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psnet.ahrq.gov/node/36122/psn-pdf
January 05, 2017 - Using an MET service to manage hemorrhage post-
percutaneous liver biopsy.
January 5, 2017
Jones D, Bellomo R, Leong T. Using an MET service to manage hemorrhage post-percutaneous liver
biopsy. Jt Comm J Qual Patient Saf. 2006;32(8):459-62, 417.
https://psnet.ahrq.gov/issue/using-met-service-manage-hemorrhage-post…
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psnet.ahrq.gov/node/72641/psn-pdf
January 13, 2021 - Safety of surgical telehealth in the outpatient and
inpatient setting.
January 13, 2021
Purnell S, Zheng F. Safety of Surgical Telehealth in the Outpatient and Inpatient Setting. Surg Clin North
Am. 2020;101(1):109-119. doi:10.1016/j.suc.2020.09.003.
https://psnet.ahrq.gov/issue/safety-surgical-telehealth-outpatie…
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psnet.ahrq.gov/node/867224/psn-pdf
December 04, 2024 - Safety of inpatient care in surgical settings: cohort study.
December 4, 2024
Duclos A, Frits ML, Iannaccone C, et al. Safety of inpatient care in surgical settings: cohort study. BMJ.
2024;387:e080480. doi:10.1136/bmj-2024-080480.
https://psnet.ahrq.gov/issue/safety-inpatient-care-surgical-settings-cohort-study
D…
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psnet.ahrq.gov/node/45923/psn-pdf
April 19, 2017 - Huddles and debriefings: improving communication on
labor and delivery.
April 19, 2017
McQuaid-Hanson E, Pian-Smith MCM. Huddles and Debriefings: Improving Communication on Labor and
Delivery. Anesthesiol Clin. 2017;35(1):59-67. doi:10.1016/j.anclin.2016.09.006.
https://psnet.ahrq.gov/issue/huddles-and-debriefings…
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psnet.ahrq.gov/node/44093/psn-pdf
April 29, 2015 - South Carolina medication error bill is dangerously off
target.
April 29, 2015
ISMP Medication Safety Alert! Acute Care Edition. April 9, 2015;20:1,4.
https://psnet.ahrq.gov/issue/south-carolina-medication-error-bill-dangerously-target
This newsletter article reports on issues related to a legislation, drafted in …
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psnet.ahrq.gov/node/47188/psn-pdf
August 08, 2018 - Disclosure and apology: nursing and risk management
working together.
August 8, 2018
Russell D. Disclosure and apology: Nursing and risk management working together. Nurs Manage.
2018;49(6):17-19. doi:10.1097/01.NUMA.0000533773.14544.e2.
https://psnet.ahrq.gov/issue/disclosure-and-apology-nursing-and-risk-manageme…
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psnet.ahrq.gov/node/44410/psn-pdf
August 12, 2015 - Workarounds in the workplace: a second look.
August 12, 2015
Seaman JB, Erlen JA. Workarounds in the Workplace: A Second Look. Orthop Nurs. 2015;34(4):235-242.
doi:10.1097/NOR.0000000000000161.
https://psnet.ahrq.gov/issue/workarounds-workplace-second-look
Workarounds are prevalent in health care and create opport…
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psnet.ahrq.gov/node/38261/psn-pdf
December 03, 2008 - Systematic assessment of culture review as a tool to
assess errors in the clinical microbiology laboratory.
December 3, 2008
Goodyear N, Ulness BK, Prentice JL, et al. Systematic assessment of culture review as a tool to assess
errors in the clinical microbiology laboratory. Arch Pathol Lab Med. 2008;132(11):1792-5…
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psnet.ahrq.gov/node/41157/psn-pdf
February 22, 2012 - Results of a national neurosurgery resident survey on
duty hour regulations.
February 22, 2012
Fargen KM, Chakraborty A, Friedman WA. Results of a national neurosurgery resident survey on duty hour
regulations. Neurosurgery. 2011;69(6):1162-70. doi:10.1227/NEU.0b013e3182245989.
https://psnet.ahrq.gov/issue/results…
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psnet.ahrq.gov/node/47128/psn-pdf
October 13, 2018 - Matt's story: learning from heartbreak.
October 13, 2018
Miller K, Dastoli A. Matt's story: learning from heartbreak. Int J Qual Health Care. 2018;30(8):654-657.
doi:10.1093/intqhc/mzy076.
https://psnet.ahrq.gov/issue/matts-story-learning-heartbreak
Medical error affects the lives of patients, families, and member…
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psnet.ahrq.gov/node/36705/psn-pdf
July 25, 2011 - Managed care penetration and other factors affecting
computerized physician order entry in the ambulatory
setting.
July 25, 2011
Menachemi N, Ford E, Chukmaitov A, et al. Managed care penetration and other factors affecting
computerized physician order entry in the ambulatory setting. Am J Manag Care. 2006;12(12):…
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psnet.ahrq.gov/node/38356/psn-pdf
January 21, 2009 - Oxytocin as a high-alert medication: implications for
perinatal patient safety.
January 21, 2009
Simpson KR, Knox E. Oxytocin as a high-alert medication: implications for perinatal patient safety. MCN
Am J Matern Child Nurs. 2009;34(1):8-15; quiz 16-7. doi:10.1097/01.NMC.0000343859.62828.ee.
https://psnet.ahrq.gov…
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psnet.ahrq.gov/node/47997/psn-pdf
May 08, 2019 - Blind spots in the science of safety.
May 8, 2019
Bosk CL, Pedersen KZ. Blind spots in the science of safety. Lancet. 2019;393(10175):978-979.
doi:10.1016/S0140-6736(19)30441-6.
https://psnet.ahrq.gov/issue/blind-spots-science-safety
Safety sciences offer methods to enhance processes and develop organizational cul…
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psnet.ahrq.gov/perspective/conversation-matthew-weinger-md
August 01, 2018 - Studies involving patients have demonstrated that procedural skills training using simulation is associated … Simulations involving standardized patients are a means to assess selected competencies in patient care
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psnet.ahrq.gov/web-mm/near-miss-bedside-medications
February 01, 2006 - SPOTLIGHT CASE
Near Miss with Bedside Medications
Citation Text:
Wu AW. Near Miss with Bedside Medications. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011.
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psnet.ahrq.gov/node/49690/psn-pdf
September 01, 2013 - The Pains of Chronic Opioid Usage
September 1, 2013
Manchikanti L, Hirsch JA. The Pains of Chronic Opioid Usage. PSNet [internet]. 2013.
https://psnet.ahrq.gov/web-mm/pains-chronic-opioid-usage
Case Objectives
Describe the appropriate initial assessment of patients with chronic non-cancer pain.
List the most comm…
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psnet.ahrq.gov/node/49846/psn-pdf
November 01, 2018 - Supervision and Entrustment in Clinical Training:
Protecting Patients, Protecting Trainees
November 1, 2018
Cate O ten-. Supervision and Entrustment in Clinical Training: Protecting Patients, Protecting Trainees.
PSNet [internet]. 2018.
https://psnet.ahrq.gov/web-mm/supervision-and-entrustment-clinical-training-pr…
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psnet.ahrq.gov/node/49777/psn-pdf
December 01, 2016 - Suicidal Ideation in the Family Medicine Clinic
December 1, 2016
Moutier C. Suicidal Ideation in the Family Medicine Clinic. PSNet [internet]. 2016.
https://psnet.ahrq.gov/web-mm/suicidal-ideation-family-medicine-clinic
Case Objectives
Recognize suicide as a major public health problem and the critical role of pri…
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psnet.ahrq.gov/web-mm/code-status-vs-care-status
September 30, 2020 - SPOTLIGHT CASE
Code Status vs. Care Status
Citation Text:
Krisman RK, Spero H. Code Status vs. Care Status. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020.
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psnet.ahrq.gov/perspective/conversation-mark-l-graber-md
January 01, 2016 - In Conversation With… Mark L. Graber, MD
January 1, 2016
Also Read an Essay
Citation Text:
In Conversation With… Mark L. Graber, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016.
…