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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49660/psn-pdf
    August 01, 2012 - No News May Not Be Good News August 1, 2012 Moore CR. No News May Not Be Good News. PSNet [internet]. 2012. https://psnet.ahrq.gov/web-mm/no-news-may-not-be-good-news Case Objectives Describe the frequency with which ambulatory test results are not followed up by providers. Appreciate that inadequate follow-up of…

  2. The Hazards of Distraction: Ticking All the EHR Boxes | PSNet

    psnet.ahrq.gov/web-mm/hazards-distraction-ticking-all-ehr-boxes
    April 09, 2014 - SPOTLIGHT CASE The Hazards of Distraction: Ticking All the EHR Boxes Citation Text: Easty AC. The Hazards of Distraction: Ticking All the EHR Boxes. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. Copy Citation …

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50949/psn-pdf
    February 26, 2020 - Pre-analytical pitfalls: Missing and mislabeled specimens February 26, 2020 Tran NK, Liu Y. Pre-analytical pitfalls: Missing and mislabeled specimens . PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/pre-analytical-pitfalls-missing-and-mislabeled-specimens The Case Case #1: A 56-year-old man was admitted to…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49698/psn-pdf
    December 01, 2013 - SNFs: Opening the Black Box December 1, 2013 Ouslander JG, Bonner A. SNFs: Opening the Black Box. PSNet [internet]. 2013. https://psnet.ahrq.gov/web-mm/snfs-opening-black-box The Case An 88-year-old woman was admitted to a skilled nursing facility (SNF) after a lengthy hospitalization for a small bowel obstructio…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73456/psn-pdf
    June 30, 2021 - Inadequate Anesthesia Preparation Leading to Difficult Intubation and Severe Hypoxemia June 30, 2021 Bohringer C. Inadequate Anesthesia Preparation Leading to Difficult Intubation and Severe Hypoxemia. PSNet [internet]. 2021. https://psnet.ahrq.gov/web-mm/inadequate-anesthesia-preparation-leading-difficult-intubat…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33652/psn-pdf
    June 01, 2007 - Advancing Patient Safety Through State Reporting Systems June 1, 2007 Rosenthal J. Advancing Patient Safety Through State Reporting Systems. PSNet [internet]. 2007. https://psnet.ahrq.gov/perspective/advancing-patient-safety-through-state-reporting-systems Perspective Seven years ago, the Institute of Medicine (I…

  7. Emergence of Application-based Healthcare | PSNet

    psnet.ahrq.gov/perspective/emergence-application-based-healthcare
    August 05, 2022 - really poised to transform the way we provide medical care, especially when it comes to guideline-based recommendations

  8. In Conversation With... Francoise Marvel, MD | PSNet

    psnet.ahrq.gov/perspective/conversation-francoise-marvel-md
    August 05, 2022 - really poised to transform the way we provide medical care, especially when it comes to guideline-based recommendations

  9. Remote Patient Monitoring | PSNet

    psnet.ahrq.gov/perspective/remote-patient-monitoring
    March 15, 2023 - Evidence and recommendations on the use of telemedicine for the management of arterial hypertension:

  10. In Conversation with... Dr. Neal Sikka and Dr. Colton Hood about Remote Patient Monitoring | PSNet

    psnet.ahrq.gov/perspective/conversation-dr-neal-sikka-and-dr-colton-hood-about-remote-patient-monitoring
    March 15, 2023 - Evidence and recommendations on the use of telemedicine for the management of arterial hypertension:

  11. Post-Acute Transitional Services: Safety in Home-Based Care Programs | PSNet

    psnet.ahrq.gov/primer/post-acute-transitional-services-safety-home-based-care-programs
    April 24, 2024 - Recommendations for best practices designed to optimize care and reduce adverse events are reviewed.

  12. The PeaceHealth Governance Journey in Support of Quality and Safety | PSNet

    psnet.ahrq.gov/perspective/peacehealth-governance-journey-support-quality-and-safety
    August 01, 2007 - Challenge clinical quality leadership recommendations that fall short of the board's expectations for

  13. Perioperative Anaphylaxis After Insertion of a Latex Drain in a Patient with Known Latex Allergy | PSNet

    psnet.ahrq.gov/web-mm/perioperative-anaphylaxis-after-insertion-latex-drain-patient-known-latex-allergy
    July 08, 2022 - July 13, 2010 Procedural safety in emergency care: a conceptual model and recommendations

  14. In Conversation with...James L. Reinertsen, MD | PSNet

    psnet.ahrq.gov/perspective/conversation-withjames-l-reinertsen-md
    August 01, 2007 - Challenge clinical quality leadership recommendations that fall short of the board's expectations for

  15. In Conversation With... Libby Hoy and Stephen Hoy | PSNet

    psnet.ahrq.gov/perspective/conversation-libby-hoy-and-stephen-hoy
    March 10, 2021 - Individual and Family Engagement in the Medicaid Population: Emerging Best Practices and Recommendations

  16. In Conversation with…Thomas H. Gallagher, MD | PSNet

    psnet.ahrq.gov/perspective/conversation-withthomas-h-gallagher-md
    January 01, 2009 - Nevertheless, many general recommendations have been elucidated; they tend to be based on survey data

  17. Disclosure of Medical Error | PSNet

    psnet.ahrq.gov/perspective/disclosure-medical-error
    January 01, 2009 - Nevertheless, many general recommendations have been elucidated; they tend to be based on survey data

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836941/psn-pdf
    April 27, 2022 - Recommendations for best practices designed to optimize care and reduce adverse events are reviewed.

  19. Periodic Issue | PSNet

    psnet.ahrq.gov/periodic-issue/periodic-issue-279
    February 10, 2021 - February 17, 2021 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…

  20. Periodic Issue | PSNet

    psnet.ahrq.gov/periodic-issue/periodic-issue-282
    March 15, 2021 - March 10, 2021 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,…
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