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181. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73618/psn-pdf
     August 17, 2021 - Safe Communication: Evidence-based Core Competencies with Case Studies from Nursing. … psnet.ahrq.gov/issue/new-horizons-patient-safety-safe-communication-evidence-based-core- competencies-case-studies … This companion volume uses the case study format to illustrate nursing communication practices to be … psnet.ahrq.gov/issue/new-horizons-patient-safety-safe-communication-evidence-based-core-competencies-case-studies … psnet.ahrq.gov/issue/new-horizons-patient-safety-safe-communication-evidence-based-core-competencies-case-studies

182. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60891/psn-pdf
     September 09, 2020 - Using the NAM diagnostic process framework to teach clinical reasoning in computerized case presentations … Using the NAM diagnostic process framework to teach clinical reasoning in computerized case presentations … psnet.ahrq.gov/issue/using-nam-diagnostic-process-framework-teach-clinical-reasoning- computerized-case … As one strategy to improve diagnosis, this article describes the use of computerized case presentations … //psnet.ahrq.gov/issue/using-nam-diagnostic-process-framework-teach-clinical-reasoning-computerized-case

183. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47881/psn-pdf
     July 10, 2019 - Cognitive Errors and Diagnostic Mistakes: A Case-Based Guide to Critical Thinking in Medicine. … https://psnet.ahrq.gov/issue/cognitive-errors-and-diagnostic-mistakes-case-based-guide-critical-thinking … This publication uses case-based illustrations to explore the effect of common cognitive biases (e.g … https://psnet.ahrq.gov/issue/cognitive-errors-and-diagnostic-mistakes-case-based-guide-critical-thinking-medicine … https://psnet.ahrq.gov/web-mm/possible-probable-sure-wrong-premature-closure-and-anchoring-complicated-case

184. Patient harm: when an attorney won't take your case. | PSNet
     psnet.ahrq.gov/issue/patient-harm-when-attorney-wont-take-your-case
     July 22, 2015 - Newspaper/Magazine Article Patient harm: when an attorney won't take your case. … Citation Text: Patient harm: when an attorney won't take your case. Allen M; Pierce O. … Cite Citation Citation Text: Patient harm: when an attorney won't take your case

185. Patient safety law protects some documents in court case. | PSNet
     psnet.ahrq.gov/issue/patient-safety-law-protects-some-documents-court-case
     May 30, 2012 - Newspaper/Magazine Article Patient safety law protects some documents in court case … Citation Text: Patient safety law protects some documents in court case. Gallegos A. … Cite Citation Citation Text: Patient safety law protects some documents in court case

186. PSNet How-to Videos | PSNet
     psnet.ahrq.gov/curated-library/video-library
     August 10, 2025 - Watch the video below to learn more about the Submit a Case process. … Submit Your Case   Audio-Described Version  (1 minute, 39 seconds) The Submit a Case … Process The Submit a Case Process PSNet’s Submit a Case feature allows health care professionals … Watch the video below to learn more about the Submit a Case process. … Submit Your Case   Audio-Described Version  (1 minute, 39 seconds)

187. Medication-related medical emergency team activations: a case review study of frequency and preventability. | PSNet
     psnet.ahrq.gov/issue/medication-related-medical-emergency-team-activations-case-review-study-frequency-and
     October 27, 2021 - Study Medication-related medical emergency team activations: a case review study … Medication-related Medical Emergency Team activations: a case review study of frequency and preventability … Medication-related Medical Emergency Team activations: a case review study of frequency and preventability … Incidence, nature and causes of avoidable significant harm in primary care in England: retrospective case … 2011 Patient-related factors associated with an increased risk of being a reported case

188. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866163/psn-pdf
     June 19, 2024 - evaluation of ChatGPT in detecting diagnostic errors and their contributing factors: an analysis of 545 case … evaluation of ChatGPT in detecting diagnostic errors and their contributing factors: an analysis of 545 case … This study sought to evaluate ChatGPT's ability to identify diagnostic errors in case studies. … ChatGPT was able to identify diagnostic errors in 95% of the 545 case reports. … performance-evaluation-chatgpt-detecting-diagnostic-errors-and-their-contributing-factors https://psnet.ahrq.gov/issue/diagnostic-accuracy-large-language-model-pediatric-case-studies

189. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73116/psn-pdf
     April 07, 2021 - Communication on safe caregiving between community nurse case managers and family caregivers. … Communication on safe caregiving between community nurse case managers and family caregivers. … https://psnet.ahrq.gov/issue/communication-safe-caregiving-between-community-nurse-case-managers- and-family-caregivers … communication of safe family caregiving: communication-related aspects, professional skills of nurse case … https://psnet.ahrq.gov/issue/communication-safe-caregiving-between-community-nurse-case-managers-and-family-caregivers

190. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/853431/psn-pdf
     September 13, 2023 - Diagnostic errors in uncommon conditions: a systematic review of case reports of diagnostic errors. … Diagnostic errors in uncommon conditions: a systematic review of case reports of diagnostic errors. … https://psnet.ahrq.gov/issue/diagnostic-errors-uncommon-conditions-systematic-review-case-reports- diagnostic-errors … This article uses 560 case reports to classify contributing factors to diagnostic errors in rare conditions … https://psnet.ahrq.gov/issue/diagnostic-errors-uncommon-conditions-systematic-review-case-reports-diagnostic-errors

191. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837343/psn-pdf
     June 08, 2022 - Determining the skills needed by frontline NHS staff to deliver quality improvement: findings from six case … Determining the skills needed by frontline NHS staff to deliver quality improvement: findings from six case … psnet.ahrq.gov/issue/determining-skills-needed-frontline-nhs-staff-deliver-quality-improvement- findings-six-case … Using case studies and qualitative interviews, this study outlines six “socio-organisational functional … psnet.ahrq.gov/issue/determining-skills-needed-frontline-nhs-staff-deliver-quality-improvement-findings-six-case

192. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/854383/psn-pdf
     January 01, 2024 - A multisite case study. October 11, 2023 Liberati EG, Martin GP, Lamé G, et al. … A multisite case study. BMJ Qual Saf. 2024;33(3):156-165. doi:10.1136/bmjqs-2023-016042. … https://psnet.ahrq.gov/issue/what-can-safety-cases-offer-patient-safety-multisite-case-study “Safety … In this study, researchers use the “safety case” approach to evaluate the safety of the Safer Clinical … https://psnet.ahrq.gov/issue/what-can-safety-cases-offer-patient-safety-multisite-case-study https://

193. Spotlight-Slides-Wright-Schiff (pdf file)
     psnet.ahrq.gov/sites/default/files/2020-04/spotlight-slides-wright-schiff.pdf
     January 01, 2020 - E-prescribing Source and Credits • This presentation is based on the October 2019 AHRQ WebM&M Spotlight Case … systems • Describe interventions that can help mitigate errors associated with CPOE systems 3 Case … acute pulmonary embolism (PE), which was treated with rivaroxaban (a new oral anticoagulant). 4 Case … The prescriptions were filled by the pharmacy. 5 Case: Lost Start Date (3) Ten days later, the … 14 This Case • It is not clear if the pharmacy system in this case was the hospital's own internal

194. Sentinel events. In memory of Ben—a case study. | PSNet
     psnet.ahrq.gov/issue/sentinel-events-memory-ben-case-study
     July 01, 2016 - In memory of Ben—a case study. Citation Text: Haas D. Sentinel events. … In memory of Ben--a case study. Jt Comm Perspect. 1997;17(2):12-5. … In memory of Ben--a case study. Jt Comm Perspect. 1997;17(2):12-5.

195. Coupling policymaking with evaluation—the case of the opioid crisis. | PSNet
     psnet.ahrq.gov/issue/coupling-policymaking-evaluation-case-opioid-crisis
     September 29, 2017 - Commentary Coupling policymaking with evaluation—the case of the opioid crisis. … Coupling Policymaking with Evaluation - The Case of the Opioid Crisis. … Coupling Policymaking with Evaluation - The Case of the Opioid Crisis.

196. A case for improving measurement of intraoperative iatrogenic injuries. | PSNet
     psnet.ahrq.gov/issue/case-improving-measurement-intraoperative-iatrogenic-injuries
     February 14, 2017 - Commentary A case for improving measurement of intraoperative iatrogenic injuries … A case for improving measurement of intraoperative iatrogenic injuries. … A case for improving measurement of intraoperative iatrogenic injuries.

197. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/836824/psn-pdf
     March 30, 2022 - Collaborative case review: a systems-based approach to patient safety event investigation and analysis … Collaborative case review: a systems-based approach to patient safety event investigation and analysis … https://psnet.ahrq.gov/issue/collaborative-case-review-systems-based-approach-patient-safety-event- … This study assessed a system-based approach, (i.e., collaborative case reviews (CCR) co- led by radiology … https://psnet.ahrq.gov/issue/collaborative-case-review-systems-based-approach-patient-safety-event-investigation-and

198. Anchoring Bias With Critical Implications | PSNet
     psnet.ahrq.gov/web-mm/anchoring-bias-critical-implications
     June 15, 2022 - SPOTLIGHT CASE Anchoring Bias With Critical Implications Citation Text: Etchells … Case Objectives Appreciate that diagnostic errors are common in primary and ambulatory care. … In this case, a disconfirming clinician might ask "Is the other foot painful and numb?" … Teaching clinical reasoning: case-based and coached. Acad Med. 2010;85:1118-1124. … Sections Case Objectives The Case The Commentary References

199. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72843/psn-pdf
     March 17, 2021 - COVID-19 increased the risk of ICU-acquired bloodstream infections: a case-cohort study from the multicentric … COVID-19 increased the risk of ICU-acquired bloodstream infections: a case–cohort study from the multicentric … https://psnet.ahrq.gov/issue/covid-19-increased-risk-icu-acquired-bloodstream-infections-case-cohort- … In this prospective matched case-cohort study, researchers found that after 7 days in the intensive … https://psnet.ahrq.gov/issue/covid-19-increased-risk-icu-acquired-bloodstream-infections-case-cohort-study-multicentric

200. Acute Care Admission of the Behavioral Health Patient | PSNet
     psnet.ahrq.gov/web-mm/acute-care-admission-behavioral-health-patient
     July 19, 2023 - and the case managers. … This tragic case reflects both positives and negatives about our health care system. … Case Rep Gastroenterol. 2007;1:15-20. [go to PubMed] 7. … Clozapine withdrawal-emergent dystonias and dyskinesias: a case series. … Case report of withdrawal syndrome after olanzapine discontinuation.