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461. Spotlight Case [MONTH] 2003 (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.158_slideshow.ppt
     September 01, 2007 - Spotlight Case [MONTH] 2003 Spotlight Case September 2007 Medication Reconciliation: Whose Job Is It? Source and Credits This presentation is based on the September 2007 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Eric G. Poon, MD, MPH, Ha…

462. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73303/psn-pdf
     May 26, 2021 - Safety Culture in EMS May 26, 2021 Cebollero C, Fitall E, Hall KK, et al. Safety Culture in EMS. PSNet [internet]. 2021. https://psnet.ahrq.gov/perspective/safety-culture-ems Defining a Just Culture A Just Culture is one that supports transparent and honest error reporting with the goal of fostering an environmen…

463. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60289/psn-pdf
     April 29, 2020 - People with disabilities fear pandemic will worsen medical biases. April 29, 2020 Shaprio J. National Public Radio. April 15, 2020. https://psnet.ahrq.gov/issue/people-disabilities-fear-pandemic-will-worsen-medical-biases Access to care has been strained by the COVID-19 pandemic. This radio segment discusses …

464. Navigating Complications: The Unintended Journey of a Guidewire During Dialysis Catheter Placement | PSNet
     psnet.ahrq.gov/web-mm/navigating-complications-unintended-journey-guidewire-during-dialysis-catheter-placement
     February 23, 2022 - Navigating Complications: The Unintended Journey of a Guidewire During Dialysis Catheter Placement Citation Text: Vuyyuru S, Kapa N. Navigating Complications: The Unintended Journey of a Guidewire During Dialysis Catheter Placement. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Qualit…

465. Patients' willingness and ability to identify and respond to errors in their personal health records: mixed methods analysis of cross-sectional survey data. | PSNet
     psnet.ahrq.gov/issue/patients-willingness-and-ability-identify-and-respond-errors-their-personal-health-records
     March 10, 2021 - Study Patients' willingness and ability to identify and respond to errors in their personal health records: mixed methods analysis of cross-sectional survey data. Citation Text: Lear R, Freise L, Kybert M, et al. Patients' willingness and ability to identify and respond to errors in thei…

466. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45368/psn-pdf
     September 27, 2016 - Access to prescription opioids—Primum Non Nocere: a teachable moment. September 27, 2016 Tyler PD, Larochelle MR, Mafi JN. Access to Prescription Opioids-Primum Non Nocere: A Teachable Moment. JAMA Intern Med. 2016;176(9):1251-2. doi:10.1001/jamainternmed.2016.3926. https://psnet.ahrq.gov/issue/access-prescription…

467. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45000/psn-pdf
     August 15, 2016 - Medicare and Medicaid Programs; Hospital and Critical Access Hospital (CAH) Changes to Promote Innovation, Flexibility, and Improvement in Patient Care; Proposed Rule. June 29, 2016 Centers for Medicare & Medicaid Services. Fed Regist. 2016;81:39447-39480. https://psnet.ahrq.gov/issue/medicare-and-medicaid-progra…

468. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44377/psn-pdf
     August 05, 2015 - Connecting patients and clinicians: the anticipated effects of Open Notes on patient safety and quality of care. August 5, 2015 Bell SK, Folcarelli PH, Anselmo MK, et al. Connecting patients and clinicians: the anticipated effects of Open Notes on patient safety and quality of care. Jt Comm J Qual Patient Saf. 2015…

469. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49692/psn-pdf
     September 01, 2013 - A Picture Speaks 1000 Words September 1, 2013 Hemphill RR. A Picture Speaks 1000 Words. PSNet [internet]. 2013. https://psnet.ahrq.gov/web-mm/picture-speaks-1000-words The Case A 62-year-old man with a past medical history of hypertension, hyperlipidemia, and type A aortic dissection repair presented with chest p…

470. The Wild West: Patient Safety in Office-Based Anesthesia | PSNet
     psnet.ahrq.gov/perspective/wild-west-patient-safety-office-based-anesthesia
     April 01, 2003 - The Wild West: Patient Safety in Office-Based Anesthesia Rainu Kaushal, MD MPH; Sekhar Upadhyayula, MD; David M. Gaba, MD; Lucian L. Leape, MD | May 1, 2006  View more articles from the same authors. Citation Text: Kaushal R, Upadhyayula S, Gaba DM, et al. The Wild…

471. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33623/psn-pdf
     December 01, 2005 - The Unintended Consequences of Florida Medical Liability Legislation December 1, 2005 Barach P. The Unintended Consequences of Florida Medical Liability Legislation. PSNet [internet]. 2005. https://psnet.ahrq.gov/perspective/unintended-consequences-florida-medical-liability-legislation Perspective Quality health …

472. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49570/psn-pdf
     October 01, 2008 - Recurrent Hypoglycemia: A Care Transition Failure? October 1, 2008 Eytan T. Recurrent Hypoglycemia: A Care Transition Failure? PSNet [internet]. 2008. https://psnet.ahrq.gov/web-mm/recurrent-hypoglycemia-care-transition-failure Case Objectives Understand the complementary abilities of an electronic health record a…

473. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43912/psn-pdf
     February 25, 2015 - Patient Safety in Dialysis Access. February 25, 2015 Widmer MK, Malik J, eds. Contrib Nephrol. 2015;184:1-270. ISBN: 9783318027051. https://psnet.ahrq.gov/issue/patient-safety-dialysis-access Patients with chronic kidney failure are at high risk for adverse events from treatment errors. This publication raises awa…

474. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39861/psn-pdf
     September 22, 2010 - A network collaboration implementing technology to improve medication dispensing and administration in critical access hospitals. September 22, 2010 Wakefield DS, Ward MM, Loes JL, et al. A network collaboration implementing technology to improve medication dispensing and administration in critical access hospital…

475. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49475/psn-pdf
     March 01, 2005 - Techno Trip March 1, 2005 Cook RI. Techno Trip. PSNet [internet]. 2005. https://psnet.ahrq.gov/web-mm/techno-trip The Case A 70-year-old woman was admitted to a community hospital after developing confusion and right-sided weakness. A CT scan of her brain showed an acute subdural hematoma. The hospital arranged a…

476. The Unintended Consequences of Florida Medical Liability Legislation | PSNet
     psnet.ahrq.gov/perspective/unintended-consequences-florida-medical-liability-legislation
     February 01, 2003 - The Unintended Consequences of Florida Medical Liability Legislation Paul Barach, MD, MPH | December 1, 2005  View more articles from the same authors. Citation Text: Barach P. The Unintended Consequences of Florida Medical Liability Legislation. PSNet [internet].…

477. A Picture Speaks 1000 Words | PSNet
     psnet.ahrq.gov/web-mm/picture-speaks-1000-words
     July 16, 2015 - A Picture Speaks 1000 Words Citation Text: Hemphill RR. A Picture Speaks 1000 Words. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote …

478. Techno Trip | PSNet
     psnet.ahrq.gov/web-mm/techno-trip
     May 01, 2005 - Techno Trip Citation Text: Cook RI. Techno Trip. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Downlo…

479. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47329/psn-pdf
     August 29, 2018 - With scarce access to interpreters, immigrants struggle to understand doctors' orders. August 29, 2018 Eldred SM. Health Shots. National Public Radio. August 15, 2018. https://psnet.ahrq.gov/issue/scarce-access-interpreters-immigrants-struggle-understand-doctors-orders Using professional interpreters can avert ris…

480. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49536/psn-pdf
     May 01, 2007 - On the Other Hand May 1, 2007 Henneman EA. On the Other Hand. PSNet [internet]. 2007. https://psnet.ahrq.gov/web-mm/other-hand The Case A young woman with Takayasu's arteritis presented to the hospital with severe abdominal pain. The patient had been diagnosed with Takayasu's a decade earlier. The disease results…