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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37945/psn-pdf
    July 26, 2010 - A survey of hospital quality improvement activities. July 26, 2010 Cohen AB, Restuccia JD, Shwartz M, et al. A survey of hospital quality improvement activities. Med Care Res Rev. 2008;65(5):571-95. doi:10.1177/1077558708318285. https://psnet.ahrq.gov/issue/survey-hospital-quality-improvement-activities The Instit…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43851/psn-pdf
    March 13, 2015 - Systematic review of the effectiveness of strategies to encourage patients to remind healthcare professionals about their hand hygiene. March 13, 2015 Davis R, Parand A, Pinto A, et al. Systematic review of the effectiveness of strategies to encourage patients to remind healthcare professionals about their hand hy…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40692/psn-pdf
    October 04, 2011 - Patient safety incidents associated with obesity: a review of reports to the National Patient Safety Agency and recommendations for hospital practice. October 4, 2011 Booth CMA, Moore CE, Eddleston J, et al. Patient safety incidents associated with obesity: a review of reports to the National Patient Safety Agency…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44081/psn-pdf
    April 22, 2015 - Accuracy of harm scores entered into an event reporting system. April 22, 2015 Abbasi T, Adornetto-Garcia D, Johnston PA, et al. Accuracy of harm scores entered into an event reporting system. J Nurs Adm. 2015;45(4):218-225. doi:10.1097/NNA.0000000000000188. https://psnet.ahrq.gov/issue/accuracy-harm-scores-entere…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852746/psn-pdf
    August 23, 2023 - Common contributing factors of diagnostic error: a retrospective analysis of 109 serious adverse event reports from Dutch hospitals. August 23, 2023 Hooftman J, Dijkstra AC, Suurmeijer I, et al. Common contributing factors of diagnostic error: a retrospective analysis of 109 serious adverse event reports from Dutc…
  6. psnet.ahrq.gov/web-mm/stroke-error
    February 01, 2016 - SPOTLIGHT CASE A Stroke of Error Citation Text: Barrett KM. A Stroke of Error. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML End…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865419/psn-pdf
    March 27, 2024 - Do Not Miss Sepsis Needles in Viral Haystacks! March 27, 2024 Hamline M, Shaikh U. Do Not Miss Sepsis Needles in Viral Haystacks!. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/do-not-miss-sepsis-needles-viral-haystacks Disclosure of Relevant Financial Relationships: As a provider accredited by the Accredit…
  8. 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, …
  9. 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.…
  10. psnet.ahrq.gov/perspective/conversation-andrew-bindman-md
    June 15, 2024 - What do you think AHRQ's role is in evaluating the ACA and informing decisions about its future?
  11. psnet.ahrq.gov/web-mm/always-check-muscle-twitch-residual-neuromuscular-block-after-removal-gastric-balloon
    January 29, 2021 - Always Check the Muscle Twitch: Residual Neuromuscular Block After Removal of a Gastric Balloon Citation Text: Bohringer C, Ashley S. Always Check the Muscle Twitch: Residual Neuromuscular Block After Removal of a Gastric Balloon. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality,…
  12. psnet.ahrq.gov/web-mm/syringe-swap-during-regional-block-case-medication-error-and-recovery
    July 22, 2020 - Syringe Swap During Regional Block: A Case of Medication Error and Recovery Citation Text: Beres K, Gutierrez MC. Syringe Swap During Regional Block: A Case of Medication Error and Recovery.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Serv…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49822/psn-pdf
    March 01, 2018 - Isolated Clot, Real Error March 1, 2018 Parks A, Fang MC. Isolated Clot, Real Error. PSNet [internet]. 2018. https://psnet.ahrq.gov/web-mm/isolated-clot-real-error Case Objectives Appreciate that errors are common in the management of venous thromboembolism disease. Describe patients with venous thromboembolism i…
  14. psnet.ahrq.gov/web-mm/aspergillus-mediastinitis-endocarditis-pediatric-patient-complicating-cardiac-surgery-and
    November 16, 2022 - Aspergillus Mediastinitis & Endocarditis in a Pediatric Patient Complicating Cardiac Surgery and Bedside Chest Closure. Citation Text: Partridge E, Dodson D, Reilly M, et al. Aspergillus Mediastinitis & Endocarditis in a Pediatric Patient Complicating Cardiac Surgery and Bedside Chest Closure.. PSNet [inter…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846915/psn-pdf
    March 29, 2023 - Challenging Case of Multiple Suicide Attempts in a Complex Patient with Psychiatric Comorbidities. March 29, 2023 Bourgeois JA, Xiong G. Challenging Case of Multiple Suicide Attempts in a Complex Patient with Psychiatric Comorbidities. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/challenging-case-multiple…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49786/psn-pdf
    March 01, 2017 - Consequences of Medical Overuse March 1, 2017 Morgan DJ, Foy AJ. Consequences of Medical Overuse. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/consequences-medical-overuse Case Objectives Define overuse and overdiagnosis. State how much of all care is estimated to be overuse. Describe why the likelihood…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865412/psn-pdf
    March 27, 2024 - Delayed Diagnosis and Treatment of Systemic Lupus Erythematosus with a Psychiatric Presentation March 27, 2024 Bourgeois JA, Xiong G. Delayed Diagnosis and Treatment of Systemic Lupus Erythematosus with a Psychiatric Presentation. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/delayed-diagnosis-and-treatmen…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72835/psn-pdf
    March 10, 2021 - In Conversation With... Libby Hoy and Stephen Hoy March 10, 2021 In Conversation With.. Libby Hoy and Stephen Hoy. PSNet [internet]. 2021. https://psnet.ahrq.gov/perspective/conversation-libby-hoy-and-stephen-hoy Editor’s Note: Libby Hoy, Patient Family Advisor (PFA), is the Founder and CEO of Patient Family Cente…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49546/psn-pdf
    October 17, 2007 - Do Not Disturb! October 1, 2007 Duffy DF, Cassel C. Do Not Disturb!. PSNet [internet]. 2007. https://psnet.ahrq.gov/web-mm/do-not-disturb Case Objectives Define professionalism. Discuss behaviors associated with lack of professionalism. Outline steps one should take if a significant breach of professionalism is …
  20. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2022-08/final_spotlight_case_mesenteric_ischemia_08.05.2022.pdf
    January 01, 2022 - Spotlight Spotlight Delayed Diagnosis of Mesenteric Ischemia Source and Credits • This presentation is based on the August 2022 AHRQ WebM&M Spotlight Case o See the full article at https://psnet.ahrq.gov/webmm o CME credit is available o Commentary by: Anamaria Robles, MD, and Garth Utter, MD, MSc o AHRQ WebM&M…

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