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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73099/psn-pdf
    March 31, 2021 - Supporting nurses as essential partners in diagnosis. March 31, 2021 Carr S. ImproveDx. March 2021:8(2)  https://psnet.ahrq.gov/issue/supporting-nurses-essential-partners-diagnosis Effective diagnosis is enhanced through multidisciplinary team-based efforts. This newsletter article outlines opportunities inhe…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866841/psn-pdf
    September 23, 2024 - System Approaches to Social Determinants of Health Screening and Intervention Innovation Summary September 23, 2024 https://psnet.ahrq.gov/innovation/system-approaches-social-determinants-health-screening-and- intervention-innovation Summary UNC Health is a nonprofit healthcare system of more than 500 clinics and…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49577/psn-pdf
    January 01, 2009 - Are Two Insulin Pumps Better Than One? January 1, 2009 Cook CB. Are Two Insulin Pumps Better Than One? PSNet [internet]. 2009. https://psnet.ahrq.gov/web-mm/are-two-insulin-pumps-better-one The Case A 62-year-old man with type 1 diabetes mellitus was admitted to the hospital for coronary artery bypass graft surge…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49441/psn-pdf
    March 01, 2004 - Fumbled Handoff March 1, 2004 Vidyarthi A. Fumbled Handoff. PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/fumbled-handoff The Case A 73-year-old female with history of hypertension, non-insulin dependent diabetes mellitus (NIDDM), and chronic renal insufficiency was admitted for an elective sigmoid resect…
  5. psnet.ahrq.gov/web-mm/charcoal-lavage-lungs
    January 01, 2016 - Charcoal Lavage of the Lungs Citation Text: Wigton RS. Charcoal Lavage of the Lungs. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote …
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49469/psn-pdf
    December 01, 2004 - Overriding Considerations December 1, 2004 Holtzman NA. Overriding Considerations. PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/overriding-considerations The Case Mrs. G visited her obstetrician for first trimester routine prenatal care. The obstetrician offered genetic testing for a variety of condition…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33812/psn-pdf
    August 01, 2016 - In Conversation With… Bernardo Perea-Pérez, MD, DDS, PhD August 1, 2016 In Conversation With… Bernardo Perea-Pérez, MD, DDS, PhD. PSNet [internet]. 2016. https://psnet.ahrq.gov/perspective/conversation-bernardo-perea-perez-md-dds-phd Editor's note: Dr. Perea-Pérez is Director de la Escuela de Medicina Legal y For…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852807/psn-pdf
    August 30, 2023 - Sleep Deprivation Leads to Medication Error During Spinal Epidural Anesthesia August 30, 2023 Bohringer C, Osborne R. Sleep Deprivation Leads to Medication Error During Spinal Epidural Anesthesia. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/sleep-deprivation-leads-medication-error-during-spinal-epidural-…
  9. psnet.ahrq.gov/primer/nursing-and-patient-safety
    September 15, 2024 - Irrespective of educational level, the quality of nurses' on-the-job training may also play a role in
  10. psnet.ahrq.gov/web-mm/when-lytes-go-out-case-inpatient-cardiac-arrest
    February 01, 2023 - disclose relevant financial relationships with commercial interests related to the subject matter of this educational
  11. psnet.ahrq.gov/sites/default/files/2023-01/spotlight_respiratory_distress_after_neck_surgery_two_cases_of_postoperative_cervical_hematoma.pdf
    January 01, 2023 - Garth Utter, MD o Managing Editor: Meghan Weyrich, MPH 2 Objectives At the conclusion of this educational
  12. psnet.ahrq.gov/training-catalog/medical-mistakes-and-what-doctors-can-learn-pilots
    July 21, 2025 - Medical Mistakes and What Doctors Can Learn From Pilots Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Organization: Organization American Academy of Ophthalmology Even…
  13. psnet.ahrq.gov/training-catalog/learning-errors-analysis-medication-error
    Learning from Errors: Analysis of a Medication Error Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Organization: Organization American Association for Critical-Care Nurses (AACN) …
  14. psnet.ahrq.gov/training-catalog/improving-care-transitions-older-adults
    Improving Care Transitions of Older Adults Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Organization: Organization RCTCLEARN.NET Event Description: This program focu…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40909/psn-pdf
    November 09, 2011 - Handing over patient care: is it just the old broken telephone game? November 9, 2011 Zendejas B, Ali SM, Huebner M, et al. Handing over patient care: is it just the old broken telephone game? J Surg Educ. 2011;68(6):465-71. doi:10.1016/j.jsurg.2011.05.011. https://psnet.ahrq.gov/issue/handing-over-patient-care-it…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73401/psn-pdf
    June 16, 2021 - Second victim: a traumatic experience. June 16, 2021 Wands B. AANA J. 2021;89(2):168-174. https://psnet.ahrq.gov/issue/second-victim-traumatic-experience Healthcare professionals who experience emotional consequences after adverse events are often referred to as “second victims.” Targeted towards certified registe…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38437/psn-pdf
    February 25, 2009 - Beyond "see one, do one, teach one": toward a different training paradigm. February 25, 2009 Rodriguez-Paz JM, Kennedy M, Salas E, et al. Beyond "see one, do one, teach one": toward a different training paradigm. Qual Saf Health Care. 2009;18(1):63-8. doi:10.1136/qshc.2007.023903. https://psnet.ahrq.gov/issue/beyo…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44553/psn-pdf
    October 07, 2015 - A medical detective story: why doctors make diagnostic errors. October 7, 2015 Landro L. Wall Street Journal. September 26, 2015. https://psnet.ahrq.gov/issue/medical-detective-story-why-doctors-make-diagnostic-errors In light of the recent IOM report on improving diagnosis, this newspaper article features an inte…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40868/psn-pdf
    October 19, 2011 - Simulation to enhance patient safety: why aren't we there yet? October 19, 2011 Aggarwal R, Darzi A. Simulation to enhance patient safety: why aren't we there yet? Chest. 2011;140(4):854-858. doi:10.1378/chest.11-0728. https://psnet.ahrq.gov/issue/simulation-enhance-patient-safety-why-arent-we-there-yet Discussin…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46855/psn-pdf
    February 21, 2018 - Leadership and vision for a culture of safety. February 21, 2018 Gandhi TK. NEJM Catalyst. February 8, 2018. https://psnet.ahrq.gov/issue/leadership-and-vision-culture-safety Leadership has an important role in establishing a culture of safety in health care organizations. This commentary describes key skills requ…

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