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  1. psnet.ahrq.gov/issue/report-card-system-using-error-profile-analysis-and-concurrent-morbidity-and-mortality-review
    June 18, 2008 - Study A report card system using error profile analysis and concurrent morbidity and mortality review: surgical outcome analysis, part II. Citation Text: Antonacci AC, Lam S, Lavarias V, et al. A report card system using error profile analysis and concurrent morbidity and mortality rev…
  2. psnet.ahrq.gov/issue/contamination-health-care-personnel-during-removal-personal-protective-equipment
    April 24, 2018 - Study Contamination of health care personnel during removal of personal protective equipment. Citation Text: Tomas ME, Kundrapu S, Thota P, et al. Contamination of Health Care Personnel During Removal of Personal Protective Equipment. JAMA Intern Med. 2015;175(12):1904-10. doi:10.1001/ja…
  3. psnet.ahrq.gov/issue/underdiagnosis-dementia-observational-study-patterns-diagnosis-and-awareness-us-older-adults
    October 14, 2016 - Study Classic Underdiagnosis of dementia: an observational study of patterns in diagnosis and awareness in US older adults. Citation Text: Amjad H, Roth DL, Sheehan OC, et al. Underdiagnosis of Dementia: an Observational Study of Patterns in Diagnosis and Awaren…
  4. psnet.ahrq.gov/issue/impact-rationing-nursing-care-patient-safety-systematic-review
    December 06, 2023 - Review The impact of rationing nursing care on patient safety: a systematic review. Citation Text: Uchmanowicz I, Lisiak M, Wleklik M, et al. The impact of rationing nursing care on patient safety: a systematic review. Med Sci Monit. 2024;30:e942031. doi:10.12659/msm.942031. Copy Citat…
  5. psnet.ahrq.gov/issue/rca-recast-root-cause-analysis-simulation-interprofessional-clinical-learning-environment
    May 18, 2022 - Study The RCA ReCAst: a root cause analysis simulation for the interprofessional clinical learning environment. Citation Text: Ziemba JB, Berns JS, Huzinec JG, et al. The RCA ReCAst: a root cause analysis simulation for the interprofessional clinical learning environment. Acad Med. 2021;…
  6. psnet.ahrq.gov/issue/deviation-preoperative-surgical-and-anaesthetic-care-plan-associated-increased-risk-adverse
    August 20, 2018 - Study Deviation from a preoperative surgical and anaesthetic care plan is associated with increased risk of adverse intraoperative events in major abdominal surgery. Citation Text: Gauss T, Merckx P, Brasher C, et al. Deviation from a preoperative surgical and anaesthetic care plan is …
  7. psnet.ahrq.gov/issue/patients-negative-experiences-health-care-settings-brought-light-formal-complaints
    July 21, 2021 - Review Patients' negative experiences with health care settings brought to light by formal complaints: a qualitative metasynthesis. Citation Text: Eriksen AA, Fegran L, Fredwall TE, et al. Patients' negative experiences with health care settings brought to light by formal complaints: a q…
  8. psnet.ahrq.gov/issue/we-need-talk-observational-study-impact-electronic-medical-record-implementation-hospital
    February 22, 2017 - Study We need to talk: an observational study of the impact of electronic medical record implementation on hospital communication. Citation Text: Taylor SP, Ledford R, Palmer V, et al. We need to talk: an observational study of the impact of electronic medical record implementation on ho…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33874/psn-pdf
    February 01, 2019 - Building Systems Citizenship in Health Professions Education: The Continued Call for Health Systems Science Curricula February 1, 2019 Gonzalo JD, Singh MK. Building Systems Citizenship in Health Professions Education: The Continued Call for Health Systems Science Curricula. PSNet [internet]. 2019. https://psnet.…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49755/psn-pdf
    February 01, 2016 - Good Night's Sleep Gone Wrong February 1, 2016 Gillis CM, Degrado J, Anger KE. Good Night's Sleep Gone Wrong. PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/good-nights-sleep-gone-wrong The Case A 64-year-old woman came to the emergency department complaining of cough and shortness of breath, along with an…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49700/psn-pdf
    February 01, 2014 - Nonsustained Ventricular Tachycardia After Acute Coronary Syndromes: Recognizing High-Risk Patients February 1, 2014 Piccini JP, Newby KL, Califf R. Nonsustained Ventricular Tachycardia After Acute Coronary Syndromes: Recognizing High-Risk Patients. PSNet [internet]. 2014. https://psnet.ahrq.gov/web-mm/nonsustaine…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49395/psn-pdf
    April 01, 2003 - Medication Overdose April 1, 2003 Kaushal R. Medication Overdose. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/medication-overdose The Case A 15-year-old boy with end-stage AIDS was admitted to the pediatric ICU with mental status changes. He was diagnosed with status epilepticus and started on a loading…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49821/psn-pdf
    February 01, 2018 - Right Place, Right Drug, Wrong Strength February 1, 2018 Jelincic V, Greenall J. Right Place, Right Drug, Wrong Strength. PSNet [internet]. 2018. https://psnet.ahrq.gov/web-mm/right-place-right-drug-wrong-strength The Case A 2-year-old girl was admitted to a hospital burn unit for a 10% total body surface area bur…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49628/psn-pdf
    June 01, 2011 - Routine Goes Awry June 1, 2011 Huoh KC, Rosbe KW. Routine Goes Awry. PSNet [internet]. 2011. https://psnet.ahrq.gov/web-mm/routine-goes-awry The Case A 6-year-old girl with a history of asthma and chronic adenotonsillitis was referred to a surgeon and scheduled for a tonsillectomy and adenoidectomy. She was in ot…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72837/psn-pdf
    September 01, 2022 - Project Nurture Engages Pregnant People with Substance Use Disorder, Improves Maternal and Infant Outcomes. Originally published on March 11, 2021 Last updated on March 16, 2021 https://psnet.ahrq.gov/innovation/project-nurture-engages-pregnant-people-substance-use-disorder- improves-maternal-and Summary Project…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49389/psn-pdf
    February 01, 2003 - Procedural Mishap: Learning Curve? February 1, 2003 Gibbs VC, Leape L. Procedural Mishap: Learning Curve? PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/procedural-mishap-learning-curve The Case A 28-year-old multiparous obese female presented for laparoscopic tubal ligation. The patient had undesired fert…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49626/psn-pdf
    May 01, 2011 - Outbreak May 1, 2011 Rothman R, Stapleton S. Outbreak. PSNet [internet]. 2011. https://psnet.ahrq.gov/web-mm/outbreak The Case A 36-year-old healthy man developed an acute febrile illness associated with a vesicular rash. He presented to an urgent care clinic where he was diagnosed with varicella infection ("chic…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33835/psn-pdf
    June 01, 2017 - In Conversation With… Paul Aylin, MBChB June 1, 2017 In Conversation With… Paul Aylin, MBChB. PSNet [internet]. 2017. https://psnet.ahrq.gov/perspective/conversation-paul-aylin-mbchb Editor's note: Professor Aylin is Professor of Epidemiology and Public Health at Imperial College London, where he is also Co-Direc…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49745/psn-pdf
    October 01, 2015 - Amphotericin Toxicity October 1, 2015 Nagel J, Nguyen E. Amphotericin Toxicity. PSNet [internet]. 2015. https://psnet.ahrq.gov/web-mm/amphotericin-toxicity The Case A 42-year-old woman status-post left pneumonectomy for aspergilloma was being treated with oral posaconazole for residual fungal disease. She present…
  20. psnet.ahrq.gov/web-mm/hidden-harms-hand-sanitizer
    March 04, 2020 - The Hidden Harms of Hand Sanitizer Citation Text: Stewart S. The Hidden Harms of Hand Sanitizer. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 …

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