-
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…
-
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. …
-
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…
-
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…
-
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…
-
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
…
-
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…
-
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…
-
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…
-
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…
-
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…
-
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
…
-
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
…
-
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
…
-
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
…
-
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 …
-
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
…
-
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
…
-
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
…
-
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 …