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241. Microsoft PowerPoint - Spotlight Case_Anesthesia Error During Cesarean_06.22.2023 - Final.pptx (pdf file)
     psnet.ahrq.gov/sites/default/files/2023-06/hurried_huddle_0.pdf
     January 01, 2023 - Microsoft PowerPoint - Spotlight Case_Anesthesia Error During Cesarean_06.22.2023 - Final.pptx Spotlight Hurried Team Huddle and Poor Communication: Unsafe Practice During Anesthesia for Emergency Cesarean Delivery Source and Credits • This presentation is based on the June 2023 AHRQ WebM&M Spotlight Case o See…

242. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73258/psn-pdf
     May 12, 2021 - Rate of sepsis hospitalizations after misdiagnosis in adult emergency department patients: a look-forward analysis with administrative claims data using Symptom-Disease Pair Analysis of Diagnostic Error methodology in an integrated health system. May 12, 2021 Horberg MA, Nassery N, Rubenstein KB, et al. Rate of s…

243. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39016/psn-pdf
     April 04, 2011 - Variation in hospital mortality associated with inpatient surgery. April 4, 2011 Ghaferi AA, Birkmeyer JD, Dimick JB. Variation in hospital mortality associated with inpatient surgery. N Engl J Med. 2009;361(14):1368-75. doi:10.1056/NEJMsa0903048. https://psnet.ahrq.gov/issue/variation-hospital-mortality-associate…

244. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37327/psn-pdf
     March 03, 2011 - Patterns of technical error among surgical malpractice claims: an analysis of strategies to prevent injury to surgical patients. March 3, 2011 Regenbogen SE, Greenberg CC, Studdert DM, et al. Patterns of technical error among surgical malpractice claims: an analysis of strategies to prevent injury to surgical pati…

245. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42606/psn-pdf
     September 25, 2013 - Health economic evaluation of an infection prevention and control program: are quality and patient safety programs worth the investment? September 25, 2013 Raschka S, Dempster L, Bryce E. Health economic evaluation of an infection prevention and control program: are quality and patient safety programs worth the in…

246. Better Health for Mothers and Babies. | PSNet
     psnet.ahrq.gov/issue/better-health-mothers-and-babies
     April 15, 2021 - Multi-use Website Better Health for Mothers and Babies. Citation Text: Better Health for Mothers and Babies. American Hospital Association. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin…

247. SaferCare Texas | PSNet
     psnet.ahrq.gov/issue/safercare-texas
     November 26, 2018 - Multi-use Website SaferCare Texas Citation Text: SaferCare Texas UNT Health Science Center; University of North Texas Health Science Center; UNTHSC. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter …

248. Submit Innovations Landing | PSNet
     psnet.ahrq.gov/submit-innovations-landing
     February 26, 2025 - Breadcrumb Home Improvement Resources Innovations Innovation Submissions Individuals or organizations are encouraged to submit new or reimagined patient safety innovations that have been implemented, evaluated, sustained, and demonstrate significant improvement to patient safet…

249. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46411/psn-pdf
     April 12, 2019 - Effect of health information exchange on recognition of medication discrepancies is interrupted when data charges are introduced: results of a cluster-randomized controlled trial. April 12, 2019 Boockvar K, Ho W, Pruskowski J, et al. Effect of health information exchange on recognition of medication discrepancies…

250. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42969/psn-pdf
     October 31, 2014 - Reducing the burden of surgical harm: a systematic review of the interventions used to reduce adverse events in surgery. October 31, 2014 Howell A-M, Panesar S, Burns EM, et al. Reducing the burden of surgical harm: a systematic review of the interventions used to reduce adverse events in surgery. Ann Surg. 2014;2…

251. Cybersecurity and How to Maintain Patient Safety | PSNet
     psnet.ahrq.gov/perspective/cybersecurity-and-how-maintain-patient-safety
     March 27, 2024 - correlation between high-impact ransomware attacks and unexplained excess deaths that surfaced in a region

252. In Conversation with...Barbara Pelletreau and John Riggi about Cybersecurity | PSNet
     psnet.ahrq.gov/perspective/conversation-withbarbara-pelletreau-and-john-riggi-about-cybersecurity
     March 27, 2024 - correlation between high-impact ransomware attacks and unexplained excess deaths that surfaced in a region

253. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/849661/psn-pdf
     June 28, 2023 - Hurried Team Huddle and Poor Communication: Unsafe Practice During Anesthesia for Emergency Cesarean Delivery June 28, 2023 Curtin A, Schloemerkemper N. Hurried Team Huddle and Poor Communication: Unsafe Practice During Anesthesia for Emergency Cesarean Delivery. PSNet [internet]. 2023. https://psnet.ahrq.gov/web…

254. Critical supply. | PSNet
     psnet.ahrq.gov/issue/critical-supply
     June 16, 2019 - Audiovisual Critical supply. Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL April 3, 2013 View more articles from the same authors. This news series reports on the drug shor…

255. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46893/psn-pdf
     March 21, 2018 - Vital signs: trends in emergency department visits for suspected opioid overdoses- United States, July 2016- September 2017. March 21, 2018 Vivolo-Kantor AM, Seth P, Gladden M, et al. Vital Signs: Trends in Emergency Department Visits for Suspected Opioid Overdoses - United States, July 2016-September 2017. MMWR M…

256. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49827/psn-pdf
     April 01, 2018 - Walking Patient, Missing Drain April 1, 2018 Olkowski BF, Ravenel M, Stiefel MF. Walking Patient, Missing Drain. PSNet [internet]. 2018. https://psnet.ahrq.gov/web-mm/walking-patient-missing-drain The Case A 43-year-old woman with a history of metastatic breast cancer was admitted to the hospital for an elective …

257. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33773/psn-pdf
     September 01, 2014 - Overuse as a Patient Safety Problem September 1, 2014 Moriates C. Overuse as a Patient Safety Problem. PSNet [internet]. 2014. https://psnet.ahrq.gov/perspective/overuse-patient-safety-problem Perspective Nearly half of primary care physicians in the United States believe that patients cared for in their own prac…

258. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73549/psn-pdf
     July 28, 2021 - Local Anesthesia-Induced Coma During Total Knee Arthroplasty. July 28, 2021 Aldwinckle R. Local Anesthesia-Induced Coma During Total Knee Arthroplasty. PSNet [internet]. 2021. https://psnet.ahrq.gov/web-mm/local-anesthesia-induced-coma-during-total-knee-arthroplasty The Case A 61-year-old male patient weighing 57…

259. In Conversation With... James Augustine, MD | PSNet
     psnet.ahrq.gov/perspective/conversation-james-augustine-md
     July 28, 2021 - In Conversation With... James Augustine, MD July 28, 2021  Also Read the Essay Citation Text: In Conversation With.. James Augustine, MD. PSNet [internet]. 2021.In Conversation With... James Augustine, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Re…

260. New Oral Anticoagulants | PSNet
     psnet.ahrq.gov/web-mm/new-oral-anticoagulants
     July 01, 2011 - SPOTLIGHT CASE New Oral Anticoagulants Citation Text: Fang MC. New Oral Anticoagulants. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote …