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4541. Interruptions and Distractions in Health Care: Improved Safety With Mindfulness | PSNet
      psnet.ahrq.gov/perspective/interruptions-and-distractions-health-care-improved-safety-mindfulness
      February 01, 2014 - It is challenging to develop evidence that will be useful in actually leading to improvements in how

4542. In Conversation With… Wanda Pratt, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-wanda-pratt-phd
      November 01, 2017 - Our recent study of key figures from leading US health systems, policymakers, and vendors found that

4543. In Conversation with...Richard P. Shannon, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-withrichard-p-shannon-md
      August 01, 2010 - Academic Health Centers: Leading Change in the 21st Century.

4544. In Conversation With… Jack Needleman, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-jack-needleman-phd
      September 01, 2012 - The Center is working closely with leading national organizations in 13 professions, including the National

4545. In Conversation With… Enrico Coiera, MB, BS, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-enrico-coiera-mb-bs-phd
      February 01, 2014 - In Conversation With… Enrico Coiera, MB, BS, PhD February 1, 2014  Also Read an Essay Citation Text: In Conversation With… Enrico Coiera, MB, BS, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human S…

4546. In Conversation With… Hardeep Singh, MD, MPH | PSNet
      psnet.ahrq.gov/perspective/conversation-hardeep-singh-md-mph
      January 01, 2014 - In Conversation With… Hardeep Singh, MD, MPH December 1, 2013  Also Read an Essay Also Read an Essay Citation Text: In Conversation With… Hardeep Singh, MD, MPH. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Heal…

4547. Building Systems Citizenship in Health Professions Education: The Continued Call for Health Systems Science Curricula | PSNet
      psnet.ahrq.gov/perspective/building-systems-citizenship-health-professions-education-continued-call-health-systems
      February 01, 2019 - Building Systems Citizenship in Health Professions Education: The Continued Call for Health Systems Science Curricula Jed D. Gonzalo, MD, MSc, and Mamta K. Singh, MD, MSc | February 1, 2019  Also Read a Conversation View more articles from the same authors. Citati…

4548. In Conversation With… Susan E. Skochelak, MD, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-susan-e-skochelak-md-phd
      February 01, 2019 - In Conversation With… Susan E. Skochelak, MD, PhD February 1, 2019  Also Read an Essay Citation Text: In Conversation With… Susan E. Skochelak, MD, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human…

4549. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49759/psn-pdf
      May 01, 2016 - the literature at that time were approximately 2.3 to 7 falls per 1000 patient days, with about 30% leading

4550. Dying in the Hospital With Advanced Dementia | PSNet
      psnet.ahrq.gov/web-mm/dying-hospital-advanced-dementia
      November 01, 2016 - It is now the fifth leading cause of death for Americans age 65 and older, and 1 in 3 seniors die with

4551. Unseen Perils of Urinary Catheters | PSNet
      psnet.ahrq.gov/web-mm/unseen-perils-urinary-catheters
      January 31, 2024 - to a one-point restraint ( 5 ), because like restraints, catheters can cause functional impairment leading

4552. Beeline to Spine | PSNet
      psnet.ahrq.gov/web-mm/beeline-spine
      March 01, 2014 - WebM&M Cases Failure to Adhere to Dietary Restrictions Leading

4553. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33826/psn-pdf
      February 01, 2017 - much unnecessary variety I found in work processes, say from one floor of a hospital to another in a leading

4554. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/836794/psn-pdf
      March 31, 2022 - his clinic and found that doctors have a preference for using organic illness to explain symptoms leading

4555. Spotlight (pdf file)
      psnet.ahrq.gov/sites/default/files/2022-03/final_spotlight_case_mistaken_capacity.pdf
      January 01, 2022 - his clinic and found that doctors have a preference for using organic illness to explain symptoms leading

4556. Pitfalls in Diagnosing Necrotizing Fasciitis | PSNet
      psnet.ahrq.gov/web-mm/pitfalls-diagnosing-necrotizing-fasciitis
      March 24, 2021 - to be inflammation and necrosis of the subcutaneous fat and deep fascia, with sparing of the muscle, leading

4557. “This is the wrong patient's blood!”: Evaluating a Near-Miss Wrong Transfusion Event | PSNet
      psnet.ahrq.gov/web-mm/wrong-patients-blood-evaluating-near-miss-wrong-transfusion-event
      July 01, 2017 - wrong patient occur as a result of potentially avoidable system failures. 19 The most frequent error leading

4558. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866261/psn-pdf
      July 10, 2024 - After the compartment is decompressed, dead skeletal muscle is again perfused, leading to washout of

4559. Fecal Contamination of the Peritoneum from Laparoscopic Trocar Injury: A Routine Operation Goes Wrong. | PSNet
      psnet.ahrq.gov/web-mm/fecal-contamination-peritoneum-laparoscopic-trocar-injury-routine-operation-goes-wrong
      March 03, 2021 - Though laparoscopic vascular and bowel injury are rare, they account for the 2 nd and 3 rd leading

4560. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867359/psn-pdf
      December 18, 2024 - Lack of clear information as to “how much milk” one’s infant is getting is a common issue, leading to