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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49715/psn-pdf
    August 21, 2014 - Liver Biopsy: Proceed With Caution August 21, 2014 Rockey DC. Liver Biopsy: Proceed With Caution. PSNet [internet]. 2014. https://psnet.ahrq.gov/web-mm/liver-biopsy-proceed-caution The Case A 42-year-old woman with a history of multiple malignancies, including osteosarcoma and recurrent breast cancer, presented t…
  2. psnet.ahrq.gov/web-mm/benefits-vs-risks-intraosseous-vascular-access
    September 01, 2005 - Benefits vs. Risks of Intraosseous Vascular Access Citation Text: Fowler RL, Lippmann MJ. Benefits vs. Risks of Intraosseous Vascular Access. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014. Copy Citation Format: Go…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49674/psn-pdf
    December 01, 2012 - Preventing PICC Complications: Whose Line Is It? December 1, 2012 Moureau N. Preventing PICC Complications: Whose Line Is It? PSNet [internet]. 2012. https://psnet.ahrq.gov/web-mm/preventing-picc-complications-whose-line-it The Case A 55-year-old woman with myasthenia gravis, hypertension, and hypothyroidism prese…
  4. psnet.ahrq.gov/issue/cultural-transformation-toward-patient-safety-one-conversation-time
    November 16, 2022 - Commentary Cultural transformation toward patient safety: one conversation at a time. Citation Text: Moore ML, Putman PA. Cultural transformation toward patient safety: one conversation at a time. Nurs Admin Q. 2008;32(2):102-108. doi:10.1097/01.NAQ.0000314538.36865.09. Copy Citation…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836939/psn-pdf
    April 27, 2022 - A Virtual Hospitalist Program to Address a Hospital’s Challenges at the Start of the COVID-19 Pandemic April 27, 2022 https://psnet.ahrq.gov/innovation/virtual-hospitalist-program-address-hospitals-challenges-start-covid-19- pandemic Summary In the early days of the COVID-19 pandemic, New York Presbyterian Weill …
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867656/psn-pdf
    February 26, 2025 - one healthcare organization were afraid that if they pushed a weight- based fluid bolus for morbidly obese
  7. psnet.ahrq.gov/periodic-issue/periodic-issue-440
    May 29, 2024 - May 15, 2024 Weekly Issue PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient safety literature, news, conferences, reports, a…
  8. psnet.ahrq.gov/periodic-issue/periodic-issue-439
    May 29, 2024 - May 8, 2024 Weekly Issue PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient safety literature, news, conferences, reports, an…
  9. psnet.ahrq.gov/periodic-issue/periodic-issue-471
    December 31, 2024 - January 22, 2025 Weekly Issue PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient safety literature, news, conferences, report…
  10. psnet.ahrq.gov/periodic-issue/periodic-issue-470
    December 31, 2024 - January 15, 2025 Weekly Issue PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient safety literature, news, conferences, report…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/857260/psn-pdf
    November 30, 2023 - When Taking an SGLT2 inhibitor, Remember To SSTOP (Stop SGLT2 Inhibitor Three days bef-O-re Procedures)! November 30, 2023 Bagley B, Tan CL, Plante D. When Taking an SGLT2 inhibitor, Remember To SSTOP (Stop SGLT2 Inhibitor Three days bef-O-re Procedures)!. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/when…
  12. psnet.ahrq.gov/perspective/workplace-safety-health-care
    January 01, 2017 - Workplace Safety in Health Care Ross W. Simon and Elena G. Canacari, RN | January 1, 2017  Also Read a Conversation View more articles from the same authors. Citation Text: Simon RW, Canacari EG. Workplace Safety in Health Care. PSNet [internet]. Rockville (MD):…
  13. psnet.ahrq.gov/perspective/conversation-paul-h-oneill-mpa
    January 01, 2017 - In Conversation With… Paul H. O'Neill, MPA January 1, 2017  Also Read an Essay Citation Text: In Conversation With… Paul H. O'Neill, MPA. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017…
  14. psnet.ahrq.gov/issue/reflecting-change
    December 02, 2009 - Commentary Reflecting on change. Citation Text: Wagstaff R. Reflecting on change. Nurs Manag (Harrow). 2006;13(2):12-7. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation …
  15. psnet.ahrq.gov/issue/systems-approach-reduce-errors-surgery
    August 10, 2016 - Commentary Systems approach to reduce errors in surgery. Citation Text: Dankelman J, Grimbergen CA. Systems approach to reduce errors in surgery. Surg Endosc. 2005;19(8):1017-21. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagge…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49662/psn-pdf
    August 01, 2012 - Wrong Turn through Colon: Misplaced PEG August 1, 2012 Sorokin R, Conn M. Wrong Turn through Colon: Misplaced PEG. PSNet [internet]. 2012. https://psnet.ahrq.gov/web-mm/wrong-turn-through-colon-misplaced-peg The Case An 87-year-old man was admitted for congestive heart failure (CHF) exacerbation. In addition, a pa…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49512/psn-pdf
    May 01, 2006 - Right? Left? Neither! May 1, 2006 Chassin MR, Howell EA. Right? Left? Neither!. PSNet [internet]. 2006. https://psnet.ahrq.gov/web-mm/right-left-neither Case Objectives Appreciate the role of Reason's Swiss Cheese Model in medical errors Understand the process of analyzing a single error Provide suggestions for …
  18. psnet.ahrq.gov/issue/long-term-care-healthcare-associated-iinfections-2022-analysis-20216-reports
    May 19, 2021 - Study Long-term care healthcare-associated iInfections in 2022: an analysis of 20,216 reports. Citation Text: Kepner S, Bingman C, Jones RM. Long-term care healthcare-associated iInfections in 2022: an analysis of 20,216 reports. Patient Saf. 2023;5(2):20-31. doi:10.33940/001c.74494. C…
  19. psnet.ahrq.gov/web-mm/unintentional-ketamine-overdose-operating-room-mixing-ampules
    March 25, 2020 - Unintentional Ketamine Overdose in the Operating Room – Mixing Up the Ampules Citation Text: Bohringer C. Unintentional Ketamine Overdose in the Operating Room – Mixing Up the Ampules. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2…
  20. psnet.ahrq.gov/periodic-issue/periodic-issue-418
    November 29, 2023 - November 29, 2023 Weekly Issue PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient safety literature, news, conferences, repor…

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