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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838220/psn-pdf
    September 27, 2019 - Primary Care and Patient Safety: Opportunities at the Interface September 28, 2022 O’Malley P, McNellis B, Chew E, et al. Primary Care and Patient Safety: Opportunities at the Interface. PSNet [internet]. 2022. https://psnet.ahrq.gov/perspective/primary-care-and-patient-safety-opportunities-interface Editor’s Not…
  2. psnet.ahrq.gov/issue/malnourishment-epidemic-plagues-hospitals-really
    June 04, 2014 - , 2014 Do variations in hospital mortality patterns after weekend admission reflect reduced
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42063/psn-pdf
    January 06, 2018 - These practices, if implemented, should result in reduced harm from a wide range of safety threats,
  4. psnet.ahrq.gov/issue/pregnancy-related-deaths-saving-womens-lives-during-and-after-delivery
    September 07, 2016 - November 16, 2022 CDC guideline for opioid prescribing associated with reduced dispensing
  5. psnet.ahrq.gov/web-mm/transition-nowhere
    March 21, 2009 - Transition to Nowhere Citation Text: Farrell TW. Transition to Nowhere. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMed…
  6. psnet.ahrq.gov/web-mm/troubling-amine
    September 01, 2003 - A Troubling Amine Citation Text: Flynn EA. A Troubling Amine. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49492/psn-pdf
    November 01, 2005 - Reconciling Doses November 1, 2005 Federico F. Reconciling Doses. PSNet [internet]. 2005. https://psnet.ahrq.gov/web-mm/reconciling-doses Case Objectives List the steps involved in medication reconciliation. Describe the role of each of the stakeholders in medication reconciliation. Discuss how medication reconc…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49731/psn-pdf
    April 01, 2015 - Fire in the Hole!—An OR Fire April 1, 2015 Mehta SP, Domino KM. Fire in the Hole!—An OR Fire. PSNet [internet]. 2015. https://psnet.ahrq.gov/web-mm/fire-hole-or-fire The Case A patient was taken to the operating room (OR) to undergo a planned laparoscopic subtotal colon resection for a biopsy-proven adenocarcinom…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33772/psn-pdf
    September 01, 2014 - In Conversation With… Rosemary Gibson, MSc September 1, 2014 In Conversation With… Rosemary Gibson, MSc. PSNet [internet]. 2014. https://psnet.ahrq.gov/perspective/conversation-rosemary-gibson-msc Editor's note: Rosemary Gibson, MSc, is Senior Advisor to The Hastings Center and an editor for JAMA Internal Medicin…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49637/psn-pdf
    October 01, 2011 - The Dropped "No" October 1, 2011 Johnson AJ. The Dropped "No". PSNet [internet]. 2011. https://psnet.ahrq.gov/web-mm/dropped-no The Case A 62-year-old man with a history of cirrhosis was admitted with increasing abdominal girth and swelling in his legs. Because the leg swelling was somewhat more pronounced in his…
  11. psnet.ahrq.gov/print/pdf/node/74277
    January 01, 2021 - PSNet Curated Library AHRQ: Agency for Healthcare Research and Quality Medication/Drug Errors Curated Library Primers Medication Administration Errors Paul MacDowell, PharmD, BCPS, Ann Cabri, PharmD, and Michaela Davis, MSN, RN, CNS | March, 12 2021 Medication administration errors are a persistent patient saf…
  12. psnet.ahrq.gov/web-mm/hospital-admission-due-high-dose-methotrexate-drug-interaction
    October 01, 2003 - Hospital Admission Due to High-Dose Methotrexate Drug Interaction Citation Text: Siegel LC, Gandhi TK. Hospital Admission Due to High-Dose Methotrexate Drug Interaction. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009. Copy Cit…
  13. psnet.ahrq.gov/web-mm/safety-and-quality-long-term-care
    January 01, 2016 - Perhaps better communication across settings during points of transition could have reduced the resident's … Patient Safety Goals for Long Term Care include accurate resident identification, safe medication use, reduced … health care-associated infections, reconciled medications, reduced harm from falls, and reduced health
  14. psnet.ahrq.gov/issue/ethical-challenges-child-abuse-what-harm-misdiagnosis
    September 01, 2021 - Commentary Ethical challenges in child abuse: what is the harm of a misdiagnosis? Citation Text: Brown SD. Ethical challenges in child abuse: what is the harm of a misdiagnosis? Pediatr Radiol. 2021;51(6):1070-1075. doi:10.1007/s00247-020-04845-4. Copy Citation Format: DOI …
  15. psnet.ahrq.gov/issue/telediagnosis-acute-care-implications-quality-and-safety-diagnosis
    January 11, 2017 - Book/Report Telediagnosis for Acute Care: Implications for the Quality and Safety of Diagnosis. Citation Text: Telediagnosis for Acute Care: Implications for the Quality and Safety of Diagnosis. Smith KM, Hunte HE, Graber ML. Rockville MD: Agency for Healthcare Research and Quality; Augu…
  16. psnet.ahrq.gov/issue/diagnostic-difficulty-and-error-primary-care-systematic-review
    April 07, 2021 - Review Diagnostic difficulty and error in primary care—a systematic review. Citation Text: Kostopoulou O, Delaney B, Munro CW. Diagnostic difficulty and error in primary care--a systematic review. Fam Pract. 2008;25(6):400-413. doi:10.1093/fampra/cmn071. Copy Citation Format: …
  17. psnet.ahrq.gov/issue/drawing-boundaries-difficulty-defining-clinical-reasoning
    June 26, 2019 - Commentary Emerging Classic Drawing boundaries: the difficulty in defining clinical reasoning. Citation Text: Young M, Thomas A, Lubarsky S, et al. Drawing Boundaries: The Difficulty in Defining Clinical Reasoning. Acad Med. 2018;93(7):990-995. doi:10.1097/ACM.0…
  18. psnet.ahrq.gov/issue/technical-mistakes-during-acquisition-electrocardiogram
    March 09, 2022 - Review Technical mistakes during the acquisition of the electrocardiogram. Citation Text: García-Niebla J, Llontop-García P, Valle-Racero JI, et al. Technical mistakes during the acquisition of the electrocardiogram. Ann Noninvasive Electrocardiol. 2009;14(4):389-403. doi:10.1111/j.154…
  19. psnet.ahrq.gov/issue/advancement-toward-high-reliability-healthcare-awards
    June 08, 2011 - January 21, 2009 Teamwork is associated with reduced hospital staff burnout at military
  20. psnet.ahrq.gov/issue/fatal-drug-mix-exposes-hospital-flaws
    March 02, 2016 - July 10, 2018 Teamwork is associated with reduced hospital staff burnout at military

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