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  1. Periodic Issue | PSNet

    psnet.ahrq.gov/periodic-issue/periodic-issue-299
    July 28, 2021 - found that simulation can optimize SBEA-generated recommendations and that it provides opportunity to test

  2. Periodic Issue | PSNet

    psnet.ahrq.gov/periodic-issue/periodic-issue-311
    September 29, 2021 - September 29, 2021 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, repo…

  3. Periodic Issue | PSNet

    psnet.ahrq.gov/periodic-issue/periodic-issue-304
    August 25, 2021 - August 11, 2021 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…

  4. Periodic Issue | PSNet

    psnet.ahrq.gov/periodic-issue/periodic-issue-346
    May 16, 2022 - Patient portals allow patients and their caregivers to read clinical notes, view test results, and communicate

  5. Periodic Issue | PSNet

    psnet.ahrq.gov/periodic-issue/periodic-issue-348
    May 16, 2022 - June 29, 2022 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, …

  6. Periodic Issue | PSNet

    psnet.ahrq.gov/periodic-issue/periodic-issue-381
    March 15, 2023 - March 8, 2023 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, …

  7. Periodic Issue | PSNet

    psnet.ahrq.gov/periodic-issue/periodic-issue-377
    February 01, 2023 - Machine learning was often used to detect errors occurring in laboratory test results, prescriptions,

  8. Periodic Issue | PSNet

    psnet.ahrq.gov/periodic-issue/periodic-issue-467
    December 18, 2024 - December 11, 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, repor…

  9. Periodic Issue | PSNet

    psnet.ahrq.gov/periodic-issue/periodic-issue-431
    March 27, 2024 - March 13, 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,…

  10. Periodic Issue | PSNet

    psnet.ahrq.gov/periodic-issue/periodic-issue-429
    February 28, 2024 - Several days into the hospital stay, acetylcholine receptor antibody test results returned markedly elevated

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49705/psn-pdf
    January 01, 2020 - A "Reflexive" Diagnosis in Primary Care April 1, 2014 Betjemann J, Josephson AS. A "Reflexive" Diagnosis in Primary Care. PSNet [internet]. 2014. https://psnet.ahrq.gov/web-mm/reflexive-diagnosis-primary-care Case Objectives Appreciate that primary care doctors may be caring for an increasing number of patients wi…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50928/psn-pdf
    February 21, 2020 - Updates in the Role of Health IT in Patient Safety February 21, 2020 Hall KK, Fitall E, Hettinger AZ. Updates in the Role of Health IT in Patient Safety. PSNet [internet]. 2020. https://psnet.ahrq.gov/perspective/updates-role-health-it-patient-safety Background Health information technology (HIT) has the potential…

  13. Procedure Complications – Who is Responsible for Follow up? | PSNet

    psnet.ahrq.gov/web-mm/procedure-complications-who-responsible-follow
    July 31, 2023 - Procedure Complications – Who is Responsible for Follow up? Citation Text: Chalupsky M, Wei H, Marquet E. Procedure Complications – Who is Responsible for Follow up?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023. Copy Cita…

  14. Dangerous Dialysis | PSNet

    psnet.ahrq.gov/web-mm/dangerous-dialysis
    June 12, 2024 - SPOTLIGHT CASE Dangerous Dialysis Citation Text: Holley JL. Dangerous Dialysis . PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML …

  15. Emergency Error | PSNet

    psnet.ahrq.gov/web-mm/emergency-error
    January 18, 2013 - November 16, 2022 Patient-led training on patient safety: a pilot study to test the feasibility

  16. Crossing the Line | PSNet

    psnet.ahrq.gov/web-mm/crossing-line
    December 01, 2012 - SPOTLIGHT CASE Crossing the Line Citation Text: Feldman JP, Gould MK. Crossing the Line. 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…

  17. Spinal Epidural Abscess | PSNet

    psnet.ahrq.gov/web-mm/spinal-epidural-abscess
    November 13, 2019 - identified including failure/delay to follow-up critical piece of history data, ordering of the wrong test

  18. Resuscitation Errors: A Shocking Problem | PSNet

    psnet.ahrq.gov/web-mm/resuscitation-errors-shocking-problem
    October 19, 2022 - Self test ok    c. Monitor display functional    d. "service" message display off    e.

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865376/psn-pdf
    March 27, 2024 - Navigating Chaos: Fatal Iatrogenic Liver Injury in a Patient Admitted for Leg Fractures March 27, 2024 Loseth C. Navigating Chaos: Fatal Iatrogenic Liver Injury in a Patient Admitted for Leg Fractures. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/navigating-chaos-fatal-iatrogenic-liver-injury-patient-admi…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847934/psn-pdf
    April 26, 2023 - Society for Clinical Laboratory Science has proposed a patient safety indicator focused on delayed test
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