-
psnet.ahrq.gov/node/35734/psn-pdf
May 04, 2015 - Benzocaine sprays marketed under different names,
including Hurricaine, Topex, and Cetacaine.
May 4, 2015
Food and Drug Administration; FDA; CDER; Center for Drug Evaluation and Research.
https://psnet.ahrq.gov/issue/benzocaine-sprays-marketed-under-different-names-including-hurricaine-
topex-and-cetacaine
This F…
-
psnet.ahrq.gov/node/39288/psn-pdf
February 10, 2010 - Patient Safety Act.
February 10, 2010
Washington, DC: United States Government Accountability Office; January 28, 2010. Publication GAO-10-
281.
https://psnet.ahrq.gov/issue/patient-safety-act
This report describes progress in implementing the Patient Safety and Quality Improvement Act. The
document details devel…
-
psnet.ahrq.gov/node/36883/psn-pdf
August 31, 2011 - Voluntary review of quality of care peer review for patient
safety.
August 31, 2011
Stumpf PG. Voluntary review of quality of care peer review for patient safety. Best Pract Res Clin Obstet
Gynaecol. 2007;21(4):557-64.
https://psnet.ahrq.gov/issue/voluntary-review-quality-care-peer-review-patient-safety
The autho…
-
psnet.ahrq.gov/node/40147/psn-pdf
January 19, 2011 - Assessing the quality of patient handoffs at care
transitions.
January 19, 2011
Manser T, Foster S, Gisin S, et al. Assessing the quality of patient handoffs at care transitions. Qual Saf
Health Care. 2010;19(6):e44. doi:10.1136/qshc.2009.038430.
https://psnet.ahrq.gov/issue/assessing-quality-patient-handoffs-care…
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.233_slideshow.ppt
February 01, 2011 - Spotlight Case July 2008
Spotlight Case
One Toxic Drug Is Not Like Another
*
*
Source and Credits
This presentation is based on the February 2011
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Eric S. Holmboe, MD, American Board of Internal…
-
psnet.ahrq.gov/cme
February 26, 2025 - Misdiagnosis of Small Bowel Obstruction in the Setting of Previous Abdominal Operations A man with a history of prior umbilical hernia repair presented to the emergency department (ED) with abdominal pain and was initially diagnosed with cholelithiasis before being discharged home. However, the next day he returned to …
-
psnet.ahrq.gov/primer/adverse-events-near-misses-and-errors
March 30, 2022 - Adverse Events, Near Misses, and Errors
Citation Text:
Adverse Events, Near Misses, and Errors. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 X…
-
psnet.ahrq.gov/node/33852/psn-pdf
January 01, 2017 - Patient Engagement in Safety
January 1, 2017
Stern RJ, Sarkar U. Patient Engagement in Safety. PSNet [internet]. 2017.
https://psnet.ahrq.gov/perspective/patient-engagement-safety
Annual Perspective 2017
Background
In the past 2 decades, patient engagement in safety has evolved from obscurity to maturity. The Ins…
-
psnet.ahrq.gov/node/844756/psn-pdf
September 18, 2019 - Emerging Concepts in Patient Safety.
September 18, 2019
Shapiro FE, ed. Int Anesthesiol Clin. 2019;57:1-162.
https://psnet.ahrq.gov/issue/emerging-concepts-patient-safety
This publication presents patient safety concepts for anesthesia practice, including decision aids to educate
and empower patients about anesthe…
-
psnet.ahrq.gov/node/36056/psn-pdf
September 27, 2010 - Path to safety: benefits of the 2005 Patient Safety and
Quality Improvement Act.
September 27, 2010
McBride D, Greening A, Redmond D. Path to safety: benefits of the 2005 Patient Safety and Quality
Improvement Act. Healthc Financ Manage. 2006;60(6):84-8.
https://psnet.ahrq.gov/issue/path-safety-benefits-2005-patie…
-
psnet.ahrq.gov/node/40153/psn-pdf
November 26, 2014 - The effect of workload reduction on the quality of
residents' discharge summaries.
November 26, 2014
Coit MH, Katz JT, McMahon GT. The effect of workload reduction on the quality of residents' discharge
summaries. J Gen Intern Med. 2011;26(1):28-32. doi:10.1007/s11606-010-1465-z.
https://psnet.ahrq.gov/issue/effec…
-
psnet.ahrq.gov/node/40134/psn-pdf
February 17, 2011 - Sleep deprivation, elective surgical procedures, and
informed consent.
February 17, 2011
Nurok M, Czeisler CA, Lehmann LS. Sleep deprivation, elective surgical procedures, and informed
consent. N Engl J Med. 2010;363(27):2577-9. doi:10.1056/NEJMp1007901.
https://psnet.ahrq.gov/issue/sleep-deprivation-elective-surg…
-
psnet.ahrq.gov/node/42321/psn-pdf
June 19, 2013 - Rapid response teams: qualitative analysis of their
effectiveness.
June 19, 2013
Leach LS, Mayo AM. Rapid response teams: qualitative analysis of their effectiveness. Am J Crit Care.
2013;22(3):198-210. doi:10.4037/ajcc2013990.
https://psnet.ahrq.gov/issue/rapid-response-teams-qualitative-analysis-their-effectiven…
-
psnet.ahrq.gov/issue/characteristics-and-predictors-missed-opportunities-lung-cancer-diagnosis-electronic-health
January 19, 2012 - October 31, 2014
Why Current Breast Pathology Practices Must Be Evaluated.
-
psnet.ahrq.gov/issue/diagnostic-errors-musculoskeletal-oncology-and-possible-mitigation-strategies
May 01, 2013 - December 27, 2014
Why Current Breast Pathology Practices Must Be Evaluated.
-
psnet.ahrq.gov/issue/big-dog-effect-variability-assessing-causes-error-diagnoses-patients-lung-cancer
March 28, 2012 - April 9, 2013
Why Current Breast Pathology Practices Must Be Evaluated.
-
psnet.ahrq.gov/issue/patient-safety-leadership-academy-university-pennsylvania-first-cohorts-learning-experience
October 04, 2011 - June 18, 2013
Why Current Breast Pathology Practices Must Be Evaluated.
-
psnet.ahrq.gov/issue/missed-lesions-abdominal-oncologic-ct-lessons-learned-quality-assurance
April 21, 2011 - October 4, 2011
Why Current Breast Pathology Practices Must Be Evaluated.
-
psnet.ahrq.gov/issue/delayed-or-missed-diagnosis-cervical-spine-injuries
May 05, 2010 - October 31, 2014
Why Current Breast Pathology Practices Must Be Evaluated.
-
psnet.ahrq.gov/issue/evaluation-12-strategies-obtaining-second-opinions-improve-interpretation-breast
November 03, 2015 - April 9, 2013
Why Current Breast Pathology Practices Must Be Evaluated.