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  1. 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…
  2. 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…
  3. 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…
  4. www.uspreventiveservicestaskforce.org/uspstf/recommendation/ovarian-cancer-screening-2012
    September 15, 2012 - Share to Facebook Share to X Share to WhatsApp Share to Email Print archived Final Recommendation Statement Ovarian Cancer: Screening September 15, 2012 Recommendations made by the USPSTF are independent of the U.S. government. They shoul…
  5. www.uspreventiveservicestaskforce.org/home/getfilebytoken/thMRXgCVQmNUsYo6dmXEc3
    May 01, 2004 - Screening for Visual Impairment in Children Younger than Age 5 Years - Recommendation Statement Summary of Recommendation The USPSTF recommends screening to detect amblyopia, strabismus, and defects in visual acuity in children younger than age 5 years. B recommendation. The USPSTF found no direct evidence that scr…
  6. 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…
  7. 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…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866284/psn-pdf
    February 26, 2025 - AJR Podcast Series on Diagnostic Excellence and Error. February 26, 2025 Deng F, ed. AJR Am J Roentgenol. July 2024-February 2025. https://psnet.ahrq.gov/issue/ajr-podcast-series-diagnostic-excellence-and-error Reducing diagnostic errors relies on a variety of professionals across the spectrum of care. This podcast…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72562/psn-pdf
    December 09, 2020 - Missed or Rationed Nursing Care. December 9, 2020 J Nurs Manag. 2020;28(8): i-iv, 1767-2275. https://psnet.ahrq.gov/issue/missed-or-rationed-nursing-care Incomplete nursing care is known to affect care quality and safety. This special issue documents the global problem of missed or rationed nursing care in a varie…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36264/psn-pdf
    October 21, 2010 - The importance of establishing regimen concordance in preventing medication errors in anticoagulant care. October 21, 2010 Schillinger D, Wang F, Rodriguez M, et al. The importance of establishing regimen concordance in preventing medication errors in anticoagulant care. J Health Commun. 2006;11(6):555-67. https:/…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61031/psn-pdf
    October 14, 2020 - Special Section: Event Analysis and Risk Management. October 14, 2020 Alemi F ed. Qual Manag Health Care. 2020;29(4):232-278. https://psnet.ahrq.gov/issue/special-section-event-analysis-and-risk-management Adverse event analysis is core for organizational learning from poor performance. This special section d…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41956/psn-pdf
    December 21, 2014 - Integrating human factors research and surgery: a review. December 21, 2014 Shouhed D, Gewertz BL, Wiegmann D, et al. Integrating human factors research and surgery: a review. Arch Surg. 2012;147(12):1141-1146. doi:10.1001/jamasurg.2013.596. https://psnet.ahrq.gov/issue/integrating-human-factors-research-and-surger…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35680/psn-pdf
    March 03, 2011 - Impact of adverse events on prescribing warfarin in patients with atrial fibrillation: matched pair analysis. March 3, 2011 Choudhry NK, Anderson G, Laupacis A, et al. Impact of adverse events on prescribing warfarin in patients with atrial fibrillation: matched pair analysis. BMJ. 2006;332(7534):141-5. https://ps…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37109/psn-pdf
    July 15, 2013 - Putting the sleepy resident issue to bed: federal legislation is not the answer to excessive medical resident working hours. July 15, 2013 Stone JD. https://psnet.ahrq.gov/issue/putting-sleepy-resident-issue-bed-federal-legislation-not-answer-excessive- medical-resident This article examines work-hour reduction …
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50759/psn-pdf
    December 18, 2019 - The lurking danger in the “business case” for patient safety December 18, 2019 Millenson ML. Health Affairs Blog. December 2, 2019. https://psnet.ahrq.gov/issue/lurking-danger-business-case-patient-safety The two decades since To Err Is Human was published have raised and addressed a myriad of concerns affecting …
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43597/psn-pdf
    November 04, 2014 - The lost art of the history and physical. November 4, 2014 Natt B, Szerlip HM. The lost art of the history and physical. Am J Med Sci. 2014;348(5):423-5. doi:10.1097/MAJ.0000000000000326. https://psnet.ahrq.gov/issue/lost-art-history-and-physical Highlighting concerns about over-reliance on laboratory tests to for…
  17. 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…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50874/psn-pdf
    February 05, 2020 - Checking In on the Checklist. February 5, 2020 Buissonniere M. Brooklyn NY: Lifebox and Ariadne Labs; 2020. https://psnet.ahrq.gov/issue/checking-checklist Checklists are integrated into error reduction strategies and healthcare team communication efforts worldwide but implementation and impact of the tool varies …
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38586/psn-pdf
    April 30, 2014 - Stress and burnout among surgeons: understanding and managing the syndrome and avoiding the adverse consequences. April 30, 2014 Balch CM, Freischlag JA, Shanafelt TD. Stress and burnout among surgeons: understanding and managing the syndrome and avoiding the adverse consequences. Arch Surg. 2009;144(4):371-6. do…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61052/psn-pdf
    April 01, 2019 - Inadvertent Administration of an Oral Liquid Medicine into a Vein. April 1, 2019 Farnborough, UK; Healthcare Safety Investigation Branch: April 2019. https://psnet.ahrq.gov/issue/inadvertent-administration-oral-liquid-medicine-vein Wrong route medication administration is a never event. This report examined the co…