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psnet.ahrq.gov/issue/misgivings
March 17, 2021 - Commentary
Misgivings.
Citation Text:
Farlow B. Misgivings. Hastings Cent Rep. 2009;39(5):19-21.
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psnet.ahrq.gov/issue/medication-administration-errors-and-pediatric-population-systematic-search-literature
September 16, 2015 - Review
Medication administration errors and the pediatric population: a systematic search of the literature.
Citation Text:
Gonzales K. Medication administration errors and the pediatric population: a systematic search of the literature. J Pediatr Nurs. 2010;25(6):555-565. doi:10.1016/…
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psnet.ahrq.gov/issue/emerging-ehr-purgatory-moving-process-outcomes
July 22, 2020 - Commentary
Emerging from EHR purgatory—moving from process to outcomes.
Citation Text:
Goroll AH. Emerging from EHR Purgatory - Moving from Process to Outcomes. N Engl J Med. 2017;376(21):2004-2006. doi:10.1056/NEJMp1700601.
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psnet.ahrq.gov/issue/developing-culture-collaboration-operating-room-more-effective-communication
June 27, 2018 - Review
Developing a culture of collaboration in the operating room: more than effective communication.
Citation Text:
Wade P. Developing a culture of collaboration in the operating room: more than effective communication. ORNAC J. 2014;32(4):16-20, 22-3, 32-8.
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psnet.ahrq.gov/issue/future-engaging-patients-and-families-patient-safety
January 27, 2016 - Commentary
The future of engaging patients and families for patient safety.
Citation Text:
O'Hara JK, Canfield C. The future of engaging patients and families for patient safety. Lancet. 2023;403(10429):791-793. doi:10.1016/s0140-6736(23)01908-6.
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DOI G…
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psnet.ahrq.gov/periodic-issue/periodic-issue-451
August 28, 2024 - August 7, 2024 Weekly Issue
PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly
Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient
safety literature, news, conferences, reports,…
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psnet.ahrq.gov/periodic-issue/periodic-issue-426
February 28, 2024 - February 7, 2024 Weekly Issue
PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly
Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient
safety literature, news, conferences, report…
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psnet.ahrq.gov/web-mm/sick-and-pregnant
August 25, 2021 - Sick and Pregnant
Citation Text:
El-Ibiary S. Sick and Pregnant. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008.
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psnet.ahrq.gov/web-mm/abdominal-aortic-aneurysm-screening
October 01, 2011 - SPOTLIGHT CASE
Abdominal Aortic Aneurysm Screening
Citation Text:
Jim J. Abdominal Aortic Aneurysm Screening. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018.
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psnet.ahrq.gov/web-mm/over-counter-oversight
March 21, 2009 - Over-the-Counter Oversight
Citation Text:
Janamanchi V, Modha K, Whinney C. Over-the-Counter Oversight. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
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psnet.ahrq.gov/web-mm/lost-sign-out-and-documentation
January 31, 2011 - Lost in Sign Out and Documentation
Citation Text:
Detsky ME. Lost in Sign Out and Documentation. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016.
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psnet.ahrq.gov/node/49545/psn-pdf
September 01, 2007 - Coming Undone: Failure of Closure Device
September 1, 2007
Baez-Escudero JL, Levine GN. Coming Undone: Failure of Closure Device. PSNet [internet]. 2007.
https://psnet.ahrq.gov/web-mm/coming-undone-failure-closure-device
The Case
A 65-year-old man underwent coronary angiography because of atypical exertional chest…
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psnet.ahrq.gov/web-mm/dont-pick-picc
December 01, 2011 - Don't Pick the PICC
Citation Text:
McGill RL. Don't Pick the PICC. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.176_slideshow.ppt
May 01, 2008 - Spotlight Case [MONTH] 2003
Spotlight Case May 2008
Diagnosing HIV: It Doesn’t Take a Brain Surgeon
Source and Credits
This presentation is based on the May 2008
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Roger Chou, MD, Oregon Health &…
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psnet.ahrq.gov/web-mm/residual-anesthesia-tepid-burn
February 10, 2010 - Residual Anesthesia: Tepid Burn
Citation Text:
Kurrek MM, Twersky RS. Residual Anesthesia: Tepid Burn. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012.
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psnet.ahrq.gov/web-mm/environmental-safety-or
May 19, 2015 - Environmental Safety in the OR
Citation Text:
Linkin DR, Lautenbach E. Environmental Safety in the OR . PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004.
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psnet.ahrq.gov/web-mm/too-much-too-fast
June 14, 2019 - Too Much, Too Fast
Citation Text:
Tuot D. Too Much, Too Fast. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014.
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psnet.ahrq.gov/web-mm/privacy-or-safety
December 01, 2011 - Similarly, Beth Israel Deaconess surgeons used to carry signout documents as spreadsheets on USB drives
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psnet.ahrq.gov/web-mm/dropping-new-lows
December 18, 2024 - involve participants from pharmacy, nursing, IT, physician groups (including hospitalists, intensivists, surgeons
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psnet.ahrq.gov/web-mm/supervision-and-entrustment-clinical-training-protecting-patients-protecting-trainees
February 22, 2017 - A survey of the American College of Surgeons Board of Governors and Young Fellows Association.