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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42814/psn-pdf
    February 06, 2014 - Twelve tips on engaging learners in checking health care decisions. February 6, 2014 Sibbald M, de Bruin A, van Merrienboer JJG. Twelve tips on engaging learners in checking health care decisions. Med Teach. 2014;36(2):111-5. doi:10.3109/0142159X.2013.847910. https://psnet.ahrq.gov/issue/twelve-tips-engaging-learn…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74766/psn-pdf
    June 24, 2024 - Patient handoffs. June 24, 2024 Arora V, Farnan J. UpToDate. June 24, 2024. https://psnet.ahrq.gov/issue/patient-handoffs-0 The change of an inpatient’s location or handoffs between teams can fragment care due to communication, information, and knowledge gaps. This review examines in-patient transition safety issu…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837985/psn-pdf
    August 31, 2022 - Inequity and Iatrogenic Harm. August 31, 2022 AMA J Ethics. 2022;24(8):e715-e816. https://psnet.ahrq.gov/issue/inequity-and-iatrogenic-harm Health inequity is recent expansion in the patient safety canon. This special issue examines poor access, quality of care, and health status as contributors to patient harm. A…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39078/psn-pdf
    May 21, 2014 - Assessing Patient Safety Practices and Outcomes in the U.S. Health Care System. May 21, 2014 Farley DO, Ridgely MS, Mendel P, et al. Santa Monica, CA: RAND Corporation; 2009. ISBN: 9780833047748. https://psnet.ahrq.gov/issue/assessing-patient-safety-practices-and-outcomes-us-health-care-system This publication re…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36828/psn-pdf
    August 29, 2011 - Pediatric medication errors in the postanesthesia care unit: analysis of MEDMARX data. August 29, 2011 Payne CH, Smith CR, Newkirk LE, et al. Pediatric medication errors in the postanesthesia care unit: analysis of MEDMARX data. AORN J. 2007;85(4):731-40; quiz 741-4. https://psnet.ahrq.gov/issue/pediatric-medicati…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42762/psn-pdf
    November 27, 2013 - Motivational antecedents of incident reporting: evidence from a survey of nurses and physicians. November 27, 2013 Pfeiffer Y, Briner M, Wehner T, et al. Motivational antecedents of incident reporting: evidence from a survey of nurses and physicians. Swiss Med Wkly. 2013;143:w13881. doi:10.4414/smw.2013.13881. htt…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34012/psn-pdf
    December 22, 2008 - Always having to say you're sorry: an ethical response to making mistakes in professional practice. December 22, 2008 Crigger NJ. Always having to say you're sorry: an ethical response to making mistakes in professional practice. Nurs Ethics. 2004;11(6):568-76. https://psnet.ahrq.gov/issue/always-having-say-youre-…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39956/psn-pdf
    June 20, 2011 - Validity of selected patient safety indicators: opportunities and concerns. June 20, 2011 Kaafarani HMA, Borzecki AM, Itani KMF, et al. Validity of Selected Patient Safety Indicators: Opportunities and Concerns. J Am Coll Surg. 2010;212(6):924-934. doi:10.1016/j.jamcollsurg.2010.07.007. https://psnet.ahrq.gov/issu…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38773/psn-pdf
    July 08, 2009 - Complexity, bullying, and stress: analyzing and mitigating a challenging work environment for nurses. July 8, 2009 Hughes RG, Clancy CM. Complexity, bullying, and stress: analyzing and mitigating a challenging work environment for nurses. J Nurs Care Qual. 2009;24(3):180-183. doi:10.1097/NCQ.0b013e3181a6350a. http…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40089/psn-pdf
    July 27, 2011 - Serious Reportable Events July 27, 2011 National Quality Forum. 2009-2011. https://psnet.ahrq.gov/issue/patient-safety-serious-reportable-events-healthcare This project--now complete--examined the presence and tracking of never events as part of a larger National Quality Forum strategy to improve patient safety. T…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39412/psn-pdf
    January 03, 2017 - Health care serial murder: a patient safety orphan. January 3, 2017 Kizer KW, Yorker BC. Health care serial murder: a patient safety orphan. Jt Comm J Qual Saf. 2010;36(4):186-191. https://psnet.ahrq.gov/issue/health-care-serial-murder-patient-safety-orphan This article defines health care serial murder, examines …
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44535/psn-pdf
    September 30, 2015 - Diagnostic experiences of children with attention- deficit/hyperactivity disorder. September 30, 2015 Visser SN, Zablotsky B, Holbrook JR, Danielson ML, Bitsko RH. Natl Health Stat Report. 2015;(81):1-8. https://psnet.ahrq.gov/issue/diagnostic-experiences-children-attention-deficithyperactivity-disorder This surve…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42256/psn-pdf
    May 10, 2013 - Rapid response systems: should we still question their implementation? May 10, 2013 Winters BD, Pronovost P. Rapid response systems: should we still question their implementation? J Hosp Med. 2013;8(5):278-81. doi:10.1002/jhm.2050. https://psnet.ahrq.gov/issue/rapid-response-systems-should-we-still-question-their-…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49741/psn-pdf
    September 01, 2015 - Abdominal Pain in Early Pregnancy September 1, 2015 Kilpatrick CC. Abdominal Pain in Early Pregnancy. PSNet [internet]. 2015. https://psnet.ahrq.gov/web-mm/abdominal-pain-early-pregnancy Case Objectives Recognize when nausea and vomiting in pregnancy is abnormal. Identify the most common causes of non-obstetric a…
  15. Spotlight (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.464_slideshow.ppt
    January 01, 2019 - Spotlight Spotlight Mistaken Attribution, Diagnostic Misstep * Source and Credits This presentation is based on the January 2019 AHRQ WebM&M Spotlight Case See the full article at https://psnet.ahrq.gov/webmm CME credit is available Commentary by: Timothy R. Kreider, MD, PhD, and John Q. Young, MD, MPP, PhD …
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33849/psn-pdf
    January 01, 2018 - In Conversation With… Robert Hirschtick, MD January 1, 2018 In Conversation With… Robert Hirschtick, MD. PSNet [internet]. 2018. https://psnet.ahrq.gov/perspective/conversation-robert-hirschtick-md Editor's note: Dr. Hirschtick is Associate Professor of Medicine at Northwestern Medicine, and the author of a numbe…
  17. psnet.ahrq.gov/web-mm/delirium-or-dementia
    September 27, 2023 - SPOTLIGHT CASE Delirium or Dementia? Citation Text: Rudolph JL. Delirium or Dementia?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7…
  18. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2022-05/final_cme_reviewed_-_spotlight_missing_a_large_vessel_occlusion_stroke_04.14.2022_-_copy.pdf
    January 01, 2022 - Spotlight Spotlight Missing a Large Vessel Occlusion Stroke in a Patient with a History of Seizures Source and Credits • This presentation is based on the May 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: Kevin Keenan, MD and D…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837215/psn-pdf
    July 08, 2022 - Missing a Large Vessel Occlusion Stroke in a Patient with a History of Seizures. July 8, 2022 Keenan KJ, Nishijima DK. Missing a Large Vessel Occlusion Stroke in a Patient with a History of Seizures. PSNet [internet]. 2022. https://psnet.ahrq.gov/web-mm/missing-large-vessel-occlusion-stroke-patient-history-seizure…
  20. psnet.ahrq.gov/issue/deny-dismiss-dehumanise-what-happened-when-i-went-hospital
    September 09, 2015 - March 18, 2020 Examining causes and prevention strategies of adverse events in deceased

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