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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50389/psn-pdf
    September 25, 2019 - Getting the Diagnosis Both Right and Wrong September 25, 2019 Olson AP. Getting the Diagnosis Both Right and Wrong. PSNet [internet]. 2019. https://psnet.ahrq.gov/web-mm/getting-diagnosis-both-right-and-wrong The Case A 27-year-old woman with a history of acute myeloid leukemia was sent to the emergency department…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49662/psn-pdf
    August 01, 2012 - Wrong Turn through Colon: Misplaced PEG August 1, 2012 Sorokin R, Conn M. Wrong Turn through Colon: Misplaced PEG. PSNet [internet]. 2012. https://psnet.ahrq.gov/web-mm/wrong-turn-through-colon-misplaced-peg The Case An 87-year-old man was admitted for congestive heart failure (CHF) exacerbation. In addition, a pa…
  3. psnet.ahrq.gov/web-mm/crossing-borderline
    June 01, 2022 - Crossing the Borderline Citation Text: Oldham JM. Crossing the Borderline. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pub…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49426/psn-pdf
    November 01, 2003 - Don't Push November 1, 2003 Meltzer HY. Don't Push. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/dont-push The Case A 37-year-old HIV-positive woman was brought to the emergency room by her family because she had exhibited altered mentation for 3 days. The patient had been diagnosed with HIV infection 3 …
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49668/psn-pdf
    October 01, 2012 - Buprenorphine and the Medically Ill Patient October 1, 2012 McCance-Katz EF. Buprenorphine and the Medically Ill Patient. PSNet [internet]. 2012. https://psnet.ahrq.gov/web-mm/buprenorphine-and-medically-ill-patient The Case A 60-year-old man with a 15-year history of oxycodone dependence presented to a substance …
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33784/psn-pdf
    April 01, 2015 - We spoke with him about his New England Journal of Medicine study evaluating the effectiveness of checklists
  7. psnet.ahrq.gov/print/pdf/node/73848
    July 01, 2022 - PSNet Curated Library AHRQ: Agency for Healthcare Research and Quality Maternal Safety Curated Library Foundations Maternal Safety Marla Shauer, PhD(c), MSN, CNM; Amy Nichols, EdD, RN, CNS, CHSE, ANEF; Audrey Lyndon, RN, PhD, FAAN | January, 31 2024 Pregnancy, childbirth, and the postpartum year present a comp…
  8. psnet.ahrq.gov/web-mm/mismanagement-acute-decompensated-heart-failure-hypertensive-emergency
    May 01, 2018 - SPOTLIGHT CASE Mismanagement of Acute Decompensated Heart Failure with Hypertensive Emergency Citation Text: Lee J, Fernilius J, Frick W. Mismanagement of Acute Decompensated Heart Failure with Hypertensive Emergency. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, U…
  9. psnet.ahrq.gov/print/pdf/node/838351
    July 01, 2024 - PSNet Curated Library AHRQ: Agency for Healthcare Research and Quality Diagnostic Safety Improvement Curated Library Foundations Improving Diagnosis in Health Care. Committee on Diagnostic Error in Health Care, National Academies of Science, Engineering, and Medicine. Washington, DC: National Academies Press; …
  10. psnet.ahrq.gov/web-mm/crushing-chest-pain-missed-opportunity
    February 01, 2007 - SPOTLIGHT CASE Crushing Chest Pain: A Missed Opportunity Citation Text: Graber ML. Crushing Chest Pain: A Missed Opportunity. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004. Copy Citation Format: Google …
  11. psnet.ahrq.gov/web-mm/dissecting-presentation
    May 05, 2021 - SPOTLIGHT CASE Dissecting the Presentation Citation Text: Suat-Ooi SB. Dissecting the Presentation. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015. Copy Citation Format: Google Scholar BibTeX EndNote X3 …
  12. psnet.ahrq.gov/web-mm/when-patients-and-providers-speak-different-languages
    December 08, 2021 - SPOTLIGHT CASE When Patients and Providers Speak Different Languages Citation Text: Karliner LS. When Patients and Providers Speak Different Languages. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. Copy Citation …
  13. psnet.ahrq.gov/perspective/conversation-john-d-birkmeyer-md
    January 31, 2024 - In Conversation With… John D. Birkmeyer, MD May 1, 2015  Citation Text: In Conversation With… John D. Birkmeyer, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015. Copy Citation Fo…
  14. psnet.ahrq.gov/web-mm/one-toxic-drug-not-another
    October 02, 2019 - SPOTLIGHT CASE One Toxic Drug Is Not Like Another Citation Text: Holmboe ES. One Toxic Drug Is Not Like Another. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011. Copy Citation Format: Google Scholar BibTe…
  15. psnet.ahrq.gov/curated-library/maternal-safety
    January 31, 2024 - Breadcrumb Home The PSNet Collection Curated Libraries Subscribed Maternal Safety  Download  Share Facebook Twitter Linkedin Copy URL Subscribe Created By: Lorri Zipperer, Cybrarian, AHRQ PSNet Team …
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49591/psn-pdf
    October 01, 2009 - Difficult Encounters: A CMO and CNO Respond October 1, 2009 Ring EJ, Hirsch JE. Difficult Encounters: A CMO and CNO Respond. PSNet [internet]. 2009. https://psnet.ahrq.gov/web-mm/difficult-encounters-cmo-and-cno-respond Case Objectives Appreciate the risk of disruptive behavior and understand institutional respons…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49431/psn-pdf
    January 01, 2004 - Crushing Chest Pain: A Missed Opportunity January 1, 2004 Graber ML. Crushing Chest Pain: A Missed Opportunity. PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/crushing-chest-pain-missed-opportunity Case Objectives Appreciate the challenges of diagnosing aortic dissection Describe a Bayesian approach to dia…
  18. psnet.ahrq.gov/issue/systems-science-primer-high-reliability
    March 23, 2022 - Review Systems science: a primer on high reliability. Citation Text: Roberson DW, Kirsh ER. Systems science: a primer on high reliability. Otolaryngol Clin North Am. 2019;52(1):1-9. doi:10.1016/j.otc.2018.08.001. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XM…
  19. psnet.ahrq.gov/issue/optimizing-medication-safety-home
    August 24, 2015 - Study Optimizing medication safety in the home. Citation Text: LeBlanc RG, Choi J. Optimizing medication safety in the home. Home Healthc Now. 2015;33(6):313-319. doi:10.1097/NHH.0000000000000246. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote…
  20. psnet.ahrq.gov/issue/understanding-why-quality-initiatives-succeed-or-fail-sociotechnical-systems-perspective
    March 10, 2021 - Commentary Understanding why quality initiatives succeed or fail: a sociotechnical systems perspective. Citation Text: Wiegmann DA. Understanding Why Quality Initiatives Succeed or Fail: A Sociotechnical Systems Perspective. Ann Surg. 2016;263(1):9-11. doi:10.1097/SLA.0000000000001333. …

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