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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41884/psn-pdf
    December 21, 2014 - Supratherapeutic dosing of acetaminophen among hospitalized patients. December 21, 2014 Zhou L, Maviglia SM, Mahoney LM, et al. Supratherapeutic dosing of acetaminophen among hospitalized patients. Arch Intern Med. 2012;172(22):1721-8. https://psnet.ahrq.gov/issue/supratherapeutic-dosing-acetaminophen-among-hospit…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867335/psn-pdf
    December 11, 2024 - Comparing safety, performance and user perceptions of a patient-specific indication-based prescribing tool with current practice: a mixed methods randomised user testing study. December 11, 2024 Feather C, Clarke J, Appelbaum N, et al. Comparing safety, performance and user perceptions of a patient- specific indi…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36807/psn-pdf
    October 25, 2013 - HealthGrades Quality Study: Fourth Annual Patient Safety in American Hospitals Study. October 25, 2013 Denver, CO; Health Grades Inc; 2007. https://psnet.ahrq.gov/issue/healthgrades-quality-study-fourth-annual-patient-safety-american-hospitals- study This fourth annual report on the safety of hospitalized Medicar…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38760/psn-pdf
    July 08, 2009 - Nurses' perceptions of safety culture in long-term care settings. July 8, 2009 Wagner LM, Capezuti E, Rice JC. Nurses' perceptions of safety culture in long-term care settings. J Nurs Scholarsh. 2009;41(2):184-192. doi:10.1111/j.1547-5069.2009.01270.x. https://psnet.ahrq.gov/issue/nurses-perceptions-safety-culture…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846160/psn-pdf
    March 15, 2023 - Critical care teamwork in the future: the role of TeamSTEPPS in the COVID-19 pandemic and implications for the future. March 15, 2023 Terregino CA, Jagpal S, Parikh P, et al. Critical Care Teamwork in the Future: The Role of Critical care teamwork in the future: the role of TeamSTEPPS in the COVID-19 pandemic and …
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42575/psn-pdf
    September 26, 2016 - Are interventions to reduce interruptions and errors during medication administration effective?: a systematic review. September 26, 2016 Raban MZ, Westbrook JI. Are interventions to reduce interruptions and errors during medication administration effective?: a systematic review. BMJ Qual Saf. 2014;23(5):414-21. d…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46361/psn-pdf
    May 23, 2018 - Inadequate hand-off communication. May 23, 2018 Inadequate hand-off communication. Sentinel event alert. 2017;58(58):1-6. https://psnet.ahrq.gov/issue/inadequate-hand-communication The Joint Commission publishes sentinel event alerts to draw attention to pressing or emerging safety issues and provide guidelines fo…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848040/psn-pdf
    April 26, 2023 - Impact of work schedules of senior resident physicians on patient and resident physician safety: nationwide, prospective cohort study. April 26, 2023 Barger LK, Weaver MD, Sullivan JP, et al. Impact of work schedules of senior resident physicians on patient and resident physician safety: nationwide, prospective co…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41935/psn-pdf
    December 19, 2012 - Results of an effort to integrate quality and safety into medical and nursing school curricula and foster joint learning. December 19, 2012 Headrick LA, Barton AJ, Ogrinc G, et al. Results of an effort to integrate quality and safety into medical and nursing school curricula and foster joint learning. Health Aff (…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866320/psn-pdf
    January 01, 2025 - Rapid response systems, antibiotic stewardship and medication reconciliation: a scoping review on implementation factors, activities and outcomes. July 17, 2024 Ohlsen JT, Søfteland E, Akselsen PE, et al. Rapid response systems, antibiotic stewardship and medication reconciliation: a scoping review on implementati…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36836/psn-pdf
    January 29, 2015 - Learning from Bristol: The Report of the Public Inquiry into Children's Heart Surgery at the Bristol Royal Infirmary 1984--1995. January 29, 2015 Bristol Royal Infirmary Inquiry; The Stationery Office. London, England: Crown Copyright; 2002. https://psnet.ahrq.gov/issue/learning-bristol-report-public-inquiry-child…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40473/psn-pdf
    July 02, 2011 - A systematic review of failures in handoff communication during intrahospital transfers. July 2, 2011 Ong M-S, Coiera E. A systematic review of failures in handoff communication during intrahospital transfers. Jt Comm J Qual Patient Saf. 2011;37(6):274-284. https://psnet.ahrq.gov/issue/systematic-review-failures-h…
  13. psnet.ahrq.gov/perspective/organizational-change-face-highly-public-errors-ii-duke-experience
    July 20, 2010 - Organizational Change in the Face of Highly Public Errors—II. The Duke Experience Karen Frush, MD | May 1, 2005  View more articles from the same authors. Citation Text: Frush K. Organizational Change in the Face of Highly Public Errors—II. The Duke Experience. PSN…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49574/psn-pdf
    November 01, 2008 - A Mid-Summer Fog November 1, 2008 Braddock CH. A Mid-Summer Fog. PSNet [internet]. 2008. https://psnet.ahrq.gov/web-mm/mid-summer-fog The Case A 33-year-old woman with type I diabetes mellitus was admitted for symptoms of left flank pain, dysuria, and emesis, concerning for pyelonephritis. The patient was taking …
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33870/psn-pdf
    November 01, 2018 - The Comprehensivist Model of Care: A Hospitalist's View November 1, 2018 Wachter R. The Comprehensivist Model of Care: A Hospitalist's View. PSNet [internet]. 2018. https://psnet.ahrq.gov/perspective/comprehensivist-model-care-hospitalists-view Perspective In this month's PSNet perspective, I interview Dr. David M…
  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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