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  1. WebM&M Cases & Commentaries | PSNet

    psnet.ahrq.gov/Webmm
    May 01, 2021 - WebM&M Cases & Commentaries WebM&M (Morbidity & Mortality Rounds on the Web) features expert analysis of medical errors reported anonymously by our readers. Spotlight Cases include interactive learning modules available for CME. Commentaries are written by…

  2. Webmm

    psnet.ahrq.gov/webmm
    May 01, 2021 - WebM&M Cases & Commentaries WebM&M (Morbidity & Mortality Rounds on the Web) features expert analysis of medical errors reported anonymously by our readers. Spotlight Cases include interactive learning modules available for CME. Commentaries are written by…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60220/psn-pdf
    April 29, 2020 - Implicit Biases, Interprofessional Communication, and Power Dynamics April 29, 2020 Sanchez ES, Tran-Reina M, Ackerman-Barger K, et al. Implicit Biases, Interprofessional Communication, and Power Dynamics. PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/implicit-biases-interprofessional-communication-and-pow…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/864867/psn-pdf
    April 10, 2024 - Hindsight is 20/20: Thrombolytics for Alcohol Intoxication April 10, 2024 Hindsight is 20/20: Thrombolytics for Alcohol Intoxication. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/hindsight-2020-thrombolytics-alcohol-intoxication Disclosure of Relevant Financial Relationships: As a provider accredited by th…

  5. A Postpartum Woman with an Erroneous SARS-CoV-2 Test | PSNet

    psnet.ahrq.gov/web-mm/postpartum-woman-erroneous-sars-cov-2-test
    December 23, 2020 - A Postpartum Woman with an Erroneous SARS-CoV-2 Test Citation Text: Martin SA, Kanjilal S, Schiff G. A Postpartum Woman with an Erroneous SARS-CoV-2 Test. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2021. Copy Citation Forma…

  6. Interpreting the Patient Safety Literature | PSNet

    psnet.ahrq.gov/perspective/interpreting-patient-safety-literature
    June 01, 2005 - Interpreting the Patient Safety Literature Kaveh G. Shojania, MD | June 1, 2005  Also Read a Conversation View more articles from the same authors. Citation Text: Shojania KG. Interpreting the Patient Safety Literature. PSNet [internet]. Rockville (MD): Agency f…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60066/psn-pdf
    March 25, 2020 - Some Patients Can't Wait: Improving Timeliness of Emergency Department Care March 25, 2020 Chang R, Barnes DK. Some Patients Can't Wait: Improving Timeliness of Emergency Department Care. PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/some-patients-cant-wait-improving-timeliness-emergency-department-care D…

  8. Misdiagnosis of Small Bowel Obstruction in the Setting of Previous Abdominal Operations | PSNet

    psnet.ahrq.gov/web-mm/misdiagnosis-small-bowel-obstruction-setting-previous-abdominal-operations
    September 27, 2023 - SPOTLIGHT CASE Misdiagnosis of Small Bowel Obstruction in the Setting of Previous Abdominal Operations Citation Text: Brown S, Utter GH, Barnes DK. Misdiagnosis of Small Bowel Obstruction in the Setting of Previous Abdominal Operations. PSNet [internet]. Rockville (MD): Agency for Healthcare Rese…

  9. The Role of the National Quality Forum (NQF) in the Quest for Transparency in U.S. Hospitals' Patient Safety Performance | PSNet

    psnet.ahrq.gov/perspective/role-national-quality-forum-nqf-quest-transparency-us-hospitals-patient-safety
    April 01, 2010 - The Role of the National Quality Forum (NQF) in the Quest for Transparency in U.S. Hospitals' Patient Safety Performance Lance L. Roberts, MS; Marcia M. Ward, PhD; Thomas C. Evans, MD | April 1, 2010  Also Read a Conversation View more articles from the same authors. …

  10. Sleep Deprivation Leads to Medication Error During Spinal Epidural Anesthesia | PSNet

    psnet.ahrq.gov/web-mm/sleep-deprivation-leads-medication-error-during-spinal-epidural-anesthesia
    January 29, 2021 - Sleep Deprivation Leads to Medication Error During Spinal Epidural Anesthesia Citation Text: Bohringer C, Osborne R. Sleep Deprivation Leads to Medication Error During Spinal Epidural Anesthesia.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human…

  11. Hindsight is 20/20: Thrombolytics for Alcohol Intoxication | PSNet

    psnet.ahrq.gov/web-mm/hindsight-2020-thrombolytics-alcohol-intoxication
    December 18, 2024 - SPOTLIGHT CASE Hindsight is 20/20: Thrombolytics for Alcohol Intoxication Citation Text: Hindsight is 20/20: Thrombolytics for Alcohol Intoxication. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024. Copy Citation …

  12. Microsoft PowerPoint - FINAL Feb 2021 Spotlight_Delay in Appropriate DX.pptx - Read-Only (pdf file)

    psnet.ahrq.gov/sites/default/files/2021-02/final_feb_2021_spotlight_delay_in_appropriate_dx.pdf
    January 01, 2021 - Microsoft PowerPoint - FINAL Feb 2021 Spotlight_Delay in Appropriate DX.pptx - Read-Only Spotlight Delay in Appropriate Diagnosis and Treatment Leading to Death from Pulmonary Embolism Source and Credits • This presentation is based on the February 2021 AHRQ WebM&M Spotlight Case o See the full article at ht…

  13. Electronic Health Records | PSNet

    psnet.ahrq.gov/primer/electronic-health-records
    March 15, 2025 - Electronic Health Records Citation Text: Electronic Health Records. 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 R…

  14. Some Patients Can't Wait: Improving Timeliness of Emergency Department Care | PSNet

    psnet.ahrq.gov/web-mm/some-patients-cant-wait-improving-timeliness-emergency-department-care
    November 25, 2020 - SPOTLIGHT CASE Some Patients Can't Wait: Improving Timeliness of Emergency Department Care Citation Text: Chang R, Barnes DK. Some Patients Can't Wait: Improving Timeliness of Emergency Department Care. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of…

  15. In Conversation With... Katie J. Suda, PharmD, MS | PSNet

    psnet.ahrq.gov/perspective/conversation-katie-j-suda-pharmd-ms
    December 07, 2020 - In Conversation With... Katie J. Suda, PharmD, MS December 7, 2020  Also Read the Essay Citation Text: In Conversation With.. Katie J. Suda, PharmD, MS . PSNet [internet]. 2020.In Conversation With... Katie J. Suda, PharmD, MS . PSNet [internet]. Rockville (MD): …

  16. In Conversation with...Eric Coleman, MD, MPH | PSNet

    psnet.ahrq.gov/perspective/conversation-witheric-coleman-md-mph
    December 01, 2007 - In Conversation with...Eric Coleman, MD, MPH December 1, 2007  Also Read an Essay Citation Text: In Conversation with..Eric Coleman, MD, MPH. PSNet [internet]. 2007.In Conversation with...Eric Coleman, MD, MPH. PSNet [internet]. Rockville (MD): Agency for Healthca…

  17. In Conversation with...Joseph Britto, MD | PSNet

    psnet.ahrq.gov/perspective/conversation-withjoseph-britto-md
    February 01, 2007 - In Conversation with...Joseph Britto, MD February 1, 2007  Also Read an Essay Citation Text: In Conversation with..Joseph Britto, MD. PSNet [internet]. 2007.In Conversation with...Joseph Britto, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research …

  18. In Conversation With… Gregg S. Meyer, MD, MSc | PSNet

    psnet.ahrq.gov/perspective/conversation-gregg-s-meyer-md-msc
    June 01, 2016 - In Conversation With… Gregg S. Meyer, MD, MSc June 1, 2016  Also Read an Essay Also Read an Essay Citation Text: In Conversation With… Gregg S. Meyer, MD, MSc. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health…

  19. Care Transitions | PSNet

    psnet.ahrq.gov/perspective/care-transitions
    December 01, 2007 - Care Transitions Sunil Kripalani, MD, MSc | December 1, 2007  Also Read a Conversation View more articles from the same authors. Citation Text: Kripalani S. Care Transitions. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Depart…

  20. In Conversation with…Jack Barker, PhD | PSNet

    psnet.ahrq.gov/perspective/conversation-withjack-barker-phd
    January 01, 2006 - In Conversation with…Jack Barker, PhD January 1, 2006  Also Read an Essay Citation Text: In Conversation with…Jack Barker, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006. Copy C…
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