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Agitated Delirium Contributes to Missed Testing and Delayed Diagnosis of Gastric Perforation | PSNet

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June 28, 2023 - SPOTLIGHT CASE Agitated Delirium Contributes to Missed Testing and Delayed Diagnosis of Gastric Perforation Citation Text: Trask J, Carlsen KM, Kuhn BT. Agitated Delirium Contributes to Missed Testing and Delayed Diagnosis of Gastric Perforation. PSNet [internet]. Rockville (MD): Agency for Healt…

A Tale of Two Falls | PSNet

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March 27, 2024 - A Tale of Two Falls Citation Text: Jackson V, Satake A. A Tale of Two Falls. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged P…

Balancing Supervision and Autonomy: An Ongoing Tension | PSNet

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February 01, 2012 - Balancing Supervision and Autonomy: An Ongoing Tension C. Jessica Dine, MD, MA; and Jennifer S. Myers, MD | February 1, 2012 Also Read a Conversation View more articles from the same authors. Citation Text: Dine JC, Myers JS. Balancing Supervision and Autonomy:…

Patient Safety Amid Nursing Workforce Challenges | PSNet

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April 24, 2024 - Patient Safety Amid Nursing Workforce Challenges Katie Boston-Leary, PhD, MBA, MHA, RN, NEA-BC, Merton Lee, PharmD, PhD, Sarah E. Mossburg, RN, PhD | April 24, 2024 Also Read the Conversation View more articles from the same authors. Citation Text: Leary KB, L…

In Conversation with…Donald M. Berwick, MD, MPP | PSNet

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November 01, 2005 - In Conversation with…Donald M. Berwick, MD, MPP November 1, 2005 Also Read an Essay Citation Text: In Conversation with…Donald M. Berwick, MD, MPP. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Ser…

Under Pressure: Delayed Diagnosis of Compartment Syndrome after Lower Leg Fracture. | PSNet

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November 25, 2020 - Under Pressure: Delayed Diagnosis of Compartment Syndrome after Lower Leg Fracture. Citation Text: Barnes DK, Randhawa SDS, Fitzpatrick EP. Under Pressure: Delayed Diagnosis of Compartment Syndrome after Lower Leg Fracture.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US De…

Intraoperative Awareness during Rhinoplasty | PSNet

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January 29, 2021 - SPOTLIGHT CASE Intraoperative Awareness during Rhinoplasty Citation Text: Bohringer C, Toor J. Intraoperative Awareness during Rhinoplasty. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024. Copy Citation Format: …

In Conversation With… Alison Holmes, MD, MPH | PSNet

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March 01, 2014 - In Conversation With… Alison Holmes, MD, MPH March 1, 2014 Also Read an Essay Citation Text: In Conversation With… Alison Holmes, MD, MPH. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 20…

In Conversation with...Katie Boston-Leary about Patient Safety Amid Nursing Workforce Challenges | PSNet

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April 24, 2024 - In Conversation with...Katie Boston-Leary about Patient Safety Amid Nursing Workforce Challenges Katie Boston-Leary, PhD, MBA, MHA, RN, NEA-BC, CCT | April 24, 2024 Also Read the Essay View more articles from the same authors. Citation Text: Leary KB. In Con…

How Does Infection Prevention Fit Into a Safety Program? | PSNet

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March 01, 2014 - How Does Infection Prevention Fit Into a Safety Program? Susan S. Huang, MD, MPH | March 1, 2014 Also Read a Conversation View more articles from the same authors. Citation Text: Huang SS. How Does Infection Prevention Fit Into a Safety Program?. PSNet [interne…

Intraosseous Line Extravasation in a Pediatric Trauma Patient | PSNet

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September 29, 2021 - SPOTLIGHT CASE Intraosseous Line Extravasation in a Pediatric Trauma Patient Citation Text: Yoon J, Barnes DK. Intraosseous Line Extravasation in a Pediatric Trauma Patient. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2…

Primary Care and Patient Safety: Opportunities at the Interface | PSNet

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September 28, 2022 - that preventable, manageable health conditions (e.g., diabetes, hypertension) make up the majority of deaths

Establishing a Safety Culture: Thinking Small | PSNet

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December 01, 2006 - Establishing a Safety Culture: Thinking Small Timothy J. Hoff, PhD | December 1, 2006 Also Read a Conversation View more articles from the same authors. Citation Text: Hoff TJ. Establishing a Safety Culture: Thinking Small. PSNet [internet]. Rockville (MD): Age…

Diagnostic Errors in Medicine: What Do Doctors and Umpires Have in Common? | PSNet

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February 01, 2007 - Diagnostic Errors in Medicine: What Do Doctors and Umpires Have in Common? Mark L. Graber, MD | February 1, 2007 Also Read a Conversation View more articles from the same authors. Citation Text: Graber ML. Diagnostic Errors in Medicine: What Do Doctors and Umpi…

Reducing the Safety Hazards of Monitor Alert and Alarm Fatigue | PSNet

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May 01, 2016 - Reducing the Safety Hazards of Monitor Alert and Alarm Fatigue Samantha Jacques, PhD, and Eric Williams, MD, MS, MMM | May 1, 2016 Also Read a Conversation View more articles from the same authors. Citation Text: Jacques S, Williams E. Reducing the Safety Hazar…

The Evidence-Based Physical Examination as a Patient Safety Practice | PSNet

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November 01, 2012 - The Evidence-Based Physical Examination as a Patient Safety Practice Steven McGee, MD | November 1, 2012 Also Read a Conversation View more articles from the same authors. Citation Text: McGee S. The Evidence-Based Physical Examination as a Patient Safety Pract…

Errors in Managing an Open Wound of the Elbow Leading to Multiple Complications and Operations | PSNet

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September 27, 2023 - SPOTLIGHT CASE Errors in Managing an Open Wound of the Elbow Leading to Multiple Complications and Operations Citation Text: Barnes DK, Utter GH. Errors in Managing an Open Wound of the Elbow Leading to Multiple Complications and Operations. PSNet [internet]. Agency for Healthcare Research and Qu…

Interruptions and Distractions in Health Care: Improved Safety With Mindfulness | PSNet

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February 01, 2014 - than would have occurred if the 2010 rate had remained unchanged, and, more importantly, 87,000 fewer deaths

Maternal Safety and Perinatal Mental Health | PSNet

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March 28, 2023 - Maternal Safety and Perinatal Mental Health Christie Allen, MSN, RNC-NIC, CPHQ, C-ONQS, Cindy Manaoat Van, MHSA, Sarah E. Mossburg, RN, PhD | March 29, 2023 Also Read the Conversation View more articles from the same authors. Citation Text: Allen C, Van CM, …

Beyond the Pandemic: Creating Total Systems Safety | PSNet

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August 30, 2023 - Beyond the Pandemic: Creating Total Systems Safety Patricia McGaffigan, MS, RN, CPPS; Cindy Manaoat Van, MHSA, CPPS; Sarah E. Mossburg, RN, PhD | August 30, 2023 Also Read the Conversation View more articles from the same authors. Citation Text: Van CM, Mossb…

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