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psnet.ahrq.gov/node/33851/psn-pdf
January 01, 2017 - The Weekend Effect
January 1, 2017
Ranji SR. The Weekend Effect. PSNet [internet]. 2017.
https://psnet.ahrq.gov/perspective/weekend-effect
Annual Perspective 2017
Introduction
Anyone who has spent time in a hospital as a patient or staff member may recognize that the availability of
services and personnel can va…
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psnet.ahrq.gov/node/843736/psn-pdf
February 01, 2023 - Saved by ECMO
February 1, 2023
Weiss NA. Saved by ECMO . PSNet [internet]. 2023.
https://psnet.ahrq.gov/web-mm/saved-ecmo
The Case
A 27-year-old pregnant woman was admitted at an estimated gestational age (EGA) of 29 weeks for
increased shortness of breath. She was diagnosed with severe pulmonary arterial hyperte…
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psnet.ahrq.gov/issue/managing-care-patients-discharged-home-health-quiet-threat-patient-safety
October 16, 2012 - Study
Managing the care of patients discharged from home health: a quiet threat to patient safety?
Citation Text:
Flynn L. Managing the care of patients discharged from home health: a quiet threat to patient safety? Home Healthc Nurse. 2007;25(3):184-90.
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psnet.ahrq.gov/issue/national-reporting-and-learning-system-research-and-development
April 06, 2016 - Book/Report
National Reporting and Learning System Research and Development.
Citation Text:
National Reporting and Learning System Research and Development. Mayer E, Flott K, Callahan R, Darzi A. London, UK: NIHR Imperial Patient Safety Translational Research Centre; 2016.
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psnet.ahrq.gov/issue/medical-student-patient-attitudes-towards-involvement-quality-and-safety-health-care
July 06, 2012 - Study
The medical student as a patient: attitudes towards involvement in the quality and safety of health care.
Citation Text:
Davis R, Joshi D, Patel K, et al. The medical student as a patient: attitudes towards involvement in the quality and safety of health care. J Eval Clin Pract. 2…
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psnet.ahrq.gov/issue/hospital-admission-medication-reconciliation-medically-complex-children-observational-study
April 24, 2018 - Study
Hospital admission medication reconciliation in medically complex children: an observational study.
Citation Text:
Stone BL, Boehme S, Mundorff MB, et al. Hospital admission medication reconciliation in medically complex children: an observational study. Arch Dis Child. 2009. doi…
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psnet.ahrq.gov/issue/barriers-and-facilitators-chemotherapy-patients-engagement-medical-error-prevention
November 02, 2010 - Study
Barriers and facilitators to chemotherapy patients' engagement in medical error prevention.
Citation Text:
Schwappach DLB, Wernli M. Barriers and facilitators to chemotherapy patients' engagement in medical error prevention. Ann Oncol. 2011;22(2):424-30. doi:10.1093/annonc/mdq346…
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psnet.ahrq.gov/issue/factors-affecting-incident-reporting-registered-nurses-relationship-perceptions-environment
January 19, 2011 - Study
Factors affecting incident reporting by registered nurses: the relationship of perceptions of the environment for reporting errors, knowledge of the Nursing Practice Act, and demographics on intent to report errors.
Citation Text:
Throckmorton T, Etchegaray J. Factors affecting i…
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psnet.ahrq.gov/issue/effective-use-medication-related-decision-support-cpoe
May 26, 2011 - Newspaper/Magazine Article
Effective use of medication-related decision support in CPOE.
Citation Text:
Effective use of medication-related decision support in CPOE. Metzger JB, Welebob E, Turisco F, Classen DC. Patient Saf Qual Healthc. Sept/Oct 2008;5:16-24.
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psnet.ahrq.gov/issue/fearless-organization-creating-psychological-safety-workplace-learning-innovation-and-growth
May 16, 2012 - Book/Report
Classic
The Fearless Organization: Creating Psychological Safety in the Workplace for Learning, Innovation, and Growth.
Citation Text:
The Fearless Organization: Creating Psychological Safety in the Workplace for Learning, Innovation, and Growth. Edm…
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psnet.ahrq.gov/issue/power-safety-state-reporting-provides-lessons-reducing-harm-improving-care
March 23, 2012 - Book/Report
The Power of Safety: State Reporting Provides Lessons in Reducing Harm, Improving Care.
Citation Text:
The Power of Safety: State Reporting Provides Lessons in Reducing Harm, Improving Care. Washington DC: National Quality Forum; 2010.
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Sa…
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psnet.ahrq.gov/issue/how-safe-my-intensive-care-unit-methods-monitoring-and-measurement
February 01, 2013 - Review
How safe is my intensive care unit? Methods for monitoring and measurement.
Citation Text:
Berenholtz SM, Pustavoitau A, Schwartz SJ, et al. How safe is my intensive care unit? Methods for monitoring and measurement. Curr Opin Crit Care. 2007;13(6):703-8.
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For…
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psnet.ahrq.gov/issue/electronic-fetal-heart-rate-monitoring-applying-principles-patient-safety
October 10, 2018 - Commentary
Electronic fetal heart rate monitoring: applying principles of patient safety.
Citation Text:
Miller DA, Miller L. Electronic fetal heart rate monitoring: applying principles of patient safety. Am J Obstet Gynecol. 2012;206(4):278-83. doi:10.1016/j.ajog.2011.08.016.
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psnet.ahrq.gov/issue/variation-reporting-elective-surgeries-and-its-influence-patient-safety-indicators
June 30, 2021 - Study
Variation in the reporting of elective surgeries and its influence on patient safety indicators.
Citation Text:
Locey KJ, Webb TA, Stein BD, et al. Variation in the reporting of elective surgeries and its influence on patient safety indicators. Jt Comm J Qual Patient Saf. 2022;48(…
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psnet.ahrq.gov/issue/assessing-and-supporting-late-career-practitioners-four-key-questions
May 18, 2022 - Commentary
Assessing and supporting late career practitioners: four key questions.
Citation Text:
White AA, Sage WM, Mazor KM, et al. Assessing and supporting late career practitioners: four key questions. Jt Comm J Qual Patient Saf. 2020;46(10):591-595. doi:10.1016/j.jcjq.2020.07.001.
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psnet.ahrq.gov/issue/patient-safety-and-ethical-implications-healthcare-sick-leave-policies-pandemic-era
September 16, 2020 - Commentary
Patient safety and ethical implications of healthcare sick leave policies in the pandemic era.
Citation Text:
Preston-Suni K, Celedon MA, Cordasco KM. Patient safety and ethical implications of healthcare sick leave policies in the pandemic era. Jt Comm J Qual Patient Saf. 202…
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psnet.ahrq.gov/issue/prejudice-perceptions-physicians-influence-race-and-gender-evaluations-medical-errors
March 27, 2019 - Study
Prejudice in perceptions of physicians?: The influence of race and gender on evaluations of medical errors.
Citation Text:
Brown D, Martinez LR, Hebl MMR. Prejudice in Perceptions of Physicians?: The Influence of Race and Gender on Evaluations of Medical Errors. J Gen Intern Med. 2…
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psnet.ahrq.gov/issue/lessons-walking-medical-distancing-tightrope
October 21, 2020 - Commentary
Lessons from walking the medical distancing tightrope.
Citation Text:
Jenkins I, Sebasky M, Bell J, et al. Lessons from walking the medical distancing tightrope. Jt Comm J Qual Patient Saf. 2020;46(9):542-545. doi:10.1016/j.jcjq.2020.05.006.
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psnet.ahrq.gov/web-mm/antiseizure-medication-disorder
April 01, 2006 - SPOTLIGHT CASE
Antiseizure Medication Disorder
Citation Text:
Alldredge BK. Antiseizure Medication Disorder. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2007.
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psnet.ahrq.gov/web-mm/coming-undone-failure-closure-device
April 01, 2006 - Coming Undone: Failure of Closure Device
Citation Text:
Baez-Escudero JL, Levine GN. Coming Undone: Failure of Closure Device. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2007.
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