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  1. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.266_slideshow.ppt
    May 01, 2012 - Spotlight Case July 2008 Spotlight Case The Perils of Cross Coverage * * Source and Credits This presentation is based on the May 2012 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Jeanne M. Farnan, MD, MHPE, and Vineet M. Arora, MD, MAPP, …
  2. psnet.ahrq.gov/web-mm/perils-contrast-media
    March 01, 2007 - SPOTLIGHT CASE The Perils of Contrast Media Citation Text: Sadat U, Solomon R. The Perils of Contrast Media. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. Copy Citation Format: Google Scholar BibTeX En…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33729/psn-pdf
    May 01, 2012 - The Emergence of the Trigger Tool as the Premier Measurement Strategy for Patient Safety May 1, 2012 Sharek PJ. The Emergence of the Trigger Tool as the Premier Measurement Strategy for Patient Safety. PSNet [internet]. 2012. https://psnet.ahrq.gov/perspective/emergence-trigger-tool-premier-measurement-strategy-pa…
  4. psnet.ahrq.gov/web-mm/failure-rescue-mother
    September 23, 2020 - Failure to Rescue the Mother Citation Text: Vivero A, Klapper EB, Gregory KD, et al. Failure to Rescue the Mother. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote…
  5. psnet.ahrq.gov/web-mm/complications-vascular-access-procedures-patients-kidney-disease
    November 15, 2023 - Complications of Vascular Access Procedures in Patients with Kidney Disease Citation Text: Young SR, Chen I. Complications of Vascular Access Procedures in Patients with Kidney Disease. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. …
  6. psnet.ahrq.gov/web-mm/watch-warfarin
    December 01, 2013 - SPOTLIGHT CASE Watch the Warfarin! Citation Text: Khanna R, Fang MC. Watch the Warfarin!. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNot…
  7. psnet.ahrq.gov/web-mm/fatal-oversight-misdiagnosis-nocturnal-chest-pain-elevated-d-dimer
    May 01, 2005 - Fatal Oversight: Misdiagnosis of Nocturnal Chest Pain with Elevated D-dimer. Citation Text: Agusala V, Deen J, Schaefer S. Fatal Oversight: Misdiagnosis of Nocturnal Chest Pain with Elevated D-dimer.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and H…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851568/psn-pdf
    July 31, 2023 - j.ijnurstu.2015.08.012 https://doi.org/10.1002/14651858.cd009985.pub2 https://www.jointcommission.org/standards
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45880/psn-pdf
    June 29, 2017 - Diagnostic accuracy of GPs when using an early- intervention decision support system: a high-fidelity simulation. June 29, 2017 Kostopoulou O, Porat T, Corrigan D, et al. Diagnostic accuracy of GPs when using an early-intervention decision support system: a high-fidelity simulation. Br J Gen Pract. 2017;679(656):e…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41519/psn-pdf
    September 01, 2016 - Failure to utilize functions of an electronic prescribing system and the subsequent generation of 'technically preventable' computerized alerts. September 1, 2016 Baysari M, Reckmann MH, Li L, et al. Failure to utilize functions of an electronic prescribing system and the subsequent generation of 'technically prev…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41789/psn-pdf
    September 01, 2016 - Drug–drug interactions that should be non-interruptive in order to reduce alert fatigue in electronic health records. September 1, 2016 Phansalkar S, van der Sijs H, Tucker AD, et al. Drug-drug interactions that should be non-interruptive in order to reduce alert fatigue in electronic health records. J Am Med Infor…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39365/psn-pdf
    May 25, 2010 - Electronic prescribing improves medication safety in community-based office practices. May 25, 2010 Kaushal R, Kern LM, Barrón Y, et al. Electronic Prescribing Improves Medication Safety in Community- Based Office Practices. J Gen Intern Med. 2010;25(6). doi:10.1007/s11606-009-1238-8. https://psnet.ahrq.gov/issue/…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46851/psn-pdf
    January 23, 2019 - To care is human—collectively confronting the clinician- burnout crisis. January 23, 2019 Dzau VJ, Kirch DG, Nasca TJ. To Care Is Human — Collectively Confronting the Clinician-Burnout Crisis. New Engl J Med. 2018;378(4):312-314. doi:10.1056/nejmp1715127. https://psnet.ahrq.gov/issue/care-human-collectively-confro…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836842/psn-pdf
    April 07, 2022 - Assessing the impact of virtual medication history technicians on medication reconciliation discrepancies. April 7, 2022 Gadallah A, McGinnis B, Nguyen B, et al. Assessing the impact of virtual medication history technicians on medication reconciliation discrepancies. Int J Clin Pharm. 2021;43(5):1404-1411. doi:10.…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37756/psn-pdf
    December 15, 2008 - Do the AHRQ Patient Safety Indicators flag conditions that are present at the time of hospital admission? December 15, 2008 Bahl V, Thompson MA, Kau T-Y, et al. Do the AHRQ patient safety indicators flag conditions that are present at the time of hospital admission? Med Care. 2008;46(5):516-22. doi:10.1097/MLR.0b0…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39551/psn-pdf
    May 26, 2010 - Simulation-based training improves physicians' performance in patient care in high-stakes clinical setting of cardiac surgery. May 26, 2010 Bruppacher HR, Alam SK, LeBlanc VR, et al. Simulation-based training improves physicians' performance in patient care in high-stakes clinical setting of cardiac surgery. Anest…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45976/psn-pdf
    December 21, 2017 - Incidence of clinically relevant medication errors in the era of electronically prepopulated medication reconciliation forms: a retrospective chart review. December 21, 2017 Stockton KR, Wickham ME, Lai S, et al. Incidence of clinically relevant medication errors in the era of electronically prepopulated medicatio…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42748/psn-pdf
    November 20, 2013 - Effectiveness of written hospitalist sign-outs in answering overnight inquiries. November 20, 2013 Fogerty RL, Schoenfeld A, Al-Damluji MS, et al. Effectiveness of written hospitalist sign-outs in answering overnight inquiries. J Hosp Med. 2013;8(11):609-14. doi:10.1002/jhm.2090. https://psnet.ahrq.gov/issue/effec…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40619/psn-pdf
    October 06, 2016 - Sustaining and spreading the reduction of adverse drug events in a multicenter collaborative. October 6, 2016 Tham E, Calmes HM, Poppy A, et al. Sustaining and spreading the reduction of adverse drug events in a multicenter collaborative. Pediatrics. 2011;128(2):e438-45. doi:10.1542/peds.2010-3772. https://psnet.a…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44266/psn-pdf
    May 19, 2019 - Exploring health care professionals' perceptions of incidents and incident reporting in rehabilitation settings. May 19, 2019 Espin S, Carter C, Janes N, et al. Exploring Health Care Professionals' Perceptions of Incidents and Incident Reporting in Rehabilitation Settings. J Patient Saf. 2019;15(2):154-160. doi:10…

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