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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49842/psn-pdf
    September 01, 2018 - The Wrong Blade: A Lack of Familiarity With Pediatric Emergency Equipment September 1, 2018 Katznelson J. The Wrong Blade: A Lack of Familiarity With Pediatric Emergency Equipment. PSNet [internet]. 2018. https://psnet.ahrq.gov/web-mm/wrong-blade-lack-familiarity-pediatric-emergency-equipment The Case As part of…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49577/psn-pdf
    January 01, 2009 - Are Two Insulin Pumps Better Than One? January 1, 2009 Cook CB. Are Two Insulin Pumps Better Than One? PSNet [internet]. 2009. https://psnet.ahrq.gov/web-mm/are-two-insulin-pumps-better-one The Case A 62-year-old man with type 1 diabetes mellitus was admitted to the hospital for coronary artery bypass graft surge…

  3. Topics | PSNet

    psnet.ahrq.gov/topics-0
    March 03, 2025 - Topics Guides for key topics in patient safety through context, epidemiology, and relevant AHRQ PSNet content. The Patient Safety 101 Primer provides an overview of the patient safety field and covers key definitions and concepts. Featured Topics in Patient Safety Updated Date: March 3, 2025 …

  4. Optimizing Medication Reconciliation and Transitions of Care: Insights from a Pharmacist and Pharmacy Technician. | PSNet

    psnet.ahrq.gov/issue/optimizing-medication-reconciliation-and-transitions-care-insights-pharmacist-and-pharmacy
    July 25, 2023 - International Meeting/Conference Optimizing Medication Reconciliation and Transitions of Care: Insights from a Pharmacist and Pharmacy Technician. Citation Text: Health Quality Institute. July 12, 2023, 2:00-3:00 PM (eastern). Copy Citation Save Save to your lib…

  5. Fatigue and risk: are train drivers safer than doctors? | PSNet

    psnet.ahrq.gov/issue/fatigue-and-risk-are-train-drivers-safer-doctors
    September 03, 2016 - Commentary Fatigue and risk: are train drivers safer than doctors? Citation Text: Fatigue and risk: are train drivers safer than doctors? BMJ. 2017;359:j5107. doi:10.1136/bmj.j5107. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote …

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49617/psn-pdf
    January 01, 2011 - Failure to Reevaluate December 1, 2010 Wong-Beringer A. Failure to Reevaluate. PSNet [internet]. 2010. https://psnet.ahrq.gov/web-mm/failure-reevaluate The Case A 61-year-old woman receiving palliative chemotherapy for non–small-cell lung cancer at a community hospital developed methicillin-resistant staphylococc…

  7. Periodic Issue | PSNet

    psnet.ahrq.gov/periodic-issue/periodic-issue-447
    July 10, 2024 - July 10, 2024 Weekly Issue PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient safety literature, news, conferences, reports, …

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49719/psn-pdf
    September 01, 2014 - No BP During NIBP September 1, 2014 Görges M, Ansermino MJ. No BP During NIBP. PSNet [internet]. 2014. https://psnet.ahrq.gov/web-mm/no-bp-during-nibp The Case An otherwise healthy 49-year-old man with atrial fibrillation was scheduled for ablation in the catheterization laboratory under general endotracheal anes…

  9. Perspectives

    psnet.ahrq.gov/perspectives
    May 01, 2021 - Perspectives on Safety Our Perspectives on Safety section features expert viewpoints on current themes in patient safety, including interviews and written essays published monthly. Annual Perspectives highlight vital and emerging patient safety topics. Pod…

  10. Curated Article Libraries | PSNet

    psnet.ahrq.gov/curated-article-libraries
    March 18, 2025 - Curated Libraries Curated Libraries are groupings of PSNet content, curated by AHRQ and by other experts in the patient safety field. Watch the video to learn more about how this new feature works and how it can be of benefit to you. Latest PSNet…

  11. Diagnostic Errors Case Studies | PSNet

    psnet.ahrq.gov/curated-library/diagnostic-errors-case-studies
    March 31, 2025 - Breadcrumb Home The PSNet Collection Curated Libraries Subscribed Diagnostic Errors Case Studies  Download  Share Facebook Twitter Linkedin Copy URL Subscribe Created By: Maria Mirica, PRIDE Group …

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49413/psn-pdf
    September 01, 2003 - Did We Forget Something? September 1, 2003 Gibbs VC. Did We Forget Something? PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/did-we-forget-something The Case A 76-year-old-man underwent right aorto-iliac aneurysm repair. He developed postoperative fever, initially attributed to ventilator-associated pneumo…

  13. Health Care at the Crossroads: Strategies for Improving the Medical Liability System and Preventing Patient Injury. | PSNet

    psnet.ahrq.gov/issue/health-care-crossroads-strategies-improving-medical-liability-system-and-preventing-patient
    September 07, 2005 - Book/Report Health Care at the Crossroads: Strategies for Improving the Medical Liability System and Preventing Patient Injury. Citation Text: Oakbrook Terrace, IL: Joint Commission on Accreditation of Healthcare Organizations; 2005. Copy Citation Save Save to y…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853080/psn-pdf
    August 30, 2023 - Virtual Nursing: Improving Patient Care and Meeting Workforce Challenges August 30, 2023 Sanford K, Schuelke S, Lee M, et al. Virtual Nursing: Improving Patient Care and Meeting Workforce Challenges. PSNet [internet]. 2023. https://psnet.ahrq.gov/perspective/virtual-nursing-improving-patient-care-and-meeting-workf…

  15. The Forgotten Drip | PSNet

    psnet.ahrq.gov/web-mm/forgotten-drip
    April 01, 2014 - The Forgotten Drip Citation Text: Josephson AS. The Forgotten Drip. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId R…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49507/psn-pdf
    April 01, 2006 - Is the "Surgical Personality" a Threat to Patient Safety? April 1, 2006 Bosk CL. Is the "Surgical Personality" a Threat to Patient Safety? PSNet [internet]. 2006. https://psnet.ahrq.gov/web-mm/surgical-personality-threat-patient-safety Case Objectives Describe the myth of the "surgical personality" Identify featu…

  17. On O.R. Off? | PSNet

    psnet.ahrq.gov/web-mm/or
    August 22, 2013 - On O.R. Off? Citation Text: Leonard M. On O.R. Off?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Do…

  18. Risky Business: Navigating a Shifting Health Care Landscape. | PSNet

    psnet.ahrq.gov/issue/risky-business-navigating-shifting-health-care-landscape
    December 22, 2021 - Meeting/Conference Proceedings Risky Business: Navigating a Shifting Health Care Landscape. Citation Text: Boston Children’s Hospital. April 15, 2021.  Copy Citation Save Save to your library Print Share Facebook Twitter Linke…

  19. Putting safety on the curriculum. | PSNet

    psnet.ahrq.gov/issue/putting-safety-curriculum
    February 10, 2010 - Newspaper/Magazine Article Putting safety on the curriculum. Citation Text: Ellis O. Putting safety on the curriculum. BMJ (Clinical research ed.). 2009;339:b3725. doi:10.1136/bmj.b3725. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML E…

  20. Communication of medical product risk: how effective is effective enough? | PSNet

    psnet.ahrq.gov/issue/communication-medical-product-risk-how-effective-effective-enough
    January 17, 2007 - Review Communication of medical product risk: how effective is effective enough? Citation Text: Goldman SA. Communication of medical product risk: how effective is effective enough? Drug Saf. 2004;27(8):519-34. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 …
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