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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49553/psn-pdf
    January 01, 2008 - Contaminated or Not? Guidelines for Interpretation of Positive Blood Cultures January 1, 2008 Weinstein MP. Contaminated or Not? Guidelines for Interpretation of Positive Blood Cultures. PSNet [internet]. 2008. https://psnet.ahrq.gov/web-mm/contaminated-or-not-guidelines-interpretation-positive-blood-cultures The…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838900/psn-pdf
    October 27, 2022 - Fecal Contamination of the Peritoneum from Laparoscopic Trocar Injury: A Routine Operation Goes Wrong. October 27, 2022 Ahmed SM, Ali M. Fecal Contamination of the Peritoneum from Laparoscopic Trocar Injury: A Routine Operation Goes Wrong. PSNet [internet]. 2022. https://psnet.ahrq.gov/web-mm/fecal-contamination-…
  3. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2022-10/trocar_injury_final.pdf
    January 01, 2022 - Spotlight Spotlight Fecal Contamination of the Peritoneum from Laparoscopic Trocar Injury: A Routine Operation Goes Wrong Source and Credits • This presentation is based on the October 2022 AHRQ WebM&M Spotlight Case o See the full article at https://psnet.ahrq.gov/webmm o CME credit is available o Commentary…
  4. psnet.ahrq.gov/web-mm/nurse-staffing-ratios-crucible-money-policy-research-and-patient-care
    June 01, 2003 - SPOTLIGHT CASE Nurse Staffing Ratios: The Crucible of Money, Policy, Research, and Patient Care Citation Text: Rich V. Nurse Staffing Ratios: The Crucible of Money, Policy, Research, and Patient Care. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of H…
  5. psnet.ahrq.gov/web-mm/contaminated-or-not-guidelines-interpretation-positive-blood-cultures
    November 16, 2022 - Contaminated or Not? Guidelines for Interpretation of Positive Blood Cultures Citation Text: Weinstein MP. Contaminated or Not? Guidelines for Interpretation of Positive Blood Cultures. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. …
  6. psnet.ahrq.gov/web-mm/isolated-clot-real-error
    December 01, 2013 - SPOTLIGHT CASE Isolated Clot, Real Error Citation Text: Parks A, Fang MC. Isolated Clot, Real Error. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. Copy Citation Format: Google Scholar BibTeX EndNote X3…
  7. psnet.ahrq.gov/web-mm/duty-disclose-someone-elses-error
    June 01, 2004 - SPOTLIGHT CASE Duty to Disclose Someone Else's Error? Citation Text: Gallagher TH. Duty to Disclose Someone Else's Error?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011. Copy Citation Format: Google Sch…
  8. psnet.ahrq.gov/web-mm/hospital-acquired-diabetic-ketoacidosis
    October 28, 2020 - Hospital-Acquired Diabetic Ketoacidosis. Citation Text: Zuidema D, Bagley B, Tan CL. Hospital-Acquired Diabetic Ketoacidosis.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023. Copy Citation Format: Google Scholar Bi…
  9. psnet.ahrq.gov/web-mm/sudden-collapse-during-upper-gastrointestinal-endoscopy-expect-unexpected
    September 25, 2024 - Sudden Collapse During Upper Gastrointestinal Endoscopy: Expect the Unexpected Citation Text: Wieck M. Sudden Collapse During Upper Gastrointestinal Endoscopy: Expect the Unexpected. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 202…
  10. psnet.ahrq.gov/web-mm/difficult-encounters-cmo-and-cno-respond
    March 01, 2018 - They meet several times to interview individuals who have direct knowledge of the physician's behavior … The fair hearing panel is appointed by the President of the Medical Staff and can only include individuals … Often, individuals feel that their complaints fall into a black hole, are not taken seriously, or will … I appreciate that the leadership of individuals like Dr. … professionals, but the potential impact on patient safety and staff satisfaction caused by problematic individuals
  11. psnet.ahrq.gov/perspective/patient-and-family-roles-safety
    June 14, 2023 - Patient and Family Roles in Safety Beverley H. Johnson, FAAN, Merton Lee, PharmD, PhD, Sarah E. Mossburg, RN, PhD | June 14, 2023  Also Read the Conversation View more articles from the same authors. Citation Text: Johnson B, Lee M, Mossburg S. Patient and Fam…
  12. psnet.ahrq.gov/perspective/conversation-beverley-h-johnson-about-role-patients-family-reducing-harm
    June 14, 2023 - In Conversation with... Beverley H. Johnson about The Role of Patient's Family In Reducing Harm Beverley H. Johnson, FAAN | June 14, 2023  Also Read the Essay View more articles from the same authors. Citation Text: Johnson B. In Conversation with.. Beverley H…
  13. psnet.ahrq.gov/issue/how-guides-improving-transitions-hospital-reduce-avoidable-rehospitalizations
    November 18, 2011 - May 28, 2014 Findings and Lessons From the Improving Management of Individuals With Complex
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49702/psn-pdf
    March 01, 2014 - Individuals who work within such a culture expect professional conduct and feel physically and psychologically … addition, organizations should strive to build processes for assessing the extent to which systems and/or individuals … risks overlooking important safety threats posed by underprepared, willfully negligent, or impaired individuals
  15. psnet.ahrq.gov/web-mm/nosy-business
    March 01, 2007 - Most severe nose bleeds of this nature occur in individuals older than 50 years.( 1 ) Anatomy & Epidemiology … Neoplasm is a rare cause but should be considered in individuals with recurring bleeds from the same … Posterior bleeds are more commonly seen in older individuals, and their management is more complex, typically
  16. psnet.ahrq.gov/perspective/video-improve-patient-safety-clinical-and-educational-uses
    March 01, 2004 - Organizations and individuals are increasingly embracing the use of video for learning. … Structured, routine post-action reviews, either by individuals or by teams, are also becoming more prevalent … validated assessment tools ( 3,4 ), clinical protocols, and benchmark performance data become available, individuals
  17. psnet.ahrq.gov/web-mm/or-peeping
    May 01, 2015 - the HIPAA Privacy Rule [45 UFR Prts 160 and 164] covers protected health information (PHI), "about individuals … disclosure of PHI is only likely to be granted if it involves no more than minimal risk to the privacy of individuals … are necessary, we use camera angles and image border controls that allow us to avoid recognition of individuals
  18. psnet.ahrq.gov/issue/patient-education-materials-assessment-tool-pemat-and-users-guide-instrument-assess
    December 24, 2008 - February 4, 2015 Findings and Lessons From the Improving Management of Individuals With
  19. psnet.ahrq.gov/issue/improving-patient-safety-systems-patients-limited-english-proficiency-guide-hospitals
    August 01, 2012 - January 21, 2015 Findings and Lessons From the Improving Management of Individuals With
  20. psnet.ahrq.gov/issue/peripheral-vision-expertise-real-world-contexts
    April 24, 2018 - August 14, 2019 The rise of human factors: optimising performance of individuals and

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