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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72589/psn-pdf
    December 23, 2020 - Delayed Breast Cancer Diagnosis: A False Sense of Security. December 23, 2020 Weingart SN, James TA, Schiff G. Delayed Breast Cancer Diagnosis: A False Sense of Security. PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/delayed-breast-cancer-diagnosis-false-sense-security The Case A 60-year-old woman was se…
  2. psnet.ahrq.gov/web-mm/medication-reconciliation-twist-or-dare-we-say-patch
    April 03, 2024 - SPOTLIGHT CASE Medication Reconciliation With a Twist (or Dare We Say, a Patch?) Citation Text: Kwan JL. Medication Reconciliation With a Twist (or Dare We Say, a Patch?). PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 201…
  3. psnet.ahrq.gov/web-mm/delayed-diagnosis-and-treatment-systemic-lupus-erythematosus-psychiatric-presentation
    September 27, 2023 - SPOTLIGHT CASE Delayed Diagnosis and Treatment of Systemic Lupus Erythematosus with a Psychiatric Presentation Citation Text: Bourgeois JA, Xiong G. Delayed Diagnosis and Treatment of Systemic Lupus Erythematosus with a Psychiatric Presentation. PSNet [internet]. Rockville (MD): Agency for Health…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50698/psn-pdf
    November 27, 2019 - Missed Opportunities for Suicide Risk Assessment November 27, 2019 Xiong G, Kahn D. Missed Opportunities for Suicide Risk Assessment. PSNet [internet]. 2019. https://psnet.ahrq.gov/web-mm/missed-opportunities-suicide-risk-assessment Disclosure of Relevant Financial Relationships: As a provider accredited by the Acc…
  5. psnet.ahrq.gov/web-mm/dont-dismiss-dangerous-obstetric-hemorrhage
    August 21, 2024 - SPOTLIGHT CASE Don't Dismiss the Dangerous: Obstetric Hemorrhage Citation Text: Main EK. Don't Dismiss the Dangerous: Obstetric Hemorrhage. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016. Copy Citation Format: …
  6. psnet.ahrq.gov/perspective/conversation-paul-aylin-mbchb
    June 01, 2017 - In Conversation With… Paul Aylin, MBChB June 1, 2017  Also Read an Essay Citation Text: In Conversation With… Paul Aylin, MBChB. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. Copy …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33855/psn-pdf
    April 01, 2018 - In Conversation With… Harlan Krumholz, MD, SM April 1, 2018 In Conversation With… Harlan Krumholz, MD, SM. PSNet [internet]. 2018. https://psnet.ahrq.gov/perspective/conversation-harlan-krumholz-md-sm Editor's note: Dr. Krumholz, Harold H. Hines, Jr. Professor of Medicine at the Yale School of Medicine and Directo…
  8. psnet.ahrq.gov/web-mm/delayed-diagnosis-endocrinologic-emergencies
    November 13, 2024 - Delayed Diagnosis of Endocrinologic Emergencies Citation Text: Gomes-Lima C, Burman KD. Delayed Diagnosis of Endocrinologic Emergencies. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. Copy Citation Format: Google …
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37462/psn-pdf
    January 06, 2017 - Medication errors associated with code situations in U.S. hospitals: direct and collateral damage. January 6, 2017 Lipshutz AKM, Morlock LL, Shore AD, et al. Medication Errors Associated with Code Situations in U.S. Hospitals: Direct and Collateral Damage. Jt Comm J Qual Patient Saf. 2016;34(1):46-56. doi:10.1016/…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41555/psn-pdf
    January 03, 2017 - Measuring administrators' and direct care workers' perceptions of the safety culture in assisted living facilities. January 3, 2017 Castle NG, Wagner LM, Sonon K, et al. Measuring administrators' and direct care workers' perceptions of the safety culture in assisted living facilities. Jt Comm J Qual Patient Saf. 2…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39071/psn-pdf
    November 04, 2009 - Identification of patient information corruption in the intensive care unit: using a scoring tool to direct quality improvements in handover. November 4, 2009 Pickering BW, Hurley K, Marsh B. Identification of patient information corruption in the intensive care unit: using a scoring tool to direct quality improve…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42687/psn-pdf
    September 29, 2017 - Safety checklist compliance and a false sense of safety: new directions for research. September 29, 2017 Rydenfält C, Ek Å, Larsson PA. Safety checklist compliance and a false sense of safety: new directions for research. BMJ Qual Saf. 2014;23(3):183-6. doi:10.1136/bmjqs-2013-002168. https://psnet.ahrq.gov/issue/s…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43183/psn-pdf
    May 14, 2014 - Physician: 'I almost killed a patient' because of an advance directive. May 14, 2014 Betbeze P. HealthLeaders Media. May 2, 2014. https://psnet.ahrq.gov/issue/physician-i-almost-killed-patient-because-advance-directive Reporting on how misinterpretation of advance directives and living wills can detract from patie…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46422/psn-pdf
    November 29, 2017 - Framework for direct observation of performance and safety in healthcare. November 29, 2017 Catchpole K, Neyens DM, Abernathy J, et al. Framework for direct observation of performance and safety in healthcare. BMJ Qual Saf. 2017;26(12):1015-1021. doi:10.1136/bmjqs-2016-006407. https://psnet.ahrq.gov/issue/framewor…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43512/psn-pdf
    September 29, 2017 - Interruptions and multi-tasking: moving the research agenda in new directions. September 29, 2017 Westbrook JI. Interruptions and multi-tasking: moving the research agenda in new directions. BMJ Qual Saf. 2014;23(11):877-9. doi:10.1136/bmjqs-2014-003372. https://psnet.ahrq.gov/issue/interruptions-and-multi-tasking…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46793/psn-pdf
    February 28, 2018 - Patient safety movement: history and future directions. February 28, 2018 Lark ME, Kirkpatrick K, Chung KC. Patient Safety Movement: History and Future Directions. J Hand Surg Am. 2018;43(2). doi:10.1016/j.jhsa.2017.11.006. https://psnet.ahrq.gov/issue/patient-safety-movement-history-and-future-directions The pati…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44642/psn-pdf
    September 29, 2017 - 2015 Rosenthal Symposium: Protecting Patients: Advances and Future Directions in Patient Safety. September 29, 2017 National Academy of Sciences; National Academy of Medicine; IOM; NAS. https://psnet.ahrq.gov/issue/2015-rosenthal-symposium-protecting-patients-advances-and-future- directions-patient-safety In reco…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37400/psn-pdf
    June 30, 2011 - Errors in cancer diagnosis: current understanding and future directions. June 30, 2011 Singh H, Sethi S, Raber M, et al. Errors in cancer diagnosis: current understanding and future directions. J Clin Oncol. 2007;25(31):5009-18. https://psnet.ahrq.gov/issue/errors-cancer-diagnosis-current-understanding-and-future-…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33665/psn-pdf
    March 01, 2008 - In addition, procedures that were previously directed to interventional radiology are now conducted
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35492/psn-pdf
    October 31, 2018 - Disclosure of Adverse Events to Patients. May 4, 2015 Department of Veterans Affairs, Washington DC: Veterans Health Administration; October 31, 2018. VHA Directive 1004.08. https://psnet.ahrq.gov/issue/disclosure-adverse-events-patients This Veterans Health Administration (VHA) directive provides direction for di…

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