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Total Results: 5,103 records

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  1. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2022-08/final_spotlight_latex_allergies-slides.pdf
    January 01, 2022 - Spotlight Spotlight Perioperative Anaphylaxis After Insertion of a Latex Drain in a Patient with Known Latex Allergy Source and Credits • This presentation is based on the August 2022 AHRQ WebM&M Spotlight Case o See the full article at https://psnet.ahrq.gov/webmm o CME credit is available o Commentary by K…

  2. Getting to the Root of the Matter | PSNet

    psnet.ahrq.gov/web-mm/getting-root-matter
    September 01, 2005 - SPOTLIGHT CASE Getting to the Root of the Matter Citation Text: Saint S, Flanders S. Getting to the Root of the Matter. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005. Copy Citation Format: Google Schola…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72911/psn-pdf
    March 15, 2021 - The Impact of Communication on Medication Errors March 15, 2021 Branch J, Hiner D, Jackson V. The Impact of Communication on Medication Errors. PSNet [internet]. 2021. https://psnet.ahrq.gov/web-mm/impact-communication-medication-errors The Case   A 93-year-old man with a history of chronic systolic heart failure…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850361/psn-pdf
    June 14, 2023 - Critical Echocardiogram Result Lost to Follow-up June 14, 2023 Boctor N, Molla M. Critical Echocardiogram Result Lost to Follow-up. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/critical-echocardiogram-result-lost-follow The Case A 63-year-old man with history of stroke, systolic heart failure, and ventric…

  5. 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 - Interruptions and Distractions in Health Care: Improved Safety With Mindfulness Suzanne Beyea, RN, PhD | February 1, 2014  Also Read the Conversations In Conversation With… Enrico Coiera, MB, BS, PhD In Conversation With… Richard Kronick, PhD View more …

  6. In Conversation With…Kaveh G. Shojania, MD | PSNet

    psnet.ahrq.gov/perspective/conversation-withkaveh-g-shojania-md
    September 01, 2011 - In Conversation With…Kaveh G. Shojania, MD September 1, 2011  Also Read an Essay Citation Text: In Conversation With…Kaveh G. Shojania, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 20…

  7. Strengthening the Business Case for Patient Safety | PSNet

    psnet.ahrq.gov/perspective/strengthening-business-case-patient-safety
    May 01, 2013 - Strengthening the Business Case for Patient Safety Peter K. Lindenauer, MD, MSc | May 1, 2013  Also Read a Conversation View more articles from the same authors. Citation Text: Lindenauer PK. Strengthening the Business Case for Patient Safety. PSNet [internet]. …

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60721/psn-pdf
    July 21, 2020 - Special Edition Perspective: Technology Responses to COVID-19 July 21, 2020 Marcin JP, Cohen NM, Lowery C, et al. Special Edition Perspective: Technology Responses to COVID-19. PSNet [internet]. 2020. https://psnet.ahrq.gov/perspective/special-edition-perspective-technology-responses-covid-19 Editor’s note: This …

  9. COVID-19 and Dentistry: Challenges and Opportunities for Providing Safe Care | PSNet

    psnet.ahrq.gov/primer/covid-19-and-dentistry-challenges-and-opportunities-providing-safe-care
    February 24, 2022 - COVID-19 and Dentistry: Challenges and Opportunities for Providing Safe Care Citation Text: Kalenderian E, Spallek H, Franklin A, et al. COVID-19 and Dentistry: Challenges and Opportunities for Providing Safe Care. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department o…

  10. Incident Reporting: More Attention to the Safety Action Feedback Loop, Please | PSNet

    psnet.ahrq.gov/perspective/incident-reporting-more-attention-safety-action-feedback-loop-please
    September 01, 2011 - Incident Reporting: More Attention to the Safety Action Feedback Loop, Please Teryl K. Nuckols, MD, MSHS | September 1, 2011  Also Read a Conversation View more articles from the same authors. Citation Text: Nuckols TK. Incident Reporting: More Attention to the …

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72586/psn-pdf
    December 23, 2020 - contributes to health care worker fatigue and burnout.19  The repurposed functionality of the EHR also leads

  12. EHR Copy and Paste and Patient Safety | PSNet

    psnet.ahrq.gov/perspective/ehr-copy-and-paste-and-patient-safety
    January 01, 2018 - Cases Be Picky about your PICCs—Fragmented Care and Poor Communication at Discharge Leads

  13. In Conversation With… Abraham Verghese, MD | PSNet

    psnet.ahrq.gov/perspective/conversation-abraham-verghese-md
    November 01, 2012 - anecdotes where someone comes in with terrible chest pain and it creates this whole flurry of activity—leads

  14. Code Status vs. Care Status | PSNet

    psnet.ahrq.gov/web-mm/code-status-vs-care-status
    September 30, 2020 - contributes to health care worker fatigue and burnout. 19  The repurposed functionality of the EHR also leads

  15. The Role of Community Pharmacists in Patient Safety | PSNet

    psnet.ahrq.gov/perspective/role-community-pharmacists-patient-safety
    October 24, 2021 - In this role, she leads initiatives related to community pharmacy practitioners and their impact throughout

  16. The Evidence-Based Physical Examination as a Patient Safety Practice | PSNet

    psnet.ahrq.gov/perspective/evidence-based-physical-examination-patient-safety-practice
    November 01, 2012 - anecdotes where someone comes in with terrible chest pain and it creates this whole flurry of activity—leads

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49619/psn-pdf
    February 01, 2011 - Paradoxical Pulse February 1, 2011 Roy CL. Paradoxical Pulse. PSNet [internet]. 2011. https://psnet.ahrq.gov/web-mm/paradoxical-pulse The Case An 80-year-old man with paroxysmal atrial fibrillation and symptomatic bradycardia underwent successful pacemaker placement as an outpatient. The patient was restarted on …

  18. Double Dose at Transfer | PSNet

    psnet.ahrq.gov/web-mm/double-dose-transfer
    November 01, 2012 - Double Dose at Transfer Citation Text: Hackman JL. Double Dose at Transfer. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pu…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33735/psn-pdf
    August 01, 2012 - Medication Safety in Nursing Homes: What's Wrong and How to Fix It August 1, 2012 Gurwitz JH. Medication Safety in Nursing Homes: What's Wrong and How to Fix It. PSNet [internet]. 2012. https://psnet.ahrq.gov/perspective/medication-safety-nursing-homes-whats-wrong-and-how-fix-it Perspective At any point in time, …

  20. Spotlight Case July 2008 (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.224_slideshow.ppt
    October 01, 2010 - Spotlight Case July 2008 Spotlight Case October 2010 Dangerous Dialysis * * Source and Credits This presentation is based on the October 2010 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Jean L. Holley, MD, University of Illinois, Urbana-…
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