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5861. Annual Perspective: Psychological Safety of Healthcare Staff | PSNet
      psnet.ahrq.gov/perspective/annual-perspective-psychological-safety-healthcare-staff
      November 16, 2022 - Establishing and validating an assessment tool will be required to systematically test and confirm the

5862. Health Literacy Universal Precautions Toolkit. Second edition. | PSNet
      psnet.ahrq.gov/issue/health-literacy-universal-precautions-toolkit-second-edition
      July 01, 2015 - Government Resource Health Literacy Universal Precautions Toolkit. Second edition. Citation Text: Brega AG, Barnard J, Mabachi NM, et al. Rockville, MD: Agency for Healthcare Research and Quality; 2015. AHRQ Publication No. 15-0023-EF. Copy Citation Save Save to y…

5863. ACR White Paper on Magnetic Resonance (MR) Safety: Combined Papers of 2002 and 2004. | PSNet
      psnet.ahrq.gov/issue/acr-white-paper-magnetic-resonance-mr-safety-combined-papers-2002-and-2004
      August 13, 2008 - Commentary ACR White Paper on Magnetic Resonance (MR) Safety: Combined Papers of 2002 and 2004. Citation Text: Kanal E; Borgstede JP; Barkovich AJ; Bell C; Bradley WG; Etheridge S; Felmlee JP; Froelich JW; Hayden J; Kaminski EM; Lester JW Jr; Scoumis EA; Zaremba LA; Zinninger MD; Ameri…

5864. Door-to-Doc Patient Safety Toolkit. | PSNet
      psnet.ahrq.gov/issue/door-doc-patient-safety-toolkit
      August 17, 2011 - Multi-use Website Door-to-Doc Patient Safety Toolkit. Citation Text: Banner Health. Copy Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL January 9, 2008 Banner Health. Th…

5865. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49622/psn-pdf
      March 01, 2011 - Dropping the Ball Despite an Integrated EMR March 1, 2011 Karsh B-T. Dropping the Ball Despite an Integrated EMR. PSNet [internet]. 2011. https://psnet.ahrq.gov/web-mm/dropping-ball-despite-integrated-emr The Case A patient followed at a community-based clinic that is part of a large health care system with an in…

5866. Situational (Un)Awareness | PSNet
      psnet.ahrq.gov/web-mm/situational-unawareness
      August 01, 2009 - Situational (Un)Awareness Citation Text: Abramson EL, Kaushal R. Situational (Un)Awareness. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML E…

5867. X-ray Flip | PSNet
      psnet.ahrq.gov/web-mm/x-ray-flip
      August 10, 2019 - X-ray Flip Citation Text: Shapiro MJ. X-ray Flip. 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 PubMedId RIS Downl…

5868. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33856/psn-pdf
      April 01, 2018 - Patient Safety During Hospital Discharge April 1, 2018 Liang K, Alper E. Patient Safety During Hospital Discharge. PSNet [internet]. 2018. https://psnet.ahrq.gov/perspective/patient-safety-during-hospital-discharge Perspective Patients are admitted to the hospital in the United States 35 million times per year.(1)…

5869. To Resuscitate or Not? | PSNet
      psnet.ahrq.gov/web-mm/resuscitate-or-not
      November 01, 2011 - To Resuscitate or Not? Citation Text: Wu AW, Pronovost P. To Resuscitate or Not?. 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 tag…

5870. Is It Safe to Be Direct? | PSNet
      psnet.ahrq.gov/web-mm/it-safe-be-direct
      September 30, 2015 - Is It Safe to Be Direct? Citation Text: Kulkarni NS, Williams M. Is It Safe to Be Direct?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML En…

5871. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49502/psn-pdf
      February 01, 2006 - Deciphering the Code February 1, 2006 Goldstein MK. Deciphering the Code. PSNet [internet]. 2006. https://psnet.ahrq.gov/web-mm/deciphering-code The Case An 85-year-old man with advanced oxygen-dependent chronic obstructive pulmonary disease (COPD) presented to the emergency department (ED) with increasing shortn…

5872. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33705/psn-pdf
      January 01, 2011 - Risk Management and Patient Safety December 1, 2010 Manuel BM, McCarthy JL, Berry WR, et al. Risk Management and Patient Safety. PSNet [internet]. 2010. https://psnet.ahrq.gov/perspective/risk-management-and-patient-safety Perspective In 1990, a Harvard-based research team reported the incidence of medical errors …

5873. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49761/psn-pdf
      May 01, 2016 - The Fluidity of Diagnostic "Wet Reads" May 1, 2016 Lee CS, Hess CP. The Fluidity of Diagnostic "Wet Reads". PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/fluidity-diagnostic-wet-reads The Case A 64-year-old man with heavy tobacco use presented to the emergency department (ED) with chest pain. His electroc…

5874. Hazards of Loading Doses | PSNet
      psnet.ahrq.gov/web-mm/hazards-loading-doses
      December 01, 2003 - Hazards of Loading Doses Citation Text: Mucksavage JJ, Tesoro EP. Hazards of Loading Doses. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML E…

5875. Spotlight Case July 2008 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.278_slideshow.ppt
      September 01, 2012 - Spotlight Case July 2008 Spotlight Case Peripheral IV in Too Long 1 2 Source and Credits This presentation is based on the September 2012 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Chi-Tai Fang, MD, PhD; Associate Professor, National Taiwan Uni…

5876. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/841493/psn-pdf
      December 14, 2022 - Telehealth and Patient Safety. December 14, 2022 O'Malley G, Shaikh U, Marcin JP. Telehealth and Patient Safety. PSNet [internet]. 2022. https://psnet.ahrq.gov/primer/telehealth-and-patient-safety Background In recent years, telehealth, or the delivery of healthcare over a distance using telecommunications techno…

5877. The Weekend Effect | PSNet
      psnet.ahrq.gov/perspective/weekend-effect
      April 01, 2008 - Annual Perspective The Weekend Effect Sumant Ranji, MD | January 1, 2017  View more articles from the same authors. Citation Text: Ranji SR. The Weekend Effect. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Hea…

5878. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33581/psn-pdf
      December 15, 2024 - Medication Errors and Adverse Drug Events December 15, 2024 Medication Errors and Adverse Drug Events. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect cu…

5879. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50843/psn-pdf
      January 29, 2020 - Incomplete Orders for Hypertonic Saline to Treat Hyponatremia January 29, 2020 Wiegley N, Morfín JA. Incomplete Orders for Hypertonic Saline to Treat Hyponatremia. PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/incomplete-orders-hypertonic-saline-treat-hyponatremia The Case A 54-year-old man was brought t…

5880. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49808/psn-pdf
      October 01, 2017 - High-Risk Medications, High-Risk Transfers October 1, 2017 Staggers N. High-Risk Medications, High-Risk Transfers. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/high-risk-medications-high-risk-transfers The Case A 47-year-old woman with history of primary pulmonary arterial hypertension (PAH) was admitted …