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9941. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/836885/psn-pdf
      May 16, 2022 - Management of Cardiac Arrest in Unconventional Locations. May 16, 2022 Agrawal G, Molla M. Management of Cardiac Arrest in Unconventional Locations. PSNet [internet]. 2022. https://psnet.ahrq.gov/web-mm/management-cardiac-arrest-unconventional-locations The Case Case #1: An 80-year-old man with history of Parkins…

9942. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49810/psn-pdf
      November 01, 2017 - Palliative Care: Comfort vs. Harm November 1, 2017 Jox RJ. Palliative Care: Comfort vs. Harm. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/palliative-care-comfort-vs-harm Case Objectives Recognize errors may be difficult to identify in palliative care. State that medication errors and errors in communica…

9943. In Conversation With… Thomas J. Nasca, MD, MACP | PSNet
      psnet.ahrq.gov/perspective/conversation-thomas-j-nasca-md-macp
      July 10, 2024 - In Conversation With… Thomas J. Nasca, MD, MACP April 1, 2016  Citation Text: In Conversation With… Thomas J. Nasca, MD, MACP. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016. Copy Citat…

9944. Aspergillus Mediastinitis & Endocarditis in a Pediatric Patient Complicating Cardiac Surgery and Bedside Chest Closure. | PSNet
      psnet.ahrq.gov/web-mm/aspergillus-mediastinitis-endocarditis-pediatric-patient-complicating-cardiac-surgery-and
      November 16, 2022 - Aspergillus Mediastinitis & Endocarditis in a Pediatric Patient Complicating Cardiac Surgery and Bedside Chest Closure. Citation Text: Partridge E, Dodson D, Reilly M, et al. Aspergillus Mediastinitis & Endocarditis in a Pediatric Patient Complicating Cardiac Surgery and Bedside Chest Closure.. PSNet [inter…

9945. Open wider: Failure to use an interpreter results in fractured teeth and hypoxia during a simple elective operation. | PSNet
      psnet.ahrq.gov/web-mm/open-wider-failure-use-interpreter-results-fractured-teeth-and-hypoxia-during-simple
      January 29, 2021 - Open wider: Failure to use an interpreter results in fractured teeth and hypoxia during a simple elective operation. Citation Text: Bohringer C, Godoy L. Open wider: Failure to use an interpreter results in fractured teeth and hypoxia during a simple elective operation.. PSNet [internet]. Rockville (MD): Ag…

9946. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866995/psn-pdf
      October 30, 2024 - A Cognitive and Communication Blind Spot Contributes to Permanent Paralysis October 30, 2024 Utter GH. A Cognitive and Communication Blind Spot Contributes to Permanent Paralysis. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/cognitive-and-communication-blind-spot-contributes-permanent-paralysis Disclosur…

9947. Application of failure mode effect analysis to improve the care of septic patients admitted through the emergency department. | PSNet
      psnet.ahrq.gov/issue/application-failure-mode-effect-analysis-improve-care-septic-patients-admitted-through
      February 01, 2013 - Study Application of failure mode effect analysis to improve the care of septic patients admitted through the emergency department. Citation Text: Alamry A, Owais SMA, Marini AM, et al. Application of Failure Mode Effect Analysis to Improve the Care of Septic Patients Admitted Through th…

9948. Medical Office Survey: 2020 User Database Report. | PSNet
      psnet.ahrq.gov/issue/medical-office-survey-2020-user-database-report
      April 06, 2022 - Book/Report Medical Office Survey: 2020 User Database Report. Citation Text: Medical Office Survey: 2020 User Database Report. Famolaro T, Hare R, Thornton S, et al. Surveys on Patient Safety CultureTM (SOPSTM). Rockville, MD: Agency for Healthcare Research and Quality; March 2020. …

9949. Medical Office Survey on Patient Safety Culture: 2018 User Database Report. | PSNet
      psnet.ahrq.gov/issue/medical-office-survey-patient-safety-culture-2018-user-database-report
      April 22, 2018 - Book/Report Medical Office Survey on Patient Safety Culture: 2018 User Database Report. Citation Text: Medical Office Survey on Patient Safety Culture: 2018 User Database Report. Famolaro T, Yount N, Hare R, et al. Rockville, MD: Agency for Healthcare Research and Quality; April 2018. AH…

9950. AI for radiographic COVID-19 detection selects shortcuts over signal. | PSNet
      psnet.ahrq.gov/issue/ai-radiographic-covid-19-detection-selects-shortcuts-over-signal
      May 13, 2020 - Study AI for radiographic COVID-19 detection selects shortcuts over signal. Citation Text: DeGrave AJ, Janizek JD, Lee S-I. AI for radiographic COVID-19 detection selects shortcuts over signal. Nat Mach Intell. 2021;3:610–619. doi:10.1038/s42256-021-00338-7. Copy Citation Format: …

9951. Root cause analysis and actions for the prevention of medical errors: quality improvement and resident education. | PSNet
      psnet.ahrq.gov/issue/root-cause-analysis-and-actions-prevention-medical-errors-quality-improvement-and-resident
      October 19, 2016 - Commentary Root cause analysis and actions for the prevention of medical errors: quality improvement and resident education. Citation Text: Charles R, Hood B, DeRosier JM, et al. Root Cause Analysis and Actions for the Prevention of Medical Errors: Quality Improvement and Resident Educat…

9952. Obstetrician-gynecologist views of pregnancy-related medication safety. | PSNet
      psnet.ahrq.gov/issue/obstetrician-gynecologist-views-pregnancy-related-medication-safety
      July 29, 2020 - Study Obstetrician-gynecologist views of pregnancy-related medication safety. Citation Text: SteelFisher GK, Hero JO, Caporello HL, et al. Obstetrician-gynecologist views of pregnancy-related medication safety. J Womens Health (Larchmt). 2020;29(8):1113-1121. doi:10.1089/jwh.2019.8007. …

9953. Racial and ethnic differences in emergency department diagnostic imaging at US Children's Hospitals, 2016-2019. | PSNet
      psnet.ahrq.gov/issue/racial-and-ethnic-differences-emergency-department-diagnostic-imaging-us-childrens-hospitals
      April 22, 2020 - Study Racial and ethnic differences in emergency department diagnostic imaging at US Children's Hospitals, 2016-2019. Citation Text: Marin JR, Rodean J, Hall M, et al. Racial and ethnic differences in emergency department diagnostic imaging at US Children's Hospitals, 2016-2019. JAMA Net…

9954. Adverse events in the paediatric emergency department: a prospective cohort study. | PSNet
      psnet.ahrq.gov/issue/adverse-events-paediatric-emergency-department-prospective-cohort-study
      August 03, 2022 - Study Adverse events in the paediatric emergency department: a prospective cohort study. Citation Text: Plint AC, Stang A, Newton AS, et al. Adverse events in the paediatric emergency department: a prospective cohort study. BMJ Qual Saf. 2021;30(3):216-227. doi:10.1136/bmjqs-2019-010055.…

9955. Infusional chemotherapy and medication errors in a tertiary care pediatric cancer unit in a resource-limited setting. | PSNet
      psnet.ahrq.gov/issue/infusional-chemotherapy-and-medication-errors-tertiary-care-pediatric-cancer-unit-resource
      October 29, 2012 - Study Infusional chemotherapy and medication errors in a tertiary care pediatric cancer unit in a resource-limited setting. Citation Text: Dhamija M, Kapoor G, Juneja A. Infusional chemotherapy and medication errors in a tertiary care pediatric cancer unit in a resource-limited setting. …

9956. Patient perceptions of mistakes in ambulatory care. | PSNet
      psnet.ahrq.gov/issue/patient-perceptions-mistakes-ambulatory-care
      July 29, 2015 - Study Patient perceptions of mistakes in ambulatory care. Citation Text: Kistler CE, Walter LC, Mitchell M, et al. Patient perceptions of mistakes in ambulatory care. Arch Intern Med. 2010;170(16):1480-7. doi:10.1001/archinternmed.2010.288. Copy Citation Format: DOI Google …

9957. Personal formularies of primary care physicians across 4 health care systems. | PSNet
      psnet.ahrq.gov/issue/personal-formularies-primary-care-physicians-across-4-health-care-systems
      July 10, 2019 - Study Personal formularies of primary care physicians across 4 health care systems. Citation Text: Galanter W, Eguale T, Gellad WF, et al. Personal formularies of primary care physicians across 4 health care systems. JAMA Netw Open. 2021;4(7):e2117038. doi:10.1001/jamanetworkopen.2021.17…

9958. Early diagnostic suggestions improve accuracy of family physicians: a randomized controlled trial in Greece. | PSNet
      psnet.ahrq.gov/issue/early-diagnostic-suggestions-improve-accuracy-family-physicians-randomized-controlled-trial
      April 07, 2021 - Study Early diagnostic suggestions improve accuracy of family physicians: a randomized controlled trial in Greece. Citation Text: Kostopoulou O, Lionis C, Angelaki A, et al. Early diagnostic suggestions improve accuracy of family physicians: a randomized controlled trial in Greece. Fam P…

9959. "Time is of the essence": relationship between hospital staff perceptions of time, safety attitudes and staff wellbeing. | PSNet
      psnet.ahrq.gov/issue/time-essence-relationship-between-hospital-staff-perceptions-time-safety-attitudes-and-staff
      September 01, 2021 - Study "Time is of the essence": relationship between hospital staff perceptions of time, safety attitudes and staff wellbeing. Citation Text: Ellis LA, Tran Y, Pomare C, et al. “Time is of the essence”: relationship between hospital staff perceptions of time, safety attitudes and staff …

9960. Patient generated research priorities to improve diagnostic safety: a systematic prioritization exercise. | PSNet
      psnet.ahrq.gov/issue/patient-generated-research-priorities-improve-diagnostic-safety-systematic-prioritization
      February 24, 2021 - Commentary Patient generated research priorities to improve diagnostic safety: a systematic prioritization exercise. Citation Text: Zwaan L, Smith KM, Giardina TD, et al. Patient generated research priorities to improve diagnostic safety: a systematic prioritization exercise. Patient Edu…