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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/49861/psn-pdfMay 01, 2019 - Updates in the Management of High-Risk Pulmonary Embolism May 1, 2019 Kabrhel C, Aaronson E. Updates in the Management of High-Risk Pulmonary Embolism. PSNet [internet]. 2019. https://psnet.ahrq.gov/web-mm/updates-management-high-risk-pulmonary-embolism Case Objectives Review common risk factors, typical present… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/33607/psn-pdfSeptember 27, 2022 - Burnout September 27, 2022 Yellowlees P, Rea M. Burnout. PSNet [internet]. 2022. https://psnet.ahrq.gov/primer/burnout Originally published in December 2011 by researchers at the University of California, San Francisco. Updated in September 2022 by Peter Yellowlees, MD and Margaret Rea, PhD. PSNet primers are regu… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/862983/psn-pdfFebruary 28, 2024 - Airway Obstruction during Anterior Cervical Spine Surgery February 28, 2024 Bohringer C, Vo L. Airway Obstruction during Anterior Cervical Spine Surgery. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/airway-obstruction-during-anterior-cervical-spine-surgery The Case A 47-year-old obese man (body weight 13… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72689/psn-pdfJanuary 29, 2021 - But See the Patient First January 29, 2021 Sinigayan VR. But See the Patient First. PSNet [internet]. 2021. https://psnet.ahrq.gov/web-mm/see-patient-first The Case A 55-year-old man with acute myeloid leukemia presented to the emergency department (ED) with a chief complaint of fever. Five days previously, he … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/49810/psn-pdfNovember 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/49786/psn-pdfMarch 01, 2017 - Consequences of Medical Overuse March 1, 2017 Morgan DJ, Foy AJ. Consequences of Medical Overuse. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/consequences-medical-overuse Case Objectives Define overuse and overdiagnosis. State how much of all care is estimated to be overuse. Describe why the likelihood… -
PSNet Curated Library (pdf file)
psnet.ahrq.gov/print/pdf/node/866419March 27, 2024 - PSNet Curated Library AHRQ: Agency for Healthcare Research and Quality Artificial Intelligence: System-Level Considerations Curated Library Foundations Generative artificial intelligence, patient safety and healthcare quality: a review. Howell MD. BMJ Qual Saf. 2024;33:748-754. Artificial intelligence (AI) is… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/33594/psn-pdfNovember 18, 2021 - Debriefing for Clinical Learning November 18, 2021 Edwards JJ, Wexner S, Nichols A. Debriefing for Clinical Learning. PSNet [internet]. 2021. https://psnet.ahrq.gov/primer/debriefing-clinical-learning Updated in September 2021. Originally published in December 2011 by researchers at the University of California, S… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866343/psn-pdfDecember 31, 2024 - Mismanagement of Acute Decompensated Heart Failure with Hypertensive Emergency December 31, 2024 Lee J, Fernilius J, Frick W. Mismanagement of Acute Decompensated Heart Failure with Hypertensive Emergency. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/mismanagement-acute-decompensated-heart-failure-hyperte… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/33669/psn-pdfMay 01, 2018 - Integrating Multiple Medication Decision Support Systems: How Will We Make It All Work? May 1, 2018 Peterson JF. Integrating Multiple Medication Decision Support Systems: How Will We Make It All Work? PSNet [internet]. 2018. https://psnet.ahrq.gov/perspective/integrating-multiple-medication-decision-support-system… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/33561/psn-pdfSeptember 15, 2024 - Never Events September 15, 2024 Never Events. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/never-events 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 patient safety field. Last reviewed in 2024. Backg… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73902/psn-pdfSeptember 29, 2021 - Dangers of Missing an Epidural Abscess: Multiple Visits and Delayed Diagnosis with a Severely Negative Outcome September 29, 2021 Lantz L, Yoon J, Barnes DK. Dangers of Missing an Epidural Abscess: Multiple Visits and Delayed Diagnosis with a Severely Negative Outcome. PSNet [internet]. 2021. https://psnet.ahrq.go… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/33603/psn-pdfSeptember 15, 2024 - Surgical Site Infections September 15, 2024 Surgical Site Infections. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/surgical-site-infections 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 patient safety … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/33852/psn-pdfJanuary 01, 2017 - Patient Engagement in Safety January 1, 2017 Stern RJ, Sarkar U. Patient Engagement in Safety. PSNet [internet]. 2017. https://psnet.ahrq.gov/perspective/patient-engagement-safety Annual Perspective 2017 Background In the past 2 decades, patient engagement in safety has evolved from obscurity to maturity. The Ins… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/33612/psn-pdfMay 01, 2005 - Organizational Change in the Face of Highly Public Errors—I. The Dana-Farber Cancer Institute Experience May 1, 2005 Conway JB, Weingart SN. Organizational Change in the Face of Highly Public Errors—I. The Dana-Farber Cancer Institute Experience. PSNet [internet]. 2005. https://psnet.ahrq.gov/perspective/organizat… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/33817/psn-pdfOctober 01, 2016 - Health Care Data Science for Quality Improvement and Patient Safety October 1, 2016 Rajkomar A. Health Care Data Science for Quality Improvement and Patient Safety. PSNet [internet]. 2016. https://psnet.ahrq.gov/perspective/health-care-data-science-quality-improvement-and-patient-safety Perspective Background Ha… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/865309/psn-pdfMay 29, 2024 - A Stable Airway? Fatal Airway Occlusion After Inadequate Post-Tracheostomy Care May 29, 2024 Gould E, Craddock K, Le Tellier T, et al. A Stable Airway? Fatal Airway Occlusion After Inadequate Post- Tracheostomy Care. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/stable-airway-fatal-airway-occlusion-after-i… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/851099/psn-pdfJune 28, 2023 - Misconnection Leading to Arterial Thrombosis June 28, 2023 Bohringer C, Lee G. Misconnection Leading to Arterial Thrombosis. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/misconnection-leading-arterial-thrombosis The Case A 55-year-old man with chronic obstructive pulmonary disease (COPD) was brought by am… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60610/psn-pdfJune 24, 2020 - Endometriosis: A Common and Commonly Missed and Delayed Diagnosis June 24, 2020 Mackenzie M, Royce C. Endometriosis: A Common and Commonly Missed and Delayed Diagnosis. PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/endometriosis-common-and-commonly-missed-and-delayed-diagnosis The Case A 15-year-old g… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/846564/psn-pdfMarch 29, 2023 - Technology as a Tool for Improving Patient Safety March 29, 2023 Holmgren AJ, McBride S, Gale B, et al. Technology as a Tool for Improving Patient Safety . PSNet [internet]. 2023. https://psnet.ahrq.gov/perspective/technology-tool-improving-patient-safety Introduction In the past several decades, technological a…
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