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psnet.ahrq.gov/node/49831/psn-pdf
June 01, 2018 - Chest Pain in a Rural Hospital
June 1, 2018
MacKinney CA, Mohr NM. Chest Pain in a Rural Hospital. PSNet [internet]. 2018.
https://psnet.ahrq.gov/web-mm/chest-pain-rural-hospital
Case Objectives
Recognize that a significant proportion of the Unites States population receives care in rural safety
net emergency dep…
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psnet.ahrq.gov/issue/midwest-alliance-patient-safety
January 08, 2020 - Multi-use Website
Midwest Alliance for Patient Safety.
Citation Text:
Midwest Alliance for Patient Safety. Illinois Health and Hospital Association.
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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
…
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psnet.ahrq.gov/sites/default/files/2021-06/final_spotlight_miscommunication_possible_artifact_06.21.2021.pdf
January 01, 2021 - Spotlight
Spotlight
The Consequences of Miscommunication
Regarding a Possible Artifact
Source and Credits
• This presentation is based on the June 2021 AHRQ WebM&M
Spotlight Case
o See the full article at https://psnet.ahrq.gov/webmm
o CME credit is available
o Commentary by: Kriti Gwal, MD
o AHRQ WebM&M Edit…
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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…
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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…
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psnet.ahrq.gov/issue/organisation-patient-safety-incident-reports
October 26, 2007 - Multi-use Website
Organisation Patient Safety Incident Reports.
Citation Text:
Organisation Patient Safety Incident Reports. National Patient Safety Agency
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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.
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Google Scholar BibTeX EndNote X3 XML EndNote …
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psnet.ahrq.gov/node/49606/psn-pdf
August 01, 2010 - Weighing In on Surgical Safety
August 1, 2010
Brodsky JB, Margarson M. Weighing In on Surgical Safety. PSNet [internet]. 2010.
https://psnet.ahrq.gov/web-mm/weighing-surgical-safety
Case Objectives
Identify the comorbidites associated with obesity that place patients at higher risk for surgical
complications.
Un…
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psnet.ahrq.gov/issue/surfing-healthcare-tsunami-bring-your-best-board
May 13, 2019 - Audiovisual
Surfing the Healthcare Tsunami: Bring Your Best Board.
Citation Text:
Surfing the Healthcare Tsunami: Bring Your Best Board. Austin, TX: Texas Medical Institute for Technology; 2012.
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psnet.ahrq.gov/issue/safety-and-human-performance-operating-room-and-other-extreme-environments
December 02, 2020 - Special or Theme Issue
Safety and Human Performance in the Operating Room and Other Extreme Environments.
Citation Text:
Safety and Human Performance in the Operating Room and Other Extreme Environments. Ruskin KJ, ed. Int Anesthesiol Clin. 2024;62(2):1-65.
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…
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psnet.ahrq.gov/issue/ibeas-pioneer-study-patient-safety-latin-america-towards-safer-hospital-care
January 29, 2019 - Book/Report
IBEAS: A Pioneer Study on Patient Safety in Latin America: Towards Safer Hospital Care.
Citation Text:
IBEAS: A Pioneer Study on Patient Safety in Latin America: Towards Safer Hospital Care. Geneva, Switzerland: World Health Organization; 2011.
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…
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psnet.ahrq.gov/issue/agency-information-collection-activities-national-healthcare-safety-network-nhsn-comment
April 06, 2022 - Press Release/Announcement
Agency information collection activities: National Healthcare Safety Network (NHSN); comment request.
Citation Text:
Agency information collection activities: National Healthcare Safety Network (NHSN); comment request. Zirger JM, Centers for Disease Control and…
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psnet.ahrq.gov/issue/master-science-healthcare-quality-and-safety
February 08, 2017 - Audiovisual Presentation
Master of Science in Healthcare Quality and Safety.
Citation Text:
Master of Science in Healthcare Quality and Safety. Philadelphia, PA: Thomas Jefferson University School of Population Health.
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psnet.ahrq.gov/issue/patient-safety-during-perinatal-and-neonatal-care
November 15, 2017 - Special or Theme Issue
Patient Safety During Perinatal and Neonatal Care.
Citation Text:
Patient Safety During Perinatal and Neonatal Care. Am J Perinatol. 2012;29:1-70.
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psnet.ahrq.gov/issue/leapfrog-hospital-safety-scores-depressing
November 13, 2013 - Newspaper/Magazine Article
Leapfrog hospital safety scores 'depressing.'
Citation Text:
Leapfrog hospital safety scores 'depressing.' Clark C. HealthLeaders Media. May 9, 2013.
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psnet.ahrq.gov/node/45533/psn-pdf
November 02, 2016 - Multimethod study of a large-scale programme to improve
patient safety using a harm-free care approach.
November 2, 2016
Power M, Brewster L, Parry G, et al. Multimethod study of a large-scale programme to improve patient
safety using a harm-free care approach. BMJ Open. 2016;6(9):e011886. doi:10.1136/bmjopen-2016-…
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psnet.ahrq.gov/web-mm/weighing-surgical-safety
August 04, 2021 - SPOTLIGHT CASE
Weighing In on Surgical Safety
Citation Text:
Brodsky JB, Margarson M. Weighing In on Surgical Safety. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010.
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psnet.ahrq.gov/issue/giving-back-pen-disclosure-apology-and-early-compensation-discussions-after-harm-healthcare
April 26, 2012 - Commentary
Giving back the pen: disclosure, apology and early compensation discussions after harm in the healthcare setting.
Citation Text:
Giving back the pen: disclosure, apology and early compensation discussions after harm in the healthcare setting. Pelletier E, Robson. Healthc Q…
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psnet.ahrq.gov/issue/understanding-care-transitions-patient-safety-issue
August 22, 2007 - Newspaper/Magazine Article
Understanding care transitions as a patient safety issue.
Citation Text:
Understanding care transitions as a patient safety issue. Butterfield S; Stegel C; Glock S; Tartaglia D.
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