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  1. psnet.ahrq.gov/sites/default/files/2020-11/final_nov_spotlight_case_premature_closing-snycope_11.20.2020-revised.pdf
    January 01, 2020 - Microsoft PowerPoint - FINAL Nov_Spotlight Case_Premature Closing-Snycope_11.20.2020-revised.pptx Spotlight Premature Closure: Was it Just Syncope? Source and Credits • This presentation is based on the November 2020 AHRQ WebM&M Spotlight Case o See the full article at https://psnet.ahrq.gov/webmm o CME credit i…
  2. 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]…
  3. 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…
  4. 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…
  5. psnet.ahrq.gov/web-mm/endometriosis-common-and-commonly-missed-and-delayed-diagnosis
    May 26, 2021 - Assessing research gaps and unmet needs in endometriosis.
  6. psnet.ahrq.gov/web-mm/multiple-levels-involved-prescribing-wrong-medication
    December 23, 2020 - Lastly, in formulating the most effective consultation for the patient, the pharmacist should consider assessing
  7. psnet.ahrq.gov/perspective/how-does-health-care-simulation-affect-patient-care
    August 01, 2018 - believe that simulation has a role not just in training but also in system and process improvement and in assessing
  8. 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…
  9. 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…
  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. 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…
  12. psnet.ahrq.gov/perspective/conversation-withrichard-p-shannon-md
    August 01, 2010 - Assessing safety culture: guidelines and recommendations. Qual Saf Health Care. 2005;14:231-233.
  13. psnet.ahrq.gov/perspective/medication-safety-nursing-homes-whats-wrong-and-how-fix-it
    August 01, 2012 - Castle : Most of my work in nursing homes has revolved around assessing quality: what makes a quality
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836811/psn-pdf
    April 07, 2022 - Implementing a watcher program to improve timeliness of recognition of deterioration in hospitalized children April 7, 2022 Evans S, Green A, Roberson A, et al. Implementing a watcher program to improve timeliness of recognition of deterioration in hospitalized children. J Pediatr Nurs. 2021;61:151-6. https:/…
  15. psnet.ahrq.gov/issue/medical-error-reduction-effect-employee-satisfaction-organizational-support
    November 06, 2024 - Study Medical error reduction: the effect of employee satisfaction with organizational support. Citation Text: Medical error reduction: the effect of employee satisfaction with organizational support. Lee D; Lee SM; Schniederjans MJ. Copy Citation Save Save to…
  16. psnet.ahrq.gov/issue/battling-obstetric-malpractice-crisis-improving-patient-safety-part-2
    July 12, 2018 - Commentary Battling the obstetric malpractice crisis: improving patient safety, part 2. Citation Text: Battling the obstetric malpractice crisis: improving patient safety, part 2. Bernstein PS. Copy Citation Save Save to your library Print Download…
  17. psnet.ahrq.gov/issue/teamwork-healthcare
    August 08, 2007 - Special or Theme Issue Teamwork in Healthcare. Citation Text: Teamwork in Healthcare. Fam Syst Health. 2015;33(3):175-269. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL…
  18. psnet.ahrq.gov/issue/applying-universal-protocol-improve-patient-safety-radiology-services
    March 27, 2018 - Newspaper/Magazine Article Applying the Universal Protocol to improve patient safety in radiology services. Citation Text: Applying the Universal Protocol to improve patient safety in radiology services. PA-PSRS Patient Saf Advis. June 2011;8:63-69. Copy Citation …
  19. psnet.ahrq.gov/issue/engaging-minority-communities-safer-healthcare
    January 15, 2017 - Meeting/Conference Proceedings Engaging Minority Communities in Safer Healthcare. Citation Text: Engaging Minority Communities in Safer Healthcare. Kurz M, Tobin WN. Chestnut Hill, MA: Medically Induced Trauma Support Services Inc.; 2011. Copy Citation Save Save t…
  20. psnet.ahrq.gov/issue/high-reliability-organizations-hros-what-they-know-we-dont-part-i
    July 27, 2022 - Newspaper/Magazine Article High-reliability organizations (HROs): what they know that we don't (Part I). Citation Text: High-reliability organizations (HROs): what they know that we don't (Part I). ISMP Medication Safety Alert! Acute care edition. July 14, 2005. Copy Citation …

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