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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49404/psn-pdf
    June 01, 2003 - Not a Miscarriage June 1, 2003 Learman LA. Not a Miscarriage. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/not-miscarriage The Case A 32-year-old woman, gravida 3, para 1, with a history of Type 2 diabetes mellitus on metformin, presented at 7 and 2/7 weeks by last menstrual period (LMP). The patient rep…

  2. Spotlight Case [MONTH] 2003 (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.164_slideshow.ppt
    December 01, 2007 - Spotlight Case [MONTH] 2003 Spotlight Case December 2007 Elopement Source and Credits This presentation is based on the December 2007 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Debra Gerardi, RN, MPH, JD Creighton University School of Law Ed…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44354/psn-pdf
    August 05, 2015 - Evaluation for occult fractures in injured children. August 5, 2015 Wood JN, French B, Song L, et al. Evaluation for Occult Fractures in Injured Children. Pediatrics. 2015;136(2):232-40. doi:10.1542/peds.2014-3977. https://psnet.ahrq.gov/issue/evaluation-occult-fractures-injured-children This study assessed an err…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41833/psn-pdf
    November 14, 2012 - Risks related to patient bed safety. November 14, 2012 Sharkey JE, Van Leuven K, Radovich P. Risks related to patient bed safety. J Nurs Care Qual. 2012;27(4):346-51. doi:10.1097/NCQ.0b013e318264744b. https://psnet.ahrq.gov/issue/risks-related-patient-bed-safety Reviewing the three major contributing factors to me…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49661/psn-pdf
    August 01, 2012 - Residual Anesthesia: Tepid Burn August 1, 2012 Kurrek MM, Twersky RS. Residual Anesthesia: Tepid Burn. PSNet [internet]. 2012. https://psnet.ahrq.gov/web-mm/residual-anesthesia-tepid-burn The Case A 42-year-old Filipino man presented to an outpatient surgery center for scheduled repair of an anal fistula. The pat…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49854/psn-pdf
    February 01, 2019 - Diagnostic Failure: The Growing Deficit February 1, 2019 Chang R, Flanders S. Diagnostic Failure: The Growing Deficit. PSNet [internet]. 2019. https://psnet.ahrq.gov/web-mm/diagnostic-failure-growing-deficit The Case A 65-year-old woman with a history of diabetes and hypertension was admitted to a hospital's telem…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47966/psn-pdf
    May 29, 2019 - Patient Safety Essentials Toolkit. May 29, 2019 Boston, MA: Institute for Healthcare Improvement; 2019. https://psnet.ahrq.gov/issue/patient-safety-essentials-toolkit This toolkit provides access to nine key tools to help organizations improve teamwork, incident analysis, and communication as well as templates to …

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47280/psn-pdf
    October 15, 2018 - Master of Healthcare Quality and Safety. October 15, 2018 Harvard Medical School. https://psnet.ahrq.gov/issue/master-healthcare-quality-and-safety This one-year degree program will train clinicians and health care executives to lead safety and quality improvement initiatives. Participants will learn how to develo…

  9. The Unfamiliar Catheter | PSNet

    psnet.ahrq.gov/web-mm/unfamiliar-catheter
    November 01, 2006 - The Unfamiliar Catheter Citation Text: Swayze SC, James A. The Unfamiliar Catheter. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote t…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49549/psn-pdf
    December 06, 2007 - Elopement December 1, 2007 Gerardi D. Elopement. PSNet [internet]. 2007. https://psnet.ahrq.gov/web-mm/elopement Case Objectives Define elopement and differentiate it from wandering and leaving against medical advice. Identify leading contributors to elopement events. Describe strategies for preventing elopement…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33746/psn-pdf
    March 01, 2013 - In Conversation With… David M. Gaba, MD March 1, 2013 In Conversation With… David M. Gaba, MD. PSNet [internet]. 2013. https://psnet.ahrq.gov/perspective/conversation-david-m-gaba-md Editor's note: David M. Gaba, MD, is a Professor of Anesthesia at the Stanford University School of Medicine. An international leade…

  12. Microsoft PowerPoint - Spotlight Case_Suicide Attempts_03.17.2023 FINAL.pptx (pdf file)

    psnet.ahrq.gov/sites/default/files/2023-03/challenging_case_of_multiple_suicide_attempts_in_a_complex_patient_with_psychiatric_comorbidities.pdf
    January 01, 2023 - Microsoft PowerPoint - Spotlight Case_Suicide Attempts_03.17.2023 FINAL.pptx Spotlight Challenging Case of Multiple Suicide Attempts in a Complex Patient with Psychiatric Comorbidities Source and Credits • This presentation is based on the March 2023 AHRQ WebM&M Spotlight Case o See the full article at https://…

  13. Failure to Latch | PSNet

    psnet.ahrq.gov/web-mm/failure-latch
    November 27, 2012 - Failure to Latch Citation Text: Rodriguez M, Mannel R, Frye DR. Failure to Latch. 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 tag…

  14. Elopement | PSNet

    psnet.ahrq.gov/web-mm/elopement
    July 14, 2010 - SPOTLIGHT CASE Elopement Citation Text: Gerardi D. Elopement. 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 X3 XML EndNote 7 XML Endnote tagged PubMe…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40679/psn-pdf
    December 01, 2011 - Team situation awareness and the anticipation of patient progress during ICU rounds. December 1, 2011 Reader TW, Flin R, Mearns K, et al. Team situation awareness and the anticipation of patient progress during ICU rounds. BMJ Qual Saf. 2011;20(12):1035-42. doi:10.1136/bmjqs.2010.048561. https://psnet.ahrq.gov/iss…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39033/psn-pdf
    October 21, 2009 - Enhancing medication use safety: benefits of learning from your peers. October 21, 2009 Kazandjian VA, Ogunbo S, Wicker KG, et al. Enhancing medication use safety: benefits of learning from your peers. Qual Saf Health Care. 2009;18(5):331-5. doi:10.1136/qshc.2008.027938. https://psnet.ahrq.gov/issue/enhancing-medi…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853075/psn-pdf
    August 30, 2023 - Striving for diagnostic excellence. August 30, 2023 Centor RM, Dhaliwal G. Annals On Call. July 2023. https://psnet.ahrq.gov/issue/striving-diagnostic-excellence Diagnostic accuracy requires both cognitive and team-focused skill development. This podcast interview shares problem-solving tactics that support diagno…

  18. Teamwork and Communication. | PSNet

    psnet.ahrq.gov/issue/teamwork-and-communication
    February 06, 2019 - Special or Theme Issue Teamwork and Communication. Citation Text: Teamwork and Communication. Pa Patient Saf Advis. June 2010;7(suppl 2):1-16. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linke…

  19. Complications. | PSNet

    psnet.ahrq.gov/issue/complications
    November 28, 2018 - Special or Theme Issue Complications. Citation Text: Complications. Anaesthesia. 2018;73(suppl 1):3-101. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL J…

  20. The Effect of Health Care Working Conditions on Patient Safety. Evidence Report/Technology Assessment. | PSNet

    psnet.ahrq.gov/issue/effect-health-care-working-conditions-patient-safety-evidence-reporttechnology-assessment
    December 18, 2008 - Book/Report The Effect of Health Care Working Conditions on Patient Safety. Evidence Report/Technology Assessment. Citation Text: The Effect of Health Care Working Conditions on Patient Safety. Evidence Report/Technology Assessment. Rockville, MD: Agency for Healthcare Research and Quali…
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