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  1. Diagnostic Delay in the Emergency Department | PSNet

    psnet.ahrq.gov/web-mm/diagnostic-delay-emergency-department
    September 18, 2024 - SPOTLIGHT CASE Diagnostic Delay in the Emergency Department Citation Text: Marshall K, Singh H. Diagnostic Delay in the Emergency Department. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. Copy Citation Format:…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838222/psn-pdf
    September 28, 2022 - In Conversation With... Jack Westfall, MD, MPH September 28, 2022 In Conversation With.. Jack Westfall, MD, MPH. PSNet [internet]. 2022. https://psnet.ahrq.gov/perspective/conversation-jack-westfall-md-mph Editor’s note: Jack Westfall, MD, MPH, is a retired professor from the University of Colorado School of Medic…

  3. Microsoft PowerPoint - Spotlight Case_Gabapentin Overdose_12.21.2022 FINAL.pptx (pdf file)

    psnet.ahrq.gov/sites/default/files/2023-01/spotlight_overdose_of_gabapentin_and_oxycodone_in_a_patient_with_end-stage_renal_disease.pdf
    January 01, 2023 - Microsoft PowerPoint - Spotlight Case_Gabapentin Overdose_12.21.2022 FINAL.pptx Spotlight Overdose of Gabapentin and Oxycodone in a Patient with End-Stage Renal Disease: A Case for Appropriate Interruptive Drug-Disease Alerts  Source and Credits • This presentation is based on the January 2023 AHRQ WebM&M Spotl…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49415/psn-pdf
    September 01, 2003 - Intubation Mishap September 1, 2003 Weinger MB, Blike G. Intubation Mishap. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/intubation-mishap Case Objectives To understand and apply a structured method of human factors case analysis To describe the key components of effective teamwork To understand the imp…

  5. Lack of Sepsis Recognition Leads to Delay in Care Following Cesarean Delivery. | PSNet

    psnet.ahrq.gov/web-mm/lack-sepsis-recognition-leads-delay-care-following-cesarean-delivery
    November 30, 2021 - Lack of Sepsis Recognition Leads to Delay in Care Following Cesarean Delivery. Citation Text: Leiserowitz GS, Hedriana H. Lack of Sepsis Recognition Leads to Delay in Care Following Cesarean Delivery.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and …

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35955/psn-pdf
    May 24, 2006 - Technology has transformed the VA. May 24, 2006 https://psnet.ahrq.gov/issue/technology-has-transformed-va This article reports on the U.S. Veterans Health Administration's successful adoption of health information technology and how it has improved care. https://psnet.ahrq.gov/issue/technology-has-transformed-va

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33996/psn-pdf
    September 06, 2013 - Quality and Safety. September 6, 2013 Florida Hospital Association. https://psnet.ahrq.gov/issue/quality-and-safety This Web site offers information about quality improvement programs in Florida, including the Florida Surgical Care Initiative and the FHA Hospital Engagement Network. https://psnet.ahrq.gov/issue/q…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35692/psn-pdf
    December 24, 2014 - Ensuring Correct Surgery. December 24, 2014 National Center for Patient Safety; NCPS https://psnet.ahrq.gov/issue/ensuring-correct-surgery This pamphlet informs consumers on steps both patients and clinicians should take prior to surgery to ensure safety. https://psnet.ahrq.gov/issue/ensuring-correct-surgery

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35146/psn-pdf
    November 04, 2015 - Data docs. November 4, 2015 Wherry R. https://psnet.ahrq.gov/issue/data-docs This article uses examples from several hospitals to illustrate the behavioral and financial issues involved in implementing information technologies such as electronic health records and order entry systems. https://psnet.ahrq.gov/issue…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33943/psn-pdf
    November 10, 2011 - Patient Safety Resource Center. November 10, 2011 Medscape https://psnet.ahrq.gov/issue/patient-safety-resource-center This Web site organizes relevant patient safety information from the wide range of content available on the Medscape Web site. https://psnet.ahrq.gov/issue/patient-safety-resource-center

  11. Medical Device Use Error: Root Cause Analysis. | PSNet

    psnet.ahrq.gov/issue/medical-device-use-error-root-cause-analysis
    January 10, 2018 - Book/Report Medical Device Use Error: Root Cause Analysis. Citation Text: Medical Device Use Error: Root Cause Analysis. Wiklund M, Dwyer A, Davis E. Boca Raton, FL: CRC Press; 2015. ISBN: 9781498705790. Copy Citation Save Save to your library Print Down…

  12. Recommended responsibilities for management of MR safety. | PSNet

    psnet.ahrq.gov/issue/recommended-responsibilities-management-mr-safety
    April 19, 2013 - Commentary Recommended responsibilities for management of MR safety. Citation Text: Calamante F, Ittermann B, Kanal E, et al. Recommended responsibilities for management of MR safety. J Magn Reson Imaging. 2016;44(5):1067-1069. doi:10.1002/jmri.25282. Copy Citation Format: …

  13. Preventing unintended retained foreign objects. | PSNet

    psnet.ahrq.gov/issue/preventing-unintended-retained-foreign-objects
    January 25, 2023 - Sentinel Event Alerts Preventing unintended retained foreign objects. Citation Text: Preventing unintended retained foreign objects. Sentinel event alert. 2013;(51):1-5. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId …

  14. Important Warnings and Instructions for Heparin Sodium Injection (Baxter). | PSNet

    psnet.ahrq.gov/issue/important-warnings-and-instructions-heparin-sodium-injection-baxter
    May 24, 2015 - Press Release/Announcement Important Warnings and Instructions for Heparin Sodium Injection (Baxter). Citation Text: Important Warnings and Instructions for Heparin Sodium Injection (Baxter). MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; February 28, 2008. …

  15. Physicians and electronic health records: a statewide survey. | PSNet

    psnet.ahrq.gov/issue/physicians-and-electronic-health-records-statewide-survey
    December 31, 2014 - Study Physicians and electronic health records: a statewide survey. Citation Text: Simon SR, Kaushal R, Cleary PD, et al. Physicians and electronic health records: a statewide survey. Arch Intern Med. 2007;167(5):507-12. Copy Citation Format: Google Scholar PubMed BibTeX …

  16. Why the nation needs a policy push on patient-centered health care. | PSNet

    psnet.ahrq.gov/issue/why-nation-needs-policy-push-patient-centered-health-care
    November 11, 2020 - Commentary Why the nation needs a policy push on patient-centered health care. Citation Text: Epstein RM, Fiscella K, Lesser CS, et al. Why the nation needs a policy push on patient-centered health care. Health Aff (Millwood). 2010;29(8):1489-1495. doi:10.1377/hlthaff.2009.0888. Copy C…

  17. The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After Childbirth: State of the Science. | PSNet

    psnet.ahrq.gov/issue/contribution-diagnostic-errors-maternal-morbidity-and-mortality-during-and-immediately-after
    February 17, 2021 - Book/Report The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After Childbirth: State of the Science. Citation Text: The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After Childbirth: State of …

  18. The promise of big data: improving patient safety and nursing practice. | PSNet

    psnet.ahrq.gov/issue/promise-big-data-improving-patient-safety-and-nursing-practice
    March 09, 2022 - Commentary The promise of big data: improving patient safety and nursing practice. Citation Text: Linnen D. The promise of big data: Improving patient safety and nursing practice. Nursing (Brux). 2016;46(5):28-34; quiz 34-5. doi:10.1097/01.NURSE.0000482256.71143.09. Copy Citation F…

  19. Documenting Diagnosis: Exploring the Impact of Electronic Health Records on Diagnostic Safety. | PSNet

    psnet.ahrq.gov/issue/documenting-diagnosis-exploring-impact-electronic-health-records-diagnostic-safety
    August 16, 2023 - Book/Report Documenting Diagnosis: Exploring the Impact of Electronic Health Records on Diagnostic Safety. Citation Text: Miller K, Ratwani R, Hose B-Z, et al. Documenting Diagnosis: Exploring The Impact Of Electronic Health Records On Diagnostic Safety. Rockville, MD: Agency for Healthc…

  20. Medical Harm: Historical, Conceptual, and Ethical Dimensions of Iatrogenic Illness. | PSNet

    psnet.ahrq.gov/issue/medical-harm-historical-conceptual-and-ethical-dimensions-iatrogenic-illness
    May 13, 2020 - Book/Report Classic Medical Harm: Historical, Conceptual, and Ethical Dimensions of Iatrogenic Illness. Citation Text: Medical Harm: Historical, Conceptual, and Ethical Dimensions of Iatrogenic Illness. Sharpe VA, Faden AI. Cambridge NY; Cambridge University…
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