-
psnet.ahrq.gov/node/33577/psn-pdf
September 15, 2024 - Duty Hours and Patient Safety
September 15, 2024
Duty Hours and Patient Safety. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/duty-hours-and-patient-safety
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the …
-
psnet.ahrq.gov/node/867676/psn-pdf
February 26, 2025 - Responding to Patient Safety Events
February 26, 2025
Shaikh U. Responding to Patient Safety Events. PSNet [internet]. 2025.
https://psnet.ahrq.gov/primer/responding-patient-safety-events
Background
Patient safety events that occur in health care facilities require prompt action to ensure that further harm is
mit…
-
psnet.ahrq.gov/perspective/long-term-care-and-response-covid-19
October 28, 2020 - While management of the infection has improved as the pandemic has continued and facilities have learned … I would encourage frontline staff in hard hit areas to use forums like that to share what they’ve learned
-
psnet.ahrq.gov/perspective/conversation-charles-crecelius-md-phd-cmd-and-lori-l-popejoy-phd-rn-faan
October 28, 2020 - I would encourage frontline staff in hard hit areas to use forums like that to share what they’ve learned … While management of the infection has improved as the pandemic has continued and facilities have learned
-
psnet.ahrq.gov/Information/Editor
May 23, 2025 - Browse Author Resources
Meet PSNet's Editorial Team The PSNet editorial team is committed to producing the highest quality patient safety content. The team brings a wealth of experience and deep subject matter expertise in the field, ensuring that PSNet content is accurate, reliable, and…
-
psnet.ahrq.gov/perspective/conversation-john-g-reiling-phd
June 01, 2014 - In Conversation With... John G. Reiling, PhD
December 1, 2012
Citation Text:
In Conversation With.. John G. Reiling, PhD. PSNet [internet]. 2012.In Conversation With... John G. Reiling, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Qualit…
-
psnet.ahrq.gov/web-mm/when-lytes-go-out-case-inpatient-cardiac-arrest
February 01, 2023 - SPOTLIGHT CASE
When the Lytes Go Out: A Case of Inpatient Cardiac Arrest
Citation Text:
Stripe B, Zuidema D. When the Lytes Go Out: A Case of Inpatient Cardiac Arrest . PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020.…
-
psnet.ahrq.gov/node/49733/psn-pdf
May 01, 2015 - Transitions in Adolescent Medicine
May 1, 2015
Okumura MJ, Williams RG. Transitions in Adolescent Medicine. PSNet [internet]. 2015.
https://psnet.ahrq.gov/web-mm/transitions-adolescent-medicine
The Case
A 21-year-old woman with a history of Marfan syndrome complicated by aortic root dilation presented to the
emer…
-
psnet.ahrq.gov/node/33726/psn-pdf
March 01, 2012 - patients' experiences, we should learn from our mistakes, and infuse in our system those lessons
learned
-
psnet.ahrq.gov/perspective/conversation-withlucian-leape-md
August 01, 2006 - I learned an important lesson: enlightened, risk-taking leadership is the only way to achieve significant
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.317_slideshow.ppt
March 01, 2014 - PowerPoint Presentation
Spotlight Case
Tough Call: Addressing Errors From Previous Providers
1
This presentation is based on the March 2014
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: William Martinez, MD, MS, Assistant Professor of Medicine, …
-
psnet.ahrq.gov/web-mm/superficial-report-leads-deep-problem
July 01, 2012 - "Superficial" Report Leads to "Deep" Problem
Citation Text:
Dhaliwal G. "Superficial" Report Leads to "Deep" Problem. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009.
Copy Citation
Format:
Google Scholar BibTeX EndN…
-
psnet.ahrq.gov/perspective/unintended-consequences-florida-medical-liability-legislation
February 01, 2003 - The Unintended Consequences of Florida Medical Liability Legislation
Paul Barach, MD, MPH | December 1, 2005
View more articles from the same authors.
Citation Text:
Barach P. The Unintended Consequences of Florida Medical Liability Legislation. PSNet [internet].…
-
psnet.ahrq.gov/node/49703/psn-pdf
March 01, 2014 - After-Visit Confusion
March 1, 2014
Ventres W. After-Visit Confusion. PSNet [internet]. 2014.
https://psnet.ahrq.gov/web-mm/after-visit-confusion
The Case
An otherwise healthy 18-year-old woman presented to an urgent care clinic with new bumps and white
spots near her tongue. The patient's mother accompanied her …
-
psnet.ahrq.gov/web-mm/point-care-mixup-1-shot-turns-3
February 14, 2024 - Point-of-care Mixup: 1 Shot Turns Into 3
Citation Text:
Berberich RF. Point-of-care Mixup: 1 Shot Turns Into 3. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3…
-
psnet.ahrq.gov/node/836811/psn-pdf
April 07, 2022 - Implementing a watcher program to improve timeliness of
recognition of deterioration in hospitalized children
April 7, 2022
Evans S, Green A, Roberson A, et al. Implementing a watcher program to improve timeliness of
recognition of deterioration in hospitalized children. J Pediatr Nurs. 2021;61:151-6.
https:/…
-
psnet.ahrq.gov/issue/disclosure-medical-errors-involving-gametes-and-embryos
April 22, 2020 - Commentary
Disclosure of medical errors involving gametes and embryos.
Citation Text:
Disclosure of medical errors involving gametes and embryos. Ethics Committee of the American Society for Reproductive Medicine. Fertil Steril. 2016;106:59-63.
Copy Citation
Save
…
-
psnet.ahrq.gov/issue/nqf-safe-practices-2010-updates
July 14, 2010 - Special or Theme Issue
NQF Safe Practices: 2010 Updates.
Citation Text:
NQF Safe Practices: 2010 Updates. J Patient Saf. 2010;6(1):1-47, 52-56.
Copy Citation
Save
Save to your library
Print
Download PDF
Share
Facebook
Twitt…
-
psnet.ahrq.gov/issue/linneaus-collaboration-patient-safety-primary-care
February 10, 2010 - Special or Theme Issue
LINNEAUS Collaboration on Patient Safety in Primary Care.
Citation Text:
LINNEAUS Collaboration on Patient Safety in Primary Care. Eur J Gen Pract. 2015;(suppl 21):1-77.
Copy Citation
Save
Save to your library
Print
Download PDF …
-
psnet.ahrq.gov/issue/34-ways-survive-your-next-trip-hospital
May 02, 2018 - Newspaper/Magazine Article
34 ways to survive your next trip to the hospital.
Citation Text:
34 ways to survive your next trip to the hospital. Crouch M. Reader's Digest. April 2018.
Copy Citation
Save
Save to your library
Print
Download PDF
Shar…