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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33839/psn-pdf
    August 01, 2017 - In Conversation With… Karl Bilimoria, MD, MS August 1, 2017 In Conversation With… Karl Bilimoria, MD, MS. PSNet [internet]. 2017. https://psnet.ahrq.gov/perspective/conversation-karl-bilimoria-md-ms Editor's note: Dr. Bilimoria is the Director of the Surgical Outcomes and Quality Improvement Center of Northwester…
  2. psnet.ahrq.gov/perspective/conversation-ann-l-hendrich-rn-phd
    February 26, 2025 - In Conversation With… Ann L. Hendrich, RN, PhD December 1, 2011  Citation Text: In Conversation With… Ann L. Hendrich, RN, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011. Copy Cita…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49816/psn-pdf
    January 01, 2018 - A Painful Medication Reconciliation Mishap January 1, 2018 Chou R. A Painful Medication Reconciliation Mishap. PSNet [internet]. 2018. https://psnet.ahrq.gov/web-mm/painful-medication-reconciliation-mishap Case Objectives Recognize that substance use disorders are common in patients with acute pain. Understand th…
  4. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.101_slideshow.ppt
    July 01, 2005 - Spotlight Case [MONTH] 2003 Spotlight Case July 2005 Impatient Inpatient Dosing Source and Credits This presentation is based on the July 2005 AHRQ WebM&M Spotlight Case in Medicine See the full article at http://webmm.ahrq.gov CME credit is available through the Web site Commentary by: Richard H. White…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49516/psn-pdf
    August 01, 2006 - Physical Diagnosis: A Lost Art? August 1, 2006 Thompson GR, Verghese A. Physical Diagnosis: A Lost Art? PSNet [internet]. 2006. https://psnet.ahrq.gov/web-mm/physical-diagnosis-lost-art Case Objectives Appreciate the decline in proficiency and reliance on physical examination skills among health care providers. …
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33885/psn-pdf
    August 01, 2019 - In Conversation With… Susan Smith, MD August 1, 2019 In Conversation With… Susan Smith, MD. PSNet [internet]. 2019. https://psnet.ahrq.gov/perspective/conversation-susan-smith-md Editor's note: Dr. Smith, a family medicine physician, is chief faculty practices officer for UCSF Health. Over the past 3–4 years, the …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33822/psn-pdf
    January 01, 2017 - In Conversation With… Paul H. O'Neill, MPA January 1, 2017 In Conversation With… Paul H. O'Neill, MPA. PSNet [internet]. 2017. https://psnet.ahrq.gov/perspective/conversation-paul-h-oneill-mpa Editor's note: Mr. O'Neill served as the United States Secretary of the Treasury under President George W. Bush and, prio…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49498/psn-pdf
    January 01, 2006 - An Ounce of Prevention January 1, 2006 Kucher N. An Ounce of Prevention. PSNet [internet]. 2006. https://psnet.ahrq.gov/web-mm/ounce-prevention Case Objectives Assess risk for venous thromboembolism (VTE) in hospitalized patients List recommended strategies for VTE prevention for various risk groups Identify pat…
  9. psnet.ahrq.gov/issue/more-750-hospitals-face-medicare-crackdown-patient-injuries
    June 27, 2018 - Newspaper/Magazine Article More than 750 hospitals face Medicare crackdown on patient injuries. Citation Text: More than 750 hospitals face Medicare crackdown on patient injuries. Rau J. Kaiser Health News. June 22, 2014. Copy Citation Save Save to your library …
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39729/psn-pdf
    September 20, 2011 - Contextual errors and failures in individualizing patient care: a multicenter study. September 20, 2011 Weiner SJ, Schwartz A, Weaver FM, et al. Contextual errors and failures in individualizing patient care: a multicenter study. Ann Intern Med. 2010;153(2):69-75. doi:10.7326/0003-4819-153-2-201007200-00002. https…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39314/psn-pdf
    December 21, 2014 - Patient characteristics and the occurrence of never events. December 21, 2014 Fry DE, Pine M, Jones BL, et al. Patient characteristics and the occurrence of never events. Arch Surg. 2010;145(2):148-51. doi:10.1001/archsurg.2009.277. https://psnet.ahrq.gov/issue/patient-characteristics-and-occurrence-never-events …
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46615/psn-pdf
    January 23, 2019 - The surgical safety checklist and patient outcomes after surgery: a prospective observational cohort study, systematic review and meta-analysis. January 23, 2019 Abbott TEF, Ahmad T, Phull MK, et al. The surgical safety checklist and patient outcomes after surgery: a prospective observational cohort study, systema…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41317/psn-pdf
    January 31, 2013 - Variation in 17 obstetric care pathways: potential danger for health professionals and patient safety? January 31, 2013 Sarrechia M, Van Gerven E, Hermans L, et al. Variation in 17 obstetric care pathways: potential danger for health professionals and patient safety? J Adv Nurs. 2013;69(2):278-85. doi:10.1111/j.136…
  14. psnet.ahrq.gov/web-mm/infection-after-carpal-tunnel-surgery
    May 28, 2014 - Assess urgency if symptoms suggest a potential complication and require prompt attention such as wound
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37756/psn-pdf
    December 15, 2008 - Do the AHRQ Patient Safety Indicators flag conditions that are present at the time of hospital admission? December 15, 2008 Bahl V, Thompson MA, Kau T-Y, et al. Do the AHRQ patient safety indicators flag conditions that are present at the time of hospital admission? Med Care. 2008;46(5):516-22. doi:10.1097/MLR.0b0…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44056/psn-pdf
    May 19, 2018 - Impact of inpatient harms on hospital finances and patient clinical outcomes. May 19, 2018 Adler L, Yi D, Li M, et al. Impact of Inpatient Harms on Hospital Finances and Patient Clinical Outcomes. J Patient Saf. 2018;14(2):67-73. doi:10.1097/PTS.0000000000000171. https://psnet.ahrq.gov/issue/impact-inpatient-harms…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39231/psn-pdf
    January 13, 2010 - The Checklist Manifesto: How to Get Things Right. January 13, 2010 Gawande A. New York, NY: Metropolitan Books; 2009. ISBN: 9780805091748. https://psnet.ahrq.gov/issue/checklist-manifesto-how-get-things-right Harvard surgeon Atul Gawande has emerged as this generation's preeminent physician–author, through his art…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33665/psn-pdf
    March 01, 2008 - During our first year, when use of the MPS was elective, we utilized these data to demonstrate that complication
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42454/psn-pdf
    September 09, 2013 - A perinatal care quality and safety initiative: are there financial rewards for improved quality? September 9, 2013 Kozhimannil KB, Sommerness SA, Rauk P, et al. A perinatal care quality and safety initiative: are there financial rewards for improved quality? Jt Comm J Qual Patient Saf. 2013;39(8):339-48. https://…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46307/psn-pdf
    August 20, 2018 - Post-operative mortality, missed care and nurse staffing in nine countries: a cross-sectional study. August 20, 2018 Ball JE, Bruyneel L, Aiken LH, et al. Post-operative mortality, missed care and nurse staffing in nine countries: A cross-sectional study. Int J Nurs Stud. 2018;78:10-15. doi:10.1016/j.ijnurstu.2017.…

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