-
psnet.ahrq.gov/node/49716/psn-pdf
August 21, 2014 - Benefits vs. Risks of Intraosseous Vascular Access
August 21, 2014
Fowler RL, Lippmann MJ. Benefits vs. Risks of Intraosseous Vascular Access. PSNet [internet]. 2014.
https://psnet.ahrq.gov/web-mm/benefits-vs-risks-intraosseous-vascular-access
The Case
A 72-year-old woman with a history of asthma, congestive heart…
-
psnet.ahrq.gov/node/49505/psn-pdf
March 01, 2006 - Collegiality vs. Competence
March 1, 2006
Sagin T. Collegiality vs. Competence. PSNet [internet]. 2006.
https://psnet.ahrq.gov/web-mm/collegiality-vs-competence
The Case
A 91-year-old man with coronary artery disease was taken to the operating room (OR) for semi-elective
repair of a 10-cm abdominal aortic aneurys…
-
psnet.ahrq.gov/node/49520/psn-pdf
September 01, 2006 - DNR in the OR and Afterwards
September 1, 2006
Lo B. DNR in the OR and Afterwards. PSNet [internet]. 2006.
https://psnet.ahrq.gov/web-mm/dnr-or-and-afterwards
The Case
An 85-year-old woman with dementia took a mechanical fall at her skilled nursing facility (SNF) and
suffered a fractured femur. After initial eval…
-
psnet.ahrq.gov/perspective/conversation-withjames-p-bagian-md
September 01, 2006 - train them inexhaustibly, that we're available by phone any time they call and people don't get put on hold … increased, and yet the cost of caring for each veteran declined dramatically.( 6 ) What lessons does this hold
-
psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events
December 15, 2024 - Medication Errors and Adverse Drug Events
Citation Text:
Medication Errors and Adverse Drug Events. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote…
-
psnet.ahrq.gov/issue/root-cause-analysis-action-building-foundations
August 19, 2020 - Meeting/Conference
Root Cause Analysis-in-Action: Building Foundations.
Citation Text:
ECRI, Institute for Safe Medication Practices. September 12 and 14, 2023.
Copy Citation
Save
Save to your library
Print
Share
Facebook
Twitter
Linke…
-
psnet.ahrq.gov/node/836942/psn-pdf
April 27, 2022 - Saline Flush Leads to Acute Paralysis of an Awake
Patient: Risks of Improper Medication Labeling in an
Operating Room
April 27, 2022
Kriss RS. Saline Flush Leads to Acute Paralysis of an Awake Patient: Risks of Improper Medication
Labeling in an Operating Room. PSNet [internet]. 2022.
https://psnet.ahrq.gov/web-m…
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.461_slideshow.ppt
November 01, 2018 - Spotlight
Spotlight
Supervision and Entrustment in Clinical Training: Protecting Patients, Protecting Trainees
*
Source and Credits
This presentation is based on the November 2018 AHRQ WebM&M Spotlight Case
See the full article at https://psnet.ahrq.gov/webmm
CME credit is available
Commentary by: Olle ten C…
-
psnet.ahrq.gov/perspective/conversation-withpatrick-tighe-about-artificial-intelligence
March 27, 2024 - In Conversation with...Patrick Tighe about Artificial Intelligence
Patrick Tighe, MD, MS
| March 27, 2024
Also Read the Essay
View more articles from the same authors.
Citation Text:
Tighe P. In Conversation with..Patrick Tighe about Artificial Intelligence …
-
psnet.ahrq.gov/perspective/artificial-intelligence-and-patient-safety-promise-and-challenges
March 27, 2024 - Artificial Intelligence and Patient Safety: Promise and Challenges
Patrick Tighe, MD, MS; 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:
Tighe P, Mossburg S, Gal…
-
psnet.ahrq.gov/node/49637/psn-pdf
October 01, 2011 - Several IT innovations under development hold promise to decrease errors: entirely voice activated
VRS
-
psnet.ahrq.gov/node/33632/psn-pdf
April 01, 2006 - And it really took hold.
-
psnet.ahrq.gov/web-mm/lethal-vertigo
September 20, 2011 - At that point (10:00 PM), the physician decided to hold her overnight in the ED and admit her if she
-
psnet.ahrq.gov/perspective/acgmes-2017-revision-common-program-requirements
January 31, 2018 - These efforts, and other studies, may hold implications for further development or modification of these
-
psnet.ahrq.gov/perspective/conversation-dr-michelle-schreiber-measuring-patient-safety
December 14, 2022 - These programs hold organizations accountable for quality and safety and make performance transparent … Initiatives , aim to use measures like the PSIs to both determine the quality of care given to patients and hold
-
psnet.ahrq.gov/perspective/measuring-patient-safety
December 14, 2022 - Initiatives , aim to use measures like the PSIs to both determine the quality of care given to patients and hold … These programs hold organizations accountable for quality and safety and make performance transparent
-
psnet.ahrq.gov/issue/practice-makes-perfect-planning-considerations-medical-simulation-centers
December 08, 2010 - July 15, 2015
Healthcare scandals and the failings of doctors: do official inquiries hold
-
psnet.ahrq.gov/web-mm/missing-trauma
March 03, 2011 - The "ABCs" of trauma assessment and resuscitation hold as true in the field as they do in the ED.
-
psnet.ahrq.gov/node/33731/psn-pdf
June 01, 2012 - But, in the patient safety arena, I found significant
challenges, ones that hold lessons for the American
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.350_slideshow.ppt
June 01, 2015 - no overarching recommendations could be made
A number of cognitive and system-based interventions do hold