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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50949/psn-pdf
    February 26, 2020 - Pre-analytical pitfalls: Missing and mislabeled specimens February 26, 2020 Tran NK, Liu Y. Pre-analytical pitfalls: Missing and mislabeled specimens . PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/pre-analytical-pitfalls-missing-and-mislabeled-specimens The Case Case #1: A 56-year-old man was admitted to…
  2. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2023-08/spotlight_case_prolonged_dka_in_pregnancy_-_slides_-_revised.pdf
    January 01, 2023 - Spotlight Spotlight Prolonged DKA in Pregnancy: A Case of Communication Breakdown Source and Credits • This presentation is based on the August 2023 AHRQ WebM&M Spotlight Case o See the full article at https://psnet.ahrq.gov/webmm o CME credit is available o Commentary by: Sarah Marshall, MD and Nina M. …
  3. psnet.ahrq.gov/web-mm/getting-diagnosis-both-right-and-wrong
    May 29, 2024 - Getting the Diagnosis Both Right and Wrong Citation Text: Olson AP. Getting the Diagnosis Both Right and Wrong. 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…
  4. psnet.ahrq.gov/web-mm/failure-rescue-mother
    September 23, 2020 - Failure to Rescue the Mother Citation Text: Vivero A, Klapper EB, Gregory KD, et al. Failure to Rescue the Mother. 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…
  5. psnet.ahrq.gov/perspective/conversation-christine-cassel-md
    February 26, 2025 - In Conversation With… Christine Cassel, MD June 1, 2015  Citation Text: In Conversation With… Christine Cassel, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015. Copy Citation For…
  6. psnet.ahrq.gov/web-mm/no-blood-please
    January 14, 2011 - No Blood, Please Citation Text: Liang BA. No Blood, Please. 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 7 XML Endnote tagged PubMedId RIS …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49671/psn-pdf
    November 01, 2012 - Electrocardiogram Results: ***READ ME*** November 1, 2012 Alpert JS. Electrocardiogram Results: ***READ ME***. PSNet [internet]. 2012. https://psnet.ahrq.gov/web-mm/electrocardiogram-results-read-me The Case A 63-year-old woman with labile hypertension presented to the emergency department (ED) with new onset che…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33817/psn-pdf
    October 01, 2016 - Health Care Data Science for Quality Improvement and Patient Safety October 1, 2016 Rajkomar A. Health Care Data Science for Quality Improvement and Patient Safety. PSNet [internet]. 2016. https://psnet.ahrq.gov/perspective/health-care-data-science-quality-improvement-and-patient-safety Perspective Background Ha…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33791/psn-pdf
    September 01, 2015 - In Conversation With… Vineet Arora, MD, MAPP September 1, 2015 In Conversation With… Vineet Arora, MD, MAPP. PSNet [internet]. 2015. https://psnet.ahrq.gov/perspective/conversation-vineet-arora-md-mapp Editor's note: Vineet Arora, MD, MAPP, is Director of GME Clinical Learning Environment Innovation, Associate Pr…
  10. psnet.ahrq.gov/perspective/role-graduate-medical-education-gme-improving-patient-safety
    February 01, 2010 - The Role of Graduate Medical Education (GME) in Improving Patient Safety Arpana R. Vidyarthi, MD; Robert B. Baron, MD, MS | February 1, 2010  Also Read a Conversation View more articles from the same authors. Citation Text: Baron RB, Vidyarthi A. The Role of Gra…
  11. psnet.ahrq.gov/issue/ismp-survey-high-alert-medications-acute-care-settings
    January 26, 2023 - Measurement Tool/Indicator ISMP Survey on High-Alert Medications in Acute Care Settings. Citation Text: ISMP Survey on High-Alert Medications in Acute Care Settings. Plymouth Meeting, PA: Institute for Safe Medication Practices; 2023. Copy Citation Save Save to yo…
  12. psnet.ahrq.gov/issue/annual-speak-data-reports
    September 14, 2022 - Multi-use Website Annual Speak Up Data Reports. Citation Text: Annual Speak Up Data Reports. Stratford, London; The National Guardian. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin …
  13. psnet.ahrq.gov/issue/engaging-patients-improving-ambulatory-care
    January 17, 2024 - Book/Report Engaging Patients in Improving Ambulatory Care. Citation Text: Engaging Patients in Improving Ambulatory Care. Aligning Forces for Quality. Princeton, NJ: Robert Wood Johnson Foundation; 2013. Copy Citation Save Save to your library Print …
  14. psnet.ahrq.gov/issue/how-cisgender-clinicians-can-help-prevent-harm-during-encounters-transgender-patients
    August 31, 2022 - Commentary How cisgender clinicians can help prevent harm during encounters with transgender patients. Citation Text: doi:10.1001/amajethics.2022.753. Copy Citation Format: DOI BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation …
  15. psnet.ahrq.gov/issue/safety-and-quality-health-care-where-are-we-now
    August 07, 2018 - Special or Theme Issue The Safety and Quality of Health Care: Where are We Now? Citation Text: The Safety and Quality of Health Care: Where are We Now? Med J Aust. 2006;184(S10):S39-S72. Copy Citation Save Save to your library Print Download PDF …
  16. psnet.ahrq.gov/issue/five-simple-steps-avoid-becoming-medical-mystery
    December 20, 2017 - Newspaper/Magazine Article Five simple steps to avoid becoming a medical mystery. Citation Text: Five simple steps to avoid becoming a medical mystery. Boodman SG. Washington Post. December 4, 2016. Copy Citation Save Save to your library Print Download …
  17. psnet.ahrq.gov/issue/cognitive-autopsy-root-cause-analysis-medical-decision-making
    December 18, 2019 - Book/Report The Cognitive Autopsy: A Root Cause Analysis of Medical Decision Making. Citation Text: The Cognitive Autopsy: A Root Cause Analysis of Medical Decision Making. Croskerry P. New York, NY: Oxford University Press; 2020. ISBN: 9780190088743.  Copy Citation …
  18. psnet.ahrq.gov/issue/medical-errors-and-medical-narcissism
    August 03, 2005 - Book/Report Medical Errors and Medical Narcissism. Citation Text: Medical Errors and Medical Narcissism. Banja JD. Sudbury MA: Jones and Bartlett, 2005. ISBN: 0763783617. Copy Citation Save Save to your library Print Download PDF Share …
  19. psnet.ahrq.gov/issue/supporting-second-victims
    February 15, 2023 - Newspaper/Magazine Article Supporting second victims. Citation Text: Supporting second victims. Quick Safety. January 22, 2018;(39):1-3. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin …
  20. psnet.ahrq.gov/issue/high-alert-medication-learning-guides-consumers
    April 30, 2019 - Fact Sheet/FAQs High-Alert Medication Learning Guides for Consumers. Citation Text: High-Alert Medication Learning Guides for Consumers. Horsham, PA: Institute for Safe Medication Practices; 2018.   Copy Citation Save Save to your library Print Download …

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