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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49722/psn-pdf
    December 01, 2014 - Medical Devices in the "Wild" December 1, 2014 Gurses AP, Doyle PA. Medical Devices in the "Wild". PSNet [internet]. 2014. https://psnet.ahrq.gov/web-mm/medical-devices-wild The Case A 75-year-old man with a history of congestive heart failure (CHF), coronary artery disease, diabetes, chronic pain, arthritis, and…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49423/psn-pdf
    November 01, 2003 - The Missing Suction Tip November 1, 2003 Thomas EJ, Moore FA. The Missing Suction Tip. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/missing-suction-tip Case Objectives Identify the risk factors for retained foreign bodies. Understand methods used to prevent and identify retained foreign bodies. Apprecia…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33884/psn-pdf
    July 01, 2019 - Emerging Safety Issues in Artificial Intelligence July 1, 2019 Challen R. Emerging Safety Issues in Artificial Intelligence. PSNet [internet]. 2019. https://psnet.ahrq.gov/perspective/emerging-safety-issues-artificial-intelligence Perspective Background Since the beginning of digital health records, there has bee…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49815/psn-pdf
    December 01, 2017 - Over-the-Counter Oversight December 1, 2017 Janamanchi V, Modha K, Whinney C. Over-the-Counter Oversight. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/over-counter-oversight The Case A 56-year-old man was evaluated in the burn clinic for a second-degree burn on his chest. Although portions of his skin we…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33682/psn-pdf
    April 01, 2009 - In Conversation with...Mark Chassin, MD, MPP, MPH April 1, 2009 In Conversation with..Mark Chassin, MD, MPP, MPH . PSNet [internet]. 2009. https://psnet.ahrq.gov/perspective/conversation-withmark-chassin-md-mpp-mph Editor's note: Mark R. Chassin, MD, MPP, MPH, is president of The Joint Commission, the preeminent s…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49820/psn-pdf
    February 01, 2018 - Returning Home Safely February 1, 2018 Toles M. Returning Home Safely. PSNet [internet]. 2018. https://psnet.ahrq.gov/web-mm/returning-home-safely The Case A 72-year-old man was admitted to the hospital after a fall at home resulting in a right humerus fracture and shoulder dislocation, as well as other injuries …
  7. psnet.ahrq.gov/web-mm/hurried-team-huddle-and-poor-communication-unsafe-practice-during-anesthesia-emergency
    September 27, 2023 - SPOTLIGHT CASE Hurried Team Huddle and Poor Communication: Unsafe Practice During Anesthesia for Emergency Cesarean Delivery Citation Text: Curtin A, Schloemerkemper N. Hurried Team Huddle and Poor Communication: Unsafe Practice During Anesthesia for Emergency Cesarean Delivery.. PSNet [internet]…
  8. psnet.ahrq.gov/perspective/conversation-jack-needleman-phd
    September 01, 2012 - In Conversation With… Jack Needleman, PhD September 1, 2012  Also Read an Essay Citation Text: In Conversation With… Jack Needleman, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836850/psn-pdf
    March 31, 2022 - Annual Perspective: Topics in Medication Safety March 31, 2022 Harris IB, Dowell P, Mossburg SE. Annual Perspective: Topics in Medication Safety. PSNet [internet]. 2022. https://psnet.ahrq.gov/perspective/annual-perspective-topics-medication-safety Introduction Issues with medication management and errors in medi…
  10. psnet.ahrq.gov/primer/pharmacists-role-medication-safety
    March 14, 2018 - Pharmacist's Role in Medication Safety Citation Text: The Pharmacist's Role in Medication Safety. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7…
  11. psnet.ahrq.gov/primer/falls
    October 27, 2021 - Falls Citation Text: Falls. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation …
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49496/psn-pdf
    December 01, 2005 - Discharged Blindly December 1, 2005 Iezzoni LI. Discharged Blindly. PSNet [internet]. 2005. https://psnet.ahrq.gov/web-mm/discharged-blindly The Case An elderly blind man developed a deep vein thrombosis during his hospital stay. At discharge, he was to receive enoxaparin (Lovenox) for self-administration at home…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49764/psn-pdf
    June 01, 2016 - Communication With Consultants June 1, 2016 Cohn SL. Communication With Consultants. PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/communication-consultants The Case A 30-year-old pregnant woman presented to the emergency department (ED) with nausea, headaches, and fevers. Her laboratory studies were nota…
  14. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.25_slideshow.ppt
    July 01, 2003 - PowerPoint Presentation Spotlight Case July 2003 Code Status Confusion webmm.ahrq.gov Source and Credits This presentation is based on the July 2003 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available through the Web site Commentary by: Bernard Lo, MD, Univers…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49418/psn-pdf
    October 01, 2003 - Charcoal Lavage of the Lungs October 1, 2003 Wigton RS. Charcoal Lavage of the Lungs. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/charcoal-lavage-lungs The Case A 47-year-old man presented to an emergency department (ED) with altered mental status, and was believed to have a probable overdose. He receiv…
  16. psnet.ahrq.gov/issue/excusable-neglect-malpractice-suits-against-radiologists-proposed-jury-instruction-recognize
    April 11, 2011 - Commentary Excusable neglect in malpractice suits against radiologists: a proposed jury instruction to recognize the human condition. Citation Text: Excusable neglect in malpractice suits against radiologists: a proposed jury instruction to recognize the human condition. Caldwell C; …
  17. psnet.ahrq.gov/issue/organisation-losing-its-memory-patient-safety-alerts-implementation-monitoring-and-regulation
    March 17, 2011 - Book/Report An Organisation Losing its Memory? Patient Safety Alerts: Implementation, Monitoring and Regulation in England Citation Text: An Organisation Losing its Memory? Patient Safety Alerts: Implementation, Monitoring and Regulation in England Cousins D. Croydon, UK: Accidents again…
  18. psnet.ahrq.gov/issue/medication-errors
    August 21, 2018 - Commentary Medication errors. Citation Text: Medication errors. Hartigan-Go K. Int J Risk Safety Med. 2006;18(3):181-186. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy UR…
  19. psnet.ahrq.gov/issue/understanding-patient-safety-third-edition
    November 03, 2015 - Book/Report Classic Understanding Patient Safety, Third Edition. Citation Text: Understanding Patient Safety, Third Edition. Wachter RM, Gupta K. New York, NY: McGraw-Hill Professional; 2017. ISBN: 9781259860249. Copy Citation Save Save t…
  20. psnet.ahrq.gov/issue/root-cause-analysis-health-care-joint-commission-guide-analysis-and-corrective-action
    November 27, 2018 - Book/Report Root Cause Analysis in Health Care: A Joint Commission Guide to Analysis and Corrective Action of Sentinel and Adverse Events. Citation Text: Root Cause Analysis in Health Care: A Joint Commission Guide to Analysis and Corrective Action of Sentinel and Adverse Events. Oakbroo…

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