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psnet.ahrq.gov/issue/implementation-patient-safety-structures-and-processes-patient-centered-medical-home
September 28, 2022 - Study
Implementation of patient safety structures and processes in the patient-centered medical home.
Citation Text:
Oberlander T, Scholle SH, Marsteller JA, et al. Implementation of patient safety structures and processes in the patient-centered medical home. J Healthc Qual. 2021;43(6):…
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psnet.ahrq.gov/issue/patients-perception-types-errors-palliative-care-results-qualitative-interview-study
December 04, 2016 - Study
Patients' perception of types of errors in palliative care—results from a qualitative interview study.
Citation Text:
Kiesewetter I, Schulz CM, Bausewein C, et al. Patients' perception of types of errors in palliative care - results from a qualitative interview study. BMC Palliat C…
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psnet.ahrq.gov/issue/strategy-reducing-regulatory-and-administrative-burden-relating-use-health-it-and-ehrs
December 18, 2013 - January 14, 2009
Trends in Nursing Home Deficiencies and Complaints.
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psnet.ahrq.gov/node/853772/psn-pdf
September 27, 2023 - Insulin Administration: Pen vs Vial – Similar, but Not
Interchangeable
September 27, 2023
Camarillo H. Insulin Administration: Pen vs Vial – Similar, but Not Interchangeable. PSNet [internet]. 2023.
https://psnet.ahrq.gov/web-mm/insulin-administration-pen-vs-vial-similar-not-interchangeable
The Case
A fourteen-ye…
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psnet.ahrq.gov/web-mm/when-lytes-go-out-case-inpatient-cardiac-arrest
February 01, 2023 - SPOTLIGHT CASE
When the Lytes Go Out: A Case of Inpatient Cardiac Arrest
Citation Text:
Stripe B, Zuidema D. When the Lytes Go Out: A Case of Inpatient Cardiac Arrest . 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/web-mm/check-wristband
August 03, 2009 - Check the Wristband
Citation Text:
Rosenthal M. Check the Wristband. 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 tagged PubMedId …
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psnet.ahrq.gov/node/49408/psn-pdf
July 01, 2003 - Check the Wristband
July 1, 2003
Rosenthal M. Check the Wristband. PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/check-wristband
The Case
The patient was a 28-year-old female awaiting ambulatory surgery. She was very anxious about the
impending surgery. The patient spoke English and appeared to be of aver…
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psnet.ahrq.gov/node/49608/psn-pdf
August 01, 2010 - Emergent Triage Miss
August 1, 2010
Travers D. Emergent Triage Miss. PSNet [internet]. 2010.
https://psnet.ahrq.gov/web-mm/emergent-triage-miss
The Case
A 42-year-old woman presented to a busy urban emergency department (ED) and approached the triage
nurse. The patient told the triage nurse that she had "3 days o…
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psnet.ahrq.gov/web-mm/milliliters-vs-milligrams
September 01, 2004 - Milliliters vs. Milligrams
Citation Text:
Poole RL, Dixon T. Milliliters vs. Milligrams. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endn…
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psnet.ahrq.gov/node/837673/psn-pdf
July 13, 2022 - The relationship of medical assistants' work engagement
with their concerns of having made an important medical
error: a cross-sectional study.
July 13, 2022
Loerbroks A, Vu-Eickmann P, Dreher A, et al. The relationship of medical assistants' work engagement
with their concerns of having made an important medical …
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psnet.ahrq.gov/node/44614/psn-pdf
November 04, 2015 - Components of hospital perioperative infrastructure can
overcome the weekend effect in urgent general surgery
procedures.
November 4, 2015
Kothari A, Zapf MAC, Blackwell RH, et al. Components of Hospital Perioperative Infrastructure Can
Overcome the Weekend Effect in Urgent General Surgery Procedures. Ann Surg. 20…
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psnet.ahrq.gov/perspective/conversation-withalison-stuebe-md-msc-and-kristin-tully-phd
October 06, 2021 - In Conversation With….Alison Stuebe, MD, MSc and Kristin Tully, PhD
October 6, 2021
Also Read the Essay
Citation Text:
In Conversation With….Alison Stuebe, MD, MSc and Kristin Tully, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Qualit…
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psnet.ahrq.gov/node/74713/psn-pdf
January 26, 2022 - Patient Safety Events Involving Opioid Dose Stacking
January 26, 2022
Porras H, Lammers C. Patient Safety Events Involving Opioid Dose Stacking. PSNet [internet]. 2022.
https://psnet.ahrq.gov/web-mm/patient-safety-events-involving-opioid-dose-stacking
Disclosure of Relevant Financial Relationships: As a provider ac…
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psnet.ahrq.gov/issue/fixing-broken-bones-and-broken-homes-domestic-violence-patient-safety-issue
September 03, 2011 - Study
Fixing broken bones and broken homes: domestic violence as a patient safety issue.
Citation Text:
Cohn F, Rudman WJ. Fixing broken bones and broken homes: domestic violence as a patient safety issue. Jt Comm J Qual Saf. 2004;30(11):636-646.
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Format:
Googl…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.314_slideshow.ppt
February 01, 2014 - PowerPoint Presentation
Spotlight Case
Multifactorial Medication Mishap
1
This presentation is based on the February 2014
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Annie Yang, PharmD, BCPS
NYU Langone Medical Center
Editor, AHRQ WebM&M: Robe…
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psnet.ahrq.gov/node/49634/psn-pdf
September 01, 2011 - Situational (Un)Awareness
September 1, 2011
Abramson EL, Kaushal R. Situational (Un)Awareness. PSNet [internet]. 2011.
https://psnet.ahrq.gov/web-mm/situational-unawareness
The Case
A 75-year-old man was admitted on a Tuesday evening with abdominal pain, jaundice, and elevated liver
function tests, including a bi…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.362_slideshow.ppt
December 01, 2015 - PowerPoint Presentation
Spotlight
Harm From Alarm Fatigue
This presentation is based on the December 2015
AHRQ WebM&M Spotlight Case
See the full article at https://psnet.ahrq.gov/webmm
CME credit is available
Commentary by: Michele M. Pelter, RN, PhD, and Barbara J. Drew, RN, PhD, University of California, San …
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psnet.ahrq.gov/node/50696/psn-pdf
November 27, 2019 - Complications of Vascular Access Procedures in Patients
with Kidney Disease
November 27, 2019
Young SR, Chen I. Complications of Vascular Access Procedures in Patients with Kidney Disease. PSNet
[internet]. 2019.
https://psnet.ahrq.gov/web-mm/complications-vascular-access-procedures-patients-kidney-disease
The Ca…
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psnet.ahrq.gov/web-mm/hold-order
December 19, 2018 - Hold That Order
Citation Text:
Grissinger M. Hold That Order. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
…
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psnet.ahrq.gov/issue/modern-palliative-radiation-treatment-do-complexity-and-workload-contribute-medical-errors
April 07, 2021 - Study
Modern palliative radiation treatment: do complexity and workload contribute to medical errors?
Citation Text:
D'Souza N, Holden L, Robson S, et al. Modern palliative radiation treatment: do complexity and workload contribute to medical errors? Int J Radiat Oncol Biol Phys. 2012;84…