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  1. psnet.ahrq.gov/sites/default/files/2023-11/spotlight_case_the_risk_of_malpositioned.pdf
    January 01, 2023 - . – An online survey of 339 institutions including 61 teaching hospitals confirmed that most facilities
  2. psnet.ahrq.gov/perspective/getting-patient-safety-personal-story
    August 01, 2006 - Some institutions and administrators now resist the instinct to blame first and ask questions later.
  3. psnet.ahrq.gov/perspective/conversation-robert-hirschtick-md
    January 01, 2018 - A cross-sectional survey at four institutions found that though attendings and residents agreed on the
  4. psnet.ahrq.gov/primer/coronavirus-disease-2019-covid-19-and-diagnostic-error
    July 30, 2020 - at the point-of-care, although laboratory-based SARS-CoV-2 antigen assays are also available at some institutions
  5. psnet.ahrq.gov/perspective/building-capacity-patient-safety
    July 31, 2023 - Healthcare facilities may share information and lessons learned within their own institutions and system
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845472/psn-pdf
    March 15, 2023 - Many other institutions tried to do RPM, and a lot of it was a nexus of opportunity.
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73398/psn-pdf
    June 30, 2021 - In Conversation With... Anjali Joseph, PhD, EDAC and Molly M. Scanlon, PhD, FAIA, FACHA June 30, 2021 In Conversation With.. Anjali Joseph, PhD, EDAC and Molly M. Scanlon, PhD, FAIA, FACHA. PSNet [internet]. 2021. https://psnet.ahrq.gov/perspective/conversation-anjali-joseph-phd-edac-and-molly-m-scanlon-phd-faia- …
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/843051/psn-pdf
    February 01, 2023 - Respiratory Distress after Neck Surgery: Two Cases of Postoperative Cervical Hematoma. February 1, 2023 Graves CE, Kuhn MA. Respiratory Distress after Neck Surgery: Two Cases of Postoperative Cervical Hematoma. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/respiratory-distress-after-neck-surgery-two-cases-…
  9. psnet.ahrq.gov/web-mm/too-many-cooks-kitchen
    March 07, 2018 - SPOTLIGHT CASE Too Many Cooks in the Kitchen Citation Text: Dutton RP. Too Many Cooks in the Kitchen. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020. Copy Citation Format: Google Scholar BibTeX EndNote X…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73102/psn-pdf
    July 01, 2022 - Care Managers Use Software-Aided Medication Review Protocol for Frail, Community-Dwelling Seniors, Leading to More Appropriate Medication Use March 31, 2021 https://psnet.ahrq.gov/innovation/care-managers-use-software-aided-medication-review-protocol-frail- community-dwelling Summary Care management staff (such …
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33859/psn-pdf
    June 01, 2018 - In Conversation With… Richard Hoppmann, MD June 1, 2018 In Conversation With… Richard Hoppmann, MD. PSNet [internet]. 2018. https://psnet.ahrq.gov/perspective/conversation-richard-hoppmann-md Editor's note: Dr. Hoppmann is the Dorothea H. Krebs Endowed Chair of Ultrasound Education, Professor of Medicine, and Dire…
  12. psnet.ahrq.gov/web-mm/respiratory-distress-after-neck-surgery-two-cases-postoperative-cervical-hematoma
    August 14, 2024 - SPOTLIGHT CASE Respiratory Distress after Neck Surgery: Two Cases of Postoperative Cervical Hematoma. Citation Text: Graves CE, Kuhn MA. Respiratory Distress after Neck Surgery: Two Cases of Postoperative Cervical Hematoma.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Qua…
  13. 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:…
  14. psnet.ahrq.gov/web-mm/wrong-patients-blood-evaluating-near-miss-wrong-transfusion-event
    July 01, 2017 - SPOTLIGHT CASE “This is the wrong patient's blood!”: Evaluating a Near-Miss Wrong Transfusion Event Citation Text: Barnhard S. “This is the wrong patient's blood!”: Evaluating a Near-Miss Wrong Transfusion Event. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Dep…
  15. psnet.ahrq.gov/perspective/conversation-freya-spielberg-md-mph
    September 28, 2022 - In Conversation With... Freya Spielberg, MD, MPH September 28, 2022  Also Read the Essay Citation Text: In Conversation With.. Freya Spielberg, MD, MPH. PSNet [internet]. 2022.In Conversation With... Freya Spielberg, MD, MPH. PSNet [internet]. Rockville (MD): Agen…
  16. psnet.ahrq.gov/Primers
    April 01, 2021 - Patient Safety Primers Guides for key topics in patient safety through context, epidemiology, and relevant AHRQ PSNet content. The Patient Safety 101 Primer provides an overview of the patient safety field and covers key definitions and concepts. …
  17. psnet.ahrq.gov/node/60000
    January 01, 2021 - Patient Safety Innovations Exchange The Patient Safety Innovations Exchange highlights important innovations that can lead to improvements in patient safety. It is based on AHRQ’s Health Care Innovations Exchange , which shares many health care innovations, including those that improve patient safety. While available …
  18. psnet.ahrq.gov/issue/doctor-dozed-during-surgery-report-says-beth-israel-faulted-case
    June 06, 2018 - Newspaper/Magazine Article Doctor dozed during surgery, report says Beth Israel faulted in case. Citation Text: Kowalczyk L. Boston Globe. March 25, 2009;Metro:1. Copy Citation Save Save to your library Print Share Facebook Twitter Li…
  19. psnet.ahrq.gov/issue/global-goal-reduce-medical-errors
    November 01, 2017 - Newspaper/Magazine Article Global goal: reduce medical errors. Citation Text: Szabo L. Copy Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL September 7, 2005 Szabo L. View …
  20. psnet.ahrq.gov/issue/patient-protect-thyself
    November 01, 2017 - Audiovisual Patient, protect thyself. Citation Text: Szabo L. Copy Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL February 14, 2007 Szabo L. View more articles from the sa…

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