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psnet.ahrq.gov/node/49481/psn-pdf
May 01, 2005 - Discharge Against Medical Advice
May 1, 2005
Hwang SW. Discharge Against Medical Advice. PSNet [internet]. 2005.
https://psnet.ahrq.gov/web-mm/discharge-against-medical-advice
The Case
A 50-year-old man with a history of alcohol abuse and alcohol-induced dementia was admitted to the
medical service with mild alco…
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psnet.ahrq.gov/web-mm/waiting-too-long
February 01, 2013 - Waiting Too Long
Citation Text:
Rosen MA. Waiting Too Long. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003.
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psnet.ahrq.gov/node/865309/psn-pdf
May 29, 2024 - A Stable Airway? Fatal Airway Occlusion After Inadequate
Post-Tracheostomy Care
May 29, 2024
Gould E, Craddock K, Le Tellier T, et al. A Stable Airway? Fatal Airway Occlusion After Inadequate Post-
Tracheostomy Care. PSNet [internet]. 2024.
https://psnet.ahrq.gov/web-mm/stable-airway-fatal-airway-occlusion-after-i…
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psnet.ahrq.gov/sites/default/files/2024-01/spotlight_case_laceration_needed_exam_not_x-ray_final.pdf
January 01, 2024 - Spotlight
Spotlight
Laceration that Needed a Proper Exam, Not an X-Ray
Source and Credits
• This presentation is based on the January 2024 AHRQ WebM&M
Spotlight Case
o See the full article at https://psnet.ahrq.gov/webmm
o CME credit is available
o Commentary by: Jazmin A. Wander, MD and David K. Barnes, MD,
F…
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psnet.ahrq.gov/node/33692/psn-pdf
February 01, 2010 - In Conversation with…Thomas J. Nasca, MD
February 1, 2010
In Conversation with…Thomas J. Nasca, MD. PSNet [internet]. 2010.
https://psnet.ahrq.gov/perspective/conversation-withthomas-j-nasca-md
Editor's note: Thomas J. Nasca, MD, is the executive director and chief executive officer of the
Accreditation Council fo…
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psnet.ahrq.gov/node/49813/psn-pdf
January 01, 2018 - Dying in the Hospital With Advanced Dementia
December 1, 2017
Umscheid CA, McGreevey JD, Greysen RS. Dying in the Hospital With Advanced Dementia. PSNet
[internet]. 2017.
https://psnet.ahrq.gov/web-mm/dying-hospital-advanced-dementia
Case Objectives
Recognize the importance of eliciting patient preferences and go…
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psnet.ahrq.gov/innovation/suicide-prevention-emergency-department-population-ed-safe
July 23, 2024 - Suicide Prevention in an Emergency Department Population: ED-SAFE
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April 24, 2024
View more articles from the same authors.
Innovation
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psnet.ahrq.gov/issue/patient-safety-incident-response-framework
October 20, 2021 - Toolkit
Patient Safety Incident Response Framework.
Citation Text:
Patient Safety Incident Response Framework. London, England: NHS England; August 2022.
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psnet.ahrq.gov/issue/oral-dosage-forms-should-not-be-crushed
January 26, 2023 - Fact Sheet/FAQs
Oral Dosage Forms that Should Not Be Crushed.
Citation Text:
Oral Dosage Forms that Should Not Be Crushed. Mitchell JF; Institute for Safe Medications Practices; ISMP.
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psnet.ahrq.gov/issue/national-action-plan-improve-health-literacy
October 21, 2016 - Book/Report
National Action Plan to Improve Health Literacy.
Citation Text:
National Action Plan to Improve Health Literacy. Washington, DC: United States Department of Health and Human Services; 2010.
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psnet.ahrq.gov/issue/patient-centered-medical-home-resource-center-quality-and-safety
December 24, 2008 - Government Resource
Patient Centered Medical Home Resource Center: Quality and Safety.
Citation Text:
Patient Centered Medical Home Resource Center: Quality and Safety. Agency for Healthcare Research and Quality.
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psnet.ahrq.gov/issue/there-and-home-again-safely
September 29, 2017 - Book/Report
There and Home Again, Safely.
Citation Text:
There and Home Again, Safely. Sokol PE, Wynia MK; AMA Expert Panel on Care Transitions. Chicago, IL: American Medical Association; February 2013.
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psnet.ahrq.gov/issue/national-diabetes-inpatient-audit-2017
January 27, 2016 - Book/Report
National Diabetes Inpatient Audit -- Harms.
Citation Text:
National Diabetes Inpatient Audit -- Harms. Leeds, UK: Health and Social Care Information Centre.
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psnet.ahrq.gov/issue/safe-intrahospital-transport-non-icu-patient-using-standardized-handoff-communication
March 18, 2010 - Newspaper/Magazine Article
Safe intrahospital transport of the non-ICU patient using standardized handoff communication.
Citation Text:
Safe intrahospital transport of the non-ICU patient using standardized handoff communication. PA-PSRS Patient Safety Advisory; Patient Safety Authority.…
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psnet.ahrq.gov/issue/challenges-ahead-technology-training-report-training-initiative-committee-technology
August 09, 2017 - Newspaper/Magazine Article
Challenges ahead in technology training: a report on the training initiative of the Committee on Technology.
Citation Text:
Challenges ahead in technology training: a report on the training initiative of the Committee on Technology. Olympio MA; Reinke B; Ab…
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psnet.ahrq.gov/issue/medical-misdiagnoses-put-pressure-patients-stay-engaged
October 05, 2016 - Newspaper/Magazine Article
Medical misdiagnoses put pressure on patients to stay engaged.
Citation Text:
Medical misdiagnoses put pressure on patients to stay engaged. Innes S. Arizona Daily Star. September 12, 2016.
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psnet.ahrq.gov/issue/patient-safety-intensive-care-unit
February 28, 2018 - Book/Report
Patient Safety in the Intensive Care Unit.
Citation Text:
Patient Safety in the Intensive Care Unit. Oak Brook, IL: Joint Commission Resources; 2010. ISBN: 9781599403144.
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psnet.ahrq.gov/issue/patient-safety-handbook-ambulatory-care-providers
February 28, 2018 - Book/Report
A Patient Safety Handbook for Ambulatory Care Providers.
Citation Text:
A Patient Safety Handbook for Ambulatory Care Providers. Oak Brook, IL: Joint Commission Resources; 2009. ISBN: 9781599403670.
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psnet.ahrq.gov/issue/australian-commission-safety-and-quality-health-care
January 27, 2015 - Multi-use Website
Australian Commission on Safety and Quality in Health Care.
Citation Text:
Australian Commission on Safety and Quality in Health Care. Australian Commission for Safety and Quality in Health Care.
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psnet.ahrq.gov/issue/patient-safety-huddle
March 27, 2005 - Audiovisual
Patient Safety Huddle.
Citation Text:
Patient Safety Huddle. VA National Center for Patient Safety.
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