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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41963/psn-pdf
    February 01, 2013 - National study on the distribution, causes, and consequences of voluntarily reported medication errors between the ICU and non-ICU settings. February 1, 2013 Latif A, Rawat N, Pustavoitau A, et al. National study on the distribution, causes, and consequences of voluntarily reported medication errors between the IC…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38986/psn-pdf
    February 10, 2015 - Medicare's policy not to pay for treating hospital-acquired conditions: the impact. February 10, 2015 McNair PD, Luft HS, Bindman AB. Medicare's policy not to pay for treating hospital-acquired conditions: the impact. Health Aff (Millwood). 2009;28(5):1485-1493. doi:10.1377/hlthaff.28.5.1485. https://psnet.ahrq.go…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72649/psn-pdf
    January 20, 2021 - Wrong-site surgery in Pennsylvania during 2015–2019: a study of variables associated with 368 events from 178 facilities. January 20, 2021 Yonash RA, Taylor M. Wrong-Site Surgery in Pennsylvania During 2015–2019: A Study of Variables Associated With 368 Events From 178 Facilities. Patient Safety. 2020;2(4):24-39. …
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46450/psn-pdf
    August 20, 2018 - Improving Diagnostic Quality and Safety Final Report. August 20, 2018 Washington, DC: National Quality Forum. September 19, 2017. https://psnet.ahrq.gov/issue/improving-diagnostic-quality-and-safety-final-report Although diagnostic error is a well-recognized source of preventable patient harm, measuring and mitiga…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61113/psn-pdf
    January 01, 2021 - Do falls and other safety issues occur more often during handovers when nurses are away from patients? Findings from a retrospective study design. November 11, 2020 Demaria J, Valent F, Danielis M, et al. Do falls and other safety issues occur more often during handovers when nurses are away from patients? Finding…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33667/psn-pdf
    April 01, 2008 - Connie's Story: A Nurse's Personal Experience with MRSA April 1, 2008 Lehfeldt C. Connie's Story: A Nurse's Personal Experience with MRSA. PSNet [internet]. 2008. https://psnet.ahrq.gov/perspective/connies-story-nurses-personal-experience-mrsa Perspective The voices of patients are often missing from discussions …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73207/psn-pdf
    May 05, 2021 - Diagnostic accuracy of prehospital triage tools for identifying major trauma in elderly injured patients: a systematic review. May 5, 2021 Fuller G, Pandor A, Essat M, et al. Diagnostic accuracy of prehospital triage tools for identifying major trauma in elderly injured patients: a systematic review. J Trauma Acut…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866901/psn-pdf
    October 09, 2024 - Reader bias in breast cancer screening related to cancer prevalence and artificial intelligence decision support-a reader study. October 9, 2024 Al-Bazzaz H, Janicijevic M, Strand F. Reader bias in breast cancer screening related to cancer prevalence and artificial intelligence decision support—a reader study. Eur…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35855/psn-pdf
    October 25, 2013 - HealthGrades Quality Study: Third Annual Patient Safety in American Hospitals Study. October 25, 2013 Denver, CO: HealthGrades; 2006. https://psnet.ahrq.gov/issue/healthgrades-quality-study-third-annual-patient-safety-american-hospitals- study This third annual report on the safety of hospitalized Medicare patien…
  10. psnet.ahrq.gov/issue/emergency-nursing-and-medical-error-survey-two-states
    January 25, 2010 - December 1, 2011 Are temporary staff associated with more severe emergency department
  11. psnet.ahrq.gov/issue/ismp-quarterwatch-reports
    June 07, 2017 - June 13, 2018 Severe hyperglycemia in patients incorrectly using insulin pens at home
  12. psnet.ahrq.gov/issue/2017-ismp-medication-safety-self-assessment-communityambulatory-pharmacy
    June 07, 2017 - May 11, 2017 Severe hyperglycemia in patients incorrectly using insulin pens at home.
  13. psnet.ahrq.gov/issue/patient-safety-24
    December 01, 2011 - July 8, 2013 Are temporary staff associated with more severe emergency department medication
  14. psnet.ahrq.gov/issue/nursing-care-quality-nqf
    September 06, 2011 - July 8, 2009 Antecedents of severe and nonsevere medication errors.
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49811/psn-pdf
    November 01, 2017 - worsening respiratory status, liver abnormalities, and colonic pseudo-obstruction were all consistent with severe … These are rare but life-threatening conditions that result from either decompensated thyrotoxicosis or severe … Effects Score Absent 0 Mild (agitation) 10 Moderate (delirium, psychosis, extreme lethargy) 20 Severe … 25 Congestive Heart Failure Score Absent 0 Mild (pedal edema) 5 Moderate (bibasilar rales) 10 Severe
  16. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.25_slideshow.ppt
    July 01, 2003 - advanced care discussions Case: Code Status Confusion A 60-year-old woman with a history of severe … preferences in scenarios with uncertain outcomes i.e., successful cardiac resuscitation with resultant severe
  17. psnet.ahrq.gov/issue/10-medication-safety-tips-hospitalized-patients
    February 06, 2019 - June 13, 2018 Severe hyperglycemia in patients incorrectly using insulin pens at home
  18. psnet.ahrq.gov/issue/ismp-long-term-care-advise-err
    June 07, 2017 - June 13, 2018 Severe hyperglycemia in patients incorrectly using insulin pens at home
  19. psnet.ahrq.gov/issue/clinical-issues-series
    July 05, 2006 - 2006 National Partnership for Maternal Safety: consensus bundle on support after a severe
  20. psnet.ahrq.gov/issue/fatal-gas-line-mix-how-avoid-making-gastly-mistake
    April 29, 2018 - September 12, 2016 ALERT: reports of severe harm after intravenous administration of

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