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psnet.ahrq.gov/node/73146/psn-pdf
April 28, 2021 - Patient Safety in Home Dialysis
April 28, 2021
Morfín JA, Fitall E, Hall KK, et al. Patient Safety in Home Dialysis. PSNet [internet]. 2021.
https://psnet.ahrq.gov/perspective/patient-safety-home-dialysis
Dialysis Care and Patient Safety Concerns
In patients with chronic kidney disease, kidney function declines ov…
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psnet.ahrq.gov/node/865984/psn-pdf
May 29, 2024 - can then be considered for more urgent risk stratification testing in the inpatient
or observation unit
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.407_slideshow.ppt
May 01, 2017 - Cardiothoracic surgery, cardiology, and the intensive care unit team were consulted for further management
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psnet.ahrq.gov/perspective/key-issues-developing-successful-hospital-safety-program
July 01, 2006 - antibiotic prophylaxis, an endocrinologist if you were working on glycemic control in the intensive care unit … implemented across the entire hospital, much of the work should be done at the microsystem (ie, clinical unit
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psnet.ahrq.gov/perspective/conversation-withallan-frankel-md
July 01, 2006 - antibiotic prophylaxis, an endocrinologist if you were working on glycemic control in the intensive care unit … implemented across the entire hospital, much of the work should be done at the microsystem (ie, clinical unit
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psnet.ahrq.gov/node/60151/psn-pdf
March 25, 2020 - Opioid guidelines for common dental surgical
procedures: a multidisciplinary panel consensus.
March 25, 2020
Farooqi OA, Bruhn WE, Lecholop MK, et al. Opioid guidelines for common dental surgical procedures: a
multidisciplinary panel consensus. Int J Oral Maxillofac Surg. 2020;49(3):397-402.
doi:10.1016/j.ijom.201…
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psnet.ahrq.gov/node/847042/psn-pdf
April 05, 2023 - The relationship between patient safety culture and the
intentions of the nursing staff to report a near-miss event
during the COVID-19 crisis.
April 5, 2023
Idilbi N, Dokhi M, Malka-Zeevi H, et al. The relationship between patient safety culture and the intentions of
the nursing staff to report a near-miss event …
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psnet.ahrq.gov/node/39523/psn-pdf
September 26, 2016 - Association of interruptions with an increased risk and
severity of medication administration errors.
September 26, 2016
Westbrook JI, Woods A, Rob MI, et al. Association of interruptions with an increased risk and severity of
medication administration errors. Arch Intern Med. 2010;170(8):683-690.
doi:10.1001/arch…
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psnet.ahrq.gov/node/60814/psn-pdf
August 19, 2020 - Missed acute myocardial infarction in the emergency
department-standardizing measurement of misdiagnosis-
related harms using the SPADE method.
August 19, 2020
Sharp AL, Baecker A, Nassery N, et al. Missed acute myocardial infarction in the emergency
department–standardizing measurement of misdiagnosis-related har…
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psnet.ahrq.gov/node/73397/psn-pdf
June 16, 2021 - Safe opioid prescribing: a prognostic machine learning
approach to predicting 30-day risk after an opioid
dispensation in Alberta, Canada.
June 16, 2021
Sharma V, Kulkarni V, Eurich DT, et al. Safe opioid prescribing: a prognostic machine learning approach to
predicting 30-day risk after an opioid dispensation in …
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psnet.ahrq.gov/node/39499/psn-pdf
January 03, 2017 - Caring for our own: deploying a systemwide second
victim rapid response team.
January 3, 2017
Scott SD, Hirschinger LE, Cox KR, et al. Caring for our own: deploying a systemwide second victim rapid
response team. Jt Comm J Qual Saf. 2010;36(5):233-240.
https://psnet.ahrq.gov/issue/caring-our-own-deploying-systemwi…
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psnet.ahrq.gov/node/43140/psn-pdf
October 31, 2014 - The frequency of diagnostic errors in outpatient care:
estimations from three large observational studies
involving US adult populations.
October 31, 2014
Singh H, Meyer AND, Thomas EJ. The frequency of diagnostic errors in outpatient care: estimations from
three large observational studies involving US adult popu…
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psnet.ahrq.gov/node/45126/psn-pdf
December 22, 2018 - Implementation of prescription drug monitoring programs
associated with reductions in opioid-related death rates.
December 22, 2018
Patrick SW, Fry CE, Jones TF, et al. Implementation of prescription drug monitoring programs associated
with reductions in opioid-related death rates. Health Aff (Millwood). 2016;35(7)…
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psnet.ahrq.gov/node/73156/psn-pdf
April 21, 2021 - Increasing naloxone prescribing in the emergency
department through education and electronic medical
record work-aids.
April 21, 2021
Funke M, Kaplan MC, Glover H, et al. Increasing naloxone prescribing in the emergency department
through education and electronic medical record work-aids. Jt Comm J Qual Patient Sa…
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psnet.ahrq.gov/node/43571/psn-pdf
October 01, 2014 - The evolving literature on safety WalkRounds: emerging
themes and practical messages.
October 1, 2014
Singer SJ, Tucker AL. The evolving literature on safety WalkRounds: emerging themes and practical
messages: Table 1. BMJ Qual Saf. 2014;23(10). doi:10.1136/bmjqs-2014-003416.
https://psnet.ahrq.gov/issue/evolving-…
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psnet.ahrq.gov/node/36979/psn-pdf
February 28, 2011 - Changes in outcomes for internal medicine inpatients
after work-hour regulations.
February 28, 2011
Horwitz LI, Kosiborod M, Lin Z, et al. Changes in outcomes for internal medicine inpatients after work-hour
regulations. Ann Intern Med. 2007;147(2):97-103.
https://psnet.ahrq.gov/issue/changes-outcomes-internal-med…
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psnet.ahrq.gov/node/47526/psn-pdf
January 16, 2019 - US national trends in pediatric deaths from prescription
and illicit opioids, 1999–2016.
January 16, 2019
Gaither JR, Shabanova V, Leventhal JM. US National Trends in Pediatric Deaths From Prescription and
Illicit Opioids, 1999-2016. JAMA Netw Open. 2018;1(8):e186558.
doi:10.1001/jamanetworkopen.2018.6558.
https:…
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psnet.ahrq.gov/node/45959/psn-pdf
June 29, 2017 - Impact of the Opioid Safety Initiative on opioid-related
prescribing in veterans.
June 29, 2017
Lin LA, Bohnert ASB, Kerns RD, et al. Impact of the Opioid Safety Initiative on opioid-related prescribing in
veterans. Pain. 2017;158(5):833-839. doi:10.1097/j.pain.0000000000000837.
https://psnet.ahrq.gov/issue/impact…
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psnet.ahrq.gov/node/73707/psn-pdf
September 15, 2021 - Inpatient telemedicine and new models of care during
COVID-19: hospital design strategies to enhance patient
and staff safety.
September 15, 2021
Pilosof NP, Barrett M, Oborn E, et al. Inpatient telemedicine and new models of care during COVID-19:
hospital design strategies to enhance patient and staff safety. Int…
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psnet.ahrq.gov/node/859300/psn-pdf
January 01, 2024 - Patient safety in remote primary care encounters:
multimethod qualitative study combining Safety I and
Safety II analysis.
December 20, 2023
Payne R, Clarke A, Swann N, et al. Patient safety in remote primary care encounters: multimethod
qualitative study combining Safety I and Safety II analysis. BMJ Qual Saf. 20…