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  1. psnet.ahrq.gov/issue/medication-complexity-medication-number-and-their-relationships-medication-discrepancies
    November 16, 2022 - Study Medication complexity, medication number, and their relationships to medication discrepancies. Citation Text: Patel CH, Zimmerman KM, Fonda JR, et al. Medication Complexity, Medication Number, and Their Relationships to Medication Discrepancies. Ann Pharmacother. 2016;50(7):534-40.…
  2. psnet.ahrq.gov/issue/physicians-practice-dispensing-medicines-qualitative-study
    November 16, 2022 - Study Physicians' practice of dispensing medicines: a qualitative study. Citation Text: Darbyshire D, Gordon M, Baker P, et al. Physicians' Practice of Dispensing Medicines: A Qualitative Study. J Patient Saf. 2016;12(2):82-8. doi:10.1097/PTS.0000000000000122. Copy Citation Format:…
  3. psnet.ahrq.gov/issue/feedback-loop-failure-modes-medical-diagnosis-how-biases-can-emerge-and-be-reinforced
    November 01, 2023 - Study Feedback loop failure modes in medical diagnosis: how biases can emerge and be reinforced. Citation Text: Aikens RC, Chen JH, Baiocchi M, et al. Feedback loop failure modes in medical diagnosis: how biases can emerge and be reinforced. Med Decis Making. 2024;44(5):481-496. doi:10.1…
  4. psnet.ahrq.gov/perspective/health-care-data-science-quality-improvement-and-patient-safety
    October 01, 2016 - and somehow if those databases got merged with a patient presenting with fever rather than these dual assessments
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49679/psn-pdf
    March 01, 2013 - The Unfamiliar Catheter March 1, 2013 Swayze SC, James A. The Unfamiliar Catheter. PSNet [internet]. 2013. https://psnet.ahrq.gov/web-mm/unfamiliar-catheter The Case A 28-year-old woman, 20 months post–bilateral lung transplant, presented to the emergency department with sudden onset of severe shortness of breath…
  6. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2022-10/spotlight_case_missed_pneumothorax_10.09.2022_-_final.pdf
    January 01, 2022 - Spotlight Spotlight False Assumptions Result in a Missed Pneumothorax after Bronchoscopy with Transbronchial Biopsy Source and Credits • This presentation is based on the September 2022 AHRQ WebM&M Spotlight Case o See the full article at https://psnet.ahrq.gov/webmm o CME credit is available o Commentary by:…
  7. psnet.ahrq.gov/web-mm/other-hand
    December 12, 2012 - On the Other Hand Citation Text: Henneman EA. On the Other Hand. 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 PubMedId RIS …
  8. psnet.ahrq.gov/web-mm/residual-anesthesia-tepid-burn
    February 10, 2010 - Residual Anesthesia: Tepid Burn Citation Text: Kurrek MM, Twersky RS. Residual Anesthesia: Tepid Burn. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndN…
  9. psnet.ahrq.gov/web-mm/late-anemia-following-rh-disease-newborn
    June 17, 2010 - Late Anemia Following Rh Disease in a Newborn Citation Text: Newman TB, Maisels JM. Late Anemia Following Rh Disease in a Newborn. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014. Copy Citation Format: Google Schola…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49537/psn-pdf
    June 01, 2007 - Beeline to Spine June 1, 2007 Smetana GW. Beeline to Spine. PSNet [internet]. 2007. https://psnet.ahrq.gov/web-mm/beeline-spine Case Objectives Understand the elements of preoperative medical evaluation. Appreciate the limited role for preoperative laboratory testing. Appreciate the importance of communication a…
  11. psnet.ahrq.gov/web-mm/laceration-needed-proper-exam-not-x-ray
    November 25, 2020 - SPOTLIGHT CASE A Laceration that Needed a Proper Exam, Not an X-Ray Citation Text: Wander J, Barnes DK. A Laceration that Needed a Proper Exam, Not an X-Ray.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024. Copy Cit…
  12. psnet.ahrq.gov/innovation/ambulatory-safety-nets-reduce-missed-and-delayed-diagnoses-cancer
    February 26, 2025 - Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL July 31, 2023 Innovation Contact …
  13. psnet.ahrq.gov/web-mm/beeline-spine
    March 01, 2014 - SPOTLIGHT CASE Beeline to Spine Citation Text: Smetana GW. Beeline to Spine. 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 Endno…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42474/psn-pdf
    September 19, 2015 - A new, evidence-based estimate of patient harms associated with hospital care. September 19, 2015 James JT. A new, evidence-based estimate of patient harms associated with hospital care. J Patient Saf. 2013;9(3):122-128. doi:10.1097/PTS.0b013e3182948a69. https://psnet.ahrq.gov/issue/new-evidence-based-estimate-pat…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45174/psn-pdf
    November 18, 2016 - Patient safety events and harms during medical and surgical hospitalizations for persons with serious mental illness. November 18, 2016 Daumit GL, McGinty EE, Pronovost P, et al. Patient Safety Events and Harms During Medical and Surgical Hospitalizations for Persons With Serious Mental Illness. Psychiatr Serv. 20…
  16. psnet.ahrq.gov/sites/default/files/2021-09/Roll-out%20diagram%20generic.pdf
    January 01, 2021 - R e si li e n ce P ro g ra m Le a d e r( s) S p e ci fi c D e p t/ U n it Le a d s M e n ta l H e a lt h C o n su lt a n t, i f A v a il a b le How to roll out the Battle Buddy program as part of a psychological resilience intervention Can stand alone* Specific nursing unit le…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837601/psn-pdf
    June 29, 2022 - Development, pilot study, and psychometric analysis of the AHRQ Surveys on Patient Safety Culture (SOPS) Workplace Safety Supplemental Items for Hospitals. June 29, 2022 Zebrak K, Yount N, Sorra J, et al. Development, pilot study, and psychometric analysis of the AHRQ Surveys on Patient Safety Culture (SOPS) Workp…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867089/psn-pdf
    November 06, 2024 - Focused team engagements to enhance interprofessional collaboration and safety behaviors among novice nurses and medical residents. November 6, 2024 Manuel R, Barber A, Kern J, et al. Focused team engagements to enhance interprofessional collaboration and safety behaviors among novice nurses and medical residents.…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73197/psn-pdf
    April 28, 2021 - Medical Office Survey: 2020 User Database Report. April 28, 2021 Famolaro T, Hare R, Thornton S, et al. Surveys on Patient Safety CultureTM (SOPSTM). Rockville, MD: Agency for Healthcare Research and Quality; March 2020. AHRQ Publication No. 20-0034. https://psnet.ahrq.gov/issue/medical-office-survey-2020-user…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60323/psn-pdf
    May 13, 2020 - Artificial intelligence versus clinicians: systematic review of design, reporting standards, and claims of deep learning studies. May 13, 2020 Nagendran M, Chen Y, Lovejoy CA, et al. Artificial intelligence versus clinicians: systematic review of design, reporting standards, and claims of deep learning studies. BM…

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