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  1. psnet.ahrq.gov/perspective/conversation-withamy-helwig-about-health-plan-patient-safety-initiatives
    July 10, 2024 - In Conversation With...Amy Helwig about Health Plan Patient Safety Initiatives Amy Helwig, MD, MS, FAAFP, Zoe Sousane, BS, Sarah Mossburg, RN, PhD | July 10, 2024  Also Read the Essay View more articles from the same authors. Citation Text: Helwig A, Sousane Z, …
  2. psnet.ahrq.gov/perspective/evolution-patient-safety-surgery
    August 01, 2017 - The Evolution of Patient Safety in Surgery Robert M. Wachter, MD | December 1, 2017  Also Read a Conversation View more articles from the same authors. Citation Text: Wachter R. The Evolution of Patient Safety in Surgery. PSNet [internet]. Rockville (MD): Agency…
  3. psnet.ahrq.gov/perspective/missed-nursing-care-key-measure-patient-safety
    March 01, 2018 - Missed Nursing Care: A Key Measure for Patient Safety Jane Ball, PhD, and Peter Griffiths, PhD | March 1, 2018  Also Read a Conversation View more articles from the same authors. Citation Text: Ball JE, Griffiths P. Missed Nursing Care: A Key Measure for Patient…
  4. psnet.ahrq.gov/perspective/health-plan-patient-safety-initiatives
    July 10, 2024 - Health Plan Patient Safety Initiatives Amy Helwig, MD, MS, FAAFP, Zoe Sousane, BS, Sarah Mossburg, RN, PhD | July 10, 2024  Also Read the Conversation View more articles from the same authors. Citation Text: Helwig A, Sousane Z, Mossburg S. Health Plan Patient S…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848124/psn-pdf
    April 26, 2023 - In Conversation with... Susan McGrath, PhD and George Blike, MD about Surveillance Monitoring April 26, 2023 In Conversation with.. Susan McGrath, PhD and George Blike, MD about Surveillance Monitoring. PSNet [internet]. 2023. https://psnet.ahrq.gov/perspective/conversation-susan-mcgrath-phd-and-george-blike-md-ab…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73202/psn-pdf
    April 28, 2021 - A Postpartum Woman with an Erroneous SARS-CoV-2 Test April 28, 2021 Martin SA, Kanjilal S, Schiff G. A Postpartum Woman with an Erroneous SARS-CoV-2 Test. PSNet [internet]. 2021. https://psnet.ahrq.gov/web-mm/postpartum-woman-erroneous-sars-cov-2-test The Case A full-term pregnant patient was admitted in March 2…
  7. psnet.ahrq.gov/web-mm/loss-trust-and-missed-diagnosis
    October 31, 2023 - SPOTLIGHT CASE A Loss of Trust and a Missed Diagnosis Citation Text: Landefeld J, Teasdale S, Jain S. A Loss of Trust and a Missed Diagnosis. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022. Copy Citation Format:…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865454/psn-pdf
    March 27, 2024 - Ensuring Patient and Workforce Safety Culture in Healthcare March 27, 2024 Murray J, Sorra J, Gale B, et al. Ensuring Patient and Workforce Safety Culture in Healthcare. PSNet [internet]. 2024. https://psnet.ahrq.gov/perspective/ensuring-patient-and-workforce-safety-culture-healthcare Introduction In 2020, the I…
  9. psnet.ahrq.gov/perspective/conversation-karl-bilimoria-md-ms-0
    December 01, 2017 - In Conversation With… Karl Bilimoria, MD, MS August 1, 2017  Also Read an Essay Citation Text: In Conversation With… Karl Bilimoria, MD, MS. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2…
  10. psnet.ahrq.gov/perspective/conversation-linda-aiken-phd-rn
    March 01, 2018 - In Conversation With… Linda Aiken, PhD, RN March 1, 2018  Also Read an Essay Citation Text: In Conversation With… Linda Aiken, PhD, RN. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. …
  11. psnet.ahrq.gov/perspective/conversation-lawrence-smith-md
    February 01, 2012 - In Conversation With… Lawrence Smith, MD February 1, 2012  Also Read an Essay Citation Text: In Conversation With… Lawrence Smith, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012. …
  12. psnet.ahrq.gov/perspective/primary-care-and-patient-safety-opportunities-interface
    September 28, 2022 - This encounter establishes a relationship from which the other functions can occur (i.e., continuity … The bulk of serious medical mistakes probably occur in acute settings where major decisions have to be
  13. psnet.ahrq.gov/innovation/implementing-watcher-program-improve-timeliness-recognition-deterioration-hospitalized
    June 30, 2021 - EMERGING INNOVATIONS Implementing a watcher program to improve timeliness of recognition of deterioration in hospitalized children Citation Text: Implementing a watcher program to improve timeliness of recognition of deterioration in hospitalized children Evans S, Green A, Roberson A, et al. …
  14. psnet.ahrq.gov/perspective/using-human-factors-engineering-and-seips-model-advance-patient-safety-care-transitions
    November 16, 2022 - This work is done by conducting a thorough analysis of the entire system in which these interactions occur
  15. psnet.ahrq.gov/perspective/comprehensivist-model-care-hospitalists-view
    November 01, 2018 - But just observing the model, a lot of handoffs just don't occur.
  16. psnet.ahrq.gov/perspective/conversation-david-meltzer-md-phd
    November 01, 2018 - But just observing the model, a lot of handoffs just don't occur.
  17. psnet.ahrq.gov/perspective/conversation-patricia-dykes-about-ongoing-journey-prevent-patient-falls
    December 18, 2024 - While falls are most common in inpatient settings, they can also occur in ambulatory settings.
  18. psnet.ahrq.gov/perspective/ongoing-journey-prevent-patient-falls
    December 18, 2024 - While falls are most common in inpatient settings, they can also occur in ambulatory settings.
  19. psnet.ahrq.gov/perspective/conversation-joel-willis-do-pa-ma-mphil-and-neal-sikka-md
    May 14, 2020 - Follow-up care can continue to occur remotely, but consideration should be made for conditions in which
  20. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2021-09/spotlight_lost_in_transitions_of_care_09.22.2021_final.pdf
    January 01, 2021 - – Methadone's peak respiratory depressant effects typically occur later, and persist longer, than

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