Commission Journal on Quality and Patient Safety. November 17, 2016 Baker D, ed. Oakbrook Terrace, IL: Joint Commission. ISSN: 1553-7250. https://psnet.ahrq.gov/issue/joint-commission-journal-quality-and-patient-safety This monthly, peer-reviewed journal provides both empirical studies and practical instructi…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33903/psn-pdf
    November 28, 2018 - ECRI Guidelines Trust. November 28, 2018 ECRI Institute. https://psnet.ahrq.gov/issue/ecri-guidelines-trust This website is a practical resource to review existing clinical practice guidelines in a centralized location. Key components of the site include links to full-text guidelines and an assessment function tha…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41278/psn-pdf
    April 04, 2012 - Strategies to reduce medication errors in pediatric ambulatory settings. April 4, 2012 Mehndiratta S. Strategies to reduce medication errors in pediatric ambulatory settings. J Postgrad Med. 2012;58(1):47-53. doi:10.4103/0022-3859.93252. https://psnet.ahrq.gov/issue/strategies-reduce-medication-errors-pediatric-am…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41039/psn-pdf
    January 04, 2012 - There's a science for that: team development interventions in organizations. January 4, 2012 Shuffler ML, DiazGranados D, Salas E. There’s a Science for That. Curr Dir Psychol Sci. 2011;20(6). doi:10.1177/0963721411422054. https://psnet.ahrq.gov/issue/theres-science-team-development-interventions-organizations Th…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38066/psn-pdf
    September 17, 2008 - New perspectives on error in critical care. September 17, 2008 Patel VL, Cohen T. New perspectives on error in critical care. Curr Opin Crit Care. 2008;14(4):456-9. doi:10.1097/MCC.0b013e32830634ae. https://psnet.ahrq.gov/issue/new-perspectives-error-critical-care This review article describes approaches to safety…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42217/psn-pdf
    December 18, 2013 - A concept analysis of situational awareness in nursing. December 18, 2013 Fore AM, Sculli GL. A concept analysis of situational awareness in nursing. J Adv Nurs. 2013;69(12):2613- 21. doi:10.1111/jan.12130. https://psnet.ahrq.gov/issue/concept-analysis-situational-awareness-nursing This review examines situational…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42108/psn-pdf
    March 13, 2013 - Distractions and their impact on patient safety. March 13, 2013 Feil M. PA-PSRS Patient Saf Advis. March 2013;10:1-10. https://psnet.ahrq.gov/issue/distractions-and-their-impact-patient-safety Analyzing data submitted to the Pennsylvania Patient Safety Reporting System, this piece outlines the types of distraction…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35160/psn-pdf
    January 02, 2017 - Unlabeled containers lead to patient's death. January 2, 2017 Cohen MR, Smetzer JL. Unlabeled containers lead to patient's death. Jt Comm J Qual Patient Saf. 2005;31(7):414-7. https://psnet.ahrq.gov/issue/unlabeled-containers-lead-patients-death The authors review selected incidents of harm involving unlabeled con…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42707/psn-pdf
    September 03, 2024 - Quality Institute Toolkits. September 3, 2024 AAAHC Quality Institute. Deerfield, IL: Accreditation Association for Ambulatory Health Care. https://psnet.ahrq.gov/issue/quality-institute-toolkits This collection of toolkits provides resources to support safety in ambulatory care and includes information about alle…
  13. psnet.ahrq.gov/sites/default/files/2021-02/final_feb_2021_spotlight_delay_in_appropriate_dx.pdf
    January 01, 2021 - Microsoft PowerPoint - FINAL Feb 2021 Spotlight_Delay in Appropriate DX.pptx - Read-Only Spotlight Delay in Appropriate Diagnosis and Treatment Leading to Death from Pulmonary Embolism Source and Credits • This presentation is based on the February 2021 AHRQ WebM&M Spotlight Case o See the full article at ht…
  14. psnet.ahrq.gov/web-mm/premature-closure-was-it-just-syncope
    February 10, 2021 - SPOTLIGHT CASE Premature Closure: Was It Just Syncope? Citation Text: Maurier D, Barnes DK. Premature Closure: Was It Just Syncope?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020. Copy Citation Format: …
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60066/psn-pdf
    March 25, 2020 - Some Patients Can't Wait: Improving Timeliness of Emergency Department Care March 25, 2020 Chang R, Barnes DK. Some Patients Can't Wait: Improving Timeliness of Emergency Department Care. PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/some-patients-cant-wait-improving-timeliness-emergency-department-care D…
  16. psnet.ahrq.gov/web-mm/intraoperative-awareness-during-rhinoplasty
    January 29, 2021 - SPOTLIGHT CASE Intraoperative Awareness during Rhinoplasty Citation Text: Bohringer C, Toor J. Intraoperative Awareness during Rhinoplasty. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024. Copy Citation Format: …
  17. psnet.ahrq.gov/issue/implementation-patient-safety-program-tertiary-health-system-longitudinal-analysis
    November 29, 2023 - Study Implementation of a patient safety program at a tertiary health system: a longitudinal analysis of interventions and serious safety events. Citation Text: Cropper DP, Harb NH, Said PA, et al. Implementation of a patient safety program at a tertiary health system: A longitudinal ana…
  18. psnet.ahrq.gov/issue/addressing-health-care-needs-people-who-identify-transgender-what-do-nurses-need-know
    February 17, 2021 - Commentary Addressing the health care needs of people who identify as transgender: what do nurses need to know? Citation Text: Boucher I, Bourke SL, Green J, et al. Addressing the health care needs of people who identify as transgender: what do nurses need to know? Int J Healthc. 2020;6(…
  19. psnet.ahrq.gov/issue/safe-electronic-health-record-use-requires-comprehensive-monitoring-and-evaluation-framework
    May 22, 2015 - Commentary Safe electronic health record use requires a comprehensive monitoring and evaluation framework. Citation Text: Sittig DF, Classen D. Safe electronic health record use requires a comprehensive monitoring and evaluation framework. JAMA. 2010;303(5):450-451. doi:10.1001/jama.20…
  20. psnet.ahrq.gov/issue/abdominal-pain-emergency-department-missed-diagnoses
    September 16, 2020 - Commentary Abdominal pain in the emergency department: missed diagnoses. Citation Text: Halsey-Nichols M, McCoin N. Abdominal pain in the emergency department: missed diagnoses. Emerg Med Clin North Am. 2021;39(4):703-717. doi:10.1016/j.emc.2021.07.005. Copy Citation Format: …

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