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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837963/psn-pdf
    August 31, 2022 - Delayed Diagnosis of Mesenteric Ischemia August 31, 2022 Robles A, Utter GH. Delayed Diagnosis of Mesenteric Ischemia. PSNet [internet]. 2022. https://psnet.ahrq.gov/web-mm/delayed-diagnosis-mesenteric-ischemia Disclosure of Relevant Financial Relationships: As a provider accredited by the Accreditation Council for…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850450/psn-pdf
    June 14, 2023 - The One That Got Away—Elopement of a Suicidal Patient in the Emergency Department. June 14, 2023 Bourgeois JA, Xiong G, Barnes DK, et al. The One That Got Away—Elopement of a Suicidal Patient in the Emergency Department. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/one-got-away-elopement-suicidal-patient-…
  3. psnet.ahrq.gov/web-mm/nurse-staffing-ratios-crucible-money-policy-research-and-patient-care
    June 01, 2003 - SPOTLIGHT CASE Nurse Staffing Ratios: The Crucible of Money, Policy, Research, and Patient Care Citation Text: Rich V. Nurse Staffing Ratios: The Crucible of Money, Policy, Research, and Patient Care. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of H…
  4. psnet.ahrq.gov/web-mm/postdischarge-follow-phone-call
    May 19, 2021 - SPOTLIGHT CASE Postdischarge Follow-Up Phone Call Citation Text: Mourad M, Rennke S. Postdischarge Follow-Up Phone Call. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012. Copy Citation Format: Google Schol…
  5. psnet.ahrq.gov/web-mm/delayed-diagnosis-mesenteric-ischemia
    March 31, 2021 - SPOTLIGHT CASE Delayed Diagnosis of Mesenteric Ischemia Citation Text: Robles A, Utter GH. Delayed Diagnosis of Mesenteric Ischemia. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022. Copy Citation Format: …
  6. psnet.ahrq.gov/perspective/conversation-withthomas-h-gallagher-md
    January 01, 2009 - In Conversation with…Thomas H. Gallagher, MD January 1, 2009  Also Read an Essay Citation Text: In Conversation with…Thomas H. Gallagher, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. …
  7. psnet.ahrq.gov/perspective/disclosure-medical-error
    January 01, 2009 - Disclosure of Medical Error Allen Kachalia, MD, JD | January 1, 2009  Also Read a Conversation View more articles from the same authors. Citation Text: Kachalia A. Disclosure of Medical Error. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and …
  8. psnet.ahrq.gov/web-mm/culture-clash-no-more-integration-and-coordination-disease-treatment-and-palliative-care
    December 23, 2020 - SPOTLIGHT CASE Culture Clash No More: Integration and Coordination of Disease Treatment and Palliative Care Citation Text: Spero H, Usher AE, Howard B, et al. Culture Clash No More: Integration and Coordination of Disease Treatment and Palliative Care . PSNet [internet]. Rockville (MD): Agency f…
  9. psnet.ahrq.gov/perspective/diagnostic-errors-new-chapter-patient-safety-science-policy-and-practice
    January 01, 2016 - Diagnostic Errors: A New Chapter in Patient Safety Science, Policy, and Practice Hardeep Singh, MD, MPH | January 1, 2016  Also Read a Conversation View more articles from the same authors. Citation Text: Singh H. Diagnostic Errors: A New Chapter in Patient Safe…
  10. psnet.ahrq.gov/issue/high-prevalence-medication-discrepancies-between-home-health-referrals-and-centers-medicare
    December 23, 2011 - Study High prevalence of medication discrepancies between home health referrals and Centers for Medicare and Medicaid Services home health certification and plan of care and their potential to affect safety of vulnerable elderly adults. Citation Text: Brody AA, Gibson B, Tresner-Kirsch D…
  11. psnet.ahrq.gov/issue/association-icu-or-hospital-admission-unintentional-discontinuation-medications-chronic
    November 06, 2015 - Study Classic Association of ICU or hospital admission with unintentional discontinuation of medications for chronic diseases. Citation Text: Bell CM, Brener SS, Gunraj N, et al. Association of ICU or hospital admission with unintentional discontinuation of me…
  12. psnet.ahrq.gov/innovation/reducing-hospital-harm-establishing-command-centre-foster-situational-awareness
    June 29, 2022 - EMERGING INNOVATIONS Reducing hospital harm: establishing a command centre to foster situational awareness. Citation Text: Collins B. Reducing hospital harm: establishing a command centre to foster situational awareness. Healthc Q. 2022;25(2):75-81. doi:10.12927/hcq.2022.26885. Copy Citation …
  13. psnet.ahrq.gov/issue/detectability-medication-errors-stoppstart-based-medication-review-older-people-prior
    August 18, 2021 - Study Detectability of medication errors with a STOPP/START-based medication review in older people prior to a potentially preventable drug-related hospital admission. Citation Text: Sallevelt BTGM, Egberts TCG, Huibers CJA, et al. Detectability of medication errors with a STOPP/START-ba…
  14. psnet.ahrq.gov/issue/what-us-hospitals-are-currently-doing-prevent-common-device-associated-infections-results
    June 21, 2023 - Study What US hospitals are currently doing to prevent common device-associated infections: results from a national survey. Citation Text: Saint S, Greene MT, Fowler KE, et al. What US hospitals are currently doing to prevent common device-associated infections: results from a national s…
  15. psnet.ahrq.gov/issue/use-unsolicited-patient-observations-identify-surgeons-increased-risk-postoperative
    July 10, 2019 - Study Classic Use of unsolicited patient observations to identify surgeons with increased risk for postoperative complications. Citation Text: Cooper WO, Guillamondegui O, Hines J, et al. Use of Unsolicited Patient Observations to Identify Surgeons With Increase…
  16. psnet.ahrq.gov/issue/electronic-health-record-usability-issues-and-potential-contribution-patient-harm
    July 07, 2021 - Study Classic Electronic health record usability issues and potential contribution to patient harm. Citation Text: Howe JL, Adams KT, Hettinger Z, et al. Electronic Health Record Usability Issues and Potential Contribution to Patient Harm. JAMA. 2018;319(12):127…
  17. psnet.ahrq.gov/issue/relationship-between-patients-perception-care-and-measures-hospital-quality-and-safety
    February 13, 2019 - Study Classic The relationship between patients' perception of care and measures of hospital quality and safety. Citation Text: Isaac T, Zaslavsky AM, Cleary PD, et al. The relationship between patients' perception of care and measures of hospital quality and …
  18. psnet.ahrq.gov/issue/clinician-perspectives-electronic-health-records-communication-and-patient-safety-across
    September 23, 2020 - Study Clinician perspectives on electronic health records, communication, and patient safety across diverse medical oncology practices. Citation Text: Patel MR, Friese CR, Mendelsohn-Victor K, et al. Clinician Perspectives on Electronic Health Records, Communication, and Patient Safety A…
  19. psnet.ahrq.gov/issue/how-context-affects-electronic-health-record-based-test-result-follow-mixed-methods
    April 04, 2011 - Study How context affects electronic health record–based test result follow-up: a mixed-methods evaluation. Citation Text: Menon S, Smith MW, Sittig DF, et al. How context affects electronic health record-based test result follow-up: a mixed-methods evaluation. BMJ Open. 2014;4(11):e0059…
  20. psnet.ahrq.gov/issue/review-alleged-patient-deaths-patient-wait-times-and-scheduling-practices-phoenix-va-health
    May 01, 2015 - Book/Report Review of Alleged Patient Deaths, Patient Wait Times, and Scheduling Practices at the Phoenix VA Health Care System. Citation Text: Review of Alleged Patient Deaths, Patient Wait Times, and Scheduling Practices at the Phoenix VA Health Care System. Washington, DC: VA Office o…

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