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5661. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49391/psn-pdf
      February 01, 2003 - When "Psychiatric" Symptoms Are Not February 1, 2003 Goldberg RJ. When "Psychiatric" Symptoms Are Not. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/when-psychiatric-symptoms-are-not The Case A 70-year-old man without documented past psychiatric history was placed on an involuntary hold as a danger to oth…

5662. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33813/psn-pdf
      August 01, 2016 - Safety In Dentistry August 1, 2016 Ramoni R, Walji MF, Kalenderian E. Safety In Dentistry. PSNet [internet]. 2016. https://psnet.ahrq.gov/perspective/safety-dentistry Perspective In a famous scene from the 1976 film, Marathon Man, Laurence Olivier, playing dentist Dr. Christian Szell tortures Babe Levy (played by…

5663. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/853772/psn-pdf
      September 27, 2023 - Insulin Administration: Pen vs Vial – Similar, but Not Interchangeable September 27, 2023 Camarillo H. Insulin Administration: Pen vs Vial – Similar, but Not Interchangeable. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/insulin-administration-pen-vs-vial-similar-not-interchangeable The Case A fourteen-ye…

5664. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49851/psn-pdf
      January 01, 2019 - One Bronchoscopy, Two Errors January 1, 2019 Leiten E, Nielsen R. One Bronchoscopy, Two Errors. PSNet [internet]. 2019. https://psnet.ahrq.gov/web-mm/one-bronchoscopy-two-errors The Case A 67-year-old man with a history of hypertension was admitted to the intensive care unit (ICU) with hypoxic respiratory failure…

5665. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33630/psn-pdf
      March 01, 2006 - Team Training: Classroom Training vs. High-Fidelity Simulation March 1, 2006 Pratt SD, PSachs B. Team Training: Classroom Training vs. High-Fidelity Simulation. PSNet [internet]. 2006. https://psnet.ahrq.gov/perspective/team-training-classroom-training-vs-high-fidelity-simulation Point–Counterpoint Editor's Note…

5666. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49683/psn-pdf
      April 01, 2013 - Acute Care Admission of the Behavioral Health Patient April 1, 2013 Weiss AP, Rosenbaum JF. Acute Care Admission of the Behavioral Health Patient. PSNet [internet]. 2013. https://psnet.ahrq.gov/web-mm/acute-care-admission-behavioral-health-patient The Case A 25-year-old man presented to the emergency department (E…

5667. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33745/psn-pdf
      February 01, 2013 - Patient Engagement and Patient Safety February 1, 2013 Weingart SN. Patient Engagement and Patient Safety. PSNet [internet]. 2013. https://psnet.ahrq.gov/perspective/patient-engagement-and-patient-safety Perspective Patient engagement has arrived at the station. A Google search of this phrase identified 335,000 hi…

5668. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49724/psn-pdf
      January 01, 2015 - Bowel Injury After Laparoscopic Surgery January 1, 2015 Moorthy K. Bowel Injury After Laparoscopic Surgery. PSNet [internet]. 2015. https://psnet.ahrq.gov/web-mm/bowel-injury-after-laparoscopic-surgery The Case A 30-year-old man presented to the hospital for a scheduled laparoscopic inguinal hernia repair with mes…

5669. 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…

5670. Near Miss With Neonate | PSNet
      psnet.ahrq.gov/web-mm/near-miss-neonate
      August 15, 2018 - Near Miss With Neonate Citation Text: Malana J, Lyndon A. Near Miss With Neonate. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tag…

5671. Systems Approach | PSNet
      psnet.ahrq.gov/primer/systems-approach
      June 15, 2024 - Systems Approach Citation Text: Systems Approach. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Downl…

5672. Looking for Meds in All the Wrong Places | PSNet
      psnet.ahrq.gov/web-mm/looking-meds-all-wrong-places
      June 16, 2021 - Looking for Meds in All the Wrong Places Citation Text: Manias E. Looking for Meds in All the Wrong Places. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML…

5673. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49788/psn-pdf
      March 01, 2017 - Correct Treatment Plan for Incorrect Diagnosis: A Pharmacist Intervention March 1, 2017 Nelson SD. Correct Treatment Plan for Incorrect Diagnosis: A Pharmacist Intervention. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/correct-treatment-plan-incorrect-diagnosis-pharmacist-intervention The Case A 48-year…

5674. Fumbled Handoff | PSNet
      psnet.ahrq.gov/web-mm/fumbled-handoff
      September 01, 2006 - Fumbled Handoff Citation Text: Vidyarthi A. Fumbled Handoff. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

5675. In Conversation with…Robert M. Wachter, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-withrobert-m-wachter-md
      October 01, 2008 - My concern is that, for the policy to be appropriate and just, the events really do need to be preventable

5676. In Conversation with...Allan Frankel, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-withallan-frankel-md
      July 01, 2006 - In Conversation with...Allan Frankel, MD July 1, 2006  Also Read an Essay Citation Text: In Conversation with..Allan Frankel, MD. PSNet [internet]. 2006.In Conversation with...Allan Frankel, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and …

5677. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837784/psn-pdf
      August 05, 2022 - This particular app came up as a concern because they were using a very nontraditional technique of

5678. In Conversation with...Lucian Leape, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-withlucian-leape-md
      August 01, 2006 - In Conversation with...Lucian Leape, MD August 1, 2006  Also Read an Essay Citation Text: In Conversation with..Lucian Leape, MD. PSNet [internet]. 2006.In Conversation with...Lucian Leape, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Q…

5679. Building Capacity for Patient Safety | PSNet
      psnet.ahrq.gov/perspective/building-capacity-patient-safety
      July 31, 2023 - staff is key. 3 Another challenge that organizations may face when sharing lessons learned is the concern

5680. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33608/psn-pdf
      February 01, 2024 - Maternal Safety January 31, 2024 Shauer M, Nichols A, Lyndon A. Maternal Safety. PSNet [internet]. 2024. https://psnet.ahrq.gov/primer/maternal-safety Originally published in 2018 by researchers at the University of California, San Francisco. Updated in February 2024 by Marla Shauer, PhD(c), MSN, CNM, Amy Nichols,…