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  1. psnet.ahrq.gov/web-mm/delayed-breast-cancer-diagnosis-false-sense-security
    May 01, 2005 - Take-Home Points Despite the frequency of breast complaints, evaluating a breast lump is a beguilingly
  2. psnet.ahrq.gov/innovation/handshake-antimicrobial-stewardship-model-recognize-and-prevent-diagnostic-errors
    September 08, 2021 - EMERGING INNOVATIONS Handshake antimicrobial stewardship as a model to recognize and prevent diagnostic errors Citation Text: Searns JB, Williams MC, MacBrayne CE, et al. Handshake antimicrobial stewardship as a model to recognize and prevent diagnostic errors. Diagnosis (Berl). 2020;8(3):347-352.…
  3. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.110_slideshow.ppt
    December 01, 2005 - Spotlight Case [MONTH] 2003 Spotlight Case December 2005 Low on the Totem Pole Source and Credits This presentation is based on the Dec. 2005 Spotlight Case in Surgery/Anesthesia See the full article at http://webmm.ahrq.gov CME credit is available through the Web site Commentary by: Robert Wachter, MD, …
  4. psnet.ahrq.gov/sites/default/files/2023-07/spotlight_a_complicated_course.pdf
    January 01, 2023 - Rhew T, Harris S, Degenkolb K, et al. 726: EVALUATING THE SAFETY AND EFFICACY OF LORAZEPAM CONTINUOUS
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49404/psn-pdf
    June 01, 2003 - Not a Miscarriage June 1, 2003 Learman LA. Not a Miscarriage. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/not-miscarriage The Case A 32-year-old woman, gravida 3, para 1, with a history of Type 2 diabetes mellitus on metformin, presented at 7 and 2/7 weeks by last menstrual period (LMP). The patient rep…
  6. psnet.ahrq.gov/perspective/soil-not-seed-real-problem-root-cause-analysis
    March 01, 2007 - The Soil, Not the Seed: The Real Problem with Root Cause Analysis Patrice Spath, BA, RHIT, and William Minogue, MD | July 1, 2008  View more articles from the same authors. Citation Text: Spath P, Minogue W. The Soil, Not the Seed: The Real Problem with Root Cause …
  7. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2024-03/final_spotlight_case_not_missing_sepsis_needles_in_viral_haystacks_slides_march_date.pdf
    January 01, 2024 - Spotlight Spotlight Do Not Miss Sepsis Needles in Viral Haystacks! Source and Credits • This presentation is based on the March 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: Michelle Hamline, MD, PhD, MAS and Ulfat Shaikh, MD, M…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72756/psn-pdf
    February 17, 2021 - Adopting the Fall Tailoring Interventions for Patient Safety (TIPS) program to engage older adults in fall prevention in a nursing home. February 17, 2021 Tzeng H-M, Jansen LS, Okpalauwaekwe U, et al. Adopting the Fall Tailoring Interventions for Patient Safety (TIPS) program to engage older adults in fall prevent…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73108/psn-pdf
    April 07, 2021 - A new argument for no-fault compensation in health care: the introduction of artificial intelligence systems. April 7, 2021 Holm S, Stanton C, Bartlett B. A new argument for no-fault compensation in health care: the introduction of artificial intelligence systems. Health Care Anal. 2021;29(3):171-188. doi:10.1007/s…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841152/psn-pdf
    December 07, 2022 - Interprofessional clinical event debriefing-does it make a difference? Attitudes of emergency department care providers to INFO clinical event debriefings. December 7, 2022 Rose SC, Ashari NA, Davies JM, et al. Interprofessional clinical event debriefing-does it make a difference? Attitudes of emergency department…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/764401/psn-pdf
    March 02, 2022 - Promoting patient and nurse safety: testing a behavioural health intervention in a learning healthcare system: results of the DEMEANOR pragmatic, cluster, cross-over trial. March 2, 2022 Hasselblad M, Morrison J, Kleinpell R, et al. Promoting patient and nurse safety: testing a behavioural health intervention in …
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60047/psn-pdf
    March 18, 2020 - A systematic review exploring the content and outcomes of interventions to improve psychological safety, speaking up and voice behaviour. March 18, 2020 O’Donovan R, McAuliffe E. A systematic review exploring the content and outcomes of interventions to improve psychological safety, speaking up and voice behaviour…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836997/psn-pdf
    April 27, 2022 - The effect of a transitional pharmaceutical care program on the occurrence of ADEs after discharge from hospital in patients with polypharmacy. April 27, 2022 Uitvlugt EB, Heer SE, van den Bemt BJF, et al. The effect of a transitional pharmaceutical care program on the occurrence of ADEs after discharge from hospi…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867437/psn-pdf
    January 08, 2025 - Handoff mnemonics used in perioperative handoff intervention studies: a systematic review. January 8, 2025 Patel SM, Fuller S, Michael MM, et al. Handoff mnemonics used in perioperative handoff intervention studies: a systematic review. Anesth Analg. 2024;Epub Nov 26. doi:10.1213/ane.0000000000007261. https://psne…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60306/psn-pdf
    May 06, 2020 - Medication errors from over-the-counter cough and cold medications in children. May 6, 2020 Wang GS, Reynolds KM, Banner W, et al. Medication errors from over-the-counter cough and cold medications in children. Acad Ped. 2020;20(3):327-332. doi:10.1016/j.acap.2019.09.006. https://psnet.ahrq.gov/issue/medication-er…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44961/psn-pdf
    May 09, 2017 - Parent-reported errors and adverse events in hospitalized children. May 9, 2017 Khan A, Furtak SL, Melvin P, et al. Parent-reported errors and adverse events in hospitalized children. JAMA Pediatr. 2016;170(4):e154608. doi:10.1001/jamapediatrics.2015.4608. https://psnet.ahrq.gov/issue/parent-reported-errors-and-ad…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60658/psn-pdf
    July 08, 2020 - Impact of providing patients access to electronic health records on quality and safety of care: a systematic review and meta-analysis. July 8, 2020 Neves AL, Freise L, Laranjo L, et al. Impact of providing patients access to electronic health records on quality and safety of care: a systematic review and meta-anal…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36549/psn-pdf
    March 21, 2017 - Patients' concerns about medical errors during hospitalization. March 21, 2017 Burroughs TE, Waterman AD, Gallagher TH, et al. Patients' concerns about medical errors during hospitalization. Jt Comm J Qual Patient Saf. 2007;33(1):5-14. https://psnet.ahrq.gov/issue/patients-concerns-about-medical-errors-during-hosp…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37062/psn-pdf
    January 02, 2017 - The emotional impact of medical errors on practicing physicians in the United States and Canada. January 2, 2017 Waterman AD, Garbutt J, Hazel E, et al. The emotional impact of medical errors on practicing physicians in the United States and Canada. Jt Comm J Qual Saf. 2007;33(8):467-476. https://psnet.ahrq.gov/is…
  20. psnet.ahrq.gov/issue/new-practices-reduce-childbirth-risks
    July 16, 2019 - Newspaper/Magazine Article New practices reduce childbirth risks. Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL July 26, 2006 This article reports on efforts to reduce use of…

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