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psnet.ahrq.gov/perspective/conversation-tejal-k-gandhi-md-mph
February 26, 2025 - I think we're just starting to get experience with this.
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psnet.ahrq.gov/web-mm/lack-sepsis-recognition-leads-delay-care-following-cesarean-delivery
November 30, 2021 - Cognitive biases are commonly identified in patients who experience post-operative complications.
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psnet.ahrq.gov/web-mm/falling-through-crack-bedrails
February 19, 2020 - 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/web-mm/tale-two-falls
March 27, 2024 - Relying on myself: the lived experience of being at risk for falling in the hospital among older adults
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psnet.ahrq.gov/web-mm/life-threatening-infant-overdose-sodium-chloride
December 23, 2020 - 2020
Interprofessional/interdisciplinary teamwork during the early COVID-19 pandemic: experience
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psnet.ahrq.gov/web-mm/missed-bowel-perforation-importance-diagnostic-reasoning
January 29, 2021 - Interprofessional/interdisciplinary teamwork during the early COVID-19 pandemic: experience
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psnet.ahrq.gov/sites/default/files/2025-03/PSNet%20Webinar%20Feb%202025_0.pdf
January 01, 2025 - barriers, facilitators, resources
needed, & available toolkits to support implementation
− each expert’s experience
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psnet.ahrq.gov/web-mm/possible-probable-sure-wrong-premature-closure-and-anchoring-complicated-case
October 02, 2013 - Take-Home Points Diagnostic errors are frequent and at least 150,000 patients are estimated to experience
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psnet.ahrq.gov/web-mm/loss-trust-and-missed-diagnosis
October 31, 2023 - 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/missed-compartment-syndrome-after-steep-lithotomy-position-laparoscopic-gynecological
January 29, 2021 - orthopedic or trauma surgeon should be obtained to rule out compartment syndrome, as these surgeons have experience
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psnet.ahrq.gov/perspective/conversation-lucian-leape-md
June 12, 2019 - They had learned from their own experience it wasn't easy.
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psnet.ahrq.gov/node/867653/psn-pdf
February 26, 2025 - psnet.ahrq.gov/issue/sentinel-event
https://psnet.ahrq.gov/issue/patient-safety-essentials-toolkit
In my experience
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psnet.ahrq.gov/primer/safety-i-safety-ii-and-new-views-safety
October 02, 2024 - These assessments of the work of medication administration reflect what we imagine nurses do based on experience
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psnet.ahrq.gov/innovation/care-managers-use-software-aided-medication-review-protocol-frail-community-dwelling
September 13, 2023 - The positive experience resulting from this nurse-pharmacist collaboration prompted working with Vanderbilt
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psnet.ahrq.gov/perspective/conversation-withsanjay-saint-md-mph
November 01, 2008 - think the broader field of patient safety should be learning from your own research and the broader experience
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psnet.ahrq.gov/node/61078/psn-pdf
October 28, 2020 - Inpatient Stroke Management in an Adolescent with Type
1 Diabetes and Home Insulin Pump
October 28, 2020
Bagley B, Zuidema D, Crossen S, et al. Inpatient Stroke Management in an Adolescent with Type 1
Diabetes and Home Insulin Pump . PSNet [internet]. 2020.
https://psnet.ahrq.gov/web-mm/inpatient-stroke-management…
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psnet.ahrq.gov/node/49528/psn-pdf
January 01, 2015 - The "Customer" Is Always Right
February 1, 2007
Sehgal NL. The "Customer" Is Always Right. PSNet [internet]. 2007.
https://psnet.ahrq.gov/web-mm/customer-always-right
Case Objectives
Understand the importance of identifying a patient's agenda.
Appreciate the factors that contribute to unmet patient expectations.
…
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psnet.ahrq.gov/node/49516/psn-pdf
August 01, 2006 - Physical Diagnosis: A Lost Art?
August 1, 2006
Thompson GR, Verghese A. Physical Diagnosis: A Lost Art? PSNet [internet]. 2006.
https://psnet.ahrq.gov/web-mm/physical-diagnosis-lost-art
Case Objectives
Appreciate the decline in proficiency and reliance on physical examination skills among health care
providers.
…
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psnet.ahrq.gov/node/49584/psn-pdf
April 01, 2009 - EMR Entry Error: Not So Benign
April 1, 2009
Koppel R. EMR Entry Error: Not So Benign. PSNet [internet]. 2009.
https://psnet.ahrq.gov/web-mm/emr-entry-error-not-so-benign
The Case
A 47-year-old man with advanced AIDS was admitted to an academic medical center with a chief complaint
of shortness of breath. He was …
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psnet.ahrq.gov/node/33674/psn-pdf
February 01, 2009 - In Conversation with…Robert M. Wachter, MD
October 1, 2008
In Conversation with…Robert M. Wachter, MD. PSNet [internet]. 2008.
https://psnet.ahrq.gov/perspective/conversation-withrobert-m-wachter-md
Editor's note: At the University of California, San Francisco, Robert M. Wachter, MD, is Professor and
Chief of the…