-
psnet.ahrq.gov/node/49703/psn-pdf
March 01, 2014 - After-Visit Confusion
March 1, 2014
Ventres W. After-Visit Confusion. PSNet [internet]. 2014.
https://psnet.ahrq.gov/web-mm/after-visit-confusion
The Case
An otherwise healthy 18-year-old woman presented to an urgent care clinic with new bumps and white
spots near her tongue. The patient's mother accompanied her …
-
psnet.ahrq.gov/node/49569/psn-pdf
September 01, 2008 - Where's the Feeding Tube?
September 1, 2008
Metheny NA, Meert KL. Where's the Feeding Tube? PSNet [internet]. 2008.
https://psnet.ahrq.gov/web-mm/wheres-feeding-tube
The Case
A 13-year-old boy was involved in a motor vehicle collision and experienced a traumatic brain injury.
Because of the injuries, he was unabl…
-
psnet.ahrq.gov/web-mm/superficial-report-leads-deep-problem
July 01, 2012 - "Superficial" Report Leads to "Deep" Problem
Citation Text:
Dhaliwal G. "Superficial" Report Leads to "Deep" Problem. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009.
Copy Citation
Format:
Google Scholar BibTeX EndN…
-
psnet.ahrq.gov/web-mm/premature-or-overdue
December 23, 2020 - Premature or Overdue?
Citation Text:
Thomas J, Hannah M. Premature or Overdue?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagge…
-
psnet.ahrq.gov/node/33736/psn-pdf
September 01, 2012 - nurse-staffing-hospitals-there-business-case-quality
http://dx.doi.org/10.1177/1527154408320047
RW: You mentioned
-
psnet.ahrq.gov/node/33710/psn-pdf
May 01, 2011 - RW: You mentioned that you thought the no blame approach was somewhat helpful in terms of mitigating
-
psnet.ahrq.gov/perspective/conversation-withalbert-wu-md-mph-0
March 24, 2025 - RW : You mentioned that you thought the no blame approach was somewhat helpful in terms of mitigating
-
psnet.ahrq.gov/node/867022/psn-pdf
October 30, 2024 - In addition, as mentioned earlier, nocturnal headaches that keep
patients awake at night should prompt
-
psnet.ahrq.gov/node/33754/psn-pdf
September 01, 2013 - Now you also mentioned that this is about perhaps redressing or looking at the balance between individual
-
psnet.ahrq.gov/sites/default/files/2023-11/spotlight_case_the_risk_of_malpositioned.pdf
January 01, 2023 - Microsoft PowerPoint - Spotlight Case_The Risks of a Malpositioned Gastrostomy Tube_FINAL.pptx
Spotlight
The Risks of a Malpositioned Gastrostomy Tube and
Poor Communication
Source and Credits
• This presentation is based on the November 2023 AHRQ WebM&M
Spotlight Case
o See the full article at https://psnet.ahr…
-
psnet.ahrq.gov/web-mm/errors-managing-open-wound-elbow-leading-multiple-complications-and-operations
September 27, 2023 - SPOTLIGHT CASE
Errors in Managing an Open Wound of the Elbow Leading to Multiple Complications and Operations
Citation Text:
Barnes DK, Utter GH. Errors in Managing an Open Wound of the Elbow Leading to Multiple Complications and Operations. PSNet [internet]. Agency for Healthcare Research and Qu…
-
psnet.ahrq.gov/node/861760/psn-pdf
January 31, 2024 - Staff acceptance can vary and will depend on many of the factors previously
mentioned, including perceived
-
psnet.ahrq.gov/perspective/conversation-withdavid-c-classen-md-ms
May 01, 2012 - When we do, then I think we may come back to the article I mentioned from LDS Hospital where 70% of … It strikes me that those three studies that you mentioned (the North Carolina study, the OIG study, and
-
psnet.ahrq.gov/perspective/emergence-trigger-tool-premier-measurement-strategy-patient-safety
May 01, 2012 - When we do, then I think we may come back to the article I mentioned from LDS Hospital where 70% of … It strikes me that those three studies that you mentioned (the North Carolina study, the OIG study, and
-
psnet.ahrq.gov/perspective/role-patient-improving-patient-safety
March 01, 2007 - For example, the physician-patient mentioned above tried to engage senior leadership in focusing the
-
psnet.ahrq.gov/node/33680/psn-pdf
March 22, 2009 - RW: You mentioned that half of the U.S. population has health literacy levels below adequate.
-
psnet.ahrq.gov/web-mm/wet-read
October 01, 2017 - Of the possible causes mentioned above, the only other causes that might lead to a mistaken call of PE
-
psnet.ahrq.gov/node/49753/psn-pdf
February 01, 2016 - psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
As mentioned
-
psnet.ahrq.gov/node/33770/psn-pdf
August 01, 2014 - RW: You mentioned that some lessons from other industries that seem to be at least somewhat useful in
-
psnet.ahrq.gov/node/33843/psn-pdf
October 01, 2017 - RW: You mentioned that one of the reasons that people in health care tend not to stay out when they