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  1. 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
  2. Psn-Pdf (pdf file)

    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
  3. 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
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850362/psn-pdf
    June 14, 2023 - Home Medications Contribute to a Unique Opportunity for Error on Discharge from the Hospital June 14, 2023 Agrawal G, Nguyen DM. Home Medications Contribute to a Unique Opportunity for Error on Discharge from the Hospital. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/home-medications-contribute-unique-opp…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49471/psn-pdf
    December 01, 2004 - Carpe Diem (Seize the Day) December 1, 2004 Krumholz A. Carpe Diem (Seize the Day). PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/carpe-diem-seize-day The Case A 53-year-old man presented for a new patient visit at a local medical clinic. He had several chronic medical conditions including hypertension, h…
  6. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.173_slideshow.ppt
    April 01, 2008 - Spotlight Case [MONTH] 2003 Spotlight Case April 2008 Antibiotics for URI/Sinusitis: A Simple Decision Gone Bad Source and Credits This presentation is based on the April 2008 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Sumant Ranji, MD,…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33834/psn-pdf
    May 22, 2017 - Opioid Overdose as a Patient Safety Problem May 22, 2017 Murimi IB, Alexander CG. Opioid Overdose as a Patient Safety Problem. PSNet [internet]. 2017. https://psnet.ahrq.gov/perspective/opioid-overdose-patient-safety-problem Perspective Opioids serve a valuable role in the treatment of acute pain and pain associat…
  8. Psn-Pdf (pdf file)

    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-…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41101/psn-pdf
    October 16, 2012 - System-related interventions to reduce diagnostic errors: a narrative review. October 16, 2012 Singh H, Graber ML, Kissam SM, et al. System-related interventions to reduce diagnostic errors: a narrative review. BMJ Qual Saf. 2012;21(2):160-170. doi:10.1136/bmjqs-2011-000150. https://psnet.ahrq.gov/issue/system-rel…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36836/psn-pdf
    January 29, 2015 - Learning from Bristol: The Report of the Public Inquiry into Children's Heart Surgery at the Bristol Royal Infirmary 1984--1995. January 29, 2015 Bristol Royal Infirmary Inquiry; The Stationery Office. London, England: Crown Copyright; 2002. https://psnet.ahrq.gov/issue/learning-bristol-report-public-inquiry-child…
  11. Psn-Pdf (pdf file)

    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…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37961/psn-pdf
    May 05, 2010 - Does the Leapfrog program help identify high-quality hospitals? May 5, 2010 Jha AK, Orav J, Ridgway AB, et al. Does the Leapfrog program help identify high-quality hospitals? Jt Comm J Qual Patient Saf. 2008;34(6):318-325. https://psnet.ahrq.gov/issue/does-leapfrog-program-help-identify-high-quality-hospitals The…
  13. Psn-Pdf (pdf file)

    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:…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40473/psn-pdf
    July 02, 2011 - A systematic review of failures in handoff communication during intrahospital transfers. July 2, 2011 Ong M-S, Coiera E. A systematic review of failures in handoff communication during intrahospital transfers. Jt Comm J Qual Patient Saf. 2011;37(6):274-284. https://psnet.ahrq.gov/issue/systematic-review-failures-h…
  15. Psn-Pdf (pdf file)

    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…
  16. Psn-Pdf (pdf file)

    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…
  17. Psn-Pdf (pdf file)

    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…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45979/psn-pdf
    April 05, 2017 - Healthcare system-wide implementation of opioid-safety guideline recommendations: the case of urine drug screening and opioid-patient suicide- and overdose- related events in the Veterans Health Administration. April 5, 2017 Brennan PL, Del Re AC, Henderson PT, et al. Healthcare system-wide implementation of opioi…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44249/psn-pdf
    February 12, 2019 - Community Pharmacy Survey on Patient Safety Culture 2015 User Comparative Database Report. February 12, 2019 Famolaro T, Yount N, Sorra J, et al. Rockville, MD: Agency for Healthcare Research and Quality; June 2015. AHRQ Publication No. 15-0041-EF. https://psnet.ahrq.gov/issue/community-pharmacy-survey-patient-saf…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44683/psn-pdf
    June 21, 2016 - Physician spending and subsequent risk of malpractice claims: observational study. June 21, 2016 Jena AB, Schoemaker L, Bhattacharya J, et al. Physician spending and subsequent risk of malpractice claims: observational study. BMJ. 2015;351:h5516. doi:10.1136/bmj.h5516. https://psnet.ahrq.gov/issue/physician-spendi…

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