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Showing results for "submitted".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46455/psn-pdf
    April 24, 2018 - ISMP Medication Safety Self Assessment for High-Alert Medications. April 24, 2018 Horsham, PA: Institute for Safe Medication Practices; 2017. https://psnet.ahrq.gov/issue/ismp-medication-safety-self-assessment-high-alert-medications High-alert medications have the potential to cause substantial patient harm if adm…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73455/psn-pdf
    June 30, 2021 - Paroxysmal Supraventricular Tachycardia Masquerading as Panic Attacks June 30, 2021 Martin DT, O’Leary D. Paroxysmal Supraventricular Tachycardia Masquerading as Panic Attacks. PSNet [internet]. 2021. https://psnet.ahrq.gov/web-mm/paroxysmal-supraventricular-tachycardia-masquerading-panic-attacks The Case At the…
  3. psnet.ahrq.gov/web-mm/coming-err-missed-diagnosis-patient-recurrent-pneumothorax
    December 14, 2022 - Coming up for Err: Missed Diagnosis in a Patient with Recurrent Pneumothorax Citation Text: Carlile N, El-Chemaly S, Schiff G. Coming up for Err – Missed Diagnosis in a Patient with Recurrent Pneumothorax. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health …
  4. psnet.ahrq.gov/web-mm/mark-my-limb
    February 10, 2015 - issued its first Sentinel Event Alert on wrong-site surgery ( 1,2 ), it has amassed over 300 voluntarily submitted
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44338/psn-pdf
    November 23, 2015 - Medicare and Medicaid programs; reform of requirements for long-term care facilities; proposed rule. November 23, 2015 Washington, DC: US Department of Health and Human Services. Baltimore, MD: Centers for Medicare & Medicaid Services. Fed Register. July 16, 2015;80:42167-42269. https://psnet.ahrq.gov/issue/medica…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45458/psn-pdf
    November 30, 2016 - Request for comments on the proposed measures and 2020 targets for the National Action Plan for Adverse Drug Event Prevention: inpatient and outpatient measures for reduction of adverse drug events from anticoagulants, diabetes agents, and opioid analgesics. November 30, 2016 Office of Disease Prevention and Heal…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38570/psn-pdf
    April 22, 2009 - Factors influencing incident reporting in surgical care. April 22, 2009 Kreckler S, Catchpole K, McCulloch P, et al. Factors influencing incident reporting in surgical care. Qual Saf Health Care. 2009;18(2):116-20. doi:10.1136/qshc.2008.026534. https://psnet.ahrq.gov/issue/factors-influencing-incident-reporting-sur…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33714/psn-pdf
    July 01, 2011 - The information that is submitted at a national level into something called the Network of Patient Safety … Databases, by statute and by regulation, must be de-identified very completely before it is submitted
  9. psnet.ahrq.gov/training-catalog
    June 01, 2025 - Training Catalog The AHRQ PSNet Training Catalog is an easy to use resource for healthcare professionals across all settings of care and specialties looking for education opportunities to further their knowledge of patient safety practices and principles. Some training opportunities are available as in-person meeting…
  10. psnet.ahrq.gov/web-mm/strongyloides-hidden-traveler-and-potentially-lethal-missed-diagnosis
    August 25, 2021 - SPOTLIGHT CASE Strongyloides: A Hidden Traveler and Potentially Lethal Missed Diagnosis. Citation Text: Carlile N, Smith CL, Maguire JH, et al. Strongyloides: A Hidden Traveler and Potentially Lethal Missed Diagnosis.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, …
  11. psnet.ahrq.gov/issue/american-hospital-association-mckesson-quest-quality-prize-1
    April 15, 2021 - Award Announcement American Hospital Association–McKesson Quest for Quality Prize. Citation Text: American Hospital Association–McKesson Quest for Quality Prize. American Hospital Association. Copy Citation Save Save to your library Print Download PDF …
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45671/psn-pdf
    November 23, 2016 - America's Hospitals: Improving Quality and Safety—The Joint Commission's Annual Report 2016. November 23, 2016 Oakbrook Terrace, IL: The Joint Commission; November 2016. https://psnet.ahrq.gov/issue/americas-hospitals-improving-quality-and-safety-joint-commissions-annual- report-2016 This Joint Commission annual …
  13. psnet.ahrq.gov/issue/personal-best
    September 28, 2017 - Newspaper/Magazine Article Personal best. Citation Text: Personal best. Gawande A. New Yorker. October 3, 2011. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL …
  14. psnet.ahrq.gov/issue/ismp-survey-iv-push-medication-practices
    January 26, 2023 - Press Release/Announcement ISMP Survey on IV Push Medication Practices. Citation Text: ISMP Survey on IV Push Medication Practices. Institute for Safe Medication Practices; ISMP. Copy Citation Save Save to your library Print Download PDF Share …
  15. psnet.ahrq.gov/issue/anesthesia-patient-safety-foundation-apsf-grant-program
    April 22, 2020 - Award Recipient Anesthesia Patient Safety Foundation (APSF) Grant Program. Citation Text: Anesthesia Patient Safety Foundation (APSF) Grant Program. Anesthesia Patient Safety Foundation. Copy Citation Save Save to your library Print Download PDF …
  16. psnet.ahrq.gov/issue/canadian-anesthesia-incident-reporting-system
    December 04, 2019 - Multi-use Website Canadian Anesthesia Incident Reporting System. Citation Text: Canadian Anesthesia Incident Reporting System. Canadian Anaesthesiologists Society. Copy Citation Save Save to your library Print Download PDF Share Facebook …
  17. psnet.ahrq.gov/issue/patient-safety-improvement-act-2020
    February 12, 2020 - Government Resource Patient Safety Improvement Act of 2020. Citation Text: Patient Safety Improvement Act of 2020. SB 3380. 116th Congress (2020). Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter …
  18. psnet.ahrq.gov/issue/cutaneous-procedures-adverse-events-reporting-caper
    April 22, 2020 - Multi-use Website Cutaneous Procedures Adverse Events Reporting (CAPER). Citation Text: Cutaneous Procedures Adverse Events Reporting (CAPER). The American Society for Dermatologic Surgery Association and the Northwestern University Department of Dermatology. Copy Citation …
  19. psnet.ahrq.gov/issue/ismp-survey-high-alert-medications-acute-care-settings
    January 26, 2023 - Measurement Tool/Indicator ISMP Survey on High-Alert Medications in Acute Care Settings. Citation Text: ISMP Survey on High-Alert Medications in Acute Care Settings. Plymouth Meeting, PA: Institute for Safe Medication Practices; 2023. Copy Citation Save Save to yo…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836812/psn-pdf
    March 30, 2022 - Strategies and Approaches for Investigating Patient Safety Events March 30, 2022 Shaikh U. Strategies and Approaches for Investigating Patient Safety Events. PSNet [internet]. 2022. https://psnet.ahrq.gov/primer/strategies-and-approaches-investigating-patient-safety-events Background This primer provides a broad …

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