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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49528/psn-pdf
    January 01, 2015 - The "Customer" Is Always Right February 1, 2007 Sehgal NL. The "Customer" Is Always Right. PSNet [internet]. 2007. https://psnet.ahrq.gov/web-mm/customer-always-right Case Objectives Understand the importance of identifying a patient's agenda. Appreciate the factors that contribute to unmet patient expectations. …
  2. Spotlight (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.464_slideshow.ppt
    January 01, 2019 - Spotlight Spotlight Mistaken Attribution, Diagnostic Misstep * Source and Credits This presentation is based on the January 2019 AHRQ WebM&M Spotlight Case See the full article at https://psnet.ahrq.gov/webmm CME credit is available Commentary by: Timothy R. Kreider, MD, PhD, and John Q. Young, MD, MPP, PhD …
  3. psnet.ahrq.gov/web-mm/wrong-catheter-right-patient
    May 16, 2022 - Wrong Catheter in the Right Patient Citation Text: Chia C, Molla M. Wrong Catheter in the Right Patient. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML En…
  4. psnet.ahrq.gov/web-mm/when-indications-drug-administration-blur
    May 26, 2021 - SPOTLIGHT CASE When the Indications for Drug Administration Blur Citation Text: Munsch J, Doroy A. When the Indications for Drug Administration Blur . PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020. Copy Citation …
  5. psnet.ahrq.gov/web-mm/customer-always-right
    January 22, 2014 - SPOTLIGHT CASE The "Customer" Is Always Right Citation Text: Sehgal NL. The "Customer" Is Always Right. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2007. Copy Citation Format: Google Scholar BibTeX EndNote…
  6. psnet.ahrq.gov/web-mm/tacit-handover-overt-mishap
    August 01, 2006 - Tacit Handover, Overt Mishap Citation Text: Cooper JB, Kamdar BB. Tacit Handover, Overt Mishap. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 X…
  7. psnet.ahrq.gov/web-mm/other-side
    May 01, 2007 - SPOTLIGHT CASE The Other Side Citation Text: Vincent CA. The Other Side. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote t…
  8. psnet.ahrq.gov/web-mm/hidden-danger-unseen-intravenous-catheters
    October 04, 2023 - The Hidden Danger of Unseen Intravenous Catheters Citation Text: Vadi MG, Malkin MR. The Hidden Danger of Unseen Intravenous Catheters. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2021. Copy Citation Format: Google S…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49705/psn-pdf
    January 01, 2020 - A "Reflexive" Diagnosis in Primary Care April 1, 2014 Betjemann J, Josephson AS. A "Reflexive" Diagnosis in Primary Care. PSNet [internet]. 2014. https://psnet.ahrq.gov/web-mm/reflexive-diagnosis-primary-care Case Objectives Appreciate that primary care doctors may be caring for an increasing number of patients wi…
  10. psnet.ahrq.gov/perspective/zero-harm-striving-reduce-preventable-harms-point-counterpoint-and-areas-agreement
    September 24, 2024 - Statistically, patient harm is rare enough that reliably assessing whether a harm is preventable or not
  11. psnet.ahrq.gov/web-mm/stroke-error
    February 01, 2016 - SPOTLIGHT CASE A Stroke of Error Citation Text: Barrett KM. A Stroke of Error. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML End…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44434/psn-pdf
    June 21, 2016 - Hospital board and management practices are strongly related to hospital performance on clinical quality metrics. June 21, 2016 Tsai TC, Jha AK, Gawande AA, et al. Hospital board and management practices are strongly related to hospital performance on clinical quality metrics. Health Aff (Millwood). 2015;34(8):130…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46296/psn-pdf
    September 24, 2017 - Perception of safety of surgical practice among operating room personnel from survey data is associated with all- cause 30-day postoperative death rate in South Carolina. September 24, 2017 Molina G, Berry WR, Lipsitz S, et al. Perception of Safety of Surgical Practice Among Operating Room Personnel From Survey Da…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39617/psn-pdf
    February 18, 2011 - Potential unintended consequences due to Medicare's "No Pay for Errors Rule"? A randomized controlled trial of an educational intervention with internal medicine residents. February 18, 2011 Mookherjee S, Vidyarthi AR, Ranji SR, et al. Potential Unintended Consequences Due to Medicare’s “No Pay for Errors Rule”? …
  15. psnet.ahrq.gov/issue/safemedicationuseca
    October 10, 2012 - Multi-use Website SafeMedicationUse.ca. Citation Text: SafeMedicationUse.ca. Institute for Safe Medication Practices Canada; ISMP Canada. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin …
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47117/psn-pdf
    November 16, 2018 - Using a pediatric trigger tool to estimate total harm burden hospital-acquired conditions represent. November 16, 2018 Stockwell DC, Landrigan CP, Schuster MA, et al. Using a Pediatric Trigger Tool to Estimate Total Harm Burden Hospital-acquired Conditions Represent. Pediatr Qual Saf. 2018;3(3):e081. doi:10.1097/p…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40578/psn-pdf
    July 06, 2011 - Implementing the 2009 Institute of Medicine recommendations on resident physician work hours, supervision, and safety. July 6, 2011 Blum AB, Shea AS, Czeisler CA, et al. Implementing the 2009 Institute of Medicine recommendations on resident physician work hours, supervision, and safety. Nat Sci Sleep. 2011;3:47-8…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42151/psn-pdf
    December 21, 2014 - Effect of the 2011 vs 2003 duty hour regulation-compliant models on sleep duration, trainee education, and continuity of patient care among internal medicine house staff: a randomized trial. December 21, 2014 Desai SV, Feldman LS, Brown L, et al. Effect of the 2011 vs 2003 Duty Hour Regulation–Compliant Models on…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43801/psn-pdf
    August 02, 2015 - Association of the 2011 ACGME resident duty hour reform with general surgery patient outcomes and with resident examination performance. August 2, 2015 Rajaram R, Chung JW, Jones AT, et al. Association of the 2011 ACGME resident duty hour reform with general surgery patient outcomes and with resident examination p…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39714/psn-pdf
    April 14, 2011 - US public opinion regarding proposed limits on resident physician work hours. April 14, 2011 Blum AB, Raiszadeh F, Shea S, et al. US public opinion regarding proposed limits on resident physician work hours. BMC Med. 2010;8:33. doi:10.1186/1741-7015-8-33. https://psnet.ahrq.gov/issue/us-public-opinion-regarding-pr…

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