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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33820/psn-pdf
    December 01, 2016 - In Conversation With... James P. Bagian, MD, PE December 1, 2016 In Conversation With.. James P. Bagian, MD, PE. PSNet [internet]. 2016. https://psnet.ahrq.gov/perspective/conversation-james-p-bagian-md-pe Editor's note: Dr. Bagian is Director of the Center for Healthcare Engineering and Patient Safety at the Uni…
  2. psnet.ahrq.gov/web-mm/hold-order
    December 19, 2018 - Hold That Order Citation Text: Grissinger M. Hold That Order. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49728/psn-pdf
    March 01, 2015 - Medication Mix-Up: From Bad to Worse March 1, 2015 Wollitz A, O'Connor MF. Medication Mix-Up: From Bad to Worse. PSNet [internet]. 2015. https://psnet.ahrq.gov/web-mm/medication-mix-bad-worse The Case A 69-year-old man with chronic kidney disease and essential hypertension was admitted to the hospital with chest …
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60652/psn-pdf
    June 29, 2020 - In Conversation With... Anna Legreid Dopp, Pharm. D June 29, 2020 In Conversation With.. Anna Legreid Dopp, Pharm. D. PSNet [internet]. 2020. https://psnet.ahrq.gov/perspective/conversation-anna-legreid-dopp-pharm-d Editor’s note: Anna Legreid Dopp, Pharm. D is the Senior Director of Clinical Guidelines and Quality…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49809/psn-pdf
    October 01, 2017 - Hyperbilirubinemia Refractory to Phototherapy October 1, 2017 Bhutani VK, Wong RJ. Hyperbilirubinemia Refractory to Phototherapy. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/hyperbilirubinemia-refractory-phototherapy The Case A 1-day-old full-term infant was noted to have elevated total serum bilirubin (…
  6. psnet.ahrq.gov/web-mm/one-dose-fifty-pills
    January 13, 2021 - One Dose, Fifty Pills Citation Text: Smith L. One Dose, Fifty Pills . PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMe…
  7. psnet.ahrq.gov/innovation/risk-mitigation-using-anesthesia-risk-alert-program-applying-proactive-approach-data
    February 26, 2025 - Risk Mitigation Using the Anesthesia Risk Alert Program: Applying a Proactive Approach With Data Review & Collaborating With a Second Practitioner Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL A…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33642/psn-pdf
    November 01, 2006 - In Conversation With...Donald A. Norman, PhD November 1, 2006 In Conversation With..Donald A. Norman, PhD. PSNet [internet]. 2006. https://psnet.ahrq.gov/perspective/conversation-withdonald-norman-phd Dr. Robert Wachter, Editor, AHRQ WebM&M: Tell us a little bit about your background. How did you become interested…
  9. psnet.ahrq.gov/web-mm/walking-out-hospital-after-attempted-suicide
    March 29, 2023 - Walking Out of a Hospital After Attempted Suicide Citation Text: Bourgeois JA, Xiong G. Walking Out of a Hospital After Attempted Suicide. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023. Copy Citation Format: Googl…
  10. psnet.ahrq.gov/issue/still-hard-share-psos-making-progress-still-face-tech-hurdles
    February 08, 2010 - PubMed citation Free full text (registration required) Save Save to your library
  11. psnet.ahrq.gov/issue/changing-course
    March 26, 2014 - Free full text (registration required) PubMed citation Save Save to your library
  12. psnet.ahrq.gov/issue/new-ahrq-sopsr-workplace-safety-supplemental-items-hospitals
    May 01, 2017 - December 24, 2008 Strategies to Improve Patient Safety: Final Report to Congress Required
  13. psnet.ahrq.gov/issue/reducing-and-preventing-adverse-drug-events-decrease-hospital-costs
    March 05, 2013 - August 9, 2023 Strategies to Improve Patient Safety: Final Report to Congress Required
  14. psnet.ahrq.gov/issue/dod-should-improve-its-process-clinical-adverse-actions-against-providers
    May 16, 2018 - Defense Health Agency Should Improve Tracking of Serious Adverse Medical Events and Monitoring of Required
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33840/psn-pdf
    August 01, 2017 - place in the Common Program Requirements as it pertains to total hours in clinical care and education, required … Residents are required to participate as team members in real and/or simulated interprofessional clinical
  16. psnet.ahrq.gov/perspective/role-graduate-medical-education-gme-improving-patient-safety
    February 01, 2010 - Duty Hour Restrictions The long hours required to become an independent practicing physician have … Having a standardized approach to handoff communication is now a required element for accreditation for … Selected residents also led our institution's Joint Commission–required Failure Modes Effects Analysis … whole body of literature looking at the development of mastery and the amount of intentional practice required … the kinds of systems that we would like to see in our teaching hospitals—the redundant safety systems required
  17. psnet.ahrq.gov/perspective/conversation-withthomas-j-nasca-md
    February 01, 2010 - whole body of literature looking at the development of mastery and the amount of intentional practice required … the kinds of systems that we would like to see in our teaching hospitals—the redundant safety systems required … Duty Hour Restrictions The long hours required to become an independent practicing physician have … Having a standardized approach to handoff communication is now a required element for accreditation for … Selected residents also led our institution's Joint Commission–required Failure Modes Effects Analysis
  18. psnet.ahrq.gov/issue/electronic-prescribing-reduced-prescribing-errors-pediatric-renal-outpatient-clinic
    July 08, 2008 - PubMed citation Available at Related editorial (subscription required) Save Save
  19. psnet.ahrq.gov/issue/medical-device-safety-action-plan-protecting-patients-promoting-public-health
    November 28, 2018 - Defense Health Agency Should Improve Tracking of Serious Adverse Medical Events and Monitoring of Required
  20. psnet.ahrq.gov/issue/prospective-error-recording-surgery-analysis-1108-elective-neurosurgical-cases
    January 22, 2016 - December 4, 2024 Is consent required for publication of medical errors?

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