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Total Results: 6,014 records

Showing results for "examining".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848829/psn-pdf
    May 10, 2023 - Lessons from the Covid War: An Investigative Report. May 10, 2023 Covid Crisis Group. New York: Public Affairs; 2023. ISBN?: ?9781541703803. https://psnet.ahrq.gov/issue/lessons-covid-war-investigative-report The transfer of failure experiences to generate learning and improve service is a complicated responsibilit…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34744/psn-pdf
    January 07, 2019 - Judgment under Uncertainty: Heuristics and Biases. January 7, 2019 Kahneman D, Slovic P, Tversky A, eds. Cambridge, NY: Cambridge University Press; 1982. ISBN: 0521284147. https://psnet.ahrq.gov/issue/judgment-under-uncertainty-heuristics-and-biases Judgement is an inherently human activity tha…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854639/psn-pdf
    October 18, 2023 - Right Kind of Wrong: Why Learning to Fail can Teach us to Thrive. October 18, 2023 Edmondson A. Atria Books, New York, 2023. ISBN: 9781982195069. https://psnet.ahrq.gov/issue/right-kind-wrong-why-learning-fail-can-teach-us-thrive Despite the harm that failure can cause, its value as a learning opportunity, if exam…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43846/psn-pdf
    January 21, 2015 - Quantifying and monitoring overdiagnosis in cancer screening: a systematic review of methods. January 21, 2015 Carter JL, Coletti RJ, Harris RP. Quantifying and monitoring overdiagnosis in cancer screening: a systematic review of methods. BMJ. 2015;350:g7773. doi:10.1136/bmj.g7773. https://psnet.ahrq.gov/issue/qua…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49397/psn-pdf
    May 01, 2003 - The Dropped Lung May 1, 2003 Heffner JR. The Dropped Lung. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/dropped-lung The Case A 79-year-old woman was admitted for hypoxia and shortness of breath. Two weeks prior she had been hospitalized for dyspnea and was found to have multiple bilateral pulmonary nodu…

  6. An Easily Forgotten Tube | PSNet

    psnet.ahrq.gov/web-mm/easily-forgotten-tube
    June 01, 2016 - An Easily Forgotten Tube Citation Text: Ousey K. An Easily Forgotten Tube. 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 Endnote tagged Pub…

  7. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2022-12/spotlight_case_strongyloides_final_11.21.22.pdf
    January 01, 2022 - Spotlight Spotlight Strongyloides: A Hidden Traveler and Potentially Lethal Missed Diagnosis Source and Credits • This presentation is based on the November 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: Narath Carlile MD MPH,…

  8. PowerPoint Presentation (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.356_slideshow.ppt
    September 01, 2015 - PowerPoint Presentation Spotlight Abdominal Pain in Early Pregnancy This presentation is based on the September 2015 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Charlie C. Kilpatrick, MD, Associate Professor of Obstetrics and Gynecology, Baylor …

  9. Spotlight Case July 2008 (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.200_slideshow.ppt
    May 01, 2009 - Spotlight Case July 2008 Spotlight Case Delirium or Dementia? Source and Credits This presentation is based on the May 2009 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: James L. Rudolph, MD, SM Editor, AHRQ WebM&M: Robert Wachter, MD Sp…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33585/psn-pdf
    March 15, 2025 - Radiation Safety March 15, 2025 Radiation Safety. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/radiation-safety PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current research and practice in the patient safety field. Last reviewed in 2025…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49658/psn-pdf
    July 01, 2012 - Misleading Complaint July 1, 2012 Soni K, Dhaliwal G. Misleading Complaint. PSNet [internet]. 2012. https://psnet.ahrq.gov/web-mm/misleading-complaint The Case A 54-year-old homeless man with a history of alcoholism presented to the emergency department (ED) with complaints of knee problems. The triage nurse docu…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73167/psn-pdf
    April 21, 2021 - Patient safety functions of state medical boards in the United States. April 21, 2021 Roy CG. Yale J Biol Med. 2021;94(1):165-173.  https://psnet.ahrq.gov/issue/patient-safety-functions-state-medical-boards-united-states Delivery of safe care hinges on the competency of medical professionals. This article out…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46082/psn-pdf
    February 25, 2019 - The opioid crisis: can improving diagnosis help solve the problem? February 25, 2019 Carr S. ImproveDx. April 2017;4:1-4. https://psnet.ahrq.gov/issue/opioid-crisis-can-improving-diagnosis-help-solve-problem The opioid epidemic has been widely discussed, but little research has examined how misdiagnosis can contr…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837608/psn-pdf
    September 06, 2023 - Harm Caused by Delays in Transferring Patients to the Right Place of Care. September 6, 2023 Farnborough, UK: Healthcare Safety Investigation Branch; August 2023. https://psnet.ahrq.gov/issue/harm-caused-delays-transferring-patients-right-place-care Handoffs between prehospital emergency medical services (EMS) pro…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845078/psn-pdf
    February 22, 2023 - Maternal and Infant Health Inequality: New Evidence from Linked Administrative Data. February 22, 2023 Kennedy-Moulton K, Miller S, Persson P, et al. Cambridge, MA: National Bureau of Economic Research; 2022. NBER Working Paper No. 30693. https://psnet.ahrq.gov/issue/maternal-and-infant-health-inequality-new-…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73396/psn-pdf
    June 16, 2021 - The impact of the built environment on patient falls in hospital rooms: an integrative review. June 16, 2021 Pati D, Valipoor S, Lorusso L, et al. The impact of the built environment on patient falls in hospital rooms: an integrative review. J Patient Saf. 2021;17(4):273-281. doi:10.1097/pts.0000000000000613. http…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847058/psn-pdf
    April 05, 2023 - Care Delivery within Community Mental Health Teams. April 5, 2023 Farnborough, UK: Healthcare Safety Investigation Branch; March 2023. https://psnet.ahrq.gov/issue/care-delivery-within-community-mental-health-teams Patient suicide is a sentinel event. This report examines a suicide incident that identified problems…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74846/psn-pdf
    February 16, 2022 - Weight-based Medication Errors in Children. February 16, 2022 Farnborough, UK: Healthcare Safety Investigation Branch; February 2022. https://psnet.ahrq.gov/issue/weight-based-medication-errors-children Weight-calculation errors can result in pediatric patient harm as they affect medication prescribing, dispensing…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838196/psn-pdf
    July 01, 2019 - The impact of racism on child and adolescent health. July 1, 2019 Trent M, Dooley DG, Dougé J, et al. The impact of racism on child and adolescent health. Pediatrics. 2019;144(2):e20191765. doi:10.1542/peds.2019-1765. https://psnet.ahrq.gov/issue/impact-racism-child-and-adolescent-health Children and adolescents a…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46468/psn-pdf
    December 13, 2017 - The effect of opioid prescribing guidelines on prescriptions by emergency physicians in Ohio. December 13, 2017 Weiner SG, Baker O, Poon SJ, et al. The Effect of Opioid Prescribing Guidelines on Prescriptions by Emergency Physicians in Ohio. Ann Emerg Med. 2017;70(6):799-808.e1. doi:10.1016/j.annemergmed.2017.03.0…
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