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  1. psnet.ahrq.gov/perspective/conversation-edwin-boudreaux-about-suicide-prevention
    March 25, 2025 - potentially help to improve our identification of suicide risk, suicidal ideation and behaviors can occur … The same kind of decision-making would occur in an outpatient setting, let us say, primary care.
  2. psnet.ahrq.gov/perspective/suicide-prevention
    March 24, 2025 - potentially help to improve our identification of suicide risk, suicidal ideation and behaviors can occur … The same kind of decision-making would occur in an outpatient setting, let us say, primary care.
  3. psnet.ahrq.gov/perspective/conversation-jack-westfall-md-mph
    September 28, 2022 - The bulk of serious medical mistakes probably occur in acute settings where major decisions have to be … This encounter establishes a relationship from which the other functions can occur (i.e., continuity
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33716/psn-pdf
    September 01, 2011 - Many such reports, for instance ones involving opiates or anticoagulants, capture problems that occur
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33869/psn-pdf
    November 01, 2018 - But just observing the model, a lot of handoffs just don't occur.
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33688/psn-pdf
    October 01, 2009 - did close, there were lots of statements from many quarters talking about the problems that would occur
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33831/psn-pdf
    April 01, 2017 - they're focused also on the human–electronic interfaces where a lot of the opportunities for error occur
  8. psnet.ahrq.gov/perspective/conversation-john-d-birkmeyer-md
    January 31, 2024 - use of prophylaxis against postoperative blood clots—all of the things you can easily measure that occur
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/863649/psn-pdf
    February 28, 2024 - In the contract that I mentioned, the implementation of the Diagnosis Improvement Course will occur
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865984/psn-pdf
    May 29, 2024 - Fatal Oversight: Misdiagnosis of Nocturnal Chest Pain with Elevated D-dimer. May 29, 2024 Agusala V, Deen J, Schaefer S. Fatal Oversight: Misdiagnosis of Nocturnal Chest Pain with Elevated D- dimer. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/fatal-oversight-misdiagnosis-nocturnal-chest-pain-elevated-d-d…
  11. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.176_slideshow.ppt
    May 01, 2008 - Spotlight Case [MONTH] 2003 Spotlight Case May 2008 Diagnosing HIV: It Doesn’t Take a Brain Surgeon Source and Credits This presentation is based on the May 2008 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Roger Chou, MD, Oregon Health &…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49643/psn-pdf
    December 01, 2011 - More Treatment—Better Care? December 1, 2011 Redberg R. More Treatment—Better Care? PSNet [internet]. 2011. https://psnet.ahrq.gov/web-mm/more-treatment-better-care The Case The patient is a 27-year-old female who presented to a 250-bed community hospital with numbness and tingling of her hands and feet. She was …
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49627/psn-pdf
    June 01, 2011 - The ECG Is Not Normal June 1, 2011 Zuger A. The ECG Is Not Normal. PSNet [internet]. 2011. https://psnet.ahrq.gov/web-mm/ecg-not-normal Case Objectives State how frequently physicians care for family or relatives. Describe the risks associated with caring for family members or relatives. Appreciate some of the s…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33683/psn-pdf
    April 01, 2009 - Accreditation and Regulation: Can They Help Improve Patient Safety? April 1, 2009 Warburton RN. Accreditation and Regulation: Can They Help Improve Patient Safety? PSNet [internet]. 2009. https://psnet.ahrq.gov/perspective/accreditation-and-regulation-can-they-help-improve-patient-safety Perspective My grandfath…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49594/psn-pdf
    December 01, 2009 - Standard Deviations December 1, 2009 Sabin JE. Standard Deviations. PSNet [internet]. 2009. https://psnet.ahrq.gov/web-mm/standard-deviations Case Objectives Understand the safety risks associated with patients being discharged against medical advice (AMA). Recognize safety risks associated with being part of a …
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846770/psn-pdf
    March 29, 2023 - Procedure Complications – Who is Responsible for Follow up? March 29, 2023 Chalupsky M, Wei H, Marquet E. Procedure Complications – Who is Responsible for Follow up? PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/procedure-complications-who-responsible-follow The Case A 74-year-old man with newly diagnose…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49621/psn-pdf
    March 01, 2011 - Volume Too Low: In and Out March 1, 2011 Miller MR. Volume Too Low: In and Out . PSNet [internet]. 2011. https://psnet.ahrq.gov/web-mm/volume-too-low-and-out Case Objectives Appreciate that because of multiple factors, children are at high risk for medical errors. Describe the importance of weight-based dosing of…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49783/psn-pdf
    February 01, 2017 - The Hazards of Distraction: Ticking All the EHR Boxes February 1, 2017 Easty AC. The Hazards of Distraction: Ticking All the EHR Boxes. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/hazards-distraction-ticking-all-ehr-boxes Case Objectives List the goals of having order sets in the electronic health record…
  19. psnet.ahrq.gov/perspective/updates-role-health-it-patient-safety
    January 31, 2020 - Annual Perspective Updates in the Role of Health IT in Patient Safety February 21, 2020  View more articles from the same authors. Citation Text: Hall KK, Fitall E, Hettinger AZ. Updates in the Role of Health IT in Patient Safety. PSNet [internet]. Rockville …
  20. psnet.ahrq.gov/web-mm/diagnostic-overshadowing-dangers
    February 12, 2020 - Diagnostic Overshadowing Dangers Citation Text: Raven MC. Diagnostic Overshadowing Dangers. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML E…

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