- 
                                        
psnet.ahrq.gov/node/49835/psn-pdf January 01, 2020 - Don't Pick the PICC
July 1, 2018
McGill RL. Don't Pick the PICC. PSNet [internet]. 2018.
https://psnet.ahrq.gov/web-mm/dont-pick-picc
The Case
A 63-year-old man with diabetes mellitus complicated by retinopathy, neuropathy, and nephropathy;
glaucoma; and stage IV chronic kidney disease was admitted to the hospita…  
- 
                                        
psnet.ahrq.gov/node/33625/psn-pdf January 01, 2006 - Aviation Safety Methods: Quickly Adopted but Questions
Remain
January 1, 2006
Thomas EJ. Aviation Safety Methods: Quickly Adopted but Questions Remain. PSNet [internet]. 2006.
https://psnet.ahrq.gov/perspective/aviation-safety-methods-quickly-adopted-questions-remain
Perspective
On August 2, 2005, Air France flig…  
- 
                                        
psnet.ahrq.gov/sites/default/files/2020-08/too_many_cooks_spotlight_pdf.pdf January 01, 2020 - Spotlight
Too Many Cooks in the Kitchen
Source and Credits
• This presentation is based on the August 2020 AHRQ WebM&M
Spotlight Case
o See the full article at https://psnet.ahrq.gov/webmm
o CME credit is available 
o Commentary by: Richard P. Dutton, MD, MBA
o AHRQ WebM&M Editors in Chief: Patrick Romano, MD…  
- 
                                        
psnet.ahrq.gov/node/49837/psn-pdf August 01, 2018 - Abdominal Aortic Aneurysm Screening
August 1, 2018
Jim J. Abdominal Aortic Aneurysm Screening. PSNet [internet]. 2018.
https://psnet.ahrq.gov/web-mm/abdominal-aortic-aneurysm-screening
Case Objectives
Describe risk factors associated with abdominal aortic aneurysm.
Identify patient populations meeting criteria fo…  
- 
                                        
psnet.ahrq.gov/node/49815/psn-pdf December 01, 2017 - Over-the-Counter Oversight
December 1, 2017
Janamanchi V, Modha K, Whinney C. Over-the-Counter Oversight. PSNet [internet]. 2017.
https://psnet.ahrq.gov/web-mm/over-counter-oversight
The Case
A 56-year-old man was evaluated in the burn clinic for a second-degree burn on his chest. Although
portions of his skin we…  
- 
                                        
psnet.ahrq.gov/web-mm/perioperative-anaphylaxis-after-insertion-latex-drain-patient-known-latex-allergy July 08, 2022 - SPOTLIGHT CASE
         
 Perioperative Anaphylaxis After Insertion of a Latex Drain in a Patient with Known Latex Allergy 
 
 
 
 
 Citation Text: 
 Kelly KJ. Perioperative Anaphylaxis After Insertion of a Latex Drain in a Patient with Known Latex Allergy. PSNet [internet]. Rockville (MD): Agency for Healthcare Resear…  
- 
                                        
psnet.ahrq.gov/web-mm/novel-drug-misuse September 30, 2010 - March 12, 2025 
 
 
 
 
 
 
 
 Assessment of perioperative outcomes among surgeons who operated the night 
- 
                                        
psnet.ahrq.gov/node/49522/psn-pdf November 01, 2006 - Public reporting of surgical mortality: a survey of
New York State cardiothoracic surgeons. 
- 
                                        
psnet.ahrq.gov/web-mm/getting-good-report-card-unintended-consequences-public-reporting-hospital-quality October 01, 2004 - Public reporting of surgical mortality: a survey of New York State cardiothoracic surgeons. 
- 
                                        
psnet.ahrq.gov/node/49846/psn-pdf November 01, 2018 - A
survey of the American College of Surgeons Board of Governors and Young Fellows Association. 
- 
                                        
psnet.ahrq.gov/innovation/algorithm-based-decision-support-system-guides-trauma-staff-during-initial-treatment May 31, 2023 - Teams consisting of at least six clinicians (emergency medicine, anesthesiology, and surgeons) and nursing 
- 
                                        
psnet.ahrq.gov/node/49738/psn-pdf August 21, 2015 - Similarly, Beth Israel Deaconess surgeons used to
carry signout documents as spreadsheets on USB drives 
- 
                                        
psnet.ahrq.gov/node/49758/psn-pdf April 01, 2016 - involve participants from pharmacy, nursing, IT, physician groups (including hospitalists,
intensivists, surgeons 
- 
                                        
psnet.ahrq.gov/web-mm/cognitive-and-communication-blind-spot-contributes-permanent-paralysis January 13, 2010 - Thromboembolism after trauma: an analysis of 1602 episodes from the American College of Surgeons National 
- 
                                        
psnet.ahrq.gov/node/49872/psn-pdf August 08, 2019 - Spinal Epidural Abscess
August 8, 2019
Lu Y, Salvador D. Spinal Epidural Abscess. PSNet [internet]. 2019.
https://psnet.ahrq.gov/web-mm/spinal-epidural-abscess
The Case
A 30-year-old woman with a history of prior spine surgery presented to the emergency department with a
few days of progressive low back pain. She…  
- 
                                        
psnet.ahrq.gov/node/49696/psn-pdf December 01, 2013 - New Oral Anticoagulants
December 1, 2013
Fang MC. New Oral Anticoagulants. PSNet [internet]. 2013.
https://psnet.ahrq.gov/web-mm/new-oral-anticoagulants
Case Objectives
Review properties of newer target-specific oral anticoagulants (TSOACs) such as dabigatran,
rivaroxaban, and apixaban.
State key perioperative c…  
- 
                                        
psnet.ahrq.gov/web-mm/privacy-gone-awry February 24, 2011 - Privacy Gone Awry 
 
 
 
 
 Citation Text: 
 Pauker SG, Pauker SP. Privacy Gone Awry. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004. 
 Copy Citation 
 
 Format: 
 
 
 
 Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubM…  
- 
                                        
psnet.ahrq.gov/web-mm/raise-bar May 29, 2024 - Raise the Bar 
 
 
 
 
 Citation Text: 
 Stotts J, Lyndon A. Raise the Bar. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014. 
 Copy Citation 
 
 Format: 
 
 
 
 Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS 
…  
- 
                                        
psnet.ahrq.gov/web-mm/dropped-lung February 06, 2012 - The Dropped Lung 
 
 
 
 
 Citation Text: 
 Heffner JR. The Dropped Lung. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003. 
 Copy Citation 
 
 Format: 
 
 
 
 Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS 
 
…  
- 
                                        
psnet.ahrq.gov/node/851555/psn-pdf July 31, 2023 - Bandemia as a Harbinger of Stercoral Colitis and
Impending Perforation
July 31, 2023
Flynn S, Barnes DK. Bandemia as a Harbinger of Stercoral Colitis and Impending Perforation. PSNet
[internet]. 2023.
https://psnet.ahrq.gov/web-mm/bandemia-harbinger-stercoral-colitis-and-impending-perforation
The Case
A 56-year-…