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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33597/psn-pdf
    April 10, 2024 - Long-term Care and Patient Safety April 10, 2024 Bakerjian D. Long-term Care and Patient Safety. PSNet [internet]. 2024. https://psnet.ahrq.gov/primer/long-term-care-and-patient-safety Background For many years, the patient safety field focused on improving safety in hospital and ambulatory care settings. More re…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33711/psn-pdf
    May 01, 2011 - The Second Victim Phenomenon: A Harsh Reality of Health Care Professions May 1, 2011 Scott SD. The Second Victim Phenomenon: A Harsh Reality of Health Care Professions. PSNet [internet]. 2011. https://psnet.ahrq.gov/perspective/second-victim-phenomenon-harsh-reality-health-care-professions Perspective The Instit…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49696/psn-pdf
    December 01, 2013 - New Oral Anticoagulants December 1, 2013 Fang MC. New Oral Anticoagulants. PSNet [internet]. 2013. https://psnet.ahrq.gov/web-mm/new-oral-anticoagulants Case Objectives Review properties of newer target-specific oral anticoagulants (TSOACs) such as dabigatran, rivaroxaban, and apixaban. State key perioperative c…
  4. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra_15-p002-ef.pdf
    March 01, 2015 - Measures: Family Experiences with Care Coordination measure set (FECC) Measures: Family Experiences with Care Coordination measure set (FECC) Measure Developer: Center of Excellence on Quality of Care Measures for Children With Complex Needs (COE4CCN) Numerator Denominator Exclusions Data Source(s) The FECC Sur…
  5. psnet.ahrq.gov/web-mm/delayed-diagnosis-kidney-transplant-complications
    January 29, 2020 - Delayed Diagnosis of Kidney Transplant Complications Citation Text: Kapa N, Morfín JA. Delayed Diagnosis of Kidney Transplant Complications. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022. Copy Citation Format: Goo…
  6. psnet.ahrq.gov/perspective/video-improve-patient-safety-clinical-and-educational-uses
    March 01, 2004 - Video to Improve Patient Safety: Clinical and Educational Uses Yan Xiao, PhD; Colin F. Mackenzie, MB, ChB; and F. Jacob Seagull, PhD | May 1, 2015  View more articles from the same authors. Citation Text: Xiao Y, Mackenzie CF, Seagull JF. Video to Improve Patient S…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49417/psn-pdf
    October 01, 2003 - Lost in the Black Hole October 1, 2003 Wachter R. Lost in the Black Hole. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/lost-black-hole The Case A 38-year-old married, monogamous female came to the emergency department with aseptic meningitis. She had a remote history of gonorrhea, no environmental exposu…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33731/psn-pdf
    June 01, 2012 - An American View of the UK's Patient Safety Enterprise: Top Down vs. Bottom Up June 1, 2012 Wachter R. An American View of the UK's Patient Safety Enterprise: Top Down vs. Bottom Up. PSNet [internet]. 2012. https://psnet.ahrq.gov/perspective/american-view-uks-patient-safety-enterprise-top-down-vs-bottom Perspecti…
  9. www.ahrq.gov/data/apcd/envscan/summary.html
    June 01, 2017 - All-Payer Claims Databases Measurement of Care: Systematic Review and Environmental Scan of Current Practices and Evidence Executive Summary Previous Page Next Page Table of Contents All-Payer Claims Databases Measurement of Care: Systematic Review and Environmental Scan of Current Practices and Evi…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33712/psn-pdf
    June 01, 2011 - In Conversation with… Edward Tenner, PhD June 1, 2011 In Conversation with… Edward Tenner, PhD. PSNet [internet]. 2011. https://psnet.ahrq.gov/perspective/conversation-edward-tenner-phd Editor's note: Edward Tenner is an independent writer, speaker, and consultant on technology and culture. He received his PhD fro…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49605/psn-pdf
    June 01, 2010 - Acute Respiratory Arrest in Pregnancy June 1, 2010 Sibai B. Acute Respiratory Arrest in Pregnancy. PSNet [internet]. 2010. https://psnet.ahrq.gov/web-mm/acute-respiratory-arrest-pregnancy The Case A 35-year-old woman was 38 weeks pregnant with twins (G3P2). When she developed acute onset of shortness of breath an…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33721/psn-pdf
    November 01, 2011 - Lesson from the VA's Team Training Program November 1, 2011 Neily J, Mills PD, Paull DE, et al. Lesson from the VA's Team Training Program . PSNet [internet]. 2011. https://psnet.ahrq.gov/perspective/lesson-vas-team-training-program Perspective Introduction The Veterans Health Administration (VHA) National Center…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33733/psn-pdf
    July 01, 2012 - Patient Safety and Health Information Technology: Learning from Our Mistakes July 1, 2012 Koppel R. Patient Safety and Health Information Technology: Learning from Our Mistakes. PSNet [internet]. 2012. https://psnet.ahrq.gov/perspective/patient-safety-and-health-information-technology-learning-our-mistakes Perspe…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73998/psn-pdf
    October 27, 2021 - The Hidden Danger of Unseen Intravenous Catheters October 27, 2021 Vadi MG, Malkin MR. The Hidden Danger of Unseen Intravenous Catheters. PSNet [internet]. 2021. https://psnet.ahrq.gov/web-mm/hidden-danger-unseen-intravenous-catheters The Case A 6-week-old infant underwent a craniotomy and excision of abnormal bra…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49489/psn-pdf
    September 01, 2005 - Double Trouble September 1, 2005 Gurwitz JH. Double Trouble. PSNet [internet]. 2005. https://psnet.ahrq.gov/web-mm/double-trouble Case Objectives Appreciate the incidence of adverse drug events in older persons List preventative measures that can be used to minimize medication errors in this population Encourage…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33642/psn-pdf
    November 01, 2006 - In Conversation With...Donald A. Norman, PhD November 1, 2006 In Conversation With..Donald A. Norman, PhD. PSNet [internet]. 2006. https://psnet.ahrq.gov/perspective/conversation-withdonald-norman-phd Dr. Robert Wachter, Editor, AHRQ WebM&M: Tell us a little bit about your background. How did you become interested…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49653/psn-pdf
    May 01, 2012 - The Forgotten Line May 1, 2012 Render ML. The Forgotten Line. PSNet [internet]. 2012. https://psnet.ahrq.gov/web-mm/forgotten-line The Case An 81-year-old man with a history of coronary artery disease, hypertension, cerebrovascular accidents, and chronic kidney disease was transferred to a referral hospital for p…
  18. effectivehealthcare.ahrq.gov/sites/default/files/introduction-to-user-guide-overview.pptx
    January 01, 2013 - Slide 1 Introduction to the User’s Guide for Developing a Protocol for Observational Comparative Effectiveness Research Prepared for: Agency for Healthcare Research and Quality (AHRQ) www.ahrq.gov Introduction to the User’s Guide for Developing a Protocol for Observational Comparative Effectiveness Research This s…
  19. digital.ahrq.gov/sites/default/files/docs/hit-eqm-slides-091313.pdf
    September 13, 2013 - Health IT-Enabled Quality Measurement: Perspectives, Pathways, and Practical Guidance Health IT-Enabled Quality Measurement: Perspectives, Pathways, and Practical Guidance National Webinar September 13, 2013 2 Moderator and Presenter Disclosures Moderator: Rebecca Roper, M.S., M.P.H. Agency for H…
  20. psnet.ahrq.gov/web-mm/mistaken-identity
    December 18, 2014 - Mistaken Identity Citation Text: Hall LW. Mistaken Identity. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …