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  1. psnet.ahrq.gov/web-mm/missing-suction-tip
    January 01, 2006 - SPOTLIGHT CASE The Missing Suction Tip Citation Text: Thomas EJ, Moore FA. The Missing Suction Tip. 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 …
  2. psnet.ahrq.gov/innovation/i-readi-quality-and-safety-framework-strong-communications-channels-and-effective
    February 26, 2025 - The I-READI Quality and Safety Framework: Strong Communications Channels and Effective Practices to Rapidly Update and Implement Clinical Protocols During a Time of Crisis Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Cop…
  3. psnet.ahrq.gov/web-mm/over-counter-oversight
    March 21, 2009 - Over-the-Counter Oversight Citation Text: Janamanchi V, Modha K, Whinney C. Over-the-Counter Oversight. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML End…
  4. psnet.ahrq.gov/sites/default/files/2024-06/spotlight_case_hemorrhagic_shock_slides_final.pptx
    January 01, 2024 - Spotlight Spotlight Hemorrhagic Shock after Elective Spine Surgery: Failure to Rescue after Limited Response to Nursing Concerns 1 Source and Credits This presentation is based on the July 2024 AHRQ WebM&M Spotlight Case See the full article at https://psnet.ahrq.gov/webmm  CME credit is available  Commentary …
  5. psnet.ahrq.gov/web-mm/recurrent-appendicitis
    January 15, 2020 - "Recurrent" Appendicitis Citation Text: Greenberg CC. "Recurrent" Appendicitis. 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 XML Endnote tagge…
  6. psnet.ahrq.gov/web-mm/returning-home-safely
    December 22, 2018 - Returning Home Safely Citation Text: Toles M. Returning Home Safely. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId …
  7. psnet.ahrq.gov/perspective/measuring-patient-safety
    December 14, 2022 - certification; regional medical offices; quality measurement, many of the value-based programs that we use for assessing
  8. psnet.ahrq.gov/perspective/conversation-dr-michelle-schreiber-measuring-patient-safety
    December 14, 2022 - certification; regional medical offices; quality measurement, many of the value-based programs that we use for assessing
  9. psnet.ahrq.gov/issue/investigation-management-venous-thromboembolism-risk-patients-following-thrombolysis-acute
    November 13, 2019 - Book/Report Investigation into Management of Venous Thromboembolism Risk in Patients Following Thrombolysis for an Acute Stroke. Citation Text: Investigation into Management of Venous Thromboembolism Risk in Patients Following Thrombolysis for an Acute Stroke. Farnborough, UK; Healthcare…
  10. psnet.ahrq.gov/issue/ismp-long-term-care-advise-err
    June 07, 2017 - Newsletter/Journal ISMP Long-Term Care Advise-ERR. Citation Text: ISMP Long-Term Care Advise-ERR. Horsham, PA; Institute for Safe Medication Practices. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitte…
  11. psnet.ahrq.gov/issue/safety-anesthetic-and-perioperative-medication-practices
    January 14, 2019 - Newspaper/Magazine Article Safety of anesthetic and perioperative medication practices. Citation Text: Safety of anesthetic and perioperative medication practices. Meyer TA. Anesthesiology News. October 31, 2022. Copy Citation Save Save to your library Pri…
  12. psnet.ahrq.gov/issue/disclosure-and-apology-whats-missing-advancing-programs-support-clinicians
    December 07, 2016 - Book/Report Disclosure and Apology: What's Missing? Advancing Programs that Support Clinicians. Citation Text: Disclosure and Apology: What's Missing? Advancing Programs that Support Clinicians. Carr S. Chestnut Hill, MA: Medically Induced Trauma Support Services; 2009. Copy Citation …
  13. psnet.ahrq.gov/issue/diagnostic-safety-event-reporting
    August 05, 2020 - Newspaper/Magazine Article Diagnostic safety event reporting. Citation Text: Diagnostic safety event reporting. Carr S. ImproveDx. July 2021;8(4). Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter …
  14. psnet.ahrq.gov/issue/accidental-iv-infusion-heparinized-irrigation-or
    September 14, 2016 - Newspaper/Magazine Article Accidental IV infusion of heparinized irrigation in the OR. Citation Text: Accidental IV infusion of heparinized irrigation in the OR. ISMP Medication Safety Alert! Acute Care Edition. December 1, 2016;21:1-3. Copy Citation Save Save to …
  15. psnet.ahrq.gov/issue/studying-organisational-cultures-and-their-effects-safety
    April 20, 2014 - Commentary Studying organisational cultures and their effects on safety. Citation Text: Hopkins A. Studying organisational cultures and their effects on safety. Saf Sci. 2006;44(10). doi:10.1016/j.ssci.2006.05.005. Copy Citation Format: DOI Google Scholar BibTeX EndNote …
  16. psnet.ahrq.gov/issue/impact-professionalism-safe-surgical-care
    January 23, 2017 - Commentary The impact of professionalism on safe surgical care. Citation Text: Whittemore A, Surgery NES for V. The impact of professionalism on safe surgical care. J Vasc Surg. 2007;45(2):415-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 …
  17. psnet.ahrq.gov/issue/mismatch-made-america
    December 31, 2018 - Newspaper/Magazine Article A mismatch made in America. Citation Text: A mismatch made in America. Butcher L. Managed Care. June 2019;28:37-39. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linke…
  18. psnet.ahrq.gov/issue/using-telehealth-revolutionize-speed-making-rare-disease-diagnoses
    November 04, 2020 - Newspaper/Magazine Article Using telehealth to revolutionize the speed of making rare disease diagnoses. Citation Text: Using telehealth to revolutionize the speed of making rare disease diagnoses. Nothaft W, Moore G, Le Cam Y. STAT. August 27, 2020. Copy Citation Sav…
  19. psnet.ahrq.gov/issue/reducing-risk-designing-safer-shame-free-health-care-environment
    September 29, 2017 - Book/Report Reducing the Risk by Designing a Safer, Shame-free Health Care Environment. Citation Text: Reducing the Risk by Designing a Safer, Shame-free Health Care Environment. Abrams MA, Hung LL, Kashuba AB, et al. Chicago, IL: American Medical Association; 2007. Copy Citation …
  20. psnet.ahrq.gov/issue/achieving-successful-patient-safety-program-implementation-harm-reduction-strategy
    February 22, 2023 - Newspaper/Magazine Article Achieving a successful patient safety program with implementation of a harm reduction strategy. Citation Text: Achieving a successful patient safety program with implementation of a harm reduction strategy. Cohen JB. APSF Newsletter. 2023;38(10):93-95. Copy…

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