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  1. Spotlight: Mistaken Attribution, Diagnostic Misstep | PSNet

    psnet.ahrq.gov/web-mm/spotlight-mistaken-attribution-diagnostic-misstep
    July 01, 2011 - SPOTLIGHT CASE Spotlight: Mistaken Attribution, Diagnostic Misstep Citation Text: Kreider TR, Young JQ. Spotlight: Mistaken Attribution, Diagnostic Misstep. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citat…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34861/psn-pdf
    November 11, 2015 - When things go wrong: how health care organizations deal with major failures. November 11, 2015 Walshe K, Shortell SM. When things go wrong: how health care organizations deal with major failures. Health Aff (Millwood). 2004;23(3):103-11. https://psnet.ahrq.gov/issue/when-things-go-wrong-how-health-care-organizati…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49684/psn-pdf
    May 01, 2013 - Right Regimen, Wrong Cancer: Patient Catches Medical Error May 1, 2013 Weingart SN, Jacobson J. Right Regimen, Wrong Cancer: Patient Catches Medical Error. PSNet [internet]. 2013. https://psnet.ahrq.gov/web-mm/right-regimen-wrong-cancer-patient-catches-medical-error Case Objectives Appreciate that chemotherapy a…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49822/psn-pdf
    March 01, 2018 - Isolated Clot, Real Error March 1, 2018 Parks A, Fang MC. Isolated Clot, Real Error. PSNet [internet]. 2018. https://psnet.ahrq.gov/web-mm/isolated-clot-real-error Case Objectives Appreciate that errors are common in the management of venous thromboembolism disease. Describe patients with venous thromboembolism i…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49870/psn-pdf
    August 10, 2019 - Anemia and Delayed Colon Cancer Diagnosis August 10, 2019 Pathipati MP, Richter JM. Anemia and Delayed Colon Cancer Diagnosis. PSNet [internet]. 2019. https://psnet.ahrq.gov/web-mm/anemia-and-delayed-colon-cancer-diagnosis Case Objectives Describe the initial evaluation for iron deficiency anemia in elderly adults…

  6. Supplemental Items for the CAHPS Clinician & Group Adult Survey 3.0: Access | Agency for Healthcare Research and Quality

    www.ahrq.gov/cahps/surveys-guidance/item-sets/cg/suppl-access-items-cg-survey30-adult.html
    December 01, 2018 - Supplemental Items for the CAHPS Clinician & Group Adult Survey 3.0: Access Population version: Adult Download these items: English ( Word , 31.2 KB ) Users of the CAHPS Clinician & Group Survey are free to incorporate supplemental items in order to meet the needs of their organizations, local markets, and…

  7. National Webinars | Digital Healthcare Research

    digital.ahrq.gov/national-webinars
    October 08, 2025 - National Webinars The AHRQ Digital Healthcare Research (DHR) Program sponsors national webinars showcasing the latest scientific advancements and key conversations with experts around impactful research in the evolving digital healthcare ecosystem. Access the latest on-demand webinars and up…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36964/psn-pdf
    March 24, 2011 - Patients use an internet technology to report when things go wrong. March 24, 2011 Wasson JH, MacKenzie TA, Hall M. Patients use an internet technology to report when things go wrong. Qual Saf Health Care. 2007;16(3):213-5. https://psnet.ahrq.gov/issue/patients-use-internet-technology-report-when-things-go-wrong …

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853235/psn-pdf
    September 06, 2023 - When the lights go down in the delivery room: lessons from a ransomware attack. September 6, 2023 Gabbay?Benziv R, Ben?Natan M, Roguin A, et al. When the lights go down in the delivery room: lessons from a ransomware attack. Int J Gynaecol Obstet. 2023;162(2):562-568. doi:10.1002/ijgo.14687. https://psnet.ahrq.gov…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74233/psn-pdf
    January 12, 2022 - Don't go to the hospital alone: ensuring safe, highly reliable patient visitation. January 12, 2022 Gandhi TK. Don't go to the hospital alone: ensuring safe, highly reliable patient visitation. Jt Comm J Qual Patient Saf. 2022;48(1):61-64. doi:10.1016/j.jcjq.2021.10.006. https://psnet.ahrq.gov/issue/dont-go-hospit…

  11. An Ounce of Prevention | PSNet

    psnet.ahrq.gov/web-mm/ounce-prevention
    February 17, 2011 - SPOTLIGHT CASE An Ounce of Prevention Citation Text: Kucher N. An Ounce of Prevention. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49558/psn-pdf
    April 01, 2008 - Antibiotics for URI/Sinusitis—A Simple Decision Gone Bad April 1, 2008 Ranji SR. Antibiotics for URI/Sinusitis—A Simple Decision Gone Bad. PSNet [internet]. 2008. https://psnet.ahrq.gov/web-mm/antibiotics-urisinusitis-simple-decision-gone-bad Case Objectives Understand the indications for antibiotic treatment in …

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49498/psn-pdf
    January 01, 2006 - An Ounce of Prevention January 1, 2006 Kucher N. An Ounce of Prevention. PSNet [internet]. 2006. https://psnet.ahrq.gov/web-mm/ounce-prevention Case Objectives Assess risk for venous thromboembolism (VTE) in hospitalized patients List recommended strategies for VTE prevention for various risk groups Identify pat…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49400/psn-pdf
    May 01, 2003 - Central Line Clot May 1, 2003 Randolph AG. Central Line Clot. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/central-line-clot Case Objectives List the complications of central line manipulation Appreciate the limitations of diagnostic studies for PE in children Describe modalities for prevention of cathe…

  15. Central Line Clot | PSNet

    psnet.ahrq.gov/web-mm/central-line-clot
    August 04, 2021 - SPOTLIGHT CASE Central Line Clot Citation Text: Randolph AG. Central Line Clot. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML En…

  16. One Dose, Two Errors | PSNet

    psnet.ahrq.gov/web-mm/one-dose-two-errors
    September 29, 2017 - One Dose, Two Errors Citation Text: Filice GA. One Dose, Two Errors. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId …

  17. Undetected Foreign Object | PSNet

    psnet.ahrq.gov/web-mm/undetected-foreign-object
    April 24, 2018 - Undetected Foreign Object Citation Text: Cima RR. Undetected Foreign Object. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged P…

  18. More Treatment—Better Care? | PSNet

    psnet.ahrq.gov/web-mm/more-treatment-better-care
    August 11, 2021 - More Treatment—Better Care? Citation Text: Redberg R. More Treatment—Better Care?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote ta…

  19. Techno Trip | PSNet

    psnet.ahrq.gov/web-mm/techno-trip
    May 01, 2005 - Techno Trip Citation Text: Cook RI. Techno Trip. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Downlo…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49677/psn-pdf
    February 01, 2013 - CVC Placement: Speak Now or Do Not Use the Line February 1, 2013 Ault M, Rosen B. CVC Placement: Speak Now or Do Not Use the Line. PSNet [internet]. 2013. https://psnet.ahrq.gov/web-mm/cvc-placement-speak-now-or-do-not-use-line The Case A 48-year-old woman with a history of hypertension, psychiatric illness, and a…
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