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psnet.ahrq.gov/node/34582/psn-pdf
November 15, 2011 - Improving Health Care.
November 15, 2011
Schiff G
https://psnet.ahrq.gov/issue/improving-health-care
Quality and honesty play an influential role in the safety and cost of medical care. Gordon Schiff, the
director of clinical and quality research (Department of Medicine at Stoger Hospital, Chicago, Illinois),
exp…
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psnet.ahrq.gov/node/39906/psn-pdf
July 08, 2013 - Safe Site Invasive Procedure—Non-Operating Room.
July 8, 2013
Institute for Clinical Systems Improvement.
https://psnet.ahrq.gov/issue/safe-site-invasive-procedure-non-operating-room
This protocol is designed to protect against wrong-site incidents in ambulatory care and to improve team
communication and patient e…
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psnet.ahrq.gov/node/38066/psn-pdf
September 17, 2008 - New perspectives on error in critical care.
September 17, 2008
Patel VL, Cohen T. New perspectives on error in critical care. Curr Opin Crit Care. 2008;14(4):456-9.
doi:10.1097/MCC.0b013e32830634ae.
https://psnet.ahrq.gov/issue/new-perspectives-error-critical-care
This review article describes approaches to safety…
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psnet.ahrq.gov/node/33903/psn-pdf
November 28, 2018 - ECRI Guidelines Trust.
November 28, 2018
ECRI Institute.
https://psnet.ahrq.gov/issue/ecri-guidelines-trust
This website is a practical resource to review existing clinical practice guidelines in a centralized location.
Key components of the site include links to full-text guidelines and an assessment function tha…
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psnet.ahrq.gov/node/37999/psn-pdf
September 09, 2008 - Safety in obstetric critical care.
September 9, 2008
Scholefield H. Safety in obstetric critical care. Best Pract Res Clin Obstet Gynaecol. 2008;22(5):965-82.
doi:10.1016/j.bpobgyn.2008.06.009.
https://psnet.ahrq.gov/issue/safety-obstetric-critical-care
In the context of obstetric clinical care, this article revie…
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psnet.ahrq.gov/node/39449/psn-pdf
April 14, 2010 - Human Factors Engineering for Healthcare Applications.
April 14, 2010
Beuscart-Zéphir MC, Aarts J, Elkin P, eds. Intern J Med Inform. 2010;79:223-303, e1-e88.
https://psnet.ahrq.gov/issue/human-factors-engineering-healthcare-applications
This special issue contains articles on human factors engineering and i…
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psnet.ahrq.gov/perspective/conversation-john-halamka-md-ms
March 27, 2024 - RW : A lot of what you're talking about depends on data moving around from your hospital to your clinic
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psnet.ahrq.gov/perspective/role-patient-facing-technologies-empower-patients-and-improve-safety
November 01, 2017 - The Role of Patient-facing Technologies to Empower Patients and Improve Safety
Ronen Rozenblum, MD, MPH, and David Bates, MD, MS | November 1, 2017
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Rozenblum R, Bates DW. The Role…
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psnet.ahrq.gov/web-mm/defensive-medicine-glowing-pain
November 01, 2012 - Defensive Medicine: "Glowing" with Pain
Citation Text:
Sethi MK. Defensive Medicine: "Glowing" with Pain. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML E…
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psnet.ahrq.gov/web-mm/wrong-turn-through-colon-misplaced-peg
May 01, 2017 - Wrong Turn through Colon: Misplaced PEG
Citation Text:
Sorokin R, Conn M. Wrong Turn through Colon: Misplaced PEG. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012.
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psnet.ahrq.gov/web-mm/liver-failure-after-chemotherapy-did-we-forget-something
May 01, 2019 - Liver Failure After Chemotherapy: Did We Forget Something?
Citation Text:
Lubel J. Liver Failure After Chemotherapy: Did We Forget Something?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011.
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Format:
G…
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psnet.ahrq.gov/web-mm/abdominal-aortic-aneurysm-screening
October 01, 2011 - SPOTLIGHT CASE
Abdominal Aortic Aneurysm Screening
Citation Text:
Jim J. Abdominal Aortic Aneurysm Screening. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018.
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psnet.ahrq.gov/node/49545/psn-pdf
September 01, 2007 - Coming Undone: Failure of Closure Device
September 1, 2007
Baez-Escudero JL, Levine GN. Coming Undone: Failure of Closure Device. PSNet [internet]. 2007.
https://psnet.ahrq.gov/web-mm/coming-undone-failure-closure-device
The Case
A 65-year-old man underwent coronary angiography because of atypical exertional chest…
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psnet.ahrq.gov/web-mm/lost-sign-out-and-documentation
January 31, 2011 - Lost in Sign Out and Documentation
Citation Text:
Detsky ME. Lost in Sign Out and Documentation. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016.
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Format:
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psnet.ahrq.gov/node/49664/psn-pdf
January 01, 2013 - Empty Handoff
September 1, 2012
Goldman A, Catchpole K. Empty Handoff. PSNet [internet]. 2012.
https://psnet.ahrq.gov/web-mm/empty-handoff
The Case
A 29-year-old man with "brittle diabetes" was admitted to the surgery service for incision and drainage of a
leg wound. The patient's medical history included chronic…
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psnet.ahrq.gov/node/846770/psn-pdf
March 29, 2023 - Procedure Complications – Who is Responsible for
Follow up?
March 29, 2023
Chalupsky M, Wei H, Marquet E. Procedure Complications – Who is Responsible for Follow up? PSNet
[internet]. 2023.
https://psnet.ahrq.gov/web-mm/procedure-complications-who-responsible-follow
The Case
A 74-year-old man with newly diagnose…
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psnet.ahrq.gov/node/49795/psn-pdf
June 01, 2017 - The Perils of Contrast Media
June 1, 2017
Sadat U, Solomon R. The Perils of Contrast Media. PSNet [internet]. 2017.
https://psnet.ahrq.gov/web-mm/perils-contrast-media
Case Objectives
Recognize that contrast media are potentially nephrotoxic.
Identify key risk factors for the development of contrast-induced kidne…
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psnet.ahrq.gov/node/34944/psn-pdf
March 04, 2011 - EU to tackle issue of patient safety.
March 4, 2011
Watson R. EU to tackle issue of patient safety. BMJ (Clinical research ed.). 2005;330(7496):866.
https://psnet.ahrq.gov/issue/eu-tackle-issue-patient-safety
This news extra from the British Medical Journal reports that European governments and health
professional…
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psnet.ahrq.gov/node/40701/psn-pdf
August 17, 2011 - Evaluating safety and competency at the bedside.
August 17, 2011
Kaplan T, Pilcher J. Evaluating safety and competency at the bedside. J Nurses Staff Dev. 2011;27(4):187-
90. doi:10.1097/NND.0b013e3182236634.
https://psnet.ahrq.gov/issue/evaluating-safety-and-competency-bedside
This article describes an intensive …
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psnet.ahrq.gov/node/38381/psn-pdf
September 29, 2017 - Framework for patient safety research and improvement.
September 29, 2017
Pronovost P, Goeschel CA, Marsteller JA, et al. Framework for patient safety research and improvement.
Circulation. 2009;119(2):330-7. doi:10.1161/CIRCULATIONAHA.107.729848.
https://psnet.ahrq.gov/issue/framework-patient-safety-research-and-i…