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  1. psnet.ahrq.gov/sites/default/files/2024-05/spotlight_case_hindsight_is_2020_slides_final_revised_05.03.2024.pdf
    January 01, 2024 - – Clinicians in these high risk, high reward situations may also fall prey to commission bias, which
  2. psnet.ahrq.gov/web-mm/complications-ecmo-during-transport
    January 27, 2021 - Available at: 10.1136/bmjopen-2013-004268 Raiten JM, Lane-Fall M, Gutsche JT, Kohl BA, Fabbro M,
  3. psnet.ahrq.gov/perspective/conversation-david-gruen-md
    January 31, 2020 - Where did it fall through the cracks? That image finding wasn’t on the problem list.
  4. psnet.ahrq.gov/web-mm/case-mistaken-capacity-why-thorough-psychosocial-history-can-improve-care
    July 08, 2022 - patient was incidentally diagnosed with prostate cancer, metastatic to bone, when he was admitted for a fall
  5. psnet.ahrq.gov/perspective/where-does-risk-adjusted-mortality-fit-safety-measurement-program
    March 01, 2015 - February 1, 2012 Perspective Implementing a Fall
  6. psnet.ahrq.gov/web-mm/intubation-mishap
    April 26, 2023 - In general, events which fall in the A to C categories (intermediate to high risk and moderate to severe
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/864867/psn-pdf
    April 10, 2024 - Clinicians in these high risk, high reward situations may also fall prey to commission bias, which is
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60611/psn-pdf
    June 24, 2020 - (4) assist with cost issues, especially for Medicare patients whose insurance may change yearly or fall
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866579/psn-pdf
    August 28, 2024 - predictive value for postoperative complications, but the practical threshold for elevated risk may fall
  10. psnet.ahrq.gov/web-mm/hindsight-2020-thrombolytics-alcohol-intoxication
    December 18, 2024 - Clinicians in these high risk, high reward situations may also fall prey to commission bias , which
  11. psnet.ahrq.gov/web-mm/infection-after-carpal-tunnel-surgery
    May 28, 2014 - predictive value for postoperative complications, but the practical threshold for elevated risk may fall
  12. psnet.ahrq.gov/perspective/conversation-derek-feeley
    April 10, 2024 - In Conversation With… Derek Feeley November 1, 2016  Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Editor's note: Mr. Feeley is President and CEO of the Institute for Healthcare…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33833/psn-pdf
    May 01, 2017 - In Conversation With… David Juurlink, MD, PhD May 1, 2017 In Conversation With… David Juurlink, MD, PhD. PSNet [internet]. 2017. https://psnet.ahrq.gov/perspective/conversation-david-juurlink-md-phd Editor's note: Dr. Juurlink is professor of medicine, pediatrics, and health policy at the University of Toronto, w…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49534/psn-pdf
    May 01, 2007 - Antiseizure Medication Disorder May 1, 2007 Alldredge BK. Antiseizure Medication Disorder. PSNet [internet]. 2007. https://psnet.ahrq.gov/web-mm/antiseizure-medication-disorder Case Objectives Appreciate the challenges of safe use of antiepileptic medications. Identify phenytoin toxicity. Understand the pharmaco…
  15. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2024-01/spotlight_case_laceration_needed_exam_not_x-ray_final.pdf
    January 01, 2024 - Spotlight Spotlight Laceration that Needed a Proper Exam, Not an X-Ray Source and Credits • This presentation is based on the January 2024 AHRQ WebM&M Spotlight Case o See the full article at https://psnet.ahrq.gov/webmm o CME credit is available o Commentary by: Jazmin A. Wander, MD and David K. Barnes, MD, F…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/861738/psn-pdf
    January 31, 2024 - A Laceration that Needed a Proper Exam, Not an X-Ray January 31, 2024 Wander J, Barnes DK. A Laceration that Needed a Proper Exam, Not an X-Ray. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/laceration-needed-proper-exam-not-x-ray Disclosure of Relevant Financial Relationships: As a provider accredited by t…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73553/psn-pdf
    July 28, 2021 - In Conversation With... James Augustine, MD July 28, 2021 In Conversation With.. James Augustine, MD. PSNet [internet]. 2021. https://psnet.ahrq.gov/perspective/conversation-james-augustine-md Editor’s Note: James Augustine, MD, is the National Director of Prehospital Strategy at US Acute Care Solutions where he p…
  18. psnet.ahrq.gov/perspective/conversation-john-d-birkmeyer-md
    January 31, 2024 - In Conversation With… John D. Birkmeyer, MD May 1, 2015  Citation Text: In Conversation With… John D. Birkmeyer, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015. Copy Citation Fo…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33793/psn-pdf
    November 01, 2015 - In Conversation With… Kaveh Shojania, MD November 1, 2015 In Conversation With… Kaveh Shojania, MD. PSNet [internet]. 2015. https://psnet.ahrq.gov/perspective/conversation-kaveh-shojania-md Editor's note: Kaveh Shojania, MD, is Editor-in-Chief of BMJ Quality and Safety and Director of the Centre for Quality Impro…
  20. psnet.ahrq.gov/web-mm/supervision-and-entrustment-clinical-training-protecting-patients-protecting-trainees
    February 22, 2017 - SPOTLIGHT CASE Supervision and Entrustment in Clinical Training: Protecting Patients, Protecting Trainees Citation Text: Cate O ten-. Supervision and Entrustment in Clinical Training: Protecting Patients, Protecting Trainees. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Qu…

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