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4621. Transfer Troubles | PSNet
      psnet.ahrq.gov/web-mm/transfer-troubles
      December 29, 2014 - SPOTLIGHT CASE Transfer Troubles Citation Text: Hains IM. Transfer Troubles. 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 Endno…

4622. Missed Diagnosis of Addison’s Disease in Adolescent Presenting with Fatigue. | PSNet
      psnet.ahrq.gov/web-mm/missed-diagnosis-addisons-disease-adolescent-presenting-fatigue
      October 28, 2020 - Missed Diagnosis of Addison’s Disease in Adolescent Presenting with Fatigue. Citation Text: Jimenez S, Crossen S. Missed Diagnosis of Addison’s Disease in Adolescent Presenting with Fatigue.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Serv…

4623. Microsoft PowerPoint - Spotlight Case_Postop Cervical Hematomas_12.15.2022 FINAL.pptx (pdf file)
      psnet.ahrq.gov/sites/default/files/2023-01/spotlight_respiratory_distress_after_neck_surgery_two_cases_of_postoperative_cervical_hematoma.pdf
      January 01, 2023 - Microsoft PowerPoint - Spotlight Case_Postop Cervical Hematomas_12.15.2022 FINAL.pptx Spotlight Respiratory Distress after Neck Surgery: Two Cases of Post-Operative Cervical Hematoma Source and Credits • This presentation is based on the January 2023 AHRQ WebM&M Spotlight Case o See the full article at https://…

4624. Crossing the Line | PSNet
      psnet.ahrq.gov/web-mm/crossing-line
      December 01, 2012 - SPOTLIGHT CASE Crossing the Line Citation Text: Feldman JP, Gould MK. Crossing the Line. 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…

4625. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49522/psn-pdf
      November 01, 2006 - Getting a Good Report Card: Unintended Consequences of the Public Reporting of Hospital Quality November 1, 2006 Lindenauer PK. Getting a Good Report Card: Unintended Consequences of the Public Reporting of Hospital Quality. PSNet [internet]. 2006. https://psnet.ahrq.gov/web-mm/getting-good-report-card-unintended-…

4626. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33720/psn-pdf
      November 01, 2011 - In Conversation With… Eduardo Salas, PhD November 1, 2011 In Conversation With… Eduardo Salas, PhD . PSNet [internet]. 2011. https://psnet.ahrq.gov/perspective/conversation-eduardo-salas-phd Editor's note: Eduardo Salas, PhD, is a University Trustee Chair and Pegasus Professor of Psychology at the University of Ce…

4627. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33792/psn-pdf
      September 01, 2015 - In Conversation With… Eric J. Topol, MD September 1, 2015 In Conversation With… Eric J. Topol, MD. PSNet [internet]. 2015. https://psnet.ahrq.gov/perspective/conversation-eric-j-topol-md Editor's note: Eric J. Topol, MD, is Director of Scripps Translational Science Institute, Professor of Genomics at The Scripps …

4628. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/852698/psn-pdf
      August 30, 2023 - The e-Autopsy/e-Biopsy: A Systematic Chart Review to Increase Safety and Diagnostic Accuracy Innovation August 30, 2023 https://psnet.ahrq.gov/innovation/e-autopsye-biopsy-systematic-chart-review-increase-safety-and- diagnostic-accuracy Summary Addressing diagnostic errors to improve outcomes and patient safety h…

4629. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866343/psn-pdf
      December 31, 2024 - Mismanagement of Acute Decompensated Heart Failure with Hypertensive Emergency December 31, 2024 Lee J, Fernilius J, Frick W. Mismanagement of Acute Decompensated Heart Failure with Hypertensive Emergency. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/mismanagement-acute-decompensated-heart-failure-hyperte…

4630. Handoffs and Signouts | PSNet
      psnet.ahrq.gov/primer/handoffs-and-signouts
      October 18, 2023 - Handoffs and Signouts Citation Text: Handoffs and Signouts. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

4631. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33669/psn-pdf
      May 01, 2018 - Integrating Multiple Medication Decision Support Systems: How Will We Make It All Work? May 1, 2018 Peterson JF. Integrating Multiple Medication Decision Support Systems: How Will We Make It All Work? PSNet [internet]. 2018. https://psnet.ahrq.gov/perspective/integrating-multiple-medication-decision-support-system…

4632. PowerPoint Presentation (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.2_slideshow.ppt
      February 01, 2003 - PowerPoint Presentation Spotlight Case February 2003 Apnea in a Patient Under General Anesthesia webmm.ahrq.gov Source and Credits This presentation is based on February 2003 Surgery–Anesthesia Spotlight Case See full case–commentary on webmm.ahrq.gov CME credit is available online Commentary by: Paul Barach,…

4633. The Pharmacist's Role in Medication Safety | PSNet
      psnet.ahrq.gov/primer/pharmacists-role-medication-safety
      March 14, 2018 - The Pharmacist's Role in Medication Safety Citation Text: The Pharmacist's Role in Medication Safety. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNo…

4634. Handoffs | PSNet
      psnet.ahrq.gov/primer/handoffs
      October 18, 2023 - Handoffs Citation Text: Handoffs and Signouts. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download…

4635. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33592/psn-pdf
      September 07, 2019 - Adverse Events, Near Misses, and Errors September 7, 2019 Adverse Events, Near Misses, and Errors. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/adverse-events-near-misses-and-errors Background The concept of medical harm has existed since antiquity, famously discussed by Hippocrates and passed on in the …

4636. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33571/psn-pdf
      September 07, 2019 - Reporting Patient Safety Events September 7, 2019 Reporting Patient Safety Events. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/reporting-patient-safety-events Background Patient safety event reporting systems are ubiquitous in hospitals and are a mainstay of efforts to detect patient safety events and q…

4637. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33575/psn-pdf
      September 07, 2019 - Patient Engagement and Safety September 7, 2019 Patient Engagement and Safety. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/patient-engagement-and-safety Background The traditional paternalistic model of medicine, in which patients have little voice in their care, has slowly but surely been evolving towa…

4638. Surveillance Monitoring to Improve Patient Safety in Acute Hospital Care Units | PSNet
      psnet.ahrq.gov/perspective/surveillance-monitoring-improve-patient-safety-acute-hospital-care-units
      April 26, 2023 - Surveillance Monitoring to Improve Patient Safety in Acute Hospital Care Units Susan McGrath, PhD,George Blike, MD, MHCDS,Bryan M. Gale, MA,Sarah E. Mossburg, RN, PhD | April 26, 2023  Also Read the Conversation View more articles from the same authors. Citation…

4639. In Conversation with… Edward Tenner, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-edward-tenner-phd
      June 01, 2011 - I don't think the existence of something that's automated necessarily leads to the abandonment of skills

4640. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/836976/psn-pdf
      April 27, 2022 - diastolic pressure or 30 mm Hg below the mean arterial blood pressure.23 Elevated compartment pressure leads