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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49665/psn-pdf
    September 01, 2012 - Undetected Foreign Object September 1, 2012 Cima RR. Undetected Foreign Object. PSNet [internet]. 2012. https://psnet.ahrq.gov/web-mm/undetected-foreign-object The Case A 75-year-old man with a past medical history of end-stage renal disease (on hemodialysis), hypertension, and diabetes was found to have obstruct…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33642/psn-pdf
    November 01, 2006 - In Conversation With...Donald A. Norman, PhD November 1, 2006 In Conversation With..Donald A. Norman, PhD. PSNet [internet]. 2006. https://psnet.ahrq.gov/perspective/conversation-withdonald-norman-phd Dr. Robert Wachter, Editor, AHRQ WebM&M: Tell us a little bit about your background. How did you become interested…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49462/psn-pdf
    October 01, 2004 - Thin Air October 1, 2004 Gaba DM. Thin Air. PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/thin-air Case Objectives Identify the gas-specific non-interchangeable connectors used for bulk gas supply outlets in hospitals. Define forcing function, both in engineered safety devices and in human procedures. R…

  4. The 2-Week Itch | PSNet

    psnet.ahrq.gov/web-mm/2-week-itch
    June 16, 2019 - The 2-Week Itch Citation Text: Cohen MR. The 2-Week Itch. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  5. Raise the Bar | PSNet

    psnet.ahrq.gov/web-mm/raise-bar
    May 29, 2024 - Raise the Bar Citation Text: Stotts J, Lyndon A. Raise the Bar. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836939/psn-pdf
    April 27, 2022 - A Virtual Hospitalist Program to Address a Hospital’s Challenges at the Start of the COVID-19 Pandemic April 27, 2022 https://psnet.ahrq.gov/innovation/virtual-hospitalist-program-address-hospitals-challenges-start-covid-19- pandemic Summary In the early days of the COVID-19 pandemic, New York Presbyterian Weill …

  7. Home Medications Contribute to a Unique Opportunity for Error on Discharge from the Hospital | PSNet

    psnet.ahrq.gov/web-mm/home-medications-contribute-unique-opportunity-error-discharge-hospital
    May 16, 2022 - Home Medications Contribute to a Unique Opportunity for Error on Discharge from the Hospital Citation Text: Agrawal G, Nguyen DM. Home Medications Contribute to a Unique Opportunity for Error on Discharge from the Hospital.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US De…

  8. Approach to Improving Patient Safety: Communication | PSNet

    psnet.ahrq.gov/perspective/approach-improving-patient-safety-communication
    August 31, 2020 - Annual Perspective Approach to Improving Patient Safety: Communication March 10, 2021  View more articles from the same authors. Citation Text: Schnipper JL, Fitall E, Hall KK, et al. Approach to Improving Patient Safety: Communication . PSNet [internet]. Ro…

  9. Diagnostic Failure: The Growing Deficit | PSNet

    psnet.ahrq.gov/web-mm/diagnostic-failure-growing-deficit
    June 01, 2005 - Diagnostic Failure: The Growing Deficit Citation Text: Chang R, Flanders S. Diagnostic Failure: The Growing Deficit. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNo…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850678/psn-pdf
    June 14, 2023 - Advance Alert Monitor Program: An Automated Early Warning System for Adults At Risk for In-Hospital Clinical Deterioration June 14, 2023 https://psnet.ahrq.gov/innovation/advance-alert-monitor-program-automated-early-warning-system-adults- risk-hospital Summary To address a well-documented hospital adverse outco…

  11. Routine Goes Awry | PSNet

    psnet.ahrq.gov/web-mm/routine-goes-awry
    September 23, 2020 - Routine Goes Awry Citation Text: Huoh KC, Rosbe KW. Routine Goes Awry. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedI…

  12. Triage Time Bomb | PSNet

    psnet.ahrq.gov/web-mm/triage-time-bomb
    September 01, 2008 - Triage Time Bomb Citation Text: Washington DL. Triage Time Bomb. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840175/psn-pdf
    November 16, 2022 - Mechanical Prosthetic Valve Thrombosis with Thromboembolism. November 16, 2022 Hedayati N, White RO. Mechanical Prosthetic Valve Thrombosis with Thromboembolism. PSNet [internet]. 2022. https://psnet.ahrq.gov/web-mm/mechanical-prosthetic-valve-thrombosis-thromboembolism The Case A 61-year-old woman presented to …

  14. New Insights on Safety and Health IT | PSNet

    psnet.ahrq.gov/perspective/new-insights-safety-and-health-it
    August 01, 2015 - New Insights on Safety and Health IT A. Zach Hettinger, MD, MS; Raj Ratwani, PhD; Rollin J. (Terry) Fairbanks, MD, MS | August 1, 2015  Also Read a Conversation View more articles from the same authors. Citation Text: Hettinger ZA, Ratwani RM, Fairbanks RJ. New …

  15. The Media’s Role in Patient Safety | PSNet

    psnet.ahrq.gov/perspective/medias-role-patient-safety
    April 27, 2022 - The Media’s Role in Patient Safety April 27, 2022  Also Read the Conversation View more articles from the same authors. Citation Text: Millenson ML, Dowell P, Mossburg SE. The Media’s Role in Patient Safety. PSNet [internet]. Rockville (MD): Agency for Healthcar…

  16. In Conversation With… Robert M. Wachter, MD | PSNet

    psnet.ahrq.gov/perspective/conversation-robert-m-wachter-md
    August 01, 2015 - In Conversation With… Robert M. Wachter, MD August 1, 2015  Also Read an Essay Citation Text: In Conversation With… Robert M. Wachter, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 201…

  17. In Conversation With... James Augustine, MD | PSNet

    psnet.ahrq.gov/perspective/conversation-james-augustine-md
    July 28, 2021 - In Conversation With... James Augustine, MD July 28, 2021  Also Read the Essay Citation Text: In Conversation With.. James Augustine, MD. PSNet [internet]. 2021.In Conversation With... James Augustine, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Re…

  18. Risk Management and Patient Safety | PSNet

    psnet.ahrq.gov/perspective/risk-management-and-patient-safety
    December 01, 2010 - Risk Management and Patient Safety Barry M. Manuel, MD; Jack L. McCarthy; William Berry, MD, MPH; Kathy Dwyer | December 1, 2010  Also Read a Conversation View more articles from the same authors. Citation Text: Manuel BM, McCarthy JL, Berry WR, et al. Risk Mana…

  19. In Conversation With… David Juurlink, MD, PhD | PSNet

    psnet.ahrq.gov/perspective/conversation-david-juurlink-md-phd
    May 22, 2017 - In Conversation With… David Juurlink, MD, PhD May 1, 2017  Also Read an Essay Citation Text: In Conversation With… David Juurlink, MD, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 20…

  20. In Conversation With... Michael L. Millenson | PSNet

    psnet.ahrq.gov/perspective/conversation-michael-l-millenson
    April 27, 2022 - In Conversation With... Michael L. Millenson April 27, 2022  Also Read the Essay Citation Text: In Conversation With.. Michael L. Millenson. PSNet [internet]. 2022.In Conversation With... Michael L. Millenson. PSNet [internet]. Rockville (MD): Agency for Healthcar…
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