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  1. Is the Admission Drug Dose Too Low? | PSNet

    psnet.ahrq.gov/web-mm/admission-drug-dose-too-low
    September 01, 2011 - nursing inexperience, a transition between day and night teams, and maybe even a suboptimal critical test

  2. Spotlight Case July 2008 (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.272_slideshow.ppt
    July 01, 2012 - patients Mastery learning requires that all learners meet or exceed a minimum passing score on a skills test

  3. Interpreting the Patient Safety Literature | PSNet

    psnet.ahrq.gov/perspective/interpreting-patient-safety-literature
    June 01, 2005 - Indeed, I test interventions first in my own ICU and my clinical practice. … If they don't pass the "sniff test," I would never recommend them for broader use.

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33671/psn-pdf
    July 01, 2008 - The Soil, Not the Seed: The Real Problem with Root Cause Analysis July 1, 2008 Spath P, Minogue W. The Soil, Not the Seed: The Real Problem with Root Cause Analysis. PSNet [internet]. 2008. https://psnet.ahrq.gov/perspective/soil-not-seed-real-problem-root-cause-analysis Perspective Throughout most of his life, …

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60362/psn-pdf
    April 13, 2018 - Patients with a positive secondary test are then connected with the appropriate medical team for management

  6. In Conversation with...Joseph Britto, MD | PSNet

    psnet.ahrq.gov/perspective/conversation-withjoseph-britto-md
    February 01, 2007 - physicians would know the prevalence of each possible condition under consideration, have full knowledge of test

  7. Handoffs and Signouts | PSNet

    psnet.ahrq.gov/primer/handoffs-and-signouts
    October 18, 2023 - Handoffs and Signouts Citation Text: Handoffs and Signouts. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49790/psn-pdf
    April 01, 2017 - Patient Allergies and Electronic Health Records April 1, 2017 Doyle MJ. Patient Allergies and Electronic Health Records. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/patient-allergies-and-electronic-health-records The Case A 40-year-old woman presented with recurring intense right upper quadrant pain, whi…

  9. PowerPoint Presentation (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.2_slideshow.ppt
    February 01, 2003 - PowerPoint Presentation Spotlight Case February 2003 Apnea in a Patient Under General Anesthesia webmm.ahrq.gov Source and Credits This presentation is based on February 2003 Surgery–Anesthesia Spotlight Case See full case–commentary on webmm.ahrq.gov CME credit is available online Commentary by: Paul Barach,…

  10. Handoffs | PSNet

    psnet.ahrq.gov/primer/handoffs
    October 18, 2023 - Handoffs Citation Text: Handoffs and Signouts. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download…

  11. Periodic Issue | PSNet

    psnet.ahrq.gov/periodic-issue/periodic-issue-293
    May 26, 2021 - May 26, 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, a…

  12. Periodic Issue | PSNet

    psnet.ahrq.gov/periodic-issue/periodic-issue-296
    June 30, 2021 - During an exercise treadmill test, she experienced another “woozy” spell and the ECG showed an elevated

  13. Periodic Issue | PSNet

    psnet.ahrq.gov/periodic-issue/periodic-issue-279
    February 10, 2021 - avoiding anchoring bias, effective communication between care team members, and reviewing all available test

  14. Periodic Issue | PSNet

    psnet.ahrq.gov/periodic-issue/periodic-issue-312
    October 27, 2021 - Study Responses of physicians to an objective safety and quality knowledge test: a cross-sectional

  15. Periodic Issue | PSNet

    psnet.ahrq.gov/periodic-issue/periodic-issue-339
    April 27, 2022 - April 27, 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,…

  16. Periodic Issue | PSNet

    psnet.ahrq.gov/periodic-issue/periodic-issue-403
    August 30, 2023 - August 9, 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,…

  17. Periodic Issue | PSNet

    psnet.ahrq.gov/periodic-issue/periodic-issue-430
    March 27, 2024 - March 6, 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, …

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49771/psn-pdf
    July 01, 2016 - dose, or route of a medication; prescribing to the wrong patient; or selecting the wrong diagnostic test

  19. EMR Entry Error: Not So Benign | PSNet

    psnet.ahrq.gov/web-mm/emr-entry-error-not-so-benign
    July 01, 2012 - unforeseen problems inevitably arise, e.g., a requirement to provide a diagnostic code to order a lab test

  20. False Assumptions Result in a Missed Pneumothorax after Bronchoscopy with Transbronchial Biopsy. | PSNet

    psnet.ahrq.gov/web-mm/false-assumptions-result-missed-pneumothorax-after-bronchoscopy-transbronchial-biopsy
    March 15, 2023 - SPOTLIGHT CASE False Assumptions Result in a Missed Pneumothorax after Bronchoscopy with Transbronchial Biopsy. Citation Text: Kuhn BT, Chau-Etchepare F. False Assumptions Result in a Missed Pneumothorax after Bronchoscopy with Transbronchial Biopsy.. PSNet [internet]. Rockville (MD): Agency for …
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