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  1. Medicine Safety: Take Care. | PSNet

    psnet.ahrq.gov/issue/medicine-safety-take-care
    February 21, 2018 - May 11, 2022 AHRQ Nursing Home Survey on Patient Safety Culture: 2019 User Comparative

  2. Addressing Medical Gaslighting to Improve Maternal Health—Together. | PSNet

    psnet.ahrq.gov/issue/addressing-medical-gaslighting-improve-maternal-health-together
    August 17, 2022 - Copy Citation Related Resources From the Same Author(s) The Nursing Home

  3. Delayed Diagnosis in the Setting of Virtual Care: Remembering the Physical Examination | PSNet

    psnet.ahrq.gov/web-mm/delayed-diagnosis-setting-virtual-care-remembering-physical-examination
    April 29, 2020 - Delayed Diagnosis in the Setting of Virtual Care: Remembering the Physical Examination Citation Text: Valdes W, Utter GH. Delayed Diagnosis in the Setting of Virtual Care: Remembering the Physical Examination. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Hea…

  4. Discontinued Medications: Are They Really Discontinued? | PSNet

    psnet.ahrq.gov/web-mm/discontinued-medications-are-they-really-discontinued
    January 05, 2017 - Discontinued Medications: Are They Really Discontinued? Citation Text: Mankey CG, Varkey P. Discontinued Medications: Are They Really Discontinued?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014. Copy Citation Format: …

  5. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2022-10/spotlight_case_missed_pneumothorax_10.09.2022_-_final.pdf
    January 01, 2022 - Spotlight Spotlight False Assumptions Result in a Missed Pneumothorax after Bronchoscopy with Transbronchial Biopsy Source and Credits • This presentation is based on the September 2022 AHRQ WebM&M Spotlight Case o See the full article at https://psnet.ahrq.gov/webmm o CME credit is available o Commentary by:…

  6. Right Regimen, Wrong Cancer: Patient Catches Medical Error | PSNet

    psnet.ahrq.gov/web-mm/right-regimen-wrong-cancer-patient-catches-medical-error
    August 01, 2006 - SPOTLIGHT CASE Right Regimen, Wrong Cancer: Patient Catches Medical Error Citation Text: Weingart SN, Jacobson J. Right Regimen, Wrong Cancer: Patient Catches Medical Error. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49824/psn-pdf
    March 01, 2018 - Missing ECG and Missed Diagnosis Lead to Dangerous Delay March 1, 2018 O'Connor RE. Missing ECG and Missed Diagnosis Lead to Dangerous Delay. PSNet [internet]. 2018. https://psnet.ahrq.gov/web-mm/missing-ecg-and-missed-diagnosis-lead-dangerous-delay The Case A 35-year-old woman with no prior cardiac history calle…

  8. Continuing Education | PSNet

    psnet.ahrq.gov/continuing-education
    February 26, 2025 - Continuing Education What is PSNet Continuing Education? PSNet Continuing Education offerings include WebM&M Spotlight Cases and Commentaries, which are certified for Continuing Medical Education/Continuing Education Units (CME/CEU) and Maintenance of Certification (MOC) credit through the University of Calif…

  9. Discharge Against Medical Advice | PSNet

    psnet.ahrq.gov/web-mm/discharge-against-medical-advice
    July 01, 2017 - Discharge Against Medical Advice Citation Text: Hwang SW. Discharge Against Medical Advice. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML E…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49831/psn-pdf
    June 01, 2018 - Chest Pain in a Rural Hospital June 1, 2018 MacKinney CA, Mohr NM. Chest Pain in a Rural Hospital. PSNet [internet]. 2018. https://psnet.ahrq.gov/web-mm/chest-pain-rural-hospital Case Objectives Recognize that a significant proportion of the Unites States population receives care in rural safety net emergency dep…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33697/psn-pdf
    June 01, 2010 - What Do We Know About Emergency Department Safety? June 1, 2010 Sklar DP, Crandall CS. What Do We Know About Emergency Department Safety? PSNet [internet]. 2010. https://psnet.ahrq.gov/perspective/what-do-we-know-about-emergency-department-safety Perspective Emergency medicine has evolved from a location, with var…

  12. An integrative review of the current evidence on the relationship between hand hygiene interventions and the incidence of health care-associated infections. | PSNet

    psnet.ahrq.gov/issue/integrative-review-current-evidence-relationship-between-hand-hygiene-interventions-and
    February 22, 2023 - September 9, 2011 Potentially avoidable hospitalizations among historically marginalized nursing … home residents.

  13. Medication assessments by care managers reveal potential safety issues in homebound older adults. | PSNet

    psnet.ahrq.gov/issue/medication-assessments-care-managers-reveal-potential-safety-issues-homebound-older-adults
    August 18, 2021 - 2021 Adverse events in long-term care residents transitioning from hospital back to nursing … home.

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49493/psn-pdf
    November 01, 2005 - Infused, Not Ingested November 1, 2005 Foley M. Infused, Not Ingested. PSNet [internet]. 2005. https://psnet.ahrq.gov/web-mm/infused-not-ingested The Case A patient in the ICU was scheduled for a CT scan. The nurse prepared the patient by administering contrast, an unfamiliar task for this particular nurse. Rathe…

  15. Association between potentially inappropriate medications prescription and health-related quality of life among US older adults. | PSNet

    psnet.ahrq.gov/issue/association-between-potentially-inappropriate-medications-prescription-and-health-related
    June 08, 2010 - October 4, 2023 Do not PIMP my nursing home ride!

  16. Exploring relationships between patient safety culture and patients' assessments of hospital care. | PSNet

    psnet.ahrq.gov/issue/exploring-relationships-between-patient-safety-culture-and-patients-assessments-hospital-care
    December 15, 2010 - December 15, 2010 Linking patient safety culture to quality ratings in the nursing home

  17. Reducing medication errors for adults in hospital settings. | PSNet

    psnet.ahrq.gov/issue/reducing-medication-errors-adults-hospital-settings
    March 09, 2022 - January 12, 2022 Drug-related problems and polypharmacy in nursing home residents: a

  18. Patient activation related to fall prevention: a multisite study | PSNet

    psnet.ahrq.gov/issue/patient-activation-related-fall-prevention-multisite-study
    February 01, 2023 - Tailoring Interventions for Patient Safety (TIPS) program to engage older adults in fall prevention in a nursing … home.

  19. A culture of openness is associated with lower mortality rates among 137 English National Health Service acute trusts. | PSNet

    psnet.ahrq.gov/issue/culture-openness-associated-lower-mortality-rates-among-137-english-national-health-service
    September 20, 2012 - July 10, 2024 Potentially avoidable hospitalizations among historically marginalized nursing … home residents.

  20. Exploring relationships between hospital patient safety culture and Consumer Reports safety scores. | PSNet

    psnet.ahrq.gov/issue/exploring-relationships-between-hospital-patient-safety-culture-and-consumer-reports-safety
    July 21, 2016 - June 5, 2024 Linking patient safety culture to quality ratings in the nursing home setting
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