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EHR Copy and Paste and Patient Safety | PSNet

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January 01, 2018 - EHR Copy and Paste and Patient Safety Shannon M. Dean, MD | January 1, 2018 Also Read a Conversation View more articles from the same authors. Citation Text: Dean SM. EHR Copy and Paste and Patient Safety. PSNet [internet]. Rockville (MD): Agency for Healthcare…

In Conversation with…Pat Croskerry, MD, PhD | PSNet

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June 01, 2010 - In Conversation with…Pat Croskerry, MD, PhD June 1, 2010 Also Read an Essay Citation Text: In Conversation with…Pat Croskerry, MD, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010.…

In Conversation with…Vineet Arora, MD, MA | PSNet

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March 01, 2011 - In Conversation with…Vineet Arora, MD, MA March 1, 2011 Also Read an Essay Citation Text: In Conversation with…Vineet Arora, MD, MA . PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011. …

In Conversation With… Michelle Mello, MPhil, JD, PhD | PSNet

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July 01, 2017 - In Conversation With… Michelle Mello, MPhil, JD, PhD July 1, 2017 Also Read an Essay Citation Text: In Conversation With… Michelle Mello, MPhil, JD, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Hum…

In Conversation With… Richard Hoppmann, MD | PSNet

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June 01, 2018 - In Conversation With… Richard Hoppmann, MD June 1, 2018 Also Read an Essay Citation Text: In Conversation With… Richard Hoppmann, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. …

Spotlight

psnet.ahrq.gov/sites/default/files/2024-12/spotlight_case_csf_leak_after_elective_spine_surgery_slides_-_final.pptx

January 01, 2024 - Spotlight Spotlight Management of CSF Leaks After Elective Spine Surgery: Routine Laminectomy Leads to Fatal Discitis and Sepsis 1 Source and Credits This presentation is based on the December 2024 AHRQ WebM&M Spotlight Case See the full article at https://psnet.ahrq.gov/webmm CME credit is available Comment…

Delay in Appropriate Diagnosis and Treatment Leading to Death from Pulmonary Embolism | PSNet

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December 31, 2024 - SPOTLIGHT CASE Delay in Appropriate Diagnosis and Treatment Leading to Death from Pulmonary Embolism Citation Text: McCallum W, Barnes DK. Delay in Appropriate Diagnosis and Treatment Leading to Death from Pulmonary Embolism. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Qu…

Errors in Managing an Open Wound of the Elbow Leading to Multiple Complications and Operations | PSNet

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September 27, 2023 - SPOTLIGHT CASE Errors in Managing an Open Wound of the Elbow Leading to Multiple Complications and Operations Citation Text: Barnes DK, Utter GH. Errors in Managing an Open Wound of the Elbow Leading to Multiple Complications and Operations. PSNet [internet]. Agency for Healthcare Research and Qu…

Cybersecurity and How to Maintain Patient Safety | PSNet

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March 27, 2024 - Cybersecurity and How to Maintain Patient Safety Barbara Pelletreau, RN; John Riggi; Bryan M. Gale, MA; Sarah E. Mossburg, RN, PhD | March 27, 2024 Also Read the Conversation View more articles from the same authors. Citation Text: Pelletreau B, Riggi J, Gale B…

High Reliability Organization (HRO) Principles and Patient Safety | PSNet

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February 26, 2025 - High Reliability Organization (HRO) Principles and Patient Safety Timothy Vogus, PhD; Merton Lee, PharmD, PhD; Sarah E. Mossburg, RN, PhD | February 26, 2025 Also Read the Conversation View more articles from the same authors. Citation Text: Vogus T, Lee M, Mos…

Health Equity and Maternal Health | PSNet

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October 06, 2021 - Health Equity and Maternal Health October 6, 2021 Also Read the Conversation View more articles from the same authors. Citation Text: Tully K, Stuebe AM, Gibson A, et al. Health Equity and Maternal Health. PSNet [internet]. Rockville (MD): Agency for Healthcare…

Opioid Overdose as a Patient Safety Problem | PSNet

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May 01, 2017 - Opioid Overdose as a Patient Safety Problem Irene Berita Murimi, PhD, MA, and G. Caleb Alexander, MD, MS | May 22, 2017 Also Read a Conversation View more articles from the same authors. Citation Text: Murimi IB, Alexander CG. Opioid Overdose as a Patient Safet…

AHRQ PSNet Annual Perspective: Impact of the COVID-19 Pandemic on Patient Safety | PSNet

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August 31, 2020 - Annual Perspective AHRQ PSNet Annual Perspective: Impact of the COVID-19 Pandemic on Patient Safety March 30, 2021 View more articles from the same authors. Citation Text: Stocking JC, Sandrock C, Fitall E, et al. AHRQ PSNet Annual Perspective: Impact of the…

Coronavirus Disease 2019 (COVID-19) and Diagnostic Error | PSNet

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July 30, 2020 - Coronavirus Disease 2019 (COVID-19) and Diagnostic Error Citation Text: Desai AN, Romano PS. Coronavirus Disease 2019 (COVID-19) and Diagnostic Error. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022. Copy Citation Format: …

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

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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. …

Are We Safer Today? | PSNet

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February 26, 2025 - Are We Safer Today? David W. Bates, MD, MSc; Merton Lee, PharmD, PhD; Sarah E. Mossburg, RN, PhD | February 26, 2025 Also Read the Conversation View more articles from the same authors. Citation Text: Bates DW, Lee M, Mossburg SE. Are We Safer Today?. PSNet [in…

Risk Management and Patient Safety | PSNet

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December 01, 2010 - Risk Management and Patient Safety Barry M. Manuel, MD; Jack L. McCarthy; William Berry, MD, MPH; Kathy Dwyer | December 1, 2010 Also Read a Conversation View more articles from the same authors. Citation Text: Manuel BM, McCarthy JL, Berry WR, et al. Risk Mana…

In Conversation with Timothy Vogus about High Reliability Organization (HRO) Principles and Patient Safety | PSNet

psnet.ahrq.gov/perspective/conversation-timothy-vogus-about-high-reliability-organization-hro-principles-and

February 26, 2025 - In Conversation with Timothy Vogus about High Reliability Organization (HRO) Principles and Patient Safety Timothy Vogus, PhD; Merton Lee, PharmD, PhD; Sarah E. Mossburg, RN, PhD | February 26, 2025 Also Read the Essay View more articles from the same authors. Ci…

Dangers of Missing an Epidural Abscess: Multiple Visits and Delayed Diagnosis with a Severely Negative Outcome | PSNet

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April 27, 2022 - SPOTLIGHT CASE Dangers of Missing an Epidural Abscess: Multiple Visits and Delayed Diagnosis with a Severely Negative Outcome Citation Text: Lantz L, Yoon J, Barnes DK. Dangers of Missing an Epidural Abscess: Multiple Visits and Delayed Diagnosis with a Severely Negative Outcome. PSNet [internet…

Revising TeamSTEPPS: The Evolution of Patient Safety Teamwork Training | PSNet

psnet.ahrq.gov/perspective/revising-teamstepps-evolution-patient-safety-teamwork-training

February 28, 2024 - Revising TeamSTEPPS: The Evolution of Patient Safety Teamwork Training Monika Haugstetter, MHA, MSN, RN, CPHQ; Stephen Hines, PhD; Zoe Sousane, BS; Sarah Mossburg, RN, PhD | February 28, 2024 Also Read the Conversation View more articles from the same authors. …

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