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psnet.ahrq.gov/node/40973/psn-pdf
November 30, 2011 - A clinical nurse specialist intervention to facilitate safe
transfer from ICU.
November 30, 2011
St-Louis L, Brault D. A clinical nurse specialist intervention to facilitate safe transfer from ICU. Clin Nurse
Spec. 2011;25(6):321-6. doi:10.1097/NUR.0b013e318233eaab.
https://psnet.ahrq.gov/issue/clinical-nurse-spec…
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psnet.ahrq.gov/node/838187/psn-pdf
September 28, 2022 - Diagnostic delays in infectious diseases.
September 28, 2022
Suneja M, Beekmann SE, Dhaliwal G, et al. Diagnostic delays in infectious diseases. Diagnosis (Berl).
2022;9(3):332-339. doi:10.1515/dx-2021-0092.
https://psnet.ahrq.gov/issue/diagnostic-delays-infectious-diseases
Delayed diagnosis of infectious diseases…
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psnet.ahrq.gov/node/853245/psn-pdf
September 06, 2023 - Intraoperative communications between pathologists and
surgeons: do we understand each other?
September 6, 2023
Wiggett A, Fischer G. Intraoperative communications between pathologists and surgeons: do we
understand each other? Arch Pathol Lab Med. 2023;147(8):933-939. doi:10.5858/arpa.2020-0632-oa.
https://psnet.…
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psnet.ahrq.gov/node/865972/psn-pdf
May 29, 2024 - Development and evaluation of patient safety
interventions: perspectives of operational safety leaders
and patient safety organizations.
May 29, 2024
Gomes KM, Handley J, Pruitt ZM, et al. Development and evaluation of patient safety interventions:
perspectives of operational safety leaders and patient safety orga…
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psnet.ahrq.gov/node/49741/psn-pdf
September 01, 2015 - Abdominal Pain in Early Pregnancy
September 1, 2015
Kilpatrick CC. Abdominal Pain in Early Pregnancy. PSNet [internet]. 2015.
https://psnet.ahrq.gov/web-mm/abdominal-pain-early-pregnancy
Case Objectives
Recognize when nausea and vomiting in pregnancy is abnormal.
Identify the most common causes of non-obstetric a…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.332_slideshow.ppt
September 01, 2014 - PowerPoint Presentation
Spotlight
A Lot of Pain (Medications)
1
This presentation is based on the September 2014
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Shoshana J. Herzig, MD, MPH, Division of General Medicine, Beth Israel Deaconess Medic…
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psnet.ahrq.gov/issue/determining-state-knowledge-implementing-universal-protocol-recommendations-integrative
March 15, 2016 - October 10, 2018
Prospective evaluation of consultant surgeon sleep deprivation and outcomes
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psnet.ahrq.gov/node/46553/psn-pdf
October 25, 2017 - Telehealth.
October 25, 2017
Tuckson R, Edmunds M, Hodgkins ML. Telehealth. N Engl J Med. 2017;377(16):1585-1592.
doi:10.1056/NEJMsr1503323.
https://psnet.ahrq.gov/issue/telehealth
Telemedicine can improve patient experience and access to health care. This commentary reviews the
current state of telehealth practi…
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psnet.ahrq.gov/node/43732/psn-pdf
January 07, 2015 - Rethinking diagnostic delay in cancer: how difficult is the
diagnosis?
January 7, 2015
Lyratzopoulos G, Wardle J, Rubin G. Rethinking diagnostic delay in cancer: how difficult is the diagnosis?
BMJ. 2014;349:g7400. doi:10.1136/bmj.g7400.
https://psnet.ahrq.gov/issue/rethinking-diagnostic-delay-cancer-how-difficult…
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psnet.ahrq.gov/web-mm/one-got-away-elopement-suicidal-patient-emergency-department
September 27, 2023 - The One That Got Away—Elopement of a Suicidal Patient in the Emergency Department.
Citation Text:
Bourgeois JA, Xiong G, Barnes DK, et al. The One That Got Away—Elopement of a Suicidal Patient in the Emergency Department.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Depa…
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psnet.ahrq.gov/node/74240/psn-pdf
January 01, 2024 - Use and impact of virtual primary care on quality and
safety: the public's perspectives during the COVID-19
pandemic.
January 12, 2022
Neves AL, van Dael J, O’Brien N, et al. Use and impact of virtual primary care on quality and safety: The
public's perspectives during the COVID-19 pandemic. J Telemed Telecare. 20…
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psnet.ahrq.gov/node/73372/psn-pdf
June 09, 2021 - Impact of COVID-19 on inpatient clinical emergencies: a
single-center experience.
June 9, 2021
Mitchell OJL, Neefe S, Ginestra JC, et al. Impact of COVID-19 on inpatient clinical emergencies: a single-
center experience. Resusc Plus. 2021;6:100135. doi:10.1016/j.resplu.2021.100135.
https://psnet.ahrq.gov/issue/imp…
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psnet.ahrq.gov/node/47840/psn-pdf
July 31, 2019 - Development and performance evaluation of the
Medicines Optimisation Assessment Tool (MOAT): a
prognostic model to target hospital pharmacists' input to
prevent medication-related problems.
July 31, 2019
Geeson C, Wei L, Franklin BD. Development and performance evaluation of the Medicines Optimisation
Assessment …
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psnet.ahrq.gov/node/837510/psn-pdf
June 22, 2022 - In situ simulation for adoption of new technology to
improve sepsis care in rural emergency departments.
June 22, 2022
Powell ES, Bond WF, Barker LT, et al. In situ simulation for adoption of new technology to improve sepsis
care in rural emergency departments. J Patient Saf. 2022;18(4):302-309.
doi:10.1097/pts.00…
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psnet.ahrq.gov/node/49707/psn-pdf
April 01, 2014 - Last, consultation reports were evidently neither provided
by the consultant nor sought by the referring
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psnet.ahrq.gov/issue/qualitative-study-speaking-out-about-patient-safety-concerns-intensive-care-units
August 21, 2013 - Study
A qualitative study of speaking out about patient safety concerns in intensive care units.
Citation Text:
Tarrant C, Leslie M, Bion J, et al. A qualitative study of speaking out about patient safety concerns in intensive care units. Soc Sci Med. 2017;193:8-15. doi:10.1016/j.socscim…
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psnet.ahrq.gov/issue/interim-report-review-vhas-patient-wait-times-scheduling-practices-and-alleged-patient-deaths
September 10, 2014 - Government Resource
Interim Report: Review of VHA's Patient Wait Times, Scheduling Practices, and Alleged Patient Deaths at the Phoenix Health Care System.
Citation Text:
Interim Report: Review of VHA's Patient Wait Times, Scheduling Practices, and Alleged Patient Deaths at the Phoenix H…
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psnet.ahrq.gov/node/43949/psn-pdf
November 17, 2016 - Clinical criteria to screen for inpatient diagnostic errors: a
scoping review.
November 17, 2016
Shenvi EC, El-Kareh R. Clinical criteria to screen for inpatient diagnostic errors: a scoping review.
Diagnosis (Berl). 2015;2(1):3-19. doi:10.1515/dx-2014-0047.
https://psnet.ahrq.gov/issue/clinical-criteria-screen-in…
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psnet.ahrq.gov/node/46527/psn-pdf
March 07, 2018 - When missing a 'zebra' can land you in court.
March 7, 2018
Crane M. Medscape Business of Medicine. February 20, 2018.
https://psnet.ahrq.gov/issue/when-missing-zebra-can-land-you-court
Cognitive biases contribute to missed diagnoses. This article discusses how cognitive biases affect
decision making associated wi…
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psnet.ahrq.gov/web-mm/transfusion-thresholds-gastrointestinal-bleeding
November 26, 2014 - patients at risk for severe bleeding and the need for higher levels of care and early involvement of consultants