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Total Results: 731 records

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  1. psnet.ahrq.gov/issue/fall-risk-and-prevention-agreement-engaging-patients-and-families-partnership-patient-safety
    November 13, 2024 - Commentary Fall risk and prevention agreement: engaging patients and families with a partnership for patient safety. Citation Text: Vonnes C, Wolf D. Fall risk and prevention agreement: engaging patients and families with a partnership for patient safety. BMJ Open Qual. 2017;6(2):e000038…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33590/psn-pdf
    September 15, 2024 - intervention by hospital leadership for clinicians who display recurrent unprofessional behavior or are the subject
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33571/psn-pdf
    March 15, 2025 - Event reports are subject to selection bias due to their voluntary nature.
  4. psnet.ahrq.gov/issue/competent-surgeon-individual-accountability-era-systems-failure
    May 30, 2014 - Commentary The competent surgeon: individual accountability in the era of "systems" failure. Citation Text: Whittemore A. The competent surgeon: individual accountability in the era of "systems" failure. Ann Surg. 2009;250(3):357-62. doi:10.1097/SLA.0b013e3181b28c93. Copy Citation …
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852698/psn-pdf
    August 30, 2023 - The results of the review and suggested system improvement opportunities are then presented to subject … The results of the review and any recommended system improvements are then presented to subject matter
  6. psnet.ahrq.gov/issue/key-potentially-inappropriate-drugs-pediatrics-kids-list
    September 23, 2020 - Study Emerging Classic Key potentially inappropriate drugs in pediatrics: the KIDs list. Citation Text: Meyers RS, Thackray J, Matson KL, et al. Key potentially inappropriate drugs in pediatrics: the KIDs list. J Pediatr Pharmacol Ther. 2020;25(3). doi:10.5863/1…
  7. psnet.ahrq.gov/issue/evaluating-effect-distractions-operating-room-clinical-decision-making-and-patient-safety
    November 16, 2022 - Study Evaluating the effect of distractions in the operating room on clinical decision-making and patient safety. Citation Text: Murji A, Luketic L, Sobel ML, et al. Evaluating the effect of distractions in the operating room on clinical decision-making and patient safety. Surg Endosc. 2…
  8. psnet.ahrq.gov/issue/measure-twice-cut-once
    June 14, 2023 - Commentary Measure twice, cut once. Citation Text: Atkinson WK. Measure twice, cut once. AORN J. 2013;98(1):77-80. doi:10.1016/j.aorn.2013.05.004. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Down…
  9. psnet.ahrq.gov/issue/partnering-pediatric-patients-and-families-high-reliability-identify-and-reduce-preventable
    December 02, 2020 - Commentary Partnering with pediatric patients and families in high reliability to identify and reduce preventable safety events. Citation Text: Partnering with pediatric patients and families in high reliability to identify and reduce preventable safety events. Kirby J, Cannon C, Darrah …
  10. psnet.ahrq.gov/issue/systematic-review-effectiveness-compliance-and-critical-factors-implementation-safety
    December 04, 2024 - Review A systematic review of the effectiveness, compliance, and critical factors for implementation of safety checklists in surgery. Citation Text: Borchard A, Schwappach DLB, Barbir A, et al. A systematic review of the effectiveness, compliance, and critical factors for implementatio…
  11. psnet.ahrq.gov/issue/night-and-day-shedding-light-hours-care
    September 28, 2010 - Commentary Like night and day — shedding light on off-hours care. Citation Text: Shulkin DJ. Like night and day--shedding light on off-hours care. N Engl J Med. 2008;358(20):2091-3. doi:10.1056/NEJMp0707144. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X…
  12. psnet.ahrq.gov/issue/implementing-aorn-recommended-practices-prevention-retained-surgical-items
    January 05, 2017 - Commentary Implementing AORN recommended practices for prevention of retained surgical items. Citation Text: Goldberg JL, Feldman DL. Implementing AORN recommended practices for prevention of retained surgical items. AORN J. 2012;95(2):205-16; quiz 217-9. doi:10.1016/j.aorn.2011.11.010…
  13. psnet.ahrq.gov/issue/overdiagnosis-coronary-artery-disease-detected-coronary-computed-tomography-angiography
    March 03, 2011 - Commentary Overdiagnosis of coronary artery disease detected by coronary computed tomography angiography: a teachable moment. Citation Text: Schmidt T, Maag R, Foy AJ. Overdiagnosis of Coronary Artery Disease Detected by Coronary Computed Tomography Angiography: A Teachable Moment. JAMA …
  14. psnet.ahrq.gov/issue/crisis-resource-management-evaluating-outcomes-multidisciplinary-team
    December 23, 2011 - Study Crisis resource management: evaluating outcomes of a multidisciplinary team. Citation Text: Jankouskas T, Bush MC, Murray B, et al. Crisis resource management: evaluating outcomes of a multidisciplinary team. Simul Healthc. 2007;2(2):96-101. doi:10.1097/SIH.0b013e31805d8b0d. Co…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49608/psn-pdf
    August 01, 2010 - triage accuracy, it is not the complete answer, since many judgments remain subjective and thereby subject
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49513/psn-pdf
    July 01, 2006 - endorsed guidelines for safe transport of this patient population, nor any peer-reviewed article on the subject … transport tends to "fall between the cracks" of divisions, departments, and providers, it has been the subject
  17. psnet.ahrq.gov/issue/reviewing-deaths-british-and-us-hospitals-study-two-scales-assessing-preventability
    April 03, 2019 - Study Reviewing deaths in British and US hospitals: a study of two scales for assessing preventability. Citation Text: Manaseki-Holland S, Lilford RJ, Bishop JRB, et al. Reviewing deaths in British and US hospitals: a study of two scales for assessing preventability. BMJ Qual Saf. 2017;2…
  18. psnet.ahrq.gov/issue/low-perfusion-and-missed-diagnosis-hypoxemia-pulse-oximetry-darkly-pigmented-skin-prospective
    March 14, 2022 - Study Low perfusion and missed diagnosis of hypoxemia by pulse oximetry in darkly pigmented skin: a prospective study. Citation Text: Gudelunas MK, Lipnick M, Hendrickson C, et al. Low perfusion and missed diagnosis of hypoxemia by pulse oximetry in darkly pigmented skin: a prospective s…
  19. psnet.ahrq.gov/issue/associations-between-hospitalist-shift-busyness-diagnostic-confidence-and-resource
    September 16, 2020 - Study Associations between hospitalist shift busyness, diagnostic confidence, and resource utilization: a pilot study. Citation Text: Gupta AB, Greene MT, Fowler KE, et al. Associations between hospitalist shift busyness, diagnostic confidence, and resource utilization: a pilot study. J …
  20. psnet.ahrq.gov/issue/impact-independent-chemotherapy-prescribing-advanced-practice-providers-patient-safety-and
    November 16, 2022 - Study The impact of independent chemotherapy prescribing by advanced practice providers on patient safety and clinician satisfaction. Citation Text: LeStrange N, Walton AM, Watson JL, et al. The impact of independent chemotherapy prescribing by advanced practice providers on patient safe…

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