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psnet.ahrq.gov/web-mm/benefits-vs-risks-intraosseous-vascular-access
September 01, 2005 - Benefits vs. Risks of Intraosseous Vascular Access 
 
 
 
 
 Citation Text: 
 Fowler RL, Lippmann MJ. Benefits vs. Risks of Intraosseous Vascular Access. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014. 
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psnet.ahrq.gov/web-mm/saved-ecmo
May 05, 2017 - Saved by ECMO  
 
 
 
 
 Citation Text: 
 Weiss NA. Saved by ECMO . PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023. 
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 Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS 
 
 
 
 
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psnet.ahrq.gov/node/33700/psn-pdf
October 01, 2010 - are really helpful to summarize the evidence from guidelines into a handful of concrete,
unambiguous behaviors
                                     
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psnet.ahrq.gov/node/865658/psn-pdf
April 24, 2024 - Managing Care Challenges in a Group Home Setting: Is
Staffing Adequate for Unplanned Incidents?
April 24, 2024
Ordona R, Bakerjian D. Managing Care Challenges in a Group Home Setting: Is Staffing Adequate for
Unplanned Incidents? PSNet [internet]. 2024.
https://psnet.ahrq.gov/web-mm/managing-care-challenges-group-… 
                                     
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psnet.ahrq.gov/node/33673/psn-pdf
September 01, 2008 - The Role of Bar Coding and Smart Pumps in Safety
September 1, 2008
Rothschild JM, Keohane C. The Role of Bar Coding and Smart Pumps in Safety. PSNet [internet]. 2008.
https://psnet.ahrq.gov/perspective/role-bar-coding-and-smart-pumps-safety
Perspective
Medication safety in hospitals depends on the successful execu… 
                                     
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psnet.ahrq.gov/node/49422/psn-pdf
November 01, 2003 - Behaviors that inhibit communication place
patients at greater risk for an adverse drug event (ADE).
                                     
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psnet.ahrq.gov/web-mm/air-side-caution
April 21, 2015 - clinical examination to test adherence to Joint Commission National Patient Safety Goal–associated behaviors
                                     
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psnet.ahrq.gov/node/33682/psn-pdf
April 01, 2009 - In Conversation with...Mark Chassin, MD, MPP, MPH
April 1, 2009
In Conversation with..Mark Chassin, MD, MPP, MPH . PSNet [internet]. 2009.
https://psnet.ahrq.gov/perspective/conversation-withmark-chassin-md-mpp-mph
Editor's note: Mark R. Chassin, MD, MPP, MPH, is president of The Joint Commission, the preeminent
s… 
                                     
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psnet.ahrq.gov/web-mm/point-care-mixup-1-shot-turns-3
February 14, 2024 - Point-of-care Mixup: 1 Shot Turns Into 3 
 
 
 
 
 Citation Text: 
 Berberich RF. Point-of-care Mixup: 1 Shot Turns Into 3. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. 
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psnet.ahrq.gov/node/860049/psn-pdf
January 04, 2024 - Myasthenia Crisis after a Delayed Diagnosis in a
Medically Complex Patient.
January 4, 2024
Chaffin Z. Myasthenia Crisis after a Delayed Diagnosis in a Medically Complex Patient. PSNet [internet].
2024.
https://psnet.ahrq.gov/web-mm/myasthenia-crisis-after-delayed-diagnosis-medically-complex-patient
The Case
A 9… 
                                     
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psnet.ahrq.gov/node/49646/psn-pdf
February 01, 2012 - Poorly Advanced Directives
February 1, 2012
Anderson WG. Poorly Advanced Directives. PSNet [internet]. 2012.
https://psnet.ahrq.gov/web-mm/poorly-advanced-directives
The Case
Cared for at home by his wife and family, an 82-year-old man with multiple chronic medical conditions
described his overall health as decli… 
                                     
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psnet.ahrq.gov/perspective/handoffs-and-transitions
February 01, 2007 - April 24, 2014 
 
 
 
 
 
 
 
 Enculturation of unsafe attitudes and behaviors: student perceptions of
                                     
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psnet.ahrq.gov/node/49725/psn-pdf
January 01, 2015 - Haste Makes Care Unsafe
January 1, 2015
Eichhorn JH. Haste Makes Care Unsafe. PSNet [internet]. 2015.
https://psnet.ahrq.gov/web-mm/haste-makes-care-unsafe
The Case
An 80-year-old man with a history of coronary artery disease and atrial fibrillation underwent a combined
elective coronary artery bypass graft (CABG… 
                                     
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psnet.ahrq.gov/node/33665/psn-pdf
March 01, 2008 - Creation of a Medical Procedure Service to Improve
Patient Safety
March 1, 2008
Smith CC, CHuang G. Creation of a Medical Procedure Service to Improve Patient Safety. PSNet [internet].
2008.
https://psnet.ahrq.gov/perspective/creation-medical-procedure-service-improve-patient-safety
Perspective
Introduction and … 
                                     
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psnet.ahrq.gov/primer/telehealth-and-patient-safety
July 27, 2022 - Telehealth and Patient Safety. 
 
 
 
 
 Citation Text: 
 O'Malley G, Shaikh U, Marcin JP. Telehealth and Patient Safety.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022. 
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psnet.ahrq.gov/perspective/conversation-chalapathy-venkatesan-and-kathy-helak-about-application-safety-ii
August 28, 2024 - called  One Safe Act , which asked perioperative staff to highlight one safe act or proactive safety behavior
                                     
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psnet.ahrq.gov/perspective/accreditation-and-regulation-can-they-help-improve-patient-safety
April 01, 2009 - Accreditation and Regulation: Can They Help Improve Patient Safety? 
 Rebecca N. Warburton, PhD | April 1, 2009 
                       
 Also Read a Conversation  
 
 
 
 
 
 
 View more articles from the same authors. 
 
 
 
 
 
 
 Citation Text: 
 Warburton RN. Accreditation and Regulation: Can They Help Improve Pat… 
                                     
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psnet.ahrq.gov/perspective/application-safety-ii-principles
August 28, 2024 - called  One Safe Act , which asked perioperative staff to highlight one safe act or proactive safety behavior
                                     
                                                                    - 
                                        
psnet.ahrq.gov/perspective/getting-patient-safety-personal-story
August 01, 2006 - form of high malpractice premiums), the availability of some key technologies to enable better safety behaviors … ashamed, and too busy every moment to fix our microsystems, and we're unwilling or unable to change our behaviors
                                     
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psnet.ahrq.gov/node/33869/psn-pdf
November 01, 2018 - idea was that economic
historians should use data from the past to learn fundamental things about behavior