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  1. Investigation into Management of Venous Thromboembolism Risk in Patients Following Thrombolysis for an Acute Stroke. | PSNet

    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…

  2. New AHRQ SOPS® Workplace Safety Supplemental Items for Hospitals. | PSNet

    psnet.ahrq.gov/issue/new-ahrq-sopsr-workplace-safety-supplemental-items-hospitals
    May 01, 2017 - Webinar New AHRQ SOPS® Workplace Safety Supplemental Items for Hospitals. Citation Text: New AHRQ SOPS® Workplace Safety Supplemental Items for Hospitals. Rockville, MD: Agency for Healthcare Research and Quality; December 16, 2021. Copy Citation Save Save to…

  3. Misdiagnoses: a hidden risk of genetic testing. | PSNet

    psnet.ahrq.gov/issue/misdiagnoses-hidden-risk-genetic-testing
    July 10, 2019 - Newspaper/Magazine Article Misdiagnoses: a hidden risk of genetic testing. Citation Text: Misdiagnoses: a hidden risk of genetic testing. Howard J. CNN. October 31, 2016. Copy Citation Save Save to your library Print Download PDF Share Face…

  4. The impact of professionalism on safe surgical care. | PSNet

    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 …

  5. Laboratory results that should be ignored. | PSNet

    psnet.ahrq.gov/issue/laboratory-results-should-be-ignored
    August 19, 2009 - Commentary Laboratory results that should be ignored. Citation Text: Elston DM. Laboratory results that should be ignored. MedGenMed. 2006;8(4):9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Downloa…

  6. How communications issues between doctors and nurses can affect your health. | PSNet

    psnet.ahrq.gov/issue/how-communications-issues-between-doctors-and-nurses-can-affect-your-health
    September 28, 2016 - Newspaper/Magazine Article How communications issues between doctors and nurses can affect your health. Citation Text: How communications issues between doctors and nurses can affect your health. Howley EK. US News & World Report. September 5, 2018. Copy Citation Save …

  7. How DeKalb Medical fixed drug safety problems after fatal error. | PSNet

    psnet.ahrq.gov/issue/how-dekalb-medical-fixed-drug-safety-problems-after-fatal-error
    October 11, 2017 - Newspaper/Magazine Article How DeKalb Medical fixed drug safety problems after fatal error. Citation Text: How DeKalb Medical fixed drug safety problems after fatal error. Porter S. HealthLeaders Media. April 26, 2018. Copy Citation Save Save to your library …

  8. ISMP Long-Term Care Advise-ERR. | PSNet

    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…

  9. Does malpractice liability make healthcare safer? Aligning law and policy with evidence. | PSNet

    psnet.ahrq.gov/issue/does-malpractice-liability-make-healthcare-safer-aligning-law-and-policy-evidence
    August 26, 2020 - Commentary Does malpractice liability make healthcare safer? Aligning law and policy with evidence. Citation Text: Does malpractice liability make healthcare safer? Aligning law and policy with evidence. Saks MJ, Landsman S. Wake Forest J Law Policy. 2022;12:205-257.   Copy C…

  10. Diagnostic safety event reporting. | PSNet

    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 …

  11. Adverse Drug Events in US Hospitals, 2004. | PSNet

    psnet.ahrq.gov/issue/adverse-drug-events-us-hospitals-2004
    April 27, 2011 - Book/Report Adverse Drug Events in US Hospitals, 2004. Citation Text: Adverse Drug Events in US Hospitals, 2004. Elixhauser A, Owens P. HCUP Statistical Brief #29. Rockville, MD: Agency for Healthcare Research and Quality; April 2007. Copy Citation Save Save t…

  12. Disclosure and Apology: What's Missing? Advancing Programs that Support Clinicians. | PSNet

    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. Battling the obstetric malpractice crisis: improving patient safety, part 1. | PSNet

    psnet.ahrq.gov/issue/battling-obstetric-malpractice-crisis-improving-patient-safety-part-1
    July 05, 2013 - Commentary Battling the obstetric malpractice crisis: improving patient safety, part 1. Citation Text: Battling the obstetric malpractice crisis: improving patient safety, part 1. Bernstein PS. Medscape Ob/Gyn. October 31, 2005. Copy Citation Save Save to your lib…

  14. More than half a million heart surgery patients at risk of a dangerous infection. | PSNet

    psnet.ahrq.gov/issue/more-half-million-heart-surgery-patients-risk-dangerous-infection
    April 22, 2015 - Newspaper/Magazine Article More than half a million heart surgery patients at risk of a dangerous infection. Citation Text: More than half a million heart surgery patients at risk of a dangerous infection. Sun LH. Copy Citation Save Save to your library Prin…

  15. Mismatched prescribing and pharmacy templates for parenteral nutrition (PN) lead to data entry errors. | PSNet

    psnet.ahrq.gov/issue/mismatched-prescribing-and-pharmacy-templates-parenteral-nutrition-pn-lead-data-entry-errors
    June 10, 2018 - Newspaper/Magazine Article Mismatched prescribing and pharmacy templates for parenteral nutrition (PN) lead to data entry errors. Citation Text: Mismatched prescribing and pharmacy templates for parenteral nutrition (PN) lead to data entry errors. ISMP Medication Safety Alert! Acute care…

  16. SBAR for patients. | PSNet

    psnet.ahrq.gov/issue/sbar-patients
    September 12, 2012 - Commentary SBAR for patients. Citation Text: Denham CR. SBAR for Patients. J Patient Saf. 2008;4(1). doi:10.1097/pts.0b013e2181660c06. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation …

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49657/psn-pdf
    July 01, 2012 - Not-So-Therapeutic Tap July 1, 2012 Barsuk JH. Not-So-Therapeutic Tap. PSNet [internet]. 2012. https://psnet.ahrq.gov/web-mm/not-so-therapeutic-tap Case Objectives Describe current issues with training clinicians to perform procedures. Understand how simulation can be used to ensure trainees are competent in proc…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848107/psn-pdf
    April 26, 2023 - Improving Diagnostic Safety and Quality April 26, 2023 Al-Khafaji J, Lee M, Mossburg S. Improving Diagnostic Safety and Quality . PSNet [internet]. 2023. https://psnet.ahrq.gov/perspective/improving-diagnostic-safety-and-quality Introduction During an annual editorial review of featured articles in the Agency for …

  19. Delayed Diagnosis and Treatment of Systemic Lupus Erythematosus with a Psychiatric Presentation | PSNet

    psnet.ahrq.gov/web-mm/delayed-diagnosis-and-treatment-systemic-lupus-erythematosus-psychiatric-presentation
    September 27, 2023 - SPOTLIGHT CASE Delayed Diagnosis and Treatment of Systemic Lupus Erythematosus with a Psychiatric Presentation Citation Text: Bourgeois JA, Xiong G. Delayed Diagnosis and Treatment of Systemic Lupus Erythematosus with a Psychiatric Presentation. PSNet [internet]. Rockville (MD): Agency for Health…

  20. Microsoft PowerPoint - Spotlight Case_Anesthesia Error During Cesarean_06.22.2023 - Final.pptx (pdf file)

    psnet.ahrq.gov/sites/default/files/2023-06/hurried_huddle_0.pdf
    January 01, 2023 - Microsoft PowerPoint - Spotlight Case_Anesthesia Error During Cesarean_06.22.2023 - Final.pptx Spotlight Hurried Team Huddle and Poor Communication: Unsafe Practice During Anesthesia for Emergency Cesarean Delivery Source and Credits • This presentation is based on the June 2023 AHRQ WebM&M Spotlight Case o See…
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