-
psnet.ahrq.gov/web-mm/missing-large-vessel-occlusion-stroke-patient-history-seizures
August 31, 2022 - SPOTLIGHT CASE
Missing a Large Vessel Occlusion Stroke in a Patient with a History of Seizures.
Citation Text:
Keenan KJ, Nishijima DK. Missing a Large Vessel Occlusion Stroke in a Patient with a History of Seizures.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, U…
-
psnet.ahrq.gov/print/pdf/node/865308
January 01, 2024 - PSNet
Curated Library
AHRQ: Agency for Healthcare Research and Quality
Organizational Learning
Curated Library
Foundations
Organizational learning: health care leaders need to design structures and processes that enhance
collective learning.
Bohmer RM, Edmondson AC. Health Forum J. 2001;44:32-35.
This comment…
-
psnet.ahrq.gov/perspective/annual-perspective-psychological-safety-healthcare-staff
November 16, 2022 - September 29, 2017
Examining the relationship among ambulatory surgical settings work
-
psnet.ahrq.gov/sites/default/files/2024-05/spotlight_case_hindsight_is_2020_slides_final_revised_05.03.2024.pdf
January 01, 2024 - Spotlight
Hindsight is 20/20: Thrombolytics for Alcohol
Intoxication
Source and Credits
• This presentation is based on the April 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: Eric Signoff, MD, Noelle Boctor, MD, and David K.
B…
-
psnet.ahrq.gov/web-mm/adolescent-diabetes-routine-visit
November 18, 2016 - SPOTLIGHT CASE
Adolescent Diabetes: A Routine Visit?
Citation Text:
Slap GB. Adolescent Diabetes: A Routine Visit?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010.
Copy Citation
Format:
Google Scholar Bi…
-
psnet.ahrq.gov/node/35133/psn-pdf
March 11, 2011 - Parents as partners in obtaining the medication history.
March 11, 2011
Porter SC, Kohane IS, Goldmann DA. Parents as partners in obtaining the medication history. J Am Med
Inform Assoc. 2005;12(3):299-305.
https://psnet.ahrq.gov/issue/parents-partners-obtaining-medication-history
This study examined the utility o…
-
psnet.ahrq.gov/node/42603/psn-pdf
March 04, 2015 - Cognitive and system factors contributing to diagnostic
errors in radiology.
March 4, 2015
Lee CS, Nagy PG, Weaver SJ, et al. Cognitive and system factors contributing to diagnostic errors in
radiology. AJR Am J Roentgenol. 2013;201(3):611-7. doi:10.2214/AJR.12.10375.
https://psnet.ahrq.gov/issue/cognitive-and-sys…
-
psnet.ahrq.gov/node/37039/psn-pdf
September 14, 2007 - Corporate Responsibility and Health Care Quality: A
Resource for Health Care Boards of Directors.
September 14, 2007
Callender AN, Hastings DA, Hemsley MC, et al. Washington DC: Office of the Inspector General of the US
Department of Health and Human Services, American Health Lawyers Association; September 2007.
h…
-
psnet.ahrq.gov/node/37568/psn-pdf
February 03, 2011 - Survival from in-hospital cardiac arrest during nights and
weekends.
February 3, 2011
Peberdy MA, Ornato JP, Larkin L, et al. Survival from in-hospital cardiac arrest during nights and
weekends. JAMA. 2008;299(7):785-92. doi:10.1001/jama.299.7.785.
https://psnet.ahrq.gov/issue/survival-hospital-cardiac-arrest-duri…
-
psnet.ahrq.gov/node/853443/psn-pdf
September 13, 2023 - Complications and Errors in Periodontal and Implant
Therapy.
September 13, 2023
Zucchelli G, Stefanini M, eds. Periodontol 2000. 2023;92(1):1-398.
https://psnet.ahrq.gov/issue/complications-and-errors-periodontal-and-implant-therapy
Patient safety in dentistry shares common challenges with medicine and t…
-
psnet.ahrq.gov/node/853626/psn-pdf
September 20, 2023 - Uncovering the shocking dangers of misdiagnosis.
September 20, 2023
Graedon T. People’s Pharmacy. Show 1355. September 8, 2023.
https://psnet.ahrq.gov/issue/uncovering-shocking-dangers-misdiagnosis
Misdiagnosis continues to impact the safety of health care. This podcast with David Newman-Toker
discusses foun…
-
psnet.ahrq.gov/node/73690/psn-pdf
September 08, 2021 - Medicine's Shadowside: Revisiting Clinical Iatrogenesis.
September 8, 2021
Varley E, Varma S, eds. Anthropol Med. 2021;28(2);141-278.
https://psnet.ahrq.gov/issue/medicines-shadowside-revisiting-clinical-iatrogenesis
Implicit biases are rooted in culture and context. This special issue examine…
-
psnet.ahrq.gov/node/865820/psn-pdf
May 08, 2024 - Breaking the silence on medical mistakes.
May 8, 2024
Scott M. The Pulse. New York Public Radio; April 26, 2024.
https://psnet.ahrq.gov/issue/breaking-silence-medical-mistakes
Individuals involved in medical errors need time and support to process the incident and its consequences.
This moderated podcast examines …
-
psnet.ahrq.gov/node/861779/psn-pdf
January 31, 2024 - Health Care Equity
January 31, 2024
Jt Comm J Qual Patient Saf. 2024;50(1);1-92.
https://psnet.ahrq.gov/issue/health-care-equity
Health care inequities are the result of both clinical and community system failures. This special issue
highlights activities in the field that examine investigative methods to better u…
-
psnet.ahrq.gov/node/39246/psn-pdf
April 11, 2018 - How perioperative nurses define, attribute causes of, and
react to intraoperative nursing errors.
April 11, 2018
Chard R. How perioperative nurses define, attribute causes of, and react to intraoperative nursing errors.
AORN J. 2010;91(1):132-45. doi:10.1016/j.aorn.2009.06.028.
https://psnet.ahrq.gov/issue/how-per…
-
psnet.ahrq.gov/node/50920/psn-pdf
February 19, 2020 - Preeminent hospitals penalized over rates of patients’
injuries.
February 19, 2020
Rau J. Kaiser Health News. January 30, 2020.
https://psnet.ahrq.gov/issue/preeminent-hospitals-penalized-over-rates-patients-injuries
Medicare reimbursement restrictions are a controversial stimulus to motivate hospital acquired con…
-
psnet.ahrq.gov/node/41277/psn-pdf
November 28, 2012 - AHRQ 2012 Annual Conference.
November 28, 2012
Agency for Healthcare Research and Quality. September 9–12, 2012; Bethesda North Marriott Hotel &
Conference Center, Bethesda, MD.
https://psnet.ahrq.gov/issue/ahrq-2012-annual-conference
The Agency for Healthcare Research and Quality's 2012 conference, "Moving Ahead:…
-
psnet.ahrq.gov/node/41705/psn-pdf
September 26, 2012 - Teamwork errors in trauma resuscitation.
September 26, 2012
Sarcevic A, Marsic I, Burd RS. Teamwork Errors in Trauma Resuscitation. ACM Trans Comput Hum
Interact. 2012;19(2):13:1-13:30. doi:10.1145/2240156.2240161.
https://psnet.ahrq.gov/issue/teamwork-errors-trauma-resuscitation
This study examines the nature of …
-
psnet.ahrq.gov/issue/pathology-and-patient-safety-critical-role-pathology-informatics-error-reduction-and-quality
July 20, 2009 - Resources From the Same Author(s)
Database construction for improving patient safety by examining
-
psnet.ahrq.gov/issue/does-your-knee-make-more-click-or-clack-teaching-car-talk-new-docs
April 17, 2019 - November 4, 2014
Examining the diagnostic justification abilities of fourth-year medical