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psnet.ahrq.gov/node/36546/psn-pdf
January 10, 2011 - A systems approach to patient-centered care.
January 10, 2011
Bergeson SC, Dean JD. A systems approach to patient-centered care. JAMA. 2006;296(23):2848-51.
https://psnet.ahrq.gov/issue/systems-approach-patient-centered-care
The authors suggest system-level changes to help health care professionals ensure that they…
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psnet.ahrq.gov/node/36171/psn-pdf
September 29, 2010 - Quality and safety in the intensive care unit.
September 29, 2010
Stockwell DC, Slonim A. Quality and safety in the intensive care unit. J Intensive Care Med.
2006;21(4):199-210.
https://psnet.ahrq.gov/issue/quality-and-safety-intensive-care-unit
The authors provide background on patient safety in intensive care u…
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psnet.ahrq.gov/node/40935/psn-pdf
September 02, 2016 - A Review of FDA’s Approach to Medical Product
Shortages.
September 2, 2016
Silver Spring, MD: US Food and Drug Administration; October 31, 2011.
https://psnet.ahrq.gov/issue/review-fdas-approach-medical-product-shortages
This report outlines the complex nature of drug shortages and suggests strategies to augment t…
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psnet.ahrq.gov/node/35232/psn-pdf
December 09, 2008 - Patient safety: is it just another bandwagon?
December 9, 2008
Storch JL. Patient safety: is it just another bandwagon? Nurs Leadersh (Tor Ont). 2005;18(2):39-55.
https://psnet.ahrq.gov/issue/patient-safety-it-just-another-bandwagon
The author advocates critical assessment of the patient safety movement and suggest…
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psnet.ahrq.gov/node/35534/psn-pdf
April 25, 2018 - Mail service and community pharmacies must work in
tandem.
April 25, 2018
ISMP Safe Medication Alert! Acute care edition. November 17, 2005.
https://psnet.ahrq.gov/issue/mail-service-and-community-pharmacies-must-work-tandem
This article discusses how community pharmacies are contributing to patient safety and sug…
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psnet.ahrq.gov/node/40611/psn-pdf
July 20, 2011 - The normalization of deviance: a threat to patient safety.
July 20, 2011
Odom-Forren J. The normalization of deviance: a threat to patient safety. J Perianesth Nurs.
2011;26(3):216-9. doi:10.1016/j.jopan.2011.05.002.
https://psnet.ahrq.gov/issue/normalization-deviance-threat-patient-safety
This commentary describe…
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psnet.ahrq.gov/node/38440/psn-pdf
January 31, 2011 - Transformation of health care at the front line.
January 31, 2011
Conway PH, Clancy CM. Transformation of health care at the front line. JAMA. 2009;301(7):763-5.
doi:10.1001/jama.2009.103.
https://psnet.ahrq.gov/issue/transformation-health-care-front-line
This commentary emphasizes five key drivers to improve heal…
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psnet.ahrq.gov/node/36169/psn-pdf
August 09, 2006 - Disruptive clinician behavior: a persistent threat to patient
safety.
August 9, 2006
Porto G; Lauve R. Patient Safety Quality Healthcare. July / August 2006.
https://psnet.ahrq.gov/issue/disruptive-clinician-behavior-persistent-threat-patient-safety
The authors describe disruptive clinician behavior, contributing …
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psnet.ahrq.gov/web-mm/do-not-miss-sepsis-needles-viral-haystacks
March 27, 2024 - SPOTLIGHT CASE
CME/MOC
Do Not Miss Sepsis Needles in Viral Haystacks!
Citation Text:
Hamline M, Shaikh U. Do Not Miss Sepsis Needles in Viral Haystacks!. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services.…
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psnet.ahrq.gov/perspective/conversation-withlucian-leape-md
August 01, 2006 - In Conversation with...Lucian Leape, MD
August 1, 2006
Also Read an Essay
Citation Text:
In Conversation with..Lucian Leape, MD. PSNet [internet]. 2006.In Conversation with...Lucian Leape, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Q…
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psnet.ahrq.gov/perspective/conversation-witheric-g-poon-md-mph
September 01, 2008 - In Conversation with…Eric G. Poon, MD, MPH
September 1, 2008
Also Read an Essay
Citation Text:
In Conversation with…Eric G. Poon, MD, MPH. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 20…
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psnet.ahrq.gov/node/60362/psn-pdf
April 13, 2018 - Statewide Telehealth Program Enhances Access to Care,
Improves Outcomes for High-Risk Pregnancies in Rural
Area
June 12, 2020
https://psnet.ahrq.gov/innovation/statewide-telehealth-program-enhances-access-care-improves-outcomes-
high-risk
Summary
Formerly known as the Antenatal and Neonatal Guidelines, Education…
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psnet.ahrq.gov/web-mm/direct-oral-anticoagulants-are-high-risk-medications-potentially-complex-dosing
August 21, 2005 - Direct Oral Anticoagulants are High-Risk Medications with Potentially Complex Dosing
Citation Text:
Giannini J, Wong M, Dager W, et al. Direct Oral Anticoagulants are High-Risk Medications with Potentially Complex Dosing. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Depar…
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psnet.ahrq.gov/node/837959/psn-pdf
August 31, 2022 - Perioperative Anaphylaxis After Insertion of a Latex Drain
in a Patient with Known Latex Allergy
August 31, 2022
Kelly KJ. Perioperative Anaphylaxis After Insertion of a Latex Drain in a Patient with Known Latex Allergy.
PSNet [internet]. 2022.
https://psnet.ahrq.gov/web-mm/perioperative-anaphylaxis-after-insertio…
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psnet.ahrq.gov/perspective/conversation-withjack-barker-phd
January 01, 2006 - In Conversation with…Jack Barker, PhD
January 1, 2006
Also Read an Essay
Citation Text:
In Conversation with…Jack Barker, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006.
Copy C…
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psnet.ahrq.gov/perspective/peacehealth-governance-journey-support-quality-and-safety
August 01, 2007 - The PeaceHealth Governance Journey in Support of Quality and Safety
John L. Haughom,
MD | August 1, 2007
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Haughom JL. The PeaceHealth Governance Journey in Support of Quality and …
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psnet.ahrq.gov/sites/default/files/2024-03/final_spotlight_case_not_missing_sepsis_needles_in_viral_haystacks_slides_march_date.pdf
January 01, 2024 - Spotlight
Spotlight
Do Not Miss Sepsis Needles in Viral Haystacks!
Source and Credits
• This presentation is based on the March 2024 AHRQ WebM&M
Spotlight Case
o See the full article at https://psnet.ahrq.gov/webmm
o CME credit is available
o Commentary by: Michelle Hamline, MD, PhD, MAS and Ulfat
Shaikh, MD, M…
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psnet.ahrq.gov/perspective/conversation-jose-morfin-md-fasn
April 28, 2021 - In Conversation With... José A, Morfín, MD, FASN
April 28, 2021
Also Read the Essay
Citation Text:
In Conversation With.. José A, Morfín, MD, FASN. PSNet [internet]. 2021.In Conversation With... José A, Morfín, MD, FASN. PSNet [internet]. Rockville (MD): Agency f…
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psnet.ahrq.gov/perspective/conversation-withjames-l-reinertsen-md
August 01, 2007 - In Conversation with...James L. Reinertsen, MD
August 1, 2007
Also Read an Essay
Citation Text:
In Conversation with..James L. Reinertsen, MD. PSNet [internet]. 2007.In Conversation with...James L. Reinertsen, MD. PSNet [internet]. Rockville (MD): Agency for Heal…
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psnet.ahrq.gov/perspective/conversation-withrichard-ricciardi-about-office-based-patient-safety
January 31, 2024 - In Conversation with...Richard Ricciardi about Office-Based Patient Safety
Richard Ricciardi, Ph.D., CRNP, FAANP, FAAN | January 31, 2024
Also Read the Essay
View more articles from the same authors.
Citation Text:
Ricciardi R, Lee M, Mossburg S. In Conversatio…