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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42449/psn-pdf
    July 31, 2013 - The epidemiology of malpractice claims in primary care: a systematic review. July 31, 2013 Wallace E, Lowry J, Smith SM, et al. The epidemiology of malpractice claims in primary care: a systematic review. BMJ Open. 2013;3(7). doi:10.1136/bmjopen-2013-002929. https://psnet.ahrq.gov/issue/epidemiology-malpractice-cl…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72625/psn-pdf
    January 13, 2021 - US clinicians' experiences and perspectives on resource limitation and patient care during the COVID-19 pandemic. January 13, 2021 Butler CR, Wong SPY, Wightman AG, et al. US clinicians' experiences and perspectives on resource limitation and patient care during the COVID-19 pandemic. JAMA Netw Open. 2020;3(11):e20…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60334/psn-pdf
    May 13, 2020 - Crisis Standards of Care: Ten Years of Successes and Challenges–Proceedings of a Workshop. May 13, 2020 National Academies of Sciences, Engineering, and Medicine. Washington, DC; The National Academies Press: 2020. ISBN 9780309676250. https://psnet.ahrq.gov/issue/crisis-standards-care-ten-years-successes-and-…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41322/psn-pdf
    November 27, 2012 - Errors of medical interpretation and their potential clinical consequences: a comparison of professional versus ad hoc versus no interpreters. November 27, 2012 Flores G, Abreu M, Barone CP, et al. Errors of medical interpretation and their potential clinical consequences: a comparison of professional versus ad ho…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60039/psn-pdf
    March 11, 2020 - A 25-year-old teacher died after waiting hours at the ER. She's not the only one who saw delays. March 11, 2020 Linnane R, Diedrich J. Milwaukee Journal Sentinel. February 25, 2020. https://psnet.ahrq.gov/issue/25-year-old-teacher-died-after-waiting-hours-er-shes-not-only-one-who-saw- delays Delays in emergency r…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45877/psn-pdf
    July 19, 2017 - Piece of my mind. Stories doctors tell. July 19, 2017 Moniz T, Lingard LA, Watling C. Stories Doctors Tell. JAMA. 2017;318(2):124-125. doi:10.1001/jama.2017.5518. https://psnet.ahrq.gov/issue/piece-my-mind-stories-doctors-tell The sharing of stories is a key method to provide context to drive change. The authors e…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840475/psn-pdf
    November 30, 2022 - Complexity and challenges of the clinical diagnosis and management of Long COVID. November 30, 2022 O’Hare AM, Vig EK, Iwashyna TJ, et al. Complexity and challenges of the clinical diagnosis and management of Long COVID. JAMA Netw Open. 2022;5(11):e2240332. doi:10.1001/jamanetworkopen.2022.40332. https://psnet.ah…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60201/psn-pdf
    April 08, 2020 - Misdiagnosis, mistreatment, and harm - when medical care ignores social forces. April 8, 2020 Holmes SM, Hansen H, Jenks A, et al. Misdiagnosis, mistreatment, and harm - when medical care ignores social forces. N Engl J Med. 2020;382(12). doi:10.1056/nejmp1916269. https://psnet.ahrq.gov/issue/misdiagnosis-mistreat…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846150/psn-pdf
    March 15, 2023 - Patient and health care professional perspectives on stigma in integrated behavioral health: barriers and recommendations. March 15, 2023 Phelan SM, Salinas M, Pankey T, et al. Patient and health care professional perspectives on stigma in integrated behavioral health: barriers and recommendations. Ann Fam Med. 20…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60730/psn-pdf
    January 01, 2021 - A machine learning approach to reclassifying miscellaneous patient safety event reports. July 29, 2020 Fong A, Behzad S, Pruitt Z, et al. A machine learning approach to reclassifying miscellaneous patient safety event reports. J Patient Saf. 2021;17(8):e829-e833. doi:10.1097/pts.0000000000000731. https://psnet.ahr…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47589/psn-pdf
    January 09, 2019 - Framework for Effective Board Governance of Health System Quality. January 9, 2019 Daley Ullem E, Gandhi TK, Mate K, et al. IHI White Paper. Boston, MA: Institute for Healthcare Improvement; 2018. https://psnet.ahrq.gov/issue/framework-effective-board-governance-health-system-quality The role of hospital boards i…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44604/psn-pdf
    August 02, 2016 - Influencing the Quality, Risk and Safety Movement in Healthcare: In Conversation with International Leaders. August 2, 2016 Sears K, Stockley D, Broderick B, eds. Aldershot, UK: Ashgate Publishing; 2015. ISBN: 9781472449276. https://psnet.ahrq.gov/issue/influencing-quality-risk-and-safety-movement-healthcare-conver…
  13. psnet.ahrq.gov/web-mm/transfusion-slip
    June 14, 2011 - Transfusion "Slip" Citation Text: Kaplan HS. Transfusion "Slip". 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 …
  14. psnet.ahrq.gov/web-mm/fumbled-handoff-inpatient-rehab
    December 21, 2018 - A Fumbled Handoff to Inpatient Rehab Citation Text: Ashcraft LE, Kahn JM. A Fumbled Handoff to Inpatient Rehab. 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…
  15. psnet.ahrq.gov/web-mm/surgical-personality-threat-patient-safety
    February 24, 2021 - SPOTLIGHT CASE Is the "Surgical Personality" a Threat to Patient Safety? Citation Text: Bosk CL. Is the "Surgical Personality" a Threat to Patient Safety?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006. Copy Citati…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49696/psn-pdf
    December 01, 2013 - New Oral Anticoagulants December 1, 2013 Fang MC. New Oral Anticoagulants. PSNet [internet]. 2013. https://psnet.ahrq.gov/web-mm/new-oral-anticoagulants Case Objectives Review properties of newer target-specific oral anticoagulants (TSOACs) such as dabigatran, rivaroxaban, and apixaban. State key perioperative c…
  17. psnet.ahrq.gov/web-mm/allergy-holter
    May 01, 2008 - Allergy to Holter Citation Text: Williams M. Allergy to Holter. 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 …
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50389/psn-pdf
    September 25, 2019 - Getting the Diagnosis Both Right and Wrong September 25, 2019 Olson AP. Getting the Diagnosis Both Right and Wrong. PSNet [internet]. 2019. https://psnet.ahrq.gov/web-mm/getting-diagnosis-both-right-and-wrong The Case A 27-year-old woman with a history of acute myeloid leukemia was sent to the emergency department…
  19. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.329_slideshow.ppt
    August 01, 2014 - PowerPoint Presentation Spotlight Pitfalls in Diagnosing Necrotizing Fasciitis This presentation is based on the July/August 2014 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Terence Goh, MBBS, Department of Plastic Surgery, Singapore General Hos…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50756/psn-pdf
    December 18, 2019 - A Mistaken Dose of Naloxone? December 18, 2019 Cutler E, Gunawardena D. A Mistaken Dose of Naloxone?. PSNet [internet]. 2019. https://psnet.ahrq.gov/web-mm/mistaken-dose-naloxone The Case A 55-year-old man with widely metastatic gastric cancer presented to his oncologist's office for a follow-up appointment. He h…

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