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  1. Losing Laura. | PSNet

    psnet.ahrq.gov/issue/losing-laura
    June 06, 2018 - Newspaper/Magazine Article Losing Laura. Citation Text: Losing Laura. DeMarco P. Globe Magazine. November 3, 2018. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL …

  2. Despite technology, verbal orders persist, read back is not widespread, and errors continue. | PSNet

    psnet.ahrq.gov/issue/despite-technology-verbal-orders-persist-read-back-not-widespread-and-errors-continue
    June 28, 2017 - Newspaper/Magazine Article Despite technology, verbal orders persist, read back is not widespread, and errors continue. Citation Text: Despite technology, verbal orders persist, read back is not widespread, and errors continue. ISMP Medication Safety Alert! Acute Care Edition. May 18, 20…

  3. Diagnostic Excellence Initiative. | PSNet

    psnet.ahrq.gov/issue/diagnostic-excellence-improving-experience-and-outcomes-patient-care
    October 06, 2022 - Multi-use Website Diagnostic Excellence Initiative. Citation Text: Diagnostic Excellence Initiative. Gordon and Betty Moore Foundation. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin …

  4. Patient Deaths at Arbour Health Systems—Westwood Lodge Hospital and Pembroke Hospital. | PSNet

    psnet.ahrq.gov/issue/patient-deaths-arbour-health-systems-westwood-lodge-hospital-and-pembroke-hospital
    May 24, 2023 - Book/Report Patient Deaths at Arbour Health Systems—Westwood Lodge Hospital and Pembroke Hospital. Citation Text: Patient Deaths at Arbour Health Systems—Westwood Lodge Hospital and Pembroke Hospital. Disability Law Center. Boston, MA: February 2018. Copy Citation Save …

  5. Premature Closure: Was It Just Syncope? | PSNet

    psnet.ahrq.gov/web-mm/premature-closure-was-it-just-syncope
    February 10, 2021 - SPOTLIGHT CASE Premature Closure: Was It Just Syncope? Citation Text: Maurier D, Barnes DK. Premature Closure: Was It Just Syncope?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020. Copy Citation Format: …

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865655/psn-pdf
    April 24, 2024 - Under Pressure: Delayed Diagnosis of Compartment Syndrome after Lower Leg Fracture. April 24, 2024 Barnes DK, Randhawa SDS, Fitzpatrick EP. Under Pressure: Delayed Diagnosis of Compartment Syndrome after Lower Leg Fracture. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/under-pressure-delayed-diagnosis-comp…

  7. Delayed Evaluation of Abdominal Pain in an Elderly Patient. | PSNet

    psnet.ahrq.gov/web-mm/delayed-evaluation-abdominal-pain-elderly-patient
    February 26, 2020 - Delayed Evaluation of Abdominal Pain in an Elderly Patient. Citation Text: Klimkiv L, Utter GH, Barnes DK. Delayed Evaluation of Abdominal Pain in an Elderly Patient.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023. Copy Citat…

  8. In Conversation With… Mark L. Graber, MD | PSNet

    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. …

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60242/psn-pdf
    March 01, 2021 - Team-Developed Care Plan and Ongoing Care Management by Social Workers and Nurse Practitioners Result in Better Outcomes and Reduced Acute Care Utilization in Low-Income Seniors and other High-Risk Populations Originally published on June 12, 2020 Last updated on January 11, 2021 https://psnet.ahrq.gov/innovatio…

  10. Recurrent Hypoglycemia: A Care Transition Failure? | PSNet

    psnet.ahrq.gov/web-mm/recurrent-hypoglycemia-care-transition-failure
    December 23, 2020 - Cases Be Picky about your PICCs—Fragmented Care and Poor Communication at Discharge Leads

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73103/psn-pdf
    March 31, 2021 - clinicians to focus on diagnosing COVID-19, a phenomenon described as “availability bias” because it leads

  12. Medication Reconciliation: Whose Job Is It? | PSNet

    psnet.ahrq.gov/web-mm/medication-reconciliation-whose-job-it
    May 01, 2018 - This uncoordinated set of reconciliation activities often leads to either unnecessary redundancy or failure

  13. E-cigarette Explosion in a Patient Room | PSNet

    psnet.ahrq.gov/web-mm/e-cigarette-explosion-patient-room
    March 15, 2023 - All of this leads to the question of what to do with hospitalized former smokers who want to use e-cigarettes

  14. The Case of Mistaken Intubation | PSNet

    psnet.ahrq.gov/web-mm/case-mistaken-intubation
    July 01, 2016 - March 1, 2019 WebM&M Cases Lapse in Antibiotics Leads

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50611/psn-pdf
    October 30, 2019 - clinicians order appropriate dosing for medications where the dose differs by indication.(18,19) This leads

  16. In Conversation with…Barbara A. Blakeney, MS, RN | PSNet

    psnet.ahrq.gov/perspective/conversation-withbarbara-blakeney-ms-rn
    August 01, 2005 - becomes a catch-22—the fewer nurses you have, the more difficult is the working environment, which leads

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846915/psn-pdf
    March 29, 2023 - variation), where a desirable ratio to meet population needs is 26.0 beds/100,000 adults.12 This shortage leads

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49699/psn-pdf
    February 01, 2014 - organizations should actively cultivate a culture in which error reporting is encouraged and non-punitive and leads

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49733/psn-pdf
    May 01, 2015 - help the clinic decide what other steps were needed, such as passport generation (Act), which then leads

  20. Retained Surgical Items: Definition and Epidemiology. | PSNet

    psnet.ahrq.gov/primer/retained-surgical-items-definition-and-epidemiology
    September 15, 2024 - February 26, 2025 WebM&M Cases Medication Mix-Up Leads
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