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psnet.ahrq.gov/node/49756/psn-pdf
April 01, 2016 - Lost in Sign Out and Documentation
April 1, 2016
Detsky ME. Lost in Sign Out and Documentation. PSNet [internet]. 2016.
https://psnet.ahrq.gov/web-mm/lost-sign-out-and-documentation
The Case
A 71-year-old man presented to the emergency department with chest pain. While being evaluated by the
emergency physician, …
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psnet.ahrq.gov/node/49586/psn-pdf
May 01, 2009 - Vial Mistakes Involving Heparin
May 1, 2009
Vanderveen T. Vial Mistakes Involving Heparin. PSNet [internet]. 2009.
https://psnet.ahrq.gov/web-mm/vial-mistakes-involving-heparin
The Case
A 65-year-old man was admitted to the hospital for an elective left carotid endarterectomy. During the
procedure, the surgeon re…
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psnet.ahrq.gov/node/49533/psn-pdf
March 01, 2007 - Staggered Sensitivity Results
March 1, 2007
Guglielmo JB. Staggered Sensitivity Results. PSNet [internet]. 2007.
https://psnet.ahrq.gov/web-mm/staggered-sensitivity-results
The Case
A 60-year-old woman with squamous cell carcinoma of the glottis underwent laryngectomy, anterior neck
dissection, and pectoralis fla…
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psnet.ahrq.gov/node/49683/psn-pdf
April 01, 2013 - Acute Care Admission of the Behavioral Health Patient
April 1, 2013
Weiss AP, Rosenbaum JF. Acute Care Admission of the Behavioral Health Patient. PSNet [internet]. 2013.
https://psnet.ahrq.gov/web-mm/acute-care-admission-behavioral-health-patient
The Case
A 25-year-old man presented to the emergency department (E…
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psnet.ahrq.gov/perspective/patient-safety-and-evolution-webmm-and-psnet
April 01, 2008 - Patient Safety and the Evolution of WebM&M and PSNet
September 1, 2019
View more articles from the same authors.
Citation Text:
Ranji SR, Wachter R. Patient Safety and the Evolution of WebM&M and PSNet. PSNet [internet]. Rockville (MD): Agency for Healthcare Resea…
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psnet.ahrq.gov/node/49788/psn-pdf
March 01, 2017 - Correct Treatment Plan for Incorrect Diagnosis: A
Pharmacist Intervention
March 1, 2017
Nelson SD. Correct Treatment Plan for Incorrect Diagnosis: A Pharmacist Intervention. PSNet [internet].
2017.
https://psnet.ahrq.gov/web-mm/correct-treatment-plan-incorrect-diagnosis-pharmacist-intervention
The Case
A 48-year…
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psnet.ahrq.gov/node/50843/psn-pdf
January 29, 2020 - Incomplete Orders for Hypertonic Saline to Treat
Hyponatremia
January 29, 2020
Wiegley N, Morfín JA. Incomplete Orders for Hypertonic Saline to Treat Hyponatremia. PSNet [internet].
2020.
https://psnet.ahrq.gov/web-mm/incomplete-orders-hypertonic-saline-treat-hyponatremia
The Case
A 54-year-old man was brought t…
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psnet.ahrq.gov/perspective/primary-care-and-patient-safety-opportunities-interface
September 28, 2022 - Primary Care and Patient Safety: Opportunities at the Interface
September 28, 2022
Also Read the Conversations
In Conversation With... Freya Spielberg, MD, MPH
In Conversation With... Jack Westfall, MD, MPH
View more articles from the same authors.
…
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psnet.ahrq.gov/perspective/conversation-richard-kronick-phd
February 01, 2014 - In Conversation With… Richard Kronick, PhD
February 1, 2014
Also Read an Essay
Citation Text:
In Conversation With… Richard Kronick, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 201…
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psnet.ahrq.gov/web-mm/culture-clash-no-more-integration-and-coordination-disease-treatment-and-palliative-care
December 23, 2020 - SPOTLIGHT CASE
Culture Clash No More: Integration and Coordination of Disease Treatment and Palliative Care
Citation Text:
Spero H, Usher AE, Howard B, et al. Culture Clash No More: Integration and Coordination of Disease Treatment and Palliative Care . PSNet [internet]. Rockville (MD): Agency f…
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psnet.ahrq.gov/perspective/conversation-jose-morfin-md-fasn
April 28, 2021 - In Conversation With... José A, Morfín, MD, FASN
April 28, 2021
Also Read the Essay
Citation Text:
In Conversation With.. José A, Morfín, MD, FASN. PSNet [internet]. 2021.In Conversation With... José A, Morfín, MD, FASN. PSNet [internet]. Rockville (MD): Agency f…
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psnet.ahrq.gov/issue/decade-patient-safety-2020-2030
December 21, 2005 - Press Release/Announcement
A Decade of Patient Safety 2020-2030
Citation Text:
A Decade of Patient Safety 2020-2030. Geneva, Switzerland; World Health Organization: February 2020.
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psnet.ahrq.gov/issue/hqi-and-hospital-council-annual-conference
October 25, 2006 - United States Meeting/Conference
HQI and Hospital Council Annual Conference.
Citation Text:
Hospital Quality Institute. The Everline Resort & Spa, Lake Tahoe, Olympic Valley, CA, October 15-16, 2023.
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psnet.ahrq.gov/issue/surveys-patient-safety-culturetm-sopsr-ambulatory-surgery-center-survey-2021-user-database
June 01, 2022 - Book/Report
Surveys on Patient Safety Culture™ (SOPS®) Ambulatory Surgery Center Survey: 2021 User Database Report.
Citation Text:
Famolaro T, Hare R, Tapia A, Yount et al. Rockville, MD: Agency for Healthcare Research and Quality; December 2021. AHRQ Publication No. 22-0004.
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psnet.ahrq.gov/issue/exploring-harmful-effects-health-care
January 25, 2023 - Commentary
Exploring the harmful effects of health care.
Citation Text:
Kilo CM. Exploring the Harmful Effects of Health Care. JAMA. 2009;302(1). doi:10.1001/jama.2009.957.
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DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedI…
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psnet.ahrq.gov/issue/how-i-minimize-mistransfusion-risk-my-hospital
July 22, 2015 - Commentary
How I minimize mistransfusion risk in my hospital.
Citation Text:
Aubuchon JP. How I minimize mistransfusion risk in my hospital. Transfusion (Paris). 2006;46(7):1085-9.
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Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tag…
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psnet.ahrq.gov/issue/ahrq-epc-program-grand-rounds-making-healthcare-safer
December 16, 2015 - United States Meeting/Conference
AHRQ EPC Program Grand Rounds - Making Healthcare Safer.
Citation Text:
Agency for Healthcare Research and Quality Evidence-based Practice Center and the Scientific Resource Center. April 29, 2024, 12:00-2:00 PM (eastern)
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psnet.ahrq.gov/issue/language-games-and-tragedy-bristol-royal-infirmary-disaster-revisited
August 25, 2010 - Commentary
Language games and tragedy: The Bristol Royal Infirmary disaster revisited.
Citation Text:
Kewell BJ. Language games and tragedy: The Bristol Royal Infirmary disaster revisited. Health Risk Soc. 2006;8(4). doi:10.1080/13698570601008305.
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DO…
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psnet.ahrq.gov/issue/annual-diagnostic-excellence-summit
May 09, 2024 - United States Meeting/Conference
Annual Diagnostic Excellence Summit.
Citation Text:
The Armstrong Institute Center for Diagnostic Excellence. Johns Hopkins University, Baltimore, MD, May 22, 2024, 9:00 AM-4:00 PM (eastern).
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psnet.ahrq.gov/issue/isqua-2013-edinburgh-recorded-sessions
November 02, 2011 - Audiovisual Presentation
ISQua 2013: Edinburgh Recorded Sessions.
Citation Text:
ISQua; International Society for Quality in Health Care.
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