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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865656/psn-pdf
    April 24, 2024 - Verbal Orders and Medication Overrides: A Dangerous Combination April 24, 2024 Mueller C, MacDowell P, Bourgeois JA. Verbal Orders and Medication Overrides: A Dangerous Combination. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/verbal-orders-and-medication-overrides-dangerous-combination The Case A 26-ye…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49540/psn-pdf
    August 21, 2007 - Resuscitation Errors: A Shocking Problem August 21, 2007 Edelson DP, Abella BS. Resuscitation Errors: A Shocking Problem. PSNet [internet]. 2007. https://psnet.ahrq.gov/web-mm/resuscitation-errors-shocking-problem Case Objectives Appreciate that delays in defibrillation can have significant negative effects on sur…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33678/psn-pdf
    January 01, 2009 - In Conversation with…Thomas H. Gallagher, MD January 1, 2009 In Conversation with…Thomas H. Gallagher, MD. PSNet [internet]. 2009. https://psnet.ahrq.gov/perspective/conversation-withthomas-h-gallagher-md Editor's note: Thomas H. Gallagher, MD, is Associate Professor in the Department of Medicine and the Departme…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49528/psn-pdf
    January 01, 2015 - The "Customer" Is Always Right February 1, 2007 Sehgal NL. The "Customer" Is Always Right. PSNet [internet]. 2007. https://psnet.ahrq.gov/web-mm/customer-always-right Case Objectives Understand the importance of identifying a patient's agenda. Appreciate the factors that contribute to unmet patient expectations. …
  5. 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…
  6. psnet.ahrq.gov/innovations
    February 26, 2025 - Innovations The PSNet Innovations page highlights pioneering advances that can improve patient safety. PSNet innovations are defined as “new or updated interventions, approaches, systems, tools, policies, organizational structures or business models implemented to improve or enhance quality of care and reduce harm.” …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49573/psn-pdf
    January 01, 2009 - Dangerous Shift November 1, 2008 Patterson ES. Dangerous Shift. PSNet [internet]. 2008. https://psnet.ahrq.gov/web-mm/dangerous-shift Case Objectives Review the evidence base on erroneous actions related to shift changes. Understand the limits of standardizing handoffs in preventing errors at shift change. Expla…
  8. psnet.ahrq.gov/perspective/university-texas-system-clinical-safety-and-effectiveness-course
    February 01, 2011 - Antonio course has also led to development of QI curriculum for medical and nursing students, and for residents
  9. psnet.ahrq.gov/web-mm/ultrasound-looked-fine-point-care-ultrasound-and-patient-safety
    December 01, 2012 - Moreover, since 2012, emergency medicine accreditation requires that residents achieve competency in
  10. psnet.ahrq.gov/web-mm/dont-wait-collect-accurate-weight-case-subtherapeutic-insulin-therapy
    July 01, 2008 - October 21, 2011 The Pursuing Excellence Collaborative: engaging first-year residents
  11. psnet.ahrq.gov/perspective/conversation-withgeri-amori-phd
    December 01, 2010 - notified after "trigger" events.( 16 ) A list of 13 triggers that should lead to communication between residents
  12. psnet.ahrq.gov/perspective/conversation-withjames-p-bagian-md
    September 01, 2006 - In Conversation with...James P. Bagian, MD September 1, 2006  Also Read an Essay Also Read an Essay Citation Text: In Conversation with..James P. Bagian, MD. PSNet [internet]. 2006.In Conversation with...James P. Bagian, MD. PSNet [internet]. Rockville (MD): Ag…
  13. psnet.ahrq.gov/sites/default/files/2023-04/april_2023_spotlight_the_dose_makes_the_poison.pdf
    January 01, 2023 - Microsoft PowerPoint - FINAL Spotlight Case_Medication Error During Procedural Sedation in the Pediatric ED_03.27.2023.pptx Spotlight The Dose Makes the Poison: Medication Error During Procedural Sedation in the Pediatric Emergency Department Source and Credits • This presentation is based on the April 2023 AH…
  14. psnet.ahrq.gov/perspective/conversation-jeffrey-starke-md
    September 11, 2023 - Residents now have duty hour restrictions and more of an emphasis on admitting that you're sick, admitting
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33750/psn-pdf
    May 01, 2013 - we fail to deliver good care, despite my best intentions, despite the best of intentions of nurses, residents
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33610/psn-pdf
    April 01, 2005 - Introducing the New AHRQ WebM&M and AHRQ Patient Safety Network (PSNet) April 1, 2005 Wachter R. Introducing the New AHRQ WebM&M and AHRQ Patient Safety Network (PSNet). PSNet [internet]. 2005. https://psnet.ahrq.gov/perspective/introducing-new-ahrq-webmm-and-ahrq-patient-safety-network-psnet Editorial Five year…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33836/psn-pdf
    June 01, 2017 - The Weekend Effect in Cardiology: Is It Real? If So, Can It Be Fixed? June 1, 2017 Martin VK, Mirnateghi N, Khoshchehreh M. The Weekend Effect in Cardiology: Is It Real? If So, Can It Be Fixed? . PSNet [internet]. 2017. https://psnet.ahrq.gov/perspective/weekend-effect-cardiology-it-real-if-so-can-it-be-fixed Per…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49752/psn-pdf
    January 01, 2016 - Inadvertent Use of More Potent Acid Leads to Burn January 1, 2016 Maibach HI. Inadvertent Use of More Potent Acid Leads to Burn. PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/inadvertent-use-more-potent-acid-leads-burn The Case A 31-year-old woman came to the clinic for a routine well-woman evaluation. She…
  19. psnet.ahrq.gov/primer/disclosure-errors
    September 15, 2024 - Disclosure of Errors Citation Text: Disclosure of Errors. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …
  20. psnet.ahrq.gov/primer/rapid-response-systems
    July 18, 2024 - Rapid Response Systems Citation Text: Rapid Response Systems. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

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