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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33933/psn-pdf
    March 02, 2011 - Patient safety and medical malpractice: a case study. March 2, 2011 Brennan TA, Mello MM. … Patient safety and medical malpractice: a case study. Ann Intern Med. 2003;139(4):267-73. … https://psnet.ahrq.gov/issue/patient-safety-and-medical-malpractice-case-study This case study discusses … defendant-physician and her attorney share their perspectives through the presentation of a specific case … https://psnet.ahrq.gov/issue/patient-safety-and-medical-malpractice-case-study
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40009/psn-pdf
    November 26, 2014 - Measuring faculty reflection on adverse patient events: development and initial validation of a case-based … Measuring faculty reflection on adverse patient events: development and initial validation of a case-based … psnet.ahrq.gov/issue/measuring-faculty-reflection-adverse-patient-events-development-and-initial- validation-case … This study describes the development and pilot testing of a case-based system to encourage and measure … psnet.ahrq.gov/issue/measuring-faculty-reflection-adverse-patient-events-development-and-initial-validation-case
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45046/psn-pdf
    July 05, 2016 - Diagnosing sepsis is subjective and highly variable: a survey of intensivists using case vignettes. … Diagnosing sepsis is subjective and highly variable: a survey of intensivists using case vignettes. … //psnet.ahrq.gov/issue/diagnosing-sepsis-subjective-and-highly-variable-survey-intensivists-using- case-vignettes … Using case vignettes, this survey of intensivists found substantial variation in accurately diagnosing … https://psnet.ahrq.gov/issue/diagnosing-sepsis-subjective-and-highly-variable-survey-intensivists-using-case-vignettes
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42806/psn-pdf
    January 19, 2014 - Case studies of patient safety research classics to build research capacity in low- and middle-income … Case studies of patient safety research classics to build research capacity in low- and middle-income … https://psnet.ahrq.gov/issue/case-studies-patient-safety-research-classics-build-research-capacity-low-and … safety research publications along with comments by their lead authors to serve as engaging didactic case … https://psnet.ahrq.gov/issue/case-studies-patient-safety-research-classics-build-research-capacity-low-and-middle-income
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45383/psn-pdf
    August 31, 2016 - Case report of a medication error: in the eye of the beholder. … Case report of a medication error. … https://psnet.ahrq.gov/issue/case-report-medication-error-eye-beholder Look-alike drug names or packaging … This case discussion reviews an error in the community setting involving a nonocular medication mistakenly … https://psnet.ahrq.gov/issue/case-report-medication-error-eye-beholder https://psnet.ahrq.gov/issue/drug-labeling-and-packaging-looking-beyond-what-meets-eye
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33890/psn-pdf
    January 04, 2017 - The faces of errors: a case-based approach to educating providers, policy makers, and the public about … The faces of errors: a case-based approach to educating providers, policymakers, and the public about … https://psnet.ahrq.gov/issue/faces-errors-case-based-approach-educating-providers-policy-makers-and- … public-about-patient The development of a case-based approach to educate patients and providers about … https://psnet.ahrq.gov/issue/faces-errors-case-based-approach-educating-providers-policy-makers-and-public-about-patient
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45325/psn-pdf
    April 08, 2018 - Diagnosis is a team sport—partnering with allied health professionals to reduce diagnostic errors: a case … Diagnosis is a team sport - partnering with allied health professionals to reduce diagnostic errors: A case … psnet.ahrq.gov/issue/diagnosis-team-sport-partnering-allied-health-professionals-reduce-diagnostic- errors-case … This case study describes five cases of dizziness, each incorrectly diagnosed by a physician and subsequently … psnet.ahrq.gov/issue/diagnosis-team-sport-partnering-allied-health-professionals-reduce-diagnostic-errors-case
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49735/psn-pdf
    June 01, 2015 - https://psnet.ahrq.gov/web-mm/anchoring-bias-critical-implications Case Objectives Appreciate that … The Case A 61-year-old man with a history of stroke initially presented to his primary care physician … In this case, a disconfirming clinician might ask "Is the other foot painful and numb?" … New England Journal of Medicine when key words from the case were selected by an internist. … Teaching clinical reasoning: case-based and coached. Acad Med. 2010;85:1118-1124.
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46113/psn-pdf
    July 12, 2017 - Optimizing a Business Case for Safe Health Care: An Integrated Approach to Safety and Finance. … https://psnet.ahrq.gov/issue/optimizing-business-case-safe-health-care-integrated-approach-safety-and … This toolkit provides strategies for health care leaders to develop a business case for patient safety … https://psnet.ahrq.gov/issue/optimizing-business-case-safe-health-care-integrated-approach-safety-and-finance … https://psnet.ahrq.gov/issue/optimizing-business-case-safe-health-care-integrated-approach-safety-and-finance
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34761/psn-pdf
    November 15, 2016 - The Girl Who Died Twice: Every Patient's Nightmare: the Libby Zion Case and the Hidden Hazards of Hospitals …   https://psnet.ahrq.gov/issue/girl-who-died-twice-every-patients-nightmare-libby-zion-case-and-hidden … The book is an interesting and engaging account of a case and its aftermath, including the highly publicized … The book provides an important historical context for this case and the debate surrounding it, the implications … https://psnet.ahrq.gov/issue/girl-who-died-twice-every-patients-nightmare-libby-zion-case-and-hidden-hazards-hospitals
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46357/psn-pdf
    May 17, 2018 - Safe labeling practices to minimize medication errors in anesthesia: 5 case reports and review of the … https://psnet.ahrq.gov/issue/safe-labeling-practices-minimize-medication-errors-anesthesia-5-case-reports … This commentary uses case examples to illustrate how incorrect or incomplete labeling can affect care … https://psnet.ahrq.gov/issue/safe-labeling-practices-minimize-medication-errors-anesthesia-5-case-reports-and-review … https://psnet.ahrq.gov/issue/safe-labeling-practices-minimize-medication-errors-anesthesia-5-case-reports-and-review
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35909/psn-pdf
    October 07, 2008 - Committed to Safety: Ten Case Studies on Reducing Harm to Patients. … https://psnet.ahrq.gov/issue/committed-safety-ten-case-studies-reducing-harm-patients This report presents … ten case studies to illustrate interventions that address prominent and targeted areas for patient … The authors also published an article about case studies in safety improvement. … https://psnet.ahrq.gov/issue/committed-safety-ten-case-studies-reducing-harm-patients https://psnet.ahrq.gov
  13. Rule 1 Test Cases (xls file)

    cds.ahrq.gov/sites/default/files/cds/artifact/27811/Test-Cases.xlsx
    October 28, 2021 - Rule 1 Test Cases Test Cases Rule to Test Patient Name Specific Situation Age Current Asthma Med 1 Medications are FHIR MedicationRequest resources unless noted as a MedicationStatement resource with an appended "(S)" Current Asthma Med 2 Medications are FHIR MedicationRequest resources unless noted as a MedicationSt…
  14. Rule 1 Test Cases (xls file)

    cds.ahrq.gov/sites/default/files/cds/artifact/27801/Test-Cases.xlsx
    October 28, 2021 - Rule 1 Test Cases Test Cases Rule to Test Patient Name Specific Situation Age Current Asthma Med 1 Medications are FHIR MedicationRequest resources unless noted as a MedicationStatement resource with an appended "(S)" Current Asthma Med 2 Medications are FHIR MedicationRequest resources unless noted as a MedicationSt…
  15. Rule 1 Test Cases (xls file)

    cds.ahrq.gov/sites/default/files/cds/artifact/27796/Test-Cases.xlsx
    October 28, 2021 - Rule 1 Test Cases Test Cases Rule to Test Patient Name Specific Situation Age Current Asthma Med 1 Medications are FHIR MedicationRequest resources unless noted as a MedicationStatement resource with an appended "(S)" Current Asthma Med 2 Medications are FHIR MedicationRequest resources unless noted as a MedicationSt…
  16. Rule 1 Test Cases (xls file)

    cds.ahrq.gov/sites/default/files/cds/artifact/27781/Test-Cases.xlsx
    October 28, 2021 - Rule 1 Test Cases Test Cases Rule to Test Patient Name Specific Situation Age Current Asthma Med 1 Medications are FHIR MedicationRequest resources unless noted as a MedicationStatement resource with an appended "(S)" Current Asthma Med 2 Medications are FHIR MedicationRequest resources unless noted as a MedicationSt…
  17. Rule 1 Test Cases (xls file)

    cds.ahrq.gov/sites/default/files/cds/artifact/27806/Test-Cases.xlsx
    October 28, 2021 - Rule 1 Test Cases Test Cases Rule to Test Patient Name Specific Situation Age Current Asthma Med 1 Medications are FHIR MedicationRequest resources unless noted as a MedicationStatement resource with an appended "(S)" Current Asthma Med 2 Medications are FHIR MedicationRequest resources unless noted as a MedicationSt…
  18. Rule 1 Test Cases (xls file)

    cds.ahrq.gov/sites/default/files/cds/artifact/27816/Test-Cases.xlsx
    October 28, 2021 - Rule 1 Test Cases Test Cases Rule to Test Patient Name Specific Situation Age Current Asthma Med 1 Medications are FHIR MedicationRequest resources unless noted as a MedicationStatement resource with an appended "(S)" Current Asthma Med 2 Medications are FHIR MedicationRequest resources unless noted as a MedicationSt…
  19. Rule 1 Test Cases (xls file)

    cds.ahrq.gov/sites/default/files/cds/artifact/27771/Test-Cases.xlsx
    October 28, 2021 - Rule 1 Test Cases Test Cases Rule to Test Patient Name Specific Situation Age Current Asthma Med 1 Medications are FHIR MedicationRequest resources unless noted as a MedicationStatement resource with an appended "(S)" Current Asthma Med 2 Medications are FHIR MedicationRequest resources unless noted as a MedicationSt…
  20. Rule 1 Test Cases (xls file)

    cds.ahrq.gov/sites/default/files/cds/artifact/27776/Test-Cases.xlsx
    October 28, 2021 - Rule 1 Test Cases Test Cases Rule to Test Patient Name Specific Situation Age Current Asthma Med 1 Medications are FHIR MedicationRequest resources unless noted as a MedicationStatement resource with an appended "(S)" Current Asthma Med 2 Medications are FHIR MedicationRequest resources unless noted as a MedicationSt…