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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36941/psn-pdf
    July 19, 2017 - ACOG Committee Opinion #508: disruptive behavior. July 19, 2017 ACOG Committee Opinion No. 508: disruptive behavior. Obstet Gynecol. 2011;118(4):970-2. doi:10.1097/AOG.0b013e3182358acc. https://psnet.ahrq.gov/issue/acog-committee-opinion-508-disruptive-behavior This guideline outlines important areas of concern an…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35241/psn-pdf
    September 11, 2018 - Team communication in the operating room. September 11, 2018 Davies JM. Team communication in the operating room. Acta Anaesthesiol Scand. 2005;49(7):898-901. https://psnet.ahrq.gov/issue/team-communication-operating-room The author presents sample cases from aviation to illustrate failures in team communication an…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38471/psn-pdf
    March 11, 2009 - Assessing the performance of surgical teams. March 11, 2009 Leach LS, Myrtle RC, Weaver FA, et al. Assessing the performance of surgical teams. Health Care Manage Rev. 2009;34(1):29-41. doi:10.1097/01.HMR.0000342977.84307.64. https://psnet.ahrq.gov/issue/assessing-performance-surgical-teams This qualitative study …
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33955/psn-pdf
    June 23, 2015 - Organisational Failure: An Exploratory Study in the Steel Industry and Medical Domain. June 23, 2015 van Vuuren W. Eindhoven, NL; Eindhoven University of Technology: 1998. ISBN 9038605897 https://psnet.ahrq.gov/issue/organisational-failure-exploratory-study-steel-industry-and-medical-domain This report provides a …
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37252/psn-pdf
    August 06, 2016 - Safety and Ethics in Healthcare: A Guide to Getting it Right. August 6, 2016 Runciman B, Merry A, Walton M. London, UK: CRC Press; 2017. ISBN: 9781315607443. https://psnet.ahrq.gov/issue/safety-and-ethics-healthcare-guide-getting-it-right This book provides a four-part treatment on improving health care safety, fe…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867656/psn-pdf
    February 26, 2025 - In Conversation with Lucy Savitz about Learning Health Systems for Patient Safety February 26, 2025 Savitz LA, Sousane Z, Mossburg SE. In Conversation with Lucy Savitz about Learning Health Systems for Patient Safety. PSNet [internet]. 2025. https://psnet.ahrq.gov/perspective/conversation-lucy-savitz-about-learnin…
  7. psnet.ahrq.gov/perspective/role-patient-facing-technologies-empower-patients-and-improve-safety
    November 01, 2017 - The Role of Patient-facing Technologies to Empower Patients and Improve Safety Ronen Rozenblum, MD, MPH, and David Bates, MD, MS | November 1, 2017  Also Read a Conversation View more articles from the same authors. Citation Text: Rozenblum R, Bates DW. The Role…
  8. psnet.ahrq.gov/web-mm/fire-hole-or-fire
    August 03, 2017 - Fire in the Hole!—An OR Fire Citation Text: Mehta SP, Domino KM. Fire in the Hole!—An OR Fire. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XM…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49804/psn-pdf
    September 01, 2017 - Transfusion Thresholds in Gastrointestinal Bleeding September 1, 2017 Strate L, Swanson S. Transfusion Thresholds in Gastrointestinal Bleeding. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/transfusion-thresholds-gastrointestinal-bleeding Case Objectives Describe risk factors for poor outcome in patients w…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33662/psn-pdf
    January 01, 2008 - In Conversation with…Jennifer Daley, MD January 1, 2008 In Conversation with…Jennifer Daley, MD. PSNet [internet]. 2008. https://psnet.ahrq.gov/perspective/conversation-withjennifer-daley-md Editor's note: Jennifer Daley, MD, is the Chief Medical Officer of Partners Community Healthcare Inc., the organization for …
  11. psnet.ahrq.gov/web-mm/no-bp-during-nibp
    March 01, 2011 - No BP During NIBP Citation Text: Görges M, Ansermino MJ. No BP During NIBP. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pu…
  12. psnet.ahrq.gov/web-mm/ectopic-or-not
    March 27, 2024 - Ectopic or Not? Citation Text: Givens VM, Lipscomb GH. Ectopic or Not?. 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 XML Endnote tagged PubMed…
  13. psnet.ahrq.gov/clinical-areas
    March 24, 2025 - Clinical Areas Scroll down to search or browse using Clinical Area if you would like to explore PSNet by the healthcare profession, such as the nurse care or medical specialty, featured in the resources. Latest by Clinical Areas In Conversation with Edwin Boudreaux about S…
  14. psnet.ahrq.gov/periodic-issue/periodic-issue-471
    December 31, 2024 - January 22, 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, report…
  15. psnet.ahrq.gov/web-mm/miscalculated-risk
    March 01, 2015 - Miscalculated Risk Citation Text: Strassels SA. Miscalculated Risk. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId R…
  16. psnet.ahrq.gov/web-mm/missed-pneumonia
    June 01, 2005 - Missed Pneumonia Citation Text: Rohde JM, Flanders S. Missed Pneumonia. 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 PubMed…
  17. psnet.ahrq.gov/issue/quality-initiative-system-wide-reduction-serious-medication-events-through-targeted
    April 10, 2024 - Study A quality initiative: a system-wide reduction in serious medication events through targeted simulation training. Citation Text: Hebbar KB, Colman N, Williams L, et al. A Quality Initiative: A System-Wide Reduction in Serious Medication Events Through Targeted Simulation Training. S…
  18. psnet.ahrq.gov/issue/going-covid-19-gemba-using-observation-and-high-reliability-strategies-achieve-safety-time
    May 12, 2021 - Commentary Going to the COVID-19 Gemba: using observation and high reliability strategies to achieve safety in a time of crisis. Citation Text: Thull-Freedman J, Mondoux S, Stang A, et al. Going to the COVID-19 Gemba: Using observation and high reliability strategies to achieve safety in…
  19. psnet.ahrq.gov/issue/does-suggested-diagnosis-general-practitioners-referral-question-impact-diagnostic-reasoning
    September 14, 2022 - Study Does a suggested diagnosis in a general practitioners' referral question impact diagnostic reasoning: an experimental study. Citation Text: Staal J, Speelman M, Brand R, et al. Does a suggested diagnosis in a general practitioners’ referral question impact diagnostic reasoning: an …
  20. psnet.ahrq.gov/issue/unscheduled-radiologic-examination-orders-electronic-health-record-novel-resource-targeting
    March 30, 2022 - Study Unscheduled radiologic examination orders in the electronic health record: a novel resource for targeting ambulatory diagnostic errors in radiology. Citation Text: Lacson R, Healey MJ, Cochon LR, et al. Unscheduled Radiologic Examination Orders in the Electronic Health Record: A No…

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