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psnet.ahrq.gov/node/866524/psn-pdf
August 14, 2024 - Generative artificial intelligence, patient safety and
healthcare quality: a review.
August 14, 2024
Howell MD. Generative artificial intelligence, patient safety and healthcare quality: a review. BMJ Qual Saf.
2024;33(11):748-754. doi:10.1136/bmjqs-2023-016690.
https://psnet.ahrq.gov/issue/generative-artificial-i…
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psnet.ahrq.gov/node/72641/psn-pdf
January 13, 2021 - Safety of surgical telehealth in the outpatient and
inpatient setting.
January 13, 2021
Purnell S, Zheng F. Safety of Surgical Telehealth in the Outpatient and Inpatient Setting. Surg Clin North
Am. 2020;101(1):109-119. doi:10.1016/j.suc.2020.09.003.
https://psnet.ahrq.gov/issue/safety-surgical-telehealth-outpatie…
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psnet.ahrq.gov/sites/default/files/2025-01/spotlight_case_misdiagnosis_of_small_bowel_obstruction_-_slides_-_final.pptx
January 01, 2025 - Spotlight
Spotlight
Misdiagnosis of Small Bowel Obstruction in the Setting of Previous Abdominal Operations
1
Source and Credits
This presentation is based on the January 2025 AHRQ WebM&M Spotlight Case
See the full article at https://psnet.ahrq.gov/webmm
CME credit is available
Commentary by: Samantha Brown…
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psnet.ahrq.gov/node/49729/psn-pdf
April 01, 2015 - Dissecting the Presentation
April 1, 2015
Suat-Ooi SB. Dissecting the Presentation. PSNet [internet]. 2015.
https://psnet.ahrq.gov/web-mm/dissecting-presentation
Case Objectives
Define aortic dissection.
Describe the epidemiology of acute aortic dissection.
State the common and uncommon presentation of acute aor…
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psnet.ahrq.gov/primer/simulation-training
September 15, 2024 - Simulation Training
Citation Text:
Edward JJ, Nichols A, Bakerjian D. Simulation Training. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML En…
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psnet.ahrq.gov/curated-library/organizational-learning
November 10, 2025 - Breadcrumb
Home
The PSNet Collection
Curated Libraries
Subscribed
Organizational Learning
Download
Share
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Created By: Lorri Zipperer, Cybrarian, AHRQ PSNet Team…
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psnet.ahrq.gov/web-mm/abdominal-pain-early-pregnancy
November 13, 2024 - SPOTLIGHT CASE
Abdominal Pain in Early Pregnancy
Citation Text:
Kilpatrick CC. Abdominal Pain in Early Pregnancy. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015.
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Format:
Google Scholar BibT…
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psnet.ahrq.gov/node/46973/psn-pdf
June 25, 2018 - Balancing innovation and safety when integrating digital
tools into health care.
June 25, 2018
Auerbach AD, Neinstein A, Khanna R. Balancing Innovation and Safety When Integrating Digital Tools Into
Health Care. Ann Intern Med. 2018;168(10):733-734. doi:10.7326/M17-3108.
https://psnet.ahrq.gov/issue/balancing-inno…
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psnet.ahrq.gov/node/47032/psn-pdf
May 23, 2018 - Clinical dental faculty members' perceptions of diagnostic
errors and how to avoid them.
May 23, 2018
Nikdel C, Nikdel K, Ibarra-Noriega A, et al. Clinical Dental Faculty Members' Perceptions of Diagnostic
Errors and How to Avoid Them. J Dent Educ. 2018;82(4):340-348. doi:10.21815/JDE.018.037.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/45846/psn-pdf
January 07, 2019 - Medication safety in the operating room: literature and
expert-based recommendations.
January 7, 2019
Wahr JA, Abernathy JH, Lazarra EH, et al. Medication safety in the operating room: literature and expert-
based recommendations. Br J Anaesth. 2017;118(1):32-43. doi:10.1093/bja/aew379.
https://psnet.ahrq.gov/issu…
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psnet.ahrq.gov/node/47892/psn-pdf
March 27, 2019 - Addressing medicine's bias against patients who are
overweight.
March 27, 2019
Rubin R. Addressing Medicine's Bias Against Patients Who Are Overweight. JAMA. 2019;321(10):925-927.
doi:10.1001/jama.2019.0048.
https://psnet.ahrq.gov/issue/addressing-medicines-bias-against-patients-who-are-overweight
Patients with o…
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psnet.ahrq.gov/node/44989/psn-pdf
July 01, 2016 - Can medical record reviewers reliably identify errors and
adverse events in the ED?
July 1, 2016
Klasco RS, Wolfe RE, Lee T, et al. Can medical record reviewers reliably identify errors and adverse
events in the ED? Am J Emerg Med. 2016;34(6):1043-8. doi:10.1016/j.ajem.2016.03.001.
https://psnet.ahrq.gov/issue/can…
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psnet.ahrq.gov/node/37769/psn-pdf
March 10, 2011 - Turning off frequently overridden drug alerts: limited
opportunities for doing it safely.
March 10, 2011
van der Sijs H, Aarts J, van Gelder T, et al. Turning off frequently overridden drug alerts: limited
opportunities for doing it safely. J Am Med Inform Assoc. 2008;15(4):439-48. doi:10.1197/jamia.M2311.
https:/…
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psnet.ahrq.gov/node/852748/psn-pdf
August 23, 2023 - Compliance with central line maintenance bundle and
infection rates.
August 23, 2023
Tripathi S, McGarvey J, Lee K, et al. Compliance with central line maintenance bundle and infection rates.
Pediatrics. 2023;152(3):e2022059688. doi:10.1542/peds.2022-059688.
https://psnet.ahrq.gov/issue/compliance-central-line-mai…
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psnet.ahrq.gov/node/854625/psn-pdf
January 01, 2024 - Remote patient monitoring improves patient falls and
reduces harm.
October 18, 2023
Zimbro KS, Bridges C, Bunn S, et al. Remote patient monitoring improves patient falls and reduces harm. J
Nurs Care Qual. 2024;39(3):212-219. doi:10.1097/ncq.0000000000000749.
https://psnet.ahrq.gov/issue/remote-patient-monitoring-…
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psnet.ahrq.gov/node/47653/psn-pdf
January 16, 2019 - Exploring pharmacist experiences of delivering
individualised prescribing error feedback in an acute
hospital setting.
January 16, 2019
Lloyd M, Watmough SD, O'Brien S, et al. Exploring pharmacist experiences of delivering individualised
prescribing error feedback in an acute hospital setting. Res Social Adm Pharm…
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psnet.ahrq.gov/node/44431/psn-pdf
October 21, 2015 - Use of a human factors classification framework to
identify causal factors for medication and medical device-
related adverse clinical incidents.
October 21, 2015
Mitchell RJ, Williamson A, Molesworth B. Use of a human factors classification framework to identify causal
factors for medication and medical device-re…
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psnet.ahrq.gov/node/840169/psn-pdf
November 16, 2022 - ISMP survey on tall man (mixed case) lettering to reduce
drug name confusion.
November 16, 2022
Institute for Safe Medication Practices.
https://psnet.ahrq.gov/issue/ismp-survey-tall-man-mixed-case-lettering-reduce-drug-name-confusion
Mixed case letters are one suggested strategy to reduce look-alike medication na…
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psnet.ahrq.gov/node/35237/psn-pdf
November 29, 2009 - Improving nurse-to-patient staffing ratios as a cost-
effective safety intervention.
November 29, 2009
Rothberg MB, Abraham I, Lindenauer PK, et al. Improving nurse-to-patient staffing ratios as a cost-effective
safety intervention. Med Care. 2005;43(8):785-91.
https://psnet.ahrq.gov/issue/improving-nurse-patient-…
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psnet.ahrq.gov/node/74176/psn-pdf
December 15, 2021 - Reducing medication errors for adults in hospital
settings.
December 15, 2021
Ciapponi A, Fernandez Nievas SE, Seijo M, et al. Reducing medication errors for adults in hospital settings.
Cochrane Database Syst Rev. 2021;11(11):CD009985. doi:10.1002/14651858.cd009985.pub2.
https://psnet.ahrq.gov/issue/reducing-medi…