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psnet.ahrq.gov/perspective/conversation-bernardo-perea-perez-md-dds-phd
August 01, 2016 - In Conversation With… Bernardo Perea-Pérez, MD, DDS, PhD
August 1, 2016
Also Read an Essay
Citation Text:
In Conversation With… Bernardo Perea-Pérez, MD, DDS, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Heal…
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psnet.ahrq.gov/node/865429/psn-pdf
April 24, 2024 - Missed Connection: A Case of Inadequate ECG Oversight
in Cardiac Surgery
April 24, 2024
Bohringer C, Fierro M, Venugopal S. Missed Connection: A Case of Inadequate ECG Oversight in Cardiac
Surgery. PSNet [internet]. 2024.
https://psnet.ahrq.gov/web-mm/missed-connection-case-inadequate-ecg-oversight-cardiac-surgery…
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psnet.ahrq.gov/web-mm/too-many-cooks-kitchen
March 07, 2018 - SPOTLIGHT CASE
Too Many Cooks in the Kitchen
Citation Text:
Dutton RP. Too Many Cooks in the Kitchen. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020.
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psnet.ahrq.gov/node/867497/psn-pdf
February 26, 2025 - Retained Surgical Items: Causation and Prevention
February 26, 2025
Gibbs V, Romano P. Retained Surgical Items: Causation and Prevention. PSNet [internet]. 2025.
https://psnet.ahrq.gov/primer/retained-surgical-items-causation-and-prevention
Background
A retained surgical item (RSI) is a surgical patient safety pro…
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psnet.ahrq.gov/web-mm/misconnection-leading-arterial-thrombosis
January 29, 2021 - Misconnection Leading to Arterial Thrombosis
Citation Text:
Bohringer C, Lee G. Misconnection Leading to Arterial Thrombosis. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023.
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psnet.ahrq.gov/web-mm/fatal-twist-pseudohyperkalemia
February 10, 2021 - SPOTLIGHT CASE
A Fatal Twist in Pseudohyperkalemia
Citation Text:
Devera JL, Barnes DK, Lewis WR. A Fatal Twist in Pseudohyperkalemia. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024.
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psnet.ahrq.gov/web-mm/be-picky-about-your-piccs-fragmented-care-and-poor-communication-discharge-leads-picc
July 19, 2023 - Be Picky about your PICCs—Fragmented Care and Poor Communication at Discharge Leads to a PICC without a Plan.
Citation Text:
Marti CS, Reese SK, Brown-McManus M. Be Picky about your PICCs—Fragmented Care and Poor Communication at Discharge Leads to a PICC without a Plan.. PSNet [internet]. Rockville (MD): A…
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psnet.ahrq.gov/web-mm/always-check-muscle-twitch-residual-neuromuscular-block-after-removal-gastric-balloon
January 29, 2021 - Always Check the Muscle Twitch: Residual Neuromuscular Block After Removal of a Gastric Balloon
Citation Text:
Bohringer C, Ashley S. Always Check the Muscle Twitch: Residual Neuromuscular Block After Removal of a Gastric Balloon. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality,…
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psnet.ahrq.gov/node/850361/psn-pdf
June 14, 2023 - Critical Echocardiogram Result Lost to Follow-up
June 14, 2023
Boctor N, Molla M. Critical Echocardiogram Result Lost to Follow-up. PSNet [internet]. 2023.
https://psnet.ahrq.gov/web-mm/critical-echocardiogram-result-lost-follow
The Case
A 63-year-old man with history of stroke, systolic heart failure, and ventric…
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psnet.ahrq.gov/issue/making-health-care-safer-protect-patients-antibiotic-resistance
September 07, 2016 - Image/Poster
Making health care safer: protect patients from antibiotic resistance.
Citation Text:
Making health care safer: protect patients from antibiotic resistance. CDC; Centers for Disease Control and Prevention.
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psnet.ahrq.gov/issue/eliminating-harm-checklists-reduce-all-cause-preventable-harm
October 19, 2016 - Toolkit
Eliminating Harm Checklists: Reduce All-Cause, Preventable Harm.
Citation Text:
Eliminating Harm Checklists: Reduce All-Cause, Preventable Harm. Chicago, IL: American Hospital Association, Health Research & Educational Trust; 2016.
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psnet.ahrq.gov/perspective/patient-safety-physician-office-setting
November 04, 2015 - hazards in the outpatient setting have progressed to large-scale studies in practice-based research networks
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psnet.ahrq.gov/issue/ahrq-safety-program-telemedicine
December 24, 2008 - Press Release/Announcement
AHRQ Safety Program for Telemedicine.
Citation Text:
AHRQ Safety Program for Telemedicine. Agency for Healthcare Research and Quality.
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psnet.ahrq.gov/issue/patient-safety-huddle
March 27, 2005 - Audiovisual
Patient Safety Huddle.
Citation Text:
Patient Safety Huddle. VA National Center for Patient Safety.
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psnet.ahrq.gov/issue/hospital-acquired-infections-pennsylvania-0
July 27, 2005 - Book/Report
Hospital-acquired Infections in Pennsylvania.
Citation Text:
Hospital-acquired Infections in Pennsylvania. PHC4 Research Briefs. 2006(9):1-4.
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psnet.ahrq.gov/issue/preventing-patient-falls-systematic-approach-joint-commission-center-transforming-healthcare
October 19, 2016 - Book/Report
Preventing Patient Falls: A Systematic Approach From the Joint Commission Center for Transforming Healthcare Project.
Citation Text:
Preventing Patient Falls: A Systematic Approach From the Joint Commission Center for Transforming Healthcare Project. Chicago, IL: Health Resea…
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psnet.ahrq.gov/issue/unprotected-broken-promises-georgias-senior-care-industry
December 04, 2016 - Special or Theme Issue
Unprotected: broken promises in Georgia’s senior care industry.
Citation Text:
Unprotected: broken promises in Georgia’s senior care industry. Schrade B, Teegardin C. Atlanta Journal-Constitution. Sept-October 2019.
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psnet.ahrq.gov/issue/challenge-competition-impact-patient-safety-tools
December 24, 2008 - Grant Recipient
Challenge Competition: Impact of Patient Safety Tools.
Citation Text:
Challenge Competition: Impact of Patient Safety Tools. Rockville, MD: Agency for Healthcare Research and Quality; 2023.
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psnet.ahrq.gov/perspective/where-does-risk-adjusted-mortality-fit-safety-measurement-program
March 01, 2015 - Where Does Risk-Adjusted Mortality Fit Into a Safety Measurement Program?
Ian Scott, MBBS, MHA, MEd | March 1, 2015
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Citation Text:
Scott IA. Where Does Risk-Adjusted Mortality Fit Into a Safety …
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psnet.ahrq.gov/perspective/safety-dentistry
August 01, 2016 - Safety In Dentistry
Rachel Badovinac Ramoni, DMD, ScD; Muhammad Walji, PhD; and Elsbeth Kalenderian, DDS, MPH, PhD | August 1, 2016
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Ramoni R, Walji MF, Kalenderian E. Safety In De…