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psnet.ahrq.gov/web-mm/discharge-instructions-pacu-who-remembers
August 05, 2009 - Discharge Instructions in the PACU: Who Remembers?
Citation Text:
Engel KG. Discharge Instructions in the PACU: Who Remembers?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013.
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psnet.ahrq.gov/web-mm/caution-interrupted
October 01, 2016 - Caution, Interrupted
Citation Text:
Wears RL. Caution, Interrupted. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004.
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psnet.ahrq.gov/node/49547/psn-pdf
October 01, 2007 - Code Blue—Where To?
October 1, 2007
Adams BD. Code Blue—Where To? PSNet [internet]. 2007.
https://psnet.ahrq.gov/web-mm/code-blue-where
The Case
An 80-year-old man with a history of coronary artery disease, hypertension, and schizophrenia was
admitted to an inpatient psychiatry service for hallucinations and anxi…
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psnet.ahrq.gov/web-mm/preventable-rash
October 01, 2012 - Preventable Rash
Citation Text:
McLean C. Preventable Rash. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005.
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…
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psnet.ahrq.gov/web-mm/hard-swallow
April 26, 2023 - Hard to Swallow
Citation Text:
Driver J. Hard to Swallow. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004.
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psnet.ahrq.gov/web-mm/reconciling-doses
August 14, 2017 - SPOTLIGHT CASE
Reconciling Doses
Citation Text:
Federico F. Reconciling Doses. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005.
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psnet.ahrq.gov/web-mm/are-you-mrs-issue-identification-over-telephone
January 01, 2016 - Are You Mrs. A? An Issue of Identification Over Telephone
Citation Text:
Adelman JS. Are You Mrs. A? An Issue of Identification Over Telephone. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013.
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psnet.ahrq.gov/node/33656/psn-pdf
September 01, 2007 - In Conversation with...Atul Gawande, MD, MA, MPH
September 1, 2007
In Conversation with..Atul Gawande, MD, MA, MPH. PSNet [internet]. 2007.
https://psnet.ahrq.gov/perspective/conversation-withatul-gawande-md-ma-mph
Editor's Note: Atul Gawande, MD, MA, MPH, Associate Professor of Surgery at Harvard Medical School
a…
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psnet.ahrq.gov/node/60044/psn-pdf
March 16, 2020 - Patient Safety in Medical, Nursing, and Other Clinical
Education
March 16, 2020
Howley LD, Hall KK, Fitall E. Patient Safety in Medical, Nursing, and Other Clinical Education . PSNet
[internet]. 2020.
https://psnet.ahrq.gov/perspective/patient-safety-medical-nursing-and-other-clinical-education
Background
Despit…
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psnet.ahrq.gov/perspective/suicide-prevention
March 24, 2025 - for nearly 50,000 deaths in 2022, a 36% rise since 2000. 1 In addition, over 13 million Americans experience … I want to understand your experience better so we can work together to help you feel safer and supported
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psnet.ahrq.gov/perspective/conversation-edwin-boudreaux-about-suicide-prevention
March 25, 2025 - for nearly 50,000 deaths in 2022, a 36% rise since 2000. 1 In addition, over 13 million Americans experience … I want to understand your experience better so we can work together to help you feel safer and supported
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psnet.ahrq.gov/web-mm/misconnection-leading-arterial-thrombosis
January 29, 2021 - Adequately supervise junior staff It is likely that the physician involved in this case had very little experience
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psnet.ahrq.gov/node/851389/psn-pdf
July 31, 2023 - is associated with higher healthcare costs.5 The impetus for the
innovation stemmed from a patient experience
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psnet.ahrq.gov/node/867359/psn-pdf
December 18, 2024 - several safety topics related to infant feeding, including breastfeeding education
and supporting the experience
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psnet.ahrq.gov/node/866261/psn-pdf
July 10, 2024 - orthopedic or trauma surgeon should be obtained to rule out compartment
syndrome, as these surgeons have experience
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psnet.ahrq.gov/node/49759/psn-pdf
May 01, 2016 - technically fall (she does not meet the NDNQI definition because she did not fall to the
ground), she did experience
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psnet.ahrq.gov/node/72517/psn-pdf
November 25, 2020 - Cognitive biases are commonly identified in patients who experience post-operative complications.
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psnet.ahrq.gov/node/84413/psn-pdf
February 23, 2022 - National Academy of Medicine) reported in 2015 that 5% of adults who seek
care in outpatient settings experience
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psnet.ahrq.gov/web-mm/monitoring-fetal-health
September 08, 2010 - While the technical and logistical issues are important, in our experience, a major factor contributing
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psnet.ahrq.gov/web-mm/mobility-lost-icu
August 01, 2018 - 2018
We want to know: patient comfort speaking up about breakdowns in care and patient experience