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  1. psnet.ahrq.gov/issue/relationship-between-state-malpractice-environment-and-quality-health-care-united-states
    June 21, 2017 - Study Relationship between state malpractice environment and quality of health care in the United States. Citation Text: Bilimoria KY, Chung JW, Minami CA, et al. Relationship Between State Malpractice Environment and Quality of Health Care in the United States. Jt Comm J Qual Patient Sa…
  2. psnet.ahrq.gov/issue/effect-protected-sleep-period-hours-slept-during-extended-overnight-hospital-duty-hours-among
    August 20, 2018 - Study Effect of a protected sleep period on hours slept during extended overnight in-hospital duty hours among medical interns: a randomized trial. Citation Text: Volpp KG, Shea JA, Small DS, et al. Effect of a protected sleep period on hours slept during extended overnight in-hospital…
  3. psnet.ahrq.gov/issue/identifying-patient-centred-recommendations-improving-patient-safety-general-practices
    April 25, 2018 - Study Identifying patient-centred recommendations for improving patient safety in General Practices in England: a qualitative content analysis of free-text responses using the Patient Reported Experiences and Outcomes of Safety in Primary Care (PREOS-PC) questionnaire. Citation Text: Ric…
  4. psnet.ahrq.gov/issue/viewing-prevention-catheter-associated-urinary-tract-infection-system-using-systems
    July 12, 2023 - Study Viewing prevention of catheter-associated urinary tract infection as a system: using systems engineering and human factors engineering in a quality improvement project in an academic medical center. Citation Text: Rhee C, Phelps E, Meyer B, et al. Viewing Prevention of Catheter-Ass…
  5. psnet.ahrq.gov/issue/judy-smetzer-just-culture-champion-scholarships
    April 18, 2012 - Press Release/Announcement Judy Smetzer Just Culture Champion Scholarships. Citation Text: Institute for Safe Medication Practices. Copy Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL …
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49599/psn-pdf
    February 23, 2010 - Defensive Medicine: "Glowing" with Pain February 1, 2010 Sethi MK. Defensive Medicine: "Glowing" with Pain. PSNet [internet]. 2010. https://psnet.ahrq.gov/web-mm/defensive-medicine-glowing-pain The Case   A 31-year-old man presented to the emergency department (ED) complaining of abdominal pain and vomiting. The…
  7. psnet.ahrq.gov/web-mm/misidentifying-unidentified-john-doe-and-ehr
    September 27, 2017 - Misidentifying the Unidentified – John Doe and the EHR Citation Text: Janowak CF, Janowak LM. Misidentifying the Unidentified – John Doe and the EHR. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: …
  8. psnet.ahrq.gov/web-mm/situational-unawareness
    August 01, 2009 - Situational (Un)Awareness Citation Text: Abramson EL, Kaushal R. Situational (Un)Awareness. 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 E…
  9. psnet.ahrq.gov/web-mm/timely-diagnosis-esophageal-perforation
    September 27, 2023 - Timely diagnosis of esophageal perforation Citation Text: Utter GH, Cooke DT. Timely diagnosis of esophageal perforation. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020. Copy Citation Format: Google Scholar BibTeX …
  10. psnet.ahrq.gov/web-mm/rapid-mis-strep
    February 01, 2004 - Rapid Mis-St(r)ep Citation Text: Kaplan EL. Rapid Mis-St(r)ep. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2007. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …
  11. psnet.ahrq.gov/innovation/system-approaches-social-determinants-health-screening-and-intervention-innovation
    July 23, 2024 - System Approaches to Social Determinants of Health Screening and Intervention Innovation Summary Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL September 23, 2024 View more articles from the same…
  12. psnet.ahrq.gov/innovation/rescue-improvement-conference-innovation-summary
    September 23, 2024 - Rescue Improvement Conference Innovation Summary Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL July 23, 2024 View more articles from the same authors. Innovation Contact …
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49447/psn-pdf
    June 01, 2004 - Dangerous Dapsone June 1, 2004 Bookwalter T. Dangerous Dapsone. PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/dangerous-dapsone The Case A 78-year-old woman with newly diagnosed multiple myeloma on corticosteroids presented to the emergency department with dyspnea. Upon admission, she was found to be hypo…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33582/psn-pdf
    September 07, 2019 - Detection of Safety Hazards September 7, 2019 Detection of Safety Hazards. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/detection-safety-hazards Background An unacceptably large proportion of patients experience preventable harm at the hands of the health care system, and even more patients experience er…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865570/psn-pdf
    April 10, 2024 - Risk Mitigation Using the Anesthesia Risk Alert Program: Applying a Proactive Approach With Data Review & Collaborating With a Second Practitioner April 10, 2024 https://psnet.ahrq.gov/innovation/risk-mitigation-using-anesthesia-risk-alert-program-applying-proactive- approach-data Summary North American Partners…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853981/psn-pdf
    September 27, 2023 - Walking Out of a Hospital After Attempted Suicide September 27, 2023 Bourgeois JA, Xiong G. Walking Out of a Hospital After Attempted Suicide. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/walking-out-hospital-after-attempted-suicide The Case A 42-year-old man with history of posttraumatic stress disorder …
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865698/psn-pdf
    April 24, 2024 - Patient Safety Amid Nursing Workforce Challenges April 24, 2024 Leary KB, Lee M, Mossburg S. Patient Safety Amid Nursing Workforce Challenges . PSNet [internet]. 2024. https://psnet.ahrq.gov/perspective/patient-safety-amid-nursing-workforce-challenges Introduction Nurses are essential to patient care, and having a…
  18. psnet.ahrq.gov/perspective/patient-safety-and-evolution-webmm-and-psnet
    April 01, 2008 - Patient Safety and the Evolution of WebM&M and PSNet September 1, 2019  View more articles from the same authors. Citation Text: Ranji SR, Wachter R. Patient Safety and the Evolution of WebM&M and PSNet. PSNet [internet]. Rockville (MD): Agency for Healthcare Resea…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74242/psn-pdf
    January 07, 2022 - The Next Step: Use of a Pre-Operative Checklist to Prevent Missteps January 7, 2022 Sauder C, Kleber KT. The Next Step: Use of a Pre-Operative Checklist to Prevent Missteps. PSNet [internet]. 2022. https://psnet.ahrq.gov/web-mm/next-step-use-pre-operative-checklist-prevent-missteps The Case A 52-year-old woman w…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49616/psn-pdf
    December 01, 2010 - Milliliters vs. Milligrams December 1, 2010 Poole RL, Dixon T. Milliliters vs. Milligrams. PSNet [internet]. 2010. https://psnet.ahrq.gov/web-mm/milliliters-vs-milligrams The Case   A 32-year-old man was admitted to the hospital after a vehicle collision and multiple traumatic injuries. His evaluation showed acu…

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