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  1. psnet.ahrq.gov/issue/patient-safety-old-and-new-issue
    June 01, 2011 - Special or Theme Issue Patient Safety: An Old and New Issue. Citation Text: Patient Safety: An Old and New Issue. Bagnara S; Tartaglia R, eds. Theor Issues Ergon Sci. 2023;8(5):365-507. Copy Citation Save Save to your library Print Download PDF S…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33625/psn-pdf
    January 01, 2006 - Aviation Safety Methods: Quickly Adopted but Questions Remain January 1, 2006 Thomas EJ. Aviation Safety Methods: Quickly Adopted but Questions Remain. PSNet [internet]. 2006. https://psnet.ahrq.gov/perspective/aviation-safety-methods-quickly-adopted-questions-remain Perspective On August 2, 2005, Air France flig…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49523/psn-pdf
    November 01, 2006 - Urinary Retention Dilemma November 1, 2006 Joseph AC. Urinary Retention Dilemma. PSNet [internet]. 2006. https://psnet.ahrq.gov/web-mm/urinary-retention-dilemma The Case Following an elective thyroidectomy, a 56-year-old man with a history of benign prostatic hypertrophy (BPH) and urinary hesitancy returned to th…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73335/psn-pdf
    May 26, 2021 - Hyponatremia Secondary to Home Parenteral Nutrition Error May 26, 2021 Haas K, Lee A. Hyponatremia Secondary to Home Parenteral Nutrition Error. PSNet [internet]. 2021. https://psnet.ahrq.gov/web-mm/hyponatremia-secondary-home-parenteral-nutrition-error The Case A 4-year-old (former 33-week premature) boy with a …
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49459/psn-pdf
    September 01, 2004 - Caution, Interrupted September 1, 2004 Wears RL. Caution, Interrupted. PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/caution-interrupted The Case A 55-year-old man with acute myelogenous leukemia and several recent hospitalizations for fever and neutropenia presented to the emergency department (ED) with …
  6. psnet.ahrq.gov/periodic-issue/periodic-issue-472
    February 26, 2025 - February 26, 2025 Weekly Issue PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient safety literature, news, conferences, repor…
  7. psnet.ahrq.gov/web-mm/febrile-neutropenia-and-almost-fatal-medication-error
    February 01, 2012 - Febrile Neutropenia and an Almost Fatal Medication Error Citation Text: Faig J, Zerillo JA. Febrile Neutropenia and an Almost Fatal Medication Error. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. Copy Citation Format: …
  8. psnet.ahrq.gov/primer/retained-surgical-items-causation-and-prevention
    January 04, 2024 - Retained Surgical Items: Causation and Prevention Citation Text: Gibbs V, Romano P. Retained Surgical Items: Causation and Prevention. PSNet [internet]. Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2025. Copy Citation Format: Google Scholar BibTeX End…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49865/psn-pdf
    June 01, 2019 - Delayed Sepsis Management Due to Ambiguous Allergy June 1, 2019 Blumenthal K. Delayed Sepsis Management Due to Ambiguous Allergy. PSNet [internet]. 2019. https://psnet.ahrq.gov/web-mm/delayed-sepsis-management-due-ambiguous-allergy The Case A 75-year-old man with a past medical history of hemorrhagic stroke, coron…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72811/psn-pdf
    September 01, 2022 - Algorithm-Based Decision Support System Guides Trauma Staff During Initial Treatment, Leading to Fewer Medical Errors Originally published on March 3, 2021 Last updated on March 16, 2021 https://psnet.ahrq.gov/innovation/algorithm-based-decision-support-system-guides-trauma-staff-during- initial-treatment Summar…
  11. psnet.ahrq.gov/web-mm/inappropriate-antibiotic-use
    September 22, 2010 - Inappropriate Antibiotic Use Citation Text: Babcock HM, Fraser VJ. Inappropriate Antibiotic Use. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 …
  12. psnet.ahrq.gov/issue/joint-commission-international-center-patient-safety
    November 27, 2018 - Multi-use Website Joint Commission International Center for Patient Safety. Citation Text: Joint Commission International Center for Patient Safety. JCAHO, Joint Commission on Accreditation of Healthcare Organizations Copy Citation Save Save to your library …
  13. psnet.ahrq.gov/issue/learning-action-guide-putting-learning-organization-work
    July 24, 2018 - Book/Report Classic Learning in Action: A Guide to Putting the Learning Organization to Work. Citation Text: Learning in Action: A Guide to Putting the Learning Organization to Work. Garvin DA. Harvard Business Review Press, 2003. Copy Citation …
  14. psnet.ahrq.gov/issue/quality-work-environments-nurse-and-patient-safety
    December 18, 2018 - Book/Report Quality Work Environments for Nurse and Patient Safety. Citation Text: Quality Work Environments for Nurse and Patient Safety. McGillis Hall L. Sudbury, MA: Jones and Bartlett Publishers; 2005. ISBN 9780763728809. Copy Citation Save Save to your li…
  15. psnet.ahrq.gov/issue/collaborative-accountability-and-improvement
    August 14, 2018 - Multi-use Website Collaborative for Accountability and Improvement. Citation Text: Collaborative for Accountability and Improvement. University of Washington. Copy Citation Save Save to your library Print Download PDF Share Facebook Twi…
  16. psnet.ahrq.gov/issue/fixing-medication-reconciliation-breakdown
    September 06, 2023 - Newspaper/Magazine Article Fixing the medication reconciliation breakdown. Citation Text: Fixing the medication reconciliation breakdown. Starr D; West L. Copy Citation Save Save to your library Print Download PDF Share Facebook Tw…
  17. psnet.ahrq.gov/issue/opioid-wisely
    April 06, 2022 - Toolkit Opioid Wisely. Citation Text: Opioid Wisely. Choosing Wisely Canada. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL March 14, 2018 Choosing Wis…
  18. psnet.ahrq.gov/issue/assessing-effectiveness-quality-improvement-strategies-europe-marquis-project
    January 28, 2015 - Special or Theme Issue Assessing the effectiveness of quality improvement strategies in Europe: the MARQuIS project. Citation Text: Assessing the effectiveness of quality improvement strategies in Europe: the MARQuIS project. Qual Saf Health Care. 2009;18(suppl 1):i1-i80. Copy Cit…
  19. psnet.ahrq.gov/issue/safety-and-human-performance-operating-room-and-other-extreme-environments
    December 02, 2020 - Special or Theme Issue Safety and Human Performance in the Operating Room and Other Extreme Environments. Citation Text: Safety and Human Performance in the Operating Room and Other Extreme Environments. Ruskin KJ, ed. Int Anesthesiol Clin. 2024;62(2):1-65. Copy Citation …
  20. psnet.ahrq.gov/issue/nurses-transforming-care
    November 26, 2014 - Special or Theme Issue Nurses Transforming Care. Citation Text: Nurses Transforming Care. Am J Nurs. 2009;109(suppl 11):3-80, C3.   Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linke…

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