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  1. 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…
  2. 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…
  3. psnet.ahrq.gov/perspective/annual-perspective-psychological-safety-healthcare-staff
    November 16, 2022 - September 29, 2017 Examining the relationship among ambulatory surgical settings work
  4. 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…
  5. 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…
  6. Psn-Pdf (pdf file)

    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…
  7. Psn-Pdf (pdf file)

    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…
  8. Psn-Pdf (pdf file)

    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…
  9. Psn-Pdf (pdf file)

    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…
  10. Psn-Pdf (pdf file)

    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…
  11. Psn-Pdf (pdf file)

    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…
  12. Psn-Pdf (pdf file)

    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…
  13. Psn-Pdf (pdf file)

    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 …
  14. Psn-Pdf (pdf file)

    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…
  15. Psn-Pdf (pdf file)

    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…
  16. Psn-Pdf (pdf file)

    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…
  17. Psn-Pdf (pdf file)

    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:…
  18. Psn-Pdf (pdf file)

    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 …
  19. 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
  20. 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

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