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psnet.ahrq.gov/node/49697/psn-pdf
December 01, 2013 - Check the Anesthesia Machine
December 1, 2013
Saddawi-Konefka D, Cooper JB. Check the Anesthesia Machine. PSNet [internet]. 2013.
https://psnet.ahrq.gov/web-mm/check-anesthesia-machine
The Case
A 62-year-old man with weight of 134 kg (body mass index [BMI] of 40) and history of hypertension,
diabetes, sleep apnea…
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psnet.ahrq.gov/node/49428/psn-pdf
January 01, 2004 - To Resuscitate or Not?
January 1, 2004
Wu AW, Pronovost P. To Resuscitate or Not? PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/resuscitate-or-not
The Case
A critically ill end-stage AIDS patient was hospitalized for end-of-life care. Given the state of his disease,
his code status was Do Not Resuscitate/…
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psnet.ahrq.gov/node/843736/psn-pdf
February 01, 2023 - Saved by ECMO
February 1, 2023
Weiss NA. Saved by ECMO . PSNet [internet]. 2023.
https://psnet.ahrq.gov/web-mm/saved-ecmo
The Case
A 27-year-old pregnant woman was admitted at an estimated gestational age (EGA) of 29 weeks for
increased shortness of breath. She was diagnosed with severe pulmonary arterial hyperte…
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psnet.ahrq.gov/node/33593/psn-pdf
June 15, 2024 - Measurement of Patient Safety
June 15, 2024
Measurement of Patient Safety. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/measurement-patient-safety
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the patient …
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psnet.ahrq.gov/perspective/accountability-patient-safety
January 01, 2018 - Annual Perspective
Accountability in Patient Safety
Christopher Moriates, MD, and Robert M. Wachter, MD | January 1, 2015
View more articles from the same authors.
Citation Text:
Moriates C, Wachter R. Accountability in Patient Safety. PSNet [internet]. Rock…
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psnet.ahrq.gov/perspective/patient-engagement-safety
January 01, 2018 - Annual Perspective
Patient Engagement in Safety
Rachel J. Stern, MD, and Urmimala Sarkar, MD | January 1, 2017
View more articles from the same authors.
Citation Text:
Stern RJ, Sarkar U. Patient Engagement in Safety. PSNet [internet]. Rockville (MD): Agency…
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psnet.ahrq.gov/perspective/conversation-withpeter-j-pronovost-md-phd
June 01, 2005 - In Conversation with…Peter J. Pronovost, MD, PhD
June 1, 2005
Also Read an Essay
Citation Text:
In Conversation with…Peter J. Pronovost, MD, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Servi…
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psnet.ahrq.gov/web-mm/spotlight-mistaken-attribution-diagnostic-misstep
July 01, 2011 - SPOTLIGHT CASE
Spotlight: Mistaken Attribution, Diagnostic Misstep
Citation Text:
Kreider TR, Young JQ. Spotlight: Mistaken Attribution, Diagnostic Misstep. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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psnet.ahrq.gov/web-mm/missed-connection-case-inadequate-ecg-oversight-cardiac-surgery
March 25, 2020 - SPOTLIGHT CASE
Missed Connection: A Case of Inadequate ECG Oversight in Cardiac Surgery
Citation Text:
Bohringer C, Fierro M, Venugopal S. Missed Connection: A Case of Inadequate ECG Oversight in Cardiac Surgery. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Dep…
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psnet.ahrq.gov/perspective/conversation-jack-needleman-phd
September 01, 2012 - In Conversation With… Jack Needleman, PhD
September 1, 2012
Also Read an Essay
Citation Text:
In Conversation With… Jack Needleman, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012…
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psnet.ahrq.gov/issue/findings-naloxone-database-and-its-utilization-improve-safety-and-education-tertiary-care
April 12, 2023 - Study
Findings of a naloxone database and its utilization to improve safety and education in a tertiary care medical center.
Citation Text:
Rosenfeld DM, Betcher JA, Shah RA, et al. Findings of a Naloxone Database and its Utilization to Improve Safety and Education in a Tertiary Care Med…
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psnet.ahrq.gov/issue/their-own-words-safety-and-quality-perspectives-families-hospitalized-children-medical
September 18, 2024 - Study
In their own words: safety and quality perspectives from families of hospitalized children with medical complexity.
Citation Text:
Mauskar S, Ngo T, Haskell H, et al. In their own words: safety and quality perspectives from families of hospitalized children with medical complexity.…
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psnet.ahrq.gov/issue/interventions-reduction-prescribed-opioid-use-chronic-non-cancer-pain
April 04, 2011 - Review
Interventions for the reduction of prescribed opioid use in chronic non-cancer pain.
Citation Text:
Eccleston C, Fisher E, Thomas KH, et al. Interventions for the reduction of prescribed opioid use in chronic non-cancer pain. Cochrane Database Syst Rev. 2017;11:CD010323. doi:10.10…
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psnet.ahrq.gov/issue/equipped-overcoming-barriers-change-improve-quality-care-theories-change
May 23, 2018 - Commentary
Equipped: overcoming barriers to change to improve quality of care (theories of change).
Citation Text:
Lachman P, Runnacles J, Dudley J, et al. Equipped: overcoming barriers to change to improve quality of care (theories of change). Arch Dis Child Educ Pract Ed. 2015;100(1):1…
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psnet.ahrq.gov/issue/effect-organizational-network-patient-safety-safety-event-reporting
October 16, 2013 - Study
The effect of an organizational network for patient safety on safety event reporting.
Citation Text:
Jeffs L, Hayes C, Smith O, et al. The effect of an organizational network for patient safety on safety event reporting. Eval Health Prof. 2014;37(3):366-78. doi:10.1177/016327871349…
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psnet.ahrq.gov/issue/speaking-patient-safety-and-staff-well-being-qualitative-study
November 16, 2016 - Study
'Speaking Up' for patient safety and staff well-being: a qualitative study.
Citation Text:
Delpino R, Lees-Deutsch L, Solanki B. ‘Speaking Up’ for patient safety and staff well-being: a qualitative study. BMJ Open Qual. 2023;12(2):e002047. doi:10.1136/bmjoq-2022-002047.
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psnet.ahrq.gov/issue/role-failure-mode-and-effects-analysis-health-care
December 22, 2021 - Newspaper/Magazine Article
The role of failure mode and effects analysis in health care.
Citation Text:
Fibuch E, Ahmed A. The role of failure mode and effects analysis in health care. Physician Exec. 2014;40(4):28-32.
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Format:
Google Scholar PubMed BibTeX EndN…
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psnet.ahrq.gov/issue/quality-care-concerns-and-facility-response-following-medical-emergency-va-southern-nevada
July 13, 2022 - Book/Report
Quality of Care Concerns and the Facility Response Following a Medical Emergency at the VA Southern Nevada Health Care System in Las Vegas.
Citation Text:
Quality of Care Concerns and the Facility Response Following a Medical Emergency at the VA Southern Nevada Health Care Sy…
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psnet.ahrq.gov/issue/between-surveillance-and-subjectification-professionals-and-governance-quality-and-patient
April 21, 2015 - Study
Between surveillance and subjectification: professionals and the governance of quality and patient safety in English hospitals.
Citation Text:
Martin G, Leslie M, Minion J, et al. Between surveillance and subjectification: professionals and the governance of quality and patient sa…
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psnet.ahrq.gov/issue/computerized-decision-support-medication-dosing-renal-insufficiency-randomized-controlled
September 30, 2009 - Study
Computerized decision support for medication dosing in renal insufficiency: a randomized, controlled trial.
Citation Text:
Terrell KM, Perkins AJ, Hui SL, et al. Computerized decision support for medication dosing in renal insufficiency: a randomized, controlled trial. Ann Emerg …