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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33691/psn-pdf
    December 01, 2009 - How to Identify and Manage Problem Behaviors December 1, 2009 Rosenstein AH, O'Daniel M. How to Identify and Manage Problem Behaviors. PSNet [internet]. 2009. https://psnet.ahrq.gov/perspective/how-identify-and-manage-problem-behaviors Perspective The 1999 Institute of Medicine report highlighted the need for heal…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49495/psn-pdf
    December 01, 2005 - Low on the Totem Pole December 1, 2005 Wachter R. Low on the Totem Pole. PSNet [internet]. 2005. https://psnet.ahrq.gov/web-mm/low-totem-pole Case Objectives Understand the concept of authority gradient List steps that can be taken to increase communication across an authority gradient Consider the current cultu…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33712/psn-pdf
    June 01, 2011 - In Conversation with… Edward Tenner, PhD June 1, 2011 In Conversation with… Edward Tenner, PhD. PSNet [internet]. 2011. https://psnet.ahrq.gov/perspective/conversation-edward-tenner-phd Editor's note: Edward Tenner is an independent writer, speaker, and consultant on technology and culture. He received his PhD fro…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49809/psn-pdf
    October 01, 2017 - Hyperbilirubinemia Refractory to Phototherapy October 1, 2017 Bhutani VK, Wong RJ. Hyperbilirubinemia Refractory to Phototherapy. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/hyperbilirubinemia-refractory-phototherapy The Case A 1-day-old full-term infant was noted to have elevated total serum bilirubin (…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846127/psn-pdf
    March 15, 2023 - Sepsis Resulting from Delays in Treatment and Miscommunication among Specialists March 15, 2023 Shi L, Noren E. Sepsis Resulting from Delays in Treatment and Miscommunication among Specialists. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/sepsis-resulting-delays-treatment-and-miscommunication-among- spec…
  6. psnet.ahrq.gov/web-mm/potent-medication-administered-not-so-viable-route
    July 20, 2016 - A Potent Medication Administered in a Not So Viable Route Citation Text: Loubani O. A Potent Medication Administered in a Not So Viable Route. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. Copy Citation Format: G…
  7. psnet.ahrq.gov/perspective/conversation-joel-willis-do-pa-ma-mphil-and-neal-sikka-md
    May 14, 2020 - In Conversation With... Joel Willis, DO, PA, MA, MPhiL and Neal Sikka, MD May 14, 2020  Also Read the Essay Citation Text: In Conversation With.. Joel Willis, DO, PA, MA, MPhiL and Neal Sikka, MD. PSNet [internet]. 2020.In Conversation With... Joel Willis, DO, PA,…
  8. psnet.ahrq.gov/perspective/telehealth-and-patient-safety-during-covid-19-response
    May 14, 2020 - Telehealth and Patient Safety During the COVID-19 Response May 14, 2020  Also Read the Conversation View more articles from the same authors. Citation Text: Sikka N, Willis JS, Fitall E, et al. Telehealth and Patient Safety During the COVID-19 Response. PSNet [i…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866402/psn-pdf
    July 31, 2024 - GPT versus resident physicians — a benchmark based on official board scores. July 31, 2024 Katz U, Cohen E, Shachar E, et al. GPT versus resident physicians — a benchmark based on official board scores. NEJM AI. 2024;1(5):5. doi:10.1056/aidbp2300192. https://psnet.ahrq.gov/issue/gpt-versus-resident-physicians-benc…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866731/psn-pdf
    September 18, 2024 - Root cause analysis of cases involving diagnosis. September 18, 2024 Graber ML, Castro GM, Danforth M, et al. Root cause analysis of cases involving diagnosis. Diagnosis (Berl). 2024;11(4):353-368. doi:10.1515/dx-2024-0102. https://psnet.ahrq.gov/issue/root-cause-analysis-cases-involving-diagnosis Root cause analy…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43287/psn-pdf
    July 02, 2014 - Mind the gap between recommendation and implementation—principles and lessons in the aftermath of incident investigations: a semi-quantitative and qualitative study of factors leading to the successful implementation of recommendations. July 2, 2014 Wrigstad J, Bergström J, Gustafson P. Mind the gap between recom…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841153/psn-pdf
    December 07, 2022 - Digital health technology-specific risks for medical malpractice liability. December 7, 2022 Rowland SP, Fitzgerald JE, Lungren M, et al. Digital health technology-specific risks for medical malpractice liability. NPJ Digit Med. 2022;5(1):157. doi:10.1038/s41746-022-00698-3. https://psnet.ahrq.gov/issue/digital-he…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42503/psn-pdf
    September 18, 2013 - The patient is in: patient involvement strategies for diagnostic error mitigation. September 18, 2013 McDonald KM, Bryce CL, Graber ML. The patient is in: patient involvement strategies for diagnostic error mitigation. BMJ Qual Saf. 2013;22 Suppl 2:ii33-ii39. doi:10.1136/bmjqs-2012-001623. https://psnet.ahrq.gov/i…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73317/psn-pdf
    May 26, 2021 - Clinical and economic impacts of explicit tools detecting prescribing errors: a systematic review. May 26, 2021 Farhat A, Al?Hajje A, Csajka C, et al. Clinical and economic impacts of explicit tools detecting prescribing errors: A systematic review. J Clin Pharm Ther. 2021;46(4):877-886. doi:10.1111/jcpt.13408. ht…
  15. psnet.ahrq.gov/issue/patient-stories
    March 27, 2024 - Multi-use Website Patient Stories. Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL March 6, 2013 This Web site hosts documentary accounts of medical errors to encourage clinici…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38100/psn-pdf
    July 02, 2009 - Surgical team behaviors and patient outcomes. July 2, 2009 Mazzocco K, Petitti DB, Fong KT, et al. Surgical team behaviors and patient outcomes. Am J Surg. 2009;197(5):678-85. doi:10.1016/j.amjsurg.2008.03.002. https://psnet.ahrq.gov/issue/surgical-team-behaviors-and-patient-outcomes Direct observation of teamwork…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36434/psn-pdf
    February 18, 2011 - Protocol-based computer reminders, the quality of care and the non-perfectability of man. February 18, 2011 McDonald CJ. Protocol-based computer reminders, the quality of care and the non-perfectability of man. N Engl J Med. 1976;295(24):1351-5. https://psnet.ahrq.gov/issue/protocol-based-computer-reminders-qualit…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838131/psn-pdf
    January 01, 2023 - What I wish I’d known: how experienced physician managers diagnose, treat and prevent disruptive behaviour. September 21, 2022 Goodwin C, Haas S, Berry WR. What I wish I’d known: how experienced physician managers diagnose, treat and prevent disruptive behaviour. BMJ Lead. 2023;7(2):128-132. doi:10.1136/leader-202…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46779/psn-pdf
    March 14, 2018 - Impact of pharmacist previsit input to providers on chronic opioid prescribing safety. March 14, 2018 Cox N, Tak CR, Cochella SE, et al. Impact of Pharmacist Previsit Input to Providers on Chronic Opioid Prescribing Safety. The Journal of the American Board of Family Medicine. 2018;31(1). doi:10.3122/jabfm.2018.01…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837594/psn-pdf
    June 29, 2022 - Machine learning models outperform manual result review for the identification of wrong blood in tube errors in complete blood count results. June 29, 2022 Farrell C?JL, Giannoutsos J. Machine learning models outperform manual result review for the identification of wrong blood in tube errors in complete blood cou…

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