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Showing results for "reviews".

  1. The Hazards of Distraction: Ticking All the EHR Boxes | PSNet

    psnet.ahrq.gov/web-mm/hazards-distraction-ticking-all-ehr-boxes
    April 09, 2014 - SPOTLIGHT CASE The Hazards of Distraction: Ticking All the EHR Boxes Citation Text: Easty AC. The Hazards of Distraction: Ticking All the EHR Boxes. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. Copy Citation …

  2. Root Cause Analysis Gone Wrong | PSNet

    psnet.ahrq.gov/web-mm/root-cause-analysis-gone-wrong
    August 28, 2024 - Root Cause Analysis Gone Wrong Citation Text: Peerally MF, Dixon-Woods M. Root Cause Analysis Gone Wrong. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML E…

  3. The Second Victim Phenomenon: A Harsh Reality of Health Care Professions | PSNet

    psnet.ahrq.gov/perspective/second-victim-phenomenon-harsh-reality-health-care-professions
    November 13, 2024 - The Second Victim Phenomenon: A Harsh Reality of Health Care Professions Susan D. Scott RN, MSN | May 1, 2011  View more articles from the same authors. Citation Text: Scott SD. The Second Victim Phenomenon: A Harsh Reality of Health Care Professions. PSNet [intern…

  4. Wrong Catheter in the Right Patient | PSNet

    psnet.ahrq.gov/web-mm/wrong-catheter-right-patient
    May 16, 2022 - Wrong Catheter in the Right Patient Citation Text: Chia C, Molla M. Wrong Catheter in the Right Patient. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML En…

  5. Microsoft PowerPoint - FINAL Feb 2021 Spotlight_Delay in Appropriate DX.pptx - Read-Only (pdf file)

    psnet.ahrq.gov/sites/default/files/2021-02/final_feb_2021_spotlight_delay_in_appropriate_dx.pdf
    January 01, 2021 - Microsoft PowerPoint - FINAL Feb 2021 Spotlight_Delay in Appropriate DX.pptx - Read-Only Spotlight Delay in Appropriate Diagnosis and Treatment Leading to Death from Pulmonary Embolism Source and Credits • This presentation is based on the February 2021 AHRQ WebM&M Spotlight Case o See the full article at ht…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60066/psn-pdf
    March 25, 2020 - Some Patients Can't Wait: Improving Timeliness of Emergency Department Care March 25, 2020 Chang R, Barnes DK. Some Patients Can't Wait: Improving Timeliness of Emergency Department Care. PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/some-patients-cant-wait-improving-timeliness-emergency-department-care D…

  7. Intraoperative Awareness during Rhinoplasty | PSNet

    psnet.ahrq.gov/web-mm/intraoperative-awareness-during-rhinoplasty
    January 29, 2021 - SPOTLIGHT CASE Intraoperative Awareness during Rhinoplasty Citation Text: Bohringer C, Toor J. Intraoperative Awareness during Rhinoplasty. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024. Copy Citation Format: …

  8. Premature Closure: Was It Just Syncope? | PSNet

    psnet.ahrq.gov/web-mm/premature-closure-was-it-just-syncope
    February 10, 2021 - SPOTLIGHT CASE Premature Closure: Was It Just Syncope? Citation Text: Maurier D, Barnes DK. Premature Closure: Was It Just Syncope?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020. Copy Citation Format: …

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49703/psn-pdf
    March 01, 2014 - After-Visit Confusion March 1, 2014 Ventres W. After-Visit Confusion. PSNet [internet]. 2014. https://psnet.ahrq.gov/web-mm/after-visit-confusion The Case An otherwise healthy 18-year-old woman presented to an urgent care clinic with new bumps and white spots near her tongue. The patient's mother accompanied her …

  10. Microsoft PowerPoint - FINAL Nov_Spotlight Case_Premature Closing-Snycope_11.20.2020-revised.pptx (pdf file)

    psnet.ahrq.gov/sites/default/files/2020-11/final_nov_spotlight_case_premature_closing-snycope_11.20.2020-revised.pdf
    January 01, 2020 - Microsoft PowerPoint - FINAL Nov_Spotlight Case_Premature Closing-Snycope_11.20.2020-revised.pptx Spotlight Premature Closure: Was it Just Syncope? Source and Credits • This presentation is based on the November 2020 AHRQ WebM&M Spotlight Case o See the full article at https://psnet.ahrq.gov/webmm o CME credit i…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49688/psn-pdf
    August 21, 2013 - Discharge Instructions in the PACU: Who Remembers? August 21, 2013 Engel KG. Discharge Instructions in the PACU: Who Remembers? PSNet [internet]. 2013. https://psnet.ahrq.gov/web-mm/discharge-instructions-pacu-who-remembers The Case A 42-year-old woman was diagnosed with a torn anterior cruciate ligament (ACL) in …

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846125/psn-pdf
    March 15, 2023 - The I-READI Quality and Safety Framework: Strong Communications Channels and Effective Practices to Rapidly Update and Implement Clinical Protocols During a Time of Crisis March 15, 2023 https://psnet.ahrq.gov/innovation/i-readi-quality-and-safety-framework-strong-communications-channels- and-effective Summary …

  13. Battle Buddies: rapid deployment of a psychological resilience intervention for health care workers during the COVID-19 pandemic | PSNet

    psnet.ahrq.gov/innovation/battle-buddies-rapid-deployment-psychological-resilience-intervention-health-care
    September 09, 2020 - EMERGING INNOVATIONS Battle Buddies: rapid deployment of a psychological resilience intervention for health care workers during the COVID-19 pandemic Citation Text: Albott CS, Wozniak JR, McGlinch BP, et al. Battle Buddies: rapid deployment of a psychological resilience intervention for health car…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33575/psn-pdf
    March 15, 2025 - Patient Engagement and Safety March 15, 2025 Patient Engagement and Safety. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/patient-engagement-and-safety PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current research and practice in the pati…

  15. Application of lean thinking to health care: issues and observations. | PSNet

    psnet.ahrq.gov/issue/application-lean-thinking-health-care-issues-and-observations
    May 28, 2015 - Commentary Application of lean thinking to health care: issues and observations. Citation Text: Joosten T, Bongers I, Janssen R. Application of lean thinking to health care: issues and observations. International Journal for Quality in Health Care. 2009;21(5). doi:10.1093/intqhc/mzp036…

  16. How communication among members of the health care team affects maternal morbidity and mortality. | PSNet

    psnet.ahrq.gov/issue/how-communication-among-members-health-care-team-affects-maternal-morbidity-and-mortality
    November 12, 2014 - Commentary How communication among members of the health care team affects maternal morbidity and mortality. Citation Text: Brennan RA, Keohane CA. How Communication Among Members of the Health Care Team Affects Maternal Morbidity and Mortality. J Obstet Gynecol Neonatal Nurs. 2016;45(6)…

  17. Mirror, Mirror on the Wall: An Update on the Quality of American Health Care Through the Patient's Lens. | PSNet

    psnet.ahrq.gov/issue/mirror-mirror-wall-update-quality-american-health-care-through-patients-lens
    August 15, 2007 - Book/Report Mirror, Mirror on the Wall: An Update on the Quality of American Health Care Through the Patient's Lens. Citation Text: Mirror, Mirror on the Wall: An Update on the Quality of American Health Care Through the Patient's Lens. Davis K, Schoen S, Schoenbaum SC, et al. New Yo…

  18. The incidence and nature of prescribing and medication administration errors in paediatric inpatients. | PSNet

    psnet.ahrq.gov/issue/incidence-and-nature-prescribing-and-medication-administration-errors-paediatric-inpatients
    July 08, 2008 - Study The incidence and nature of prescribing and medication administration errors in paediatric inpatients. Citation Text: Ghaleb M, Barber N, Franklin BD, et al. The incidence and nature of prescribing and medication administration errors in paediatric inpatients. Arch Dis Child. 201…

  19. Diagnosing overdiagnosis: conceptual challenges and suggested solutions. | PSNet

    psnet.ahrq.gov/issue/diagnosing-overdiagnosis-conceptual-challenges-and-suggested-solutions
    September 20, 2023 - Commentary Diagnosing overdiagnosis: conceptual challenges and suggested solutions. Citation Text: Hofmann B. Diagnosing overdiagnosis: conceptual challenges and suggested solutions. Eur J Epidemiol. 2014;29(9):599-604. doi:10.1007/s10654-014-9920-5. Copy Citation Format: D…

  20. The Role of Clinical Learning Environments in Preparing New Clinicians to Engage in Patient Safety. | PSNet

    psnet.ahrq.gov/issue/role-clinical-learning-environments-preparing-new-clinicians-engage-patient-safety
    November 18, 2020 - Book/Report The Role of Clinical Learning Environments in Preparing New Clinicians to Engage in Patient Safety. Citation Text: The Role of Clinical Learning Environments in Preparing New Clinicians to Engage in Patient Safety. Disch J, Kilo CM, Passiment M, Wagner R, Weiss KB; National C…
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