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  1. Dangers of Missing an Epidural Abscess: Multiple Visits and Delayed Diagnosis with a Severely Negative Outcome | PSNet

    psnet.ahrq.gov/web-mm/dangers-missing-epidural-abscess-multiple-visits-and-delayed-diagnosis-severely-negative
    April 27, 2022 - SPOTLIGHT CASE Dangers of Missing an Epidural Abscess: Multiple Visits and Delayed Diagnosis with a Severely Negative Outcome Citation Text: Lantz L, Yoon J, Barnes DK. Dangers of Missing an Epidural Abscess: Multiple Visits and Delayed Diagnosis with a Severely Negative Outcome. PSNet [internet…

  2. Disposition of Comments: Peripheral Nerve Blocks for Postoperative Pain Management in Cardiothoracic Surgery: A Systematic Review (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/peripheral-nerve-blocks-disposition-comments.pdf
    August 15, 2025 - Disposition of Comments: Peripheral Nerve Blocks for Postoperative Pain Management in Cardiothoracic Surgery: A Systematic Review Systematic Review Disposition of Comments Report Title: Peripheral Nerve Blocks for Postoperative Pain Management in Cardiothoracic Surgery: A Systematic Review Dr…

  3. First, Do No Harm: Value-driven Patient Safety in the Neonatal Intensive Care Unit | PSNet

    psnet.ahrq.gov/perspective/first-do-no-harm-value-driven-patient-safety-neonatal-intensive-care-unit
    October 30, 2019 - First, Do No Harm: Value-driven Patient Safety in the Neonatal Intensive Care Unit Jochen Profit, MD, MPH; Annette Scheid, MD; and Erick Ridout, MD | October 30, 2019  Also Read the Conversation View more articles from the same authors. Citation Text: Profit J, …

  4. High Reliability Organization (HRO) Principles and Patient Safety | PSNet

    psnet.ahrq.gov/perspective/high-reliability-organization-hro-principles-and-patient-safety
    February 26, 2025 - High Reliability Organization (HRO) Principles and Patient Safety Timothy Vogus, PhD; Merton Lee, PharmD, PhD; Sarah E. Mossburg, RN, PhD | February 26, 2025  Also Read the Conversation View more articles from the same authors. Citation Text: Vogus T, Lee M, Mos…

  5. Code Status vs. Care Status | PSNet

    psnet.ahrq.gov/web-mm/code-status-vs-care-status
    September 30, 2020 - SPOTLIGHT CASE Code Status vs. Care Status Citation Text: Krisman RK, Spero H. Code Status vs. Care Status. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020. Copy Citation Format: Google Scholar BibTeX End…

  6. In Conversation with...Barbara Pelletreau and John Riggi about Cybersecurity | PSNet

    psnet.ahrq.gov/perspective/conversation-withbarbara-pelletreau-and-john-riggi-about-cybersecurity
    March 27, 2024 - In Conversation with...Barbara Pelletreau and John Riggi about Cybersecurity Barbara Pelletreau, RN; John Riggi | March 27, 2024  Also Read the Essay View more articles from the same authors. Citation Text: Pelletreau B, Riggi J. In Conversation with..Barbara Pe…

  7. Cybersecurity and How to Maintain Patient Safety | PSNet

    psnet.ahrq.gov/perspective/cybersecurity-and-how-maintain-patient-safety
    March 27, 2024 - Cybersecurity and How to Maintain Patient Safety Barbara Pelletreau, RN; John Riggi; Bryan M. Gale, MA; Sarah E. Mossburg, RN, PhD | March 27, 2024  Also Read the Conversation View more articles from the same authors. Citation Text: Pelletreau B, Riggi J, Gale B…

  8. Quality Improvement Strategies | Agency for Healthcare Research and Quality

    www.ahrq.gov/pqmp/implementation-qi/toolkit/antipsychotic/qi-strategies.html
    July 01, 2021 - Safe and Judicious Use of Antipsychotic Medications in Children and Adolescents Toolkit Quality Improvement Strategies Previous Page Next Page Table of Contents Safe and Judicious Use of Antipsychotic Medications in Children and Adolescents Toolkit Introduction Overview About the Measure Key…

  9. In Conversation with…Gerald B. Hickson, MD | PSNet

    psnet.ahrq.gov/perspective/conversation-withgerald-b-hickson-md
    December 01, 2009 - In Conversation with…Gerald B. Hickson, MD December 1, 2009  Also Read an Essay Citation Text: In Conversation with…Gerald B. Hickson, MD . PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2…

  10. Opioid Overdose as a Patient Safety Problem | PSNet

    psnet.ahrq.gov/perspective/opioid-overdose-patient-safety-problem
    May 01, 2017 - Opioid Overdose as a Patient Safety Problem Irene Berita Murimi, PhD, MA, and G. Caleb Alexander, MD, MS | May 22, 2017  Also Read a Conversation View more articles from the same authors. Citation Text: Murimi IB, Alexander CG. Opioid Overdose as a Patient Safet…

  11. How to Identify and Manage Problem Behaviors | PSNet

    psnet.ahrq.gov/perspective/how-identify-and-manage-problem-behaviors
    December 01, 2009 - How to Identify and Manage Problem Behaviors Alan H. Rosenstein, MD, MBA; Michelle O'Daniel, MSG, MHA | December 1, 2009  Also Read a Conversation View more articles from the same authors. Citation Text: Rosenstein AH, O'Daniel M. How to Identify and Manage Prob…

  12. Safety in the Prehospital Emergency Medical Services Setting | PSNet

    psnet.ahrq.gov/perspective/safety-prehospital-emergency-medical-services-setting
    May 01, 2019 - Safety in the Prehospital Emergency Medical Services Setting P. Daniel Patterson, PhD, NRP, and Donald M. Yealy, MD | May 1, 2019  Also Read a Conversation View more articles from the same authors. Citation Text: Patterson DP, Yealy DM. Safety in the Prehospital…

  13. Delay in Appropriate Diagnosis and Treatment Leading to Death from Pulmonary Embolism | PSNet

    psnet.ahrq.gov/web-mm/delay-appropriate-diagnosis-and-treatment-leading-death-pulmonary-embolism
    December 31, 2024 - SPOTLIGHT CASE Delay in Appropriate Diagnosis and Treatment Leading to Death from Pulmonary Embolism Citation Text: McCallum W, Barnes DK. Delay in Appropriate Diagnosis and Treatment Leading to Death from Pulmonary Embolism. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Qu…

  14. 2012 CAHPS Clinician & Group Survey Database Chartbook (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2013_hp-chartbook.pdf
    January 01, 2013 - 2012 CAHPS Clinician & Group Survey Database Chartbook THE CAHPS DATABASE 2013 CAHPS Health Plan Survey Database 2013 Chartbook: What Consumers Say About Their Experiences with Their Health Plans and Medical Care AHRQ Contract No.: HHSA290201300003C Managed and prepared by: Westat, Rockville, MD Dale S…

  15. In Conversation with David W. Bates about Are We Safer Today? | PSNet

    psnet.ahrq.gov/perspective/conversation-david-w-bates-about-are-we-safer-today
    February 26, 2025 - In Conversation with David W. Bates about Are We Safer Today? David W. Bates, MD, MSc; Merton Lee, PharmD, PhD; Sarah E. Mossburg, RN, PhD | February 26, 2025  Also Read the Essay View more articles from the same authors. Citation Text: Bates DW, Lee M, Mossburg…

  16. Are We Safer Today? | PSNet

    psnet.ahrq.gov/perspective/are-we-safer-today
    February 26, 2025 - Are We Safer Today? David W. Bates, MD, MSc; Merton Lee, PharmD, PhD; Sarah E. Mossburg, RN, PhD | February 26, 2025  Also Read the Conversation View more articles from the same authors. Citation Text: Bates DW, Lee M, Mossburg SE. Are We Safer Today?. PSNet [in…

  17. Screening for HIV: Recommendation Statement (pdf file)

    www.uspreventiveservicestaskforce.org/home/getfilebytoken/KWfaboZAt9KKoDMQbLvbbt
    June 20, 2019 - Screening for HIV: Recommendation Statement Screening for HIV: Recommendation Statement U.S. Preventive Services Task Force* This statement summarizes the U.S. Preventive Services Task Force (USPSTF) recommendations on screening for HIV infection and the supporting scientific evidence, and updates the 1996 recommen-…

  18. Doctors With Multiple Malpractice Claims, Disciplinary Actions, and Complaints: What Do We Know? | PSNet

    psnet.ahrq.gov/perspective/doctors-multiple-malpractice-claims-disciplinary-actions-and-complaints-what-do-we-know
    July 01, 2017 - Doctors With Multiple Malpractice Claims, Disciplinary Actions, and Complaints: What Do We Know? David Studdert, LLB, ScD | July 1, 2017  Also Read a Conversation View more articles from the same authors. Citation Text: Studdert DM. Doctors With Multiple Malprac…

  19. Chartbook #11: Health Care Expenses in the Community Population, 1999

    meps.ahrq.gov/data_files/publications/cb11/cb11.shtml
    October 01, 2003 - Chartbook #11: Health Care Expenses in the Community Population, 1999   Skip to main content An official website of the Department of Health & Human Services More Back …

  20. In Conversation With… Robert M. Wachter, MD | PSNet

    psnet.ahrq.gov/perspective/conversation-robert-m-wachter-md
    August 01, 2015 - In Conversation With… Robert M. Wachter, MD August 1, 2015  Also Read an Essay Citation Text: In Conversation With… Robert M. Wachter, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 201…
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