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psnet.ahrq.gov/node/49850/psn-pdf
January 01, 2019 - Critical Order Set Change and Critical Limb Ischemia
January 1, 2019
Clay B. Critical Order Set Change and Critical Limb Ischemia. PSNet [internet]. 2019.
https://psnet.ahrq.gov/web-mm/critical-order-set-change-and-critical-limb-ischemia
The Case
A 72-year-old woman with a history of severe peripheral vascular dis…
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psnet.ahrq.gov/node/49623/psn-pdf
March 01, 2011 - Are We Pushing Graduate Nurses Too Fast?
March 1, 2011
Spector ND. Are We Pushing Graduate Nurses Too Fast? . PSNet [internet]. 2011.
https://psnet.ahrq.gov/web-mm/are-we-pushing-graduate-nurses-too-fast
The Case
A middle-aged man was admitted to the surgical intensive care unit (SICU) following a complex surgical…
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psnet.ahrq.gov/node/49805/psn-pdf
September 01, 2017 - The Forgotten Radiographic Read
September 1, 2017
Coil CJ, Witt MD. The Forgotten Radiographic Read. PSNet [internet]. 2017.
https://psnet.ahrq.gov/web-mm/forgotten-radiographic-read
The Case
A 60-year-old woman with peripheral artery disease and chronic mesenteric ischemia was admitted for
management of inferior…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.173_slideshow.ppt
April 01, 2008 - Spotlight Case [MONTH] 2003
Spotlight Case April 2008
Antibiotics for URI/Sinusitis: A Simple Decision Gone Bad
Source and Credits
This presentation is based on the April 2008
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Sumant Ranji, MD,…
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psnet.ahrq.gov/node/49473/psn-pdf
March 01, 2005 - On O.R. Off?
March 1, 2005
Leonard M. On O.R. Off? PSNet [internet]. 2005.
https://psnet.ahrq.gov/web-mm/or
The Case
An elderly man was admitted to the vascular surgery service with rest pain in his leg. Angiography
demonstrated peripheral artery disease with anatomy suitable for revascularization. A consulting
…
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psnet.ahrq.gov/node/33860/psn-pdf
June 01, 2018 - Safety Considerations in Building a Point-of-Care
Ultrasound Program
June 1, 2018
Moore C. Safety Considerations in Building a Point-of-Care Ultrasound Program. PSNet [internet]. 2018.
https://psnet.ahrq.gov/perspective/safety-considerations-building-point-care-ultrasound-program
Perspective
At the American Colle…
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psnet.ahrq.gov/node/60157/psn-pdf
March 25, 2020 - Conspicuous by its absence: diagnostic expert testing
under uncertainty.
March 25, 2020
Dai T, Singh S. Conspicuous by Its absence: diagnostic expert testing under uncertainty. Market Sci.
2020;39(3):540-563. doi:10.1287/mksc.2019.1201.
https://psnet.ahrq.gov/issue/conspicuous-its-absence-diagnostic-expert-testing…
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psnet.ahrq.gov/node/837846/psn-pdf
August 17, 2022 - Quality measures for patients at risk of adverse outcomes
in the Veterans Health Administration: expert panel
recommendations.
August 17, 2022
Chang ET, Newberry S, Rubenstein LV, et al. Quality Measures for Patients at Risk of Adverse Outcomes
in the Veterans Health Administration. JAMA Network Open. 2022;5(8):e2…
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psnet.ahrq.gov/node/836923/psn-pdf
April 13, 2022 - An e-Delphi study to obtain expert consensus on the level
of risk associated with preventable e-prescribing events.
April 13, 2022
Heed J, Klein S, Slee A, et al. An e?Delphi study to obtain expert consensus on the level of risk associated
with preventable e?prescribing events. Br J Clin Pharmacol. 2022;88(7):3351-…
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psnet.ahrq.gov/node/33953/psn-pdf
February 05, 2018 - Evidence-based Recommendations for Best Practices in
Weight Loss Surgery.
February 5, 2018
Expert Panel on Weight Loss Surgery, Betsy Lehman Center for Patient Safety and Medical Error
Reduction. Obesity Res. 2005;13(2):203-379.
https://psnet.ahrq.gov/issue/expert-panel-weight-loss-surgery-betsy-lehman-center-pat…
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psnet.ahrq.gov/node/40535/psn-pdf
July 22, 2011 - A framework for classifying patient safety practices:
results from an expert consensus process.
July 22, 2011
Dy SM, Taylor SL, Carr LH, et al. A framework for classifying patient safety practices: results from an
expert consensus process. BMJ Qual Saf. 2011;20(7):618-24. doi:10.1136/bmjqs.2010.049296.
https://psn…
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psnet.ahrq.gov/node/46540/psn-pdf
August 08, 2018 - Preventing adverse events in cataract surgery:
recommendations from a Massachusetts expert panel.
August 8, 2018
Nanji KC, Roberto SA, Morley MG, et al. Preventing Adverse Events in Cataract Surgery:
Recommendations From a Massachusetts Expert Panel. Anesth Analg. 2018;126(5):1537-1547.
doi:10.1213/ANE.00000000000…
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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/46227/psn-pdf
October 30, 2017 - Patient engagement with surgical site infection
prevention: an expert panel perspective.
October 30, 2017
Tartari E, Weterings V, Gastmeier P, et al. Patient engagement with surgical site infection prevention: an
expert panel perspective. Antimicrob Resist Infect Control. 2017;6:45. doi:10.1186/s13756-017-0202-3.
…
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psnet.ahrq.gov/node/45861/psn-pdf
April 05, 2017 - Assessing content validity and user perspectives on the
Team Check-up Tool: expert survey and user focus
groups.
April 5, 2017
Marsteller JA, Hsu Y-J, Chan KS, et al. Assessing content validity and user perspectives on the Team
Check-up Tool: expert survey and user focus groups. BMJ Qual Saf. 2017;26(4):288-295.
…
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psnet.ahrq.gov/node/38134/psn-pdf
December 30, 2008 - Developing expert medical teams: toward an evidence-
based approach.
December 30, 2008
Fernandez R, Vozenilek JA, Hegarty CB, et al. Developing expert medical teams: toward an evidence-
based approach. Acad Emerg Med. 2008;15(11):1025-36. doi:10.1111/j.1553-2712.2008.00232.x.
https://psnet.ahrq.gov/issue/developin…
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psnet.ahrq.gov/node/38532/psn-pdf
January 13, 2017 - Triggers and Targeted Injury Detection Systems (TIDS)
Expert Panel Meeting: Conference Summary Report.
January 13, 2017
Rockville, MD: Agency for Healthcare Research and Quality; February 2009. AHRQ Publication No.
090003.
https://psnet.ahrq.gov/issue/triggers-and-targeted-injury-detection-systems-tids-expert-pane…
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psnet.ahrq.gov/node/35091/psn-pdf
November 04, 2015 - Development of an expert system for classification of
medical errors.
November 4, 2015
Kopec D, Levy K, Kabir M, et al. Development of an expert system for classification of medical errors. Stud
Health Technol Inform. 2005;114:110-6.
https://psnet.ahrq.gov/issue/development-expert-system-classification-medical-err…
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psnet.ahrq.gov/node/39688/psn-pdf
July 14, 2010 - Risky business: James Bagian—NASA astronaut turned
patient safety expert—on being wrong.
July 14, 2010
Schulz K. Slate.com. June 28, 2010.
https://psnet.ahrq.gov/issue/risky-business-james-bagian-nasa-astronaut-turned-patient-safety-expert-
being-wrong
This discussion with the head of the National Center for Pati…
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psnet.ahrq.gov/node/45236/psn-pdf
June 15, 2016 - Advancing Patient Safety in Cataract Surgery: A Betsy
Lehman Center Expert Panel Report.
June 15, 2016
Boston, MA: Betsy Lehman Center for Patient Safety and Medical Error Reduction; 2016.
https://psnet.ahrq.gov/issue/advancing-patient-safety-cataract-surgery-betsy-lehman-center-expert-panel-
report
Cataract surg…