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  1. Psn-Pdf (pdf file)

    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…
  2. Psn-Pdf (pdf file)

    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…
  3. Psn-Pdf (pdf file)

    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…
  4. Psn-Pdf (pdf file)

    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…
  5. Psn-Pdf (pdf file)

    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 …
  6. Psn-Pdf (pdf file)

    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…
  7. Psn-Pdf (pdf file)

    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…
  8. Psn-Pdf (pdf file)

    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…
  9. Psn-Pdf (pdf file)

    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…
  10. Psn-Pdf (pdf file)

    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…
  11. Psn-Pdf (pdf file)

    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):…
  12. Psn-Pdf (pdf file)

    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…
  13. Psn-Pdf (pdf file)

    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…
  14. 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
  15. 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. Copy Citation Format: Google Scholar BibTeX End…
  16. Psn-Pdf (pdf file)

    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…
  17. Psn-Pdf (pdf file)

    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…
  18. Psn-Pdf (pdf file)

    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…
  19. 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. Copy Citation Format: Google Scholar BibTeX End…
  20. 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. …

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