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  1. psnet.ahrq.gov/perspective/interpreting-patient-safety-literature
    June 01, 2005 - Interpreting the Patient Safety Literature Kaveh G. Shojania, MD | June 1, 2005  Also Read a Conversation View more articles from the same authors. Citation Text: Shojania KG. Interpreting the Patient Safety Literature. PSNet [internet]. Rockville (MD): Agency f…
  2. psnet.ahrq.gov/perspective/making-just-culture-reality-one-organizations-approach
    October 01, 2007 - Making Just Culture a Reality: One Organization's Approach Alison H. Page, MS, MHA | October 1, 2007  Also Read a Conversation View more articles from the same authors. Citation Text: Page AH. Making Just Culture a Reality: One Organization's Approach. PSNet [in…
  3. psnet.ahrq.gov/perspective/what-can-rest-health-care-system-learn-vas-quality-and-safety-transformation
    September 01, 2006 - What Can the Rest of the Health Care System Learn from the VA's Quality and Safety Transformation? Ashish K. Jha, MD, MPH | September 1, 2006  Also Read a Conversation View more articles from the same authors. Citation Text: Jha AK. What Can the Rest of the Heal…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852807/psn-pdf
    August 30, 2023 - Sleep Deprivation Leads to Medication Error During Spinal Epidural Anesthesia August 30, 2023 Bohringer C, Osborne R. Sleep Deprivation Leads to Medication Error During Spinal Epidural Anesthesia. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/sleep-deprivation-leads-medication-error-during-spinal-epidural-…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74120/psn-pdf
    November 30, 2021 - Culture Clash No More: Integration and Coordination of Disease Treatment and Palliative Care November 30, 2021 Spero H, Usher AE, Howard B, et al. Culture Clash No More: Integration and Coordination of Disease Treatment and Palliative Care . PSNet [internet]. 2021. https://psnet.ahrq.gov/web-mm/culture-clash-no-mo…
  6. psnet.ahrq.gov/web-mm/fatal-patient-controlled-analgesia-pca-opioid-induced-respiratory-depression
    May 26, 2021 - SPOTLIGHT CASE Fatal Patient-Controlled Analgesia (PCA) Opioid-Induced Respiratory Depression Citation Text: Fazio S, Firestone R. Fatal Patient-Controlled Analgesia (PCA) Opioid-Induced Respiratory Depression. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Depar…
  7. psnet.ahrq.gov/web-mm/sleep-deprivation-leads-medication-error-during-spinal-epidural-anesthesia
    January 29, 2021 - Sleep Deprivation Leads to Medication Error During Spinal Epidural Anesthesia Citation Text: Bohringer C, Osborne R. Sleep Deprivation Leads to Medication Error During Spinal Epidural Anesthesia.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human…
  8. psnet.ahrq.gov/web-mm/when-meds-dont-reach-bed
    May 16, 2022 - When the Meds Don’t Reach the Bed Citation Text: Molla M, Le K, Mendoza P. When the Meds Don’t Reach the Bed. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020. Copy Citation Format: Google Scholar BibTeX EndNote X3 X…
  9. psnet.ahrq.gov/web-mm/multiple-missed-opportunities-suicide-risk-assessment-emergency-and-primary-care-settings
    May 26, 2021 - Multiple Missed Opportunities for Suicide Risk Assessment in Emergency and Primary Care Settings Citation Text: Erb JL, Shah SB, Schiff G. Multiple Missed Opportunities for Suicide Risk Assessment in Emergency and Primary Care Settings. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Qu…
  10. psnet.ahrq.gov/web-mm/intraoperative-awareness-during-rhinoplasty
    January 29, 2021 - SPOTLIGHT CASE Intraoperative Awareness during Rhinoplasty Citation Text: Bohringer C, Toor J. Intraoperative Awareness during Rhinoplasty. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024. Copy Citation Format: …
  11. psnet.ahrq.gov/perspective/preparing-health-reform-federal-government-and-nursing-workforce
    September 01, 2012 - Preparing for Health Reform: The Federal Government and the Nursing Workforce Peter I. Buerhaus, PhD, RN | September 1, 2012  Also Read a Conversation View more articles from the same authors. Citation Text: Buerhaus P. Preparing for Health Reform: The Federal G…
  12. psnet.ahrq.gov/perspective/diagnostic-errors
    December 01, 2013 - Annual Perspective Diagnostic Errors Urmimala Sarkar, MD; Kaveh Shojania, MD | January 1, 2014  Also Read a Conversation View more articles from the same authors. Citation Text: Sarkar U, Shojania KG. Diagnostic Errors. PSNet [internet]. Rockville (MD): Ag…
  13. psnet.ahrq.gov/perspective/conversation-withdavid-c-classen-md-ms
    May 01, 2012 - Classen co-chairs the National Quality Forum's Patient Safety Common Formats Committee and is a member
  14. psnet.ahrq.gov/perspective/surveillance-monitoring-improve-patient-safety-acute-hospital-care-units
    April 26, 2023 - Currently, Sue is leading the continuation of that work, and I’m a member of the analytics team looking
  15. psnet.ahrq.gov/perspective/emergence-trigger-tool-premier-measurement-strategy-patient-safety
    May 01, 2012 - Classen co-chairs the National Quality Forum's Patient Safety Common Formats Committee and is a member
  16. psnet.ahrq.gov/perspective/conversation-ellen-deutsch-md-ms-facs-faap-fssh-cpps
    December 14, 2022 - In Conversation with... Ellen Deutsch, MD, MS, FACS, FAAP, FSSH, CPPS December 14, 2022  Also Read the Essay Citation Text: In Conversation with.. Ellen Deutsch, MD, MS, FACS, FAAP, FSSH, CPPS. PSNet [internet]. 2022.In Conversation with... Ellen Deutsch, MD, MS, …
  17. psnet.ahrq.gov/perspective/patient-safety-united-kingdom-evolution-and-progress
    May 01, 2007 - Patient Safety in the United Kingdom: Evolution and Progress Susan Burnett and Charles Vincent, PhD | May 1, 2007  Also Read a Conversation View more articles from the same authors. Citation Text: Burnett S, Vincent CA. Patient Safety in the United Kingdom: Evol…
  18. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2021-11/spotlight_integration_and_coordination_of_disesase_treatment_and_palliative_care_final.pdf
    January 01, 2021 - Spotlight Spotlight Culture Clash No More: Integration and Coordination of Disease Treatment and Palliative Care Source and Credits • This presentation is based on the November 2021 AHRQ WebM&M Spotlight Case o See the full article at https://psnet.ahrq.gov/webmm o CME credit is available o Commentary by: Han…
  19. psnet.ahrq.gov/perspective/conversation-withsir-liam-donaldson-md-msc
    May 01, 2007 - In Conversation with...Sir Liam Donaldson, MD, MSc May 1, 2007  Also Read an Essay Citation Text: In Conversation with..Sir Liam Donaldson, MD, MSc. PSNet [internet]. 2007.In Conversation with...Sir Liam Donaldson, MD, MSc. PSNet [internet]. Rockville (MD): Agency…
  20. psnet.ahrq.gov/perspective/resilient-healthcare-and-safety-i-and-safety-ii-frameworks
    December 14, 2022 - Resilient Healthcare and the Safety-I and Safety-II Frameworks December 14, 2022  Also Read the Conversation View more articles from the same authors. Citation Text: Deutsch ES, Van CM, Mossburg SE. Resilient Healthcare and the Safety-I and Safety-II Frameworks.…

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