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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46607/psn-pdfNovember 08, 2017 - Stem the Tide: Addressing the Opioid Epidemic. November 8, 2017 Chicago, IL: American Hospital Association; 2017. https://psnet.ahrq.gov/issue/stem-tide-addressing-opioid-epidemic The opioid epidemic is a challenge to patient safety and public health. This report reviews tools to help health care systems target ei… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41360/psn-pdfSeptember 30, 2012 - The simulated ward: ideal for training clinical clerks in an era of patient safety. September 30, 2012 Mollo EA, Reinke CE, Nelson C, et al. The simulated ward: ideal for training clinical clerks in an era of patient safety. J Surg Res. 2012;177(1):e1-6. doi:10.1016/j.jss.2012.03.050. https://psnet.ahrq.gov/issue/… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/851364/psn-pdfApril 24, 2024 - Anesthesia Patient Safety Podcast. April 24, 2024 Anesthesia Patient Safety Foundation. 2020-2024. https://psnet.ahrq.gov/issue/anesthesia-patient-safety-podcast Work to improve anesthesia is longstanding. This free podcast series from the Anesthesia Patient Safety Foundation is updated regularly to cover a range … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43151/psn-pdfApril 30, 2014 - Open for Better Care. April 30, 2014 Health Quality & Safety Commission New Zealand. https://psnet.ahrq.gov/issue/open-better-care This Web site hosts tools and resources associated with a national campaign to augment patient care. The initiative aims to build collaborative programs across New Zealand to reduce fa… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74709/psn-pdfNovember 23, 2024 - Fire safety in the operating room. November 23, 2024 Ehrenwerth J. UptoDate. November 18, 2024. https://psnet.ahrq.gov/issue/fire-safety-operating-room Operating room fires are never events that, while rare, still harbor great potential for harm. This review discusses settings prone to surgical fire events, preven… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40474/psn-pdfJuly 02, 2011 - A survey of the use of time-out protocols in emergency medicine. July 2, 2011 Kelly JJ, Farley HL, O'Cain C, et al. A survey of the use of time-out protocols in emergency medicine. Jt Comm J Qual Patient Saf. 2011;37(6):285-288. https://psnet.ahrq.gov/issue/survey-use-time-out-protocols-emergency-medicine This su… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/854836/psn-pdfAugust 01, 2014 - The Foundations of Safety Science. August 1, 2014 LeCoze JC, Pettersen K, Reiman T, eds. Safety Sci. 2014;67:1-70. https://psnet.ahrq.gov/issue/foundations-safety-science Safety science crosses many disciplines including healthcare, aviation, and nuclear power. This special issue describes the state of safety scie… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40909/psn-pdfNovember 09, 2011 - Handing over patient care: is it just the old broken telephone game? November 9, 2011 Zendejas B, Ali SM, Huebner M, et al. Handing over patient care: is it just the old broken telephone game? J Surg Educ. 2011;68(6):465-71. doi:10.1016/j.jsurg.2011.05.011. https://psnet.ahrq.gov/issue/handing-over-patient-care-it… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/836788/psn-pdfMarch 23, 2022 - A widow’s mission to change NC dental sedation rules. March 23, 2022 Blythe A. NC Health News. March 10, 2022 https://psnet.ahrq.gov/issue/widows-mission-change-nc-dental-sedation-rules Patient harm in dentistry is receiving increased attention and scrutiny. This story covers a medication incident and the lack of … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72484/psn-pdfNovember 18, 2020 - Management of Operating Room Critical Events. November 18, 2020 Hannenberg AA, ed. Anesthesiol Clin. 2020;38(4):727-922. https://psnet.ahrq.gov/issue/management-operating-room-critical-events Anesthesiology critical events are uncommon, and yet they have great potential for harm. This special issue focuses on mana… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46494/psn-pdfJanuary 24, 2018 - Complications. January 24, 2018 Anaesthesia. 2018;73(suppl 1):3-101. https://psnet.ahrq.gov/issue/complications Study of complications can provide insights into presurgical patient counseling, risk assessment, and medical harm prevention. Articles in this special issue explore complications in anesthesia, includin… -
www.ahrq.gov/patient-safety/reports/index.htmlAugust 01, 2023 - Reports Collections of professional and academic publications, reports, and National Action Plans. Advances in Patient Safety and Medical Liability Advancing Patient Safety . AHRQ-Funded Patient Safety Research Featured in Health Affairs . AHRQ Papers on Diagnostic Safety Topics Becoming a High Rel…
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41416/psn-pdfMay 23, 2012 - Checking anaesthetic equipment 2012: Association of Anaesthetists of Great Britain and Ireland. May 23, 2012 Anderson E, Bythell V, Gemmell L, et al. Checking Anaesthetic Equipment 2012. Anaesthesia. 2012;67(6). doi:10.1111/j.1365-2044.2012.07163.x. https://psnet.ahrq.gov/issue/checking-anaesthetic-equipment-2012-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41613/psn-pdfAugust 22, 2012 - Standardized postoperative handover process improves outcomes in the intensive care unit: a model for operational sustainability and improved team performance. August 22, 2012 Bhakta RT, Stockwell DC. Transitions of care in the pediatric cardiac intensive care unit*. Crit Care Med. 2012;40(7). doi:10.1097/ccm.0b0… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45540/psn-pdfNovember 01, 2016 - Performing the wrong procedure. November 1, 2016 Minnier T, Phrampus P, Waddell L. Performing the Wrong Procedure. JAMA. 2016;316(11):1207-1208. doi:10.1001/jama.2016.9134. https://psnet.ahrq.gov/issue/performing-wrong-procedure Describing an incorrect procedure incident which involved placement of a dialysis cath… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41334/psn-pdfApril 25, 2012 - Understanding the role of non-technical skills in patient safety. April 25, 2012 White N. Understanding the role of non-technical skills in patient safety. Nurs Stand. 2012;26(26):43-8. https://psnet.ahrq.gov/issue/understanding-role-non-technical-skills-patient-safety Examining a case study in which a patient die… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40948/psn-pdfNovember 23, 2011 - The disruptive orthopaedic surgeon: implications for patient safety and malpractice liability. November 23, 2011 Patel P, Robinson BS, Novicoff WM, et al. The disruptive orthopaedic surgeon: implications for patient safety and malpractice liability. J Bone Joint Surg Am. 2011;93(21):e1261-6. doi:10.2106/JBJS.J.019… -
Slide 1 (pdf file)
hcup-us.ahrq.gov/news/exhibit_booth/HCUPCDParticipationMap.pdfSeptember 09, 2022 - Slide 1 AK AZ CA UT FL GA IA IL KS MO NY OR PA SC TN CO WA WI VA ME MN MI NC TX KY WV NE VT NV OH SD AR IN NH MT ID WY ND NM OK LA MS AL HI State Databases Available for Purchase through the HCUP Central Distributor MA RI CT NJ DE MD DC Updated 0908/22 State Inpatient Databas… -
digital.ahrq.gov/ahrq-funded-projects/optimal-methods-notifying-clinicians-about-epilepsy-surgery-patients/citation/investigationJanuary 01, 2023 - Investigation of bias in an epilepsy machine learning algorithm trained on physician notes. Citation Wissel BD, Greiner HM, Glauser TA, Mangano FT, Santel D, Pestian JP, Szczesniak RD, Dexheimer JW. Investigation of bias in an epilepsy machine learning algorithm trained on physician notes. Epilepsia.…
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psnet.ahrq.gov/perspective/conversation-withlucian-leape-mdAugust 01, 2006 - In Conversation with...Lucian Leape, MD August 1, 2006 Also Read an Essay Citation Text: In Conversation with..Lucian Leape, MD. PSNet [internet]. 2006.In Conversation with...Lucian Leape, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Q…
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