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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73103/psn-pdf
    March 31, 2021 - Delayed Diagnosis in the Setting of Virtual Care: Remembering the Physical Examination March 31, 2021 Valdes W, Utter GH. Delayed Diagnosis in the Setting of Virtual Care: Remembering the Physical Examination. PSNet [internet]. 2021. https://psnet.ahrq.gov/web-mm/delayed-diagnosis-setting-virtual-care-remembering-…

  2. Moving Pains | PSNet

    psnet.ahrq.gov/web-mm/moving-pains
    August 17, 2017 - SPOTLIGHT CASE Moving Pains Citation Text: Schell H, Wachter R. Moving Pains. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endn…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49709/psn-pdf
    May 01, 2014 - Raise the Bar May 1, 2014 Stotts J, Lyndon A. Raise the Bar. PSNet [internet]. 2014. https://psnet.ahrq.gov/web-mm/raise-bar The Case A 57-year-old man presented to an ambulatory surgery center for excision of a right groin lipoma. The patient was seen and evaluated by an anesthesiologist who was new to the cente…

  4. Some Patients Can't Wait: Improving Timeliness of Emergency Department Care | PSNet

    psnet.ahrq.gov/web-mm/some-patients-cant-wait-improving-timeliness-emergency-department-care
    November 25, 2020 - SPOTLIGHT CASE Some Patients Can't Wait: Improving Timeliness of Emergency Department Care Citation Text: Chang R, Barnes DK. Some Patients Can't Wait: Improving Timeliness of Emergency Department Care. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of…

  5. It's All in the Syringe | PSNet

    psnet.ahrq.gov/web-mm/its-all-syringe
    February 01, 2013 - It's All in the Syringe Citation Text: Weingart SN. It's All in the Syringe. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged P…

  6. Safety in home care: a broadened perspective of patient safety. | PSNet

    psnet.ahrq.gov/issue/safety-home-care-broadened-perspective-patient-safety
    December 04, 2016 - Commentary Safety in home care: a broadened perspective of patient safety. Citation Text: Lang A, Edwards N, Fleiszer A. Safety in home care: a broadened perspective of patient safety. International Journal for Quality in Health Care. 2007;20(2). doi:10.1093/intqhc/mzm068. Copy Citat…

  7. Mismanagement of Delirium | PSNet

    psnet.ahrq.gov/web-mm/mismanagement-delirium
    February 13, 2014 - including accelerated and permanent cognitive decline, prolonged hospitalization, re-hospitalization, nursing … home placement, and death.( 2,3 ) Although clinical guidelines and evidence-based reviews are available

  8. Simulation techniques for teaching time-outs: a controlled trial. | PSNet

    psnet.ahrq.gov/issue/simulation-techniques-teaching-time-outs-controlled-trial
    June 22, 2016 - Study Simulation techniques for teaching time-outs: a controlled trial. Citation Text: Simulation techniques for teaching time-outs: a controlled trial. Paull DE, Williams L, Sine DM. Patient Saf Qual Healthc. March/April 2016;13:28-37. Copy Citation Save Save to …

  9. Medication reconciliation in acute care: ensuring an accurate drug regimen on admission and discharge. | PSNet

    psnet.ahrq.gov/issue/medication-reconciliation-acute-care-ensuring-accurate-drug-regimen-admission-and-discharge
    October 28, 2020 - Commentary Medication reconciliation in acute care: ensuring an accurate drug regimen on admission and discharge. Citation Text: Rodehaver C, Fearing D. Medication reconciliation in acute care: ensuring an accurate drug regimen on admission and discharge. Jt Comm J Qual Patient Saf. 2005…

  10. Organisational paradoxes in speaking up for safety: implications for the interprofessional field. | PSNet

    psnet.ahrq.gov/issue/organisational-paradoxes-speaking-safety-implications-interprofessional-field
    March 08, 2023 - Commentary Organisational paradoxes in speaking up for safety: implications for the interprofessional field. Citation Text: Rowland P. Organisational paradoxes in speaking up for safety: Implications for the interprofessional field. J Interprof Care. 2017;31(5):553-556. doi:10.1080/13561…

  11. Physicians and cognitive decline: a challenge for state medical boards. | PSNet

    psnet.ahrq.gov/issue/physicians-and-cognitive-decline-challenge-state-medical-boards
    July 29, 2020 - Commentary Physicians and cognitive decline: a challenge for state medical boards. Citation Text: Hoffman S. Physicians and cognitive decline: a challenge for state medical boards. J Med Regulation. 2022;108(2):19-28. doi:10.30770/2572-1852-108.2.19. Copy Citation Format: D…

  12. Improving communication in the emergency department. | PSNet

    psnet.ahrq.gov/issue/improving-communication-emergency-department
    September 09, 2009 - Study Improving communication in the emergency department. Citation Text: Redfern E, Brown R, Vincent C. Improving communication in the emergency department. Emerg Med J. 2009;26(9):658-61. doi:10.1136/emj.2008.065623. Copy Citation Format: DOI Google Scholar PubMed BibTe…

  13. Identifying vulnerabilities in communication in the emergency department. | PSNet

    psnet.ahrq.gov/issue/identifying-vulnerabilities-communication-emergency-department
    September 09, 2009 - Study Identifying vulnerabilities in communication in the emergency department. Citation Text: Redfern E, Brown R, Vincent C. Identifying vulnerabilities in communication in the emergency department. Emerg Med J. 2009;26(9):653-7. doi:10.1136/emj.2008.065318. Copy Citation Format:…

  14. What is an ethically informed approach to managing patient safety risk during discharge planning? | PSNet

    psnet.ahrq.gov/issue/what-ethically-informed-approach-managing-patient-safety-risk-during-discharge-planning
    November 16, 2022 - Commentary What is an ethically informed approach to managing patient safety risk during discharge planning? Citation Text: West JC. What Is an Ethically Informed Approach to Managing Patient Safety Risk During Discharge Planning? AMA J Ethics. 2020;22(!1):e919-e923. doi:10.1001/amajethi…

  15. Core competencies for patient safety research: a cornerstone for global capacity strengthening. | PSNet

    psnet.ahrq.gov/issue/core-competencies-patient-safety-research-cornerstone-global-capacity-strengthening
    September 15, 2021 - Commentary Core competencies for patient safety research: a cornerstone for global capacity strengthening. Citation Text: Andermann A, Ginsburg L, Norton P, et al. Core competencies for patient safety research: a cornerstone for global capacity strengthening. BMJ Qual Saf. 2011;20(1):9…

  16. Factors influencing preceptors' responses to medical errors: a factorial survey. | PSNet

    psnet.ahrq.gov/issue/factors-influencing-preceptors-responses-medical-errors-factorial-survey
    September 10, 2009 - Study Factors influencing preceptors' responses to medical errors: a factorial survey. Citation Text: Mazor KM, Fischer M, Haley H-L, et al. Factors influencing preceptors' responses to medical errors: a factorial survey. Acad Med. 2005;80(10 Suppl):S88-92. Copy Citation Format: …

  17. Building and sustaining a systemwide culture of safety. | PSNet

    psnet.ahrq.gov/issue/building-and-sustaining-systemwide-culture-safety
    July 21, 2009 - Commentary Building and sustaining a systemwide culture of safety. Citation Text: Yates GR, Bernd DL, Sayles SM, et al. Building and sustaining a systemwide culture of safety. Jt Comm J Qual Patient Saf. 2005;31(12):684-689. Copy Citation Format: Google Scholar PubMed Bib…

  18. Danger in Disruption | PSNet

    psnet.ahrq.gov/web-mm/danger-disruption
    July 29, 2020 - Danger in Disruption Citation Text: Fontaine DK. Danger in Disruption. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedI…

  19. Hospital-Acquired Diabetic Ketoacidosis. | PSNet

    psnet.ahrq.gov/web-mm/hospital-acquired-diabetic-ketoacidosis
    October 28, 2020 - Hospital-Acquired Diabetic Ketoacidosis. Citation Text: Zuidema D, Bagley B, Tan CL. Hospital-Acquired Diabetic Ketoacidosis.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023. Copy Citation Format: Google Scholar Bi…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49832/psn-pdf
    June 01, 2018 - Febrile Neutropenia and an Almost Fatal Medication Error June 1, 2018 Faig J, Zerillo JA. Febrile Neutropenia and an Almost Fatal Medication Error. PSNet [internet]. 2018. https://psnet.ahrq.gov/web-mm/febrile-neutropenia-and-almost-fatal-medication-error The Case A 33-year-old woman with recently diagnosed acute …
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