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4381. Establishing a Safety Culture: Thinking Small | PSNet
      psnet.ahrq.gov/perspective/establishing-safety-culture-thinking-small
      December 01, 2006 - 40 of K November 1, 2003 WebM&M Cases Transition

4382. Application of Safety-II Principles | PSNet
      psnet.ahrq.gov/perspective/application-safety-ii-principles
      August 28, 2024 - We have continued to be intentional during this transition, regularly obtaining feedback to ensure we

4383. Palliative Care: Comfort vs. Harm | PSNet
      psnet.ahrq.gov/web-mm/palliative-care-comfort-vs-harm
      December 04, 2016 - SPOTLIGHT CASE Palliative Care: Comfort vs. Harm Citation Text: Jox RJ. Palliative Care: Comfort vs. Harm. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. Copy Citation Format: Google Scholar BibTeX EndN…

4384. Intubation Mishap | PSNet
      psnet.ahrq.gov/web-mm/intubation-mishap
      April 26, 2023 - technological change: usability evaluation to inform inpatient nurses' electronic health record system transition

4385. Complications of ECMO During Transport | PSNet
      psnet.ahrq.gov/web-mm/complications-ecmo-during-transport
      January 27, 2021 - Transition of Care in the Cardiothoracic Intensive Care Unit: A Review of Handoffs in Perioperative Cardiothoracic

4386. A Case of Mistaken Capacity: Why A Thorough Psychosocial History Can Improve Care. | PSNet
      psnet.ahrq.gov/web-mm/case-mistaken-capacity-why-thorough-psychosocial-history-can-improve-care
      July 08, 2022 - 2020 WebM&M Cases Recurrent Hypoglycemia: A Care Transition

4387. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867653/psn-pdf
      February 26, 2025 - That will be helpful as our health care continues to transition into different settings.

4388. In Conversation With… Eric J. Topol, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-eric-j-topol-md
      February 26, 2025 - We made this big transition from the Fitbit fitness era to now the medical side of capturing information

4389. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867651/psn-pdf
      February 26, 2025 - incorrectly.4,5,19 As such, incorrectly functioning components (including people), must be addressed to transition

4390. Multiple Levels Involved in Prescribing the Wrong Medication | PSNet
      psnet.ahrq.gov/web-mm/multiple-levels-involved-prescribing-wrong-medication
      December 23, 2020 - 14, 2009 WebM&M Cases Recurrent Hypoglycemia: A Care Transition

4391. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73906/psn-pdf
      October 06, 2021 - I think this is a good transition point.

4392. Overuse as a Patient Safety Problem | PSNet
      psnet.ahrq.gov/perspective/overuse-patient-safety-problem
      September 01, 2014 - History March 21, 2009 WebM&M Cases Lost in Transition

4393. Maternal Safety | PSNet
      psnet.ahrq.gov/primer/maternal-safety
      January 10, 2024 - (AIM) Cardiac Conditions in Obstetrical Care (AIM) Obstetric Hemorrhage (AIM) Postpartum Discharge Transition

4394. Safety I, Safety II, and the New Views of Safety | PSNet
      psnet.ahrq.gov/primer/safety-i-safety-ii-and-new-views-safety
      October 02, 2024 - incorrectly. 4,5 , 19 As such, incorrectly functioning components (including people), must be addressed to transition

4395. In Conversation With… Tejal K. Gandhi, MD, MPH | PSNet
      psnet.ahrq.gov/perspective/conversation-tejal-k-gandhi-md-mph
      February 26, 2025 - This rapid transition is a good thing.

4396. From Possible to Probable to Sure to Wrong—Premature Closure and Anchoring in a Complicated Case | PSNet
      psnet.ahrq.gov/web-mm/possible-probable-sure-wrong-premature-closure-and-anchoring-complicated-case
      October 02, 2013 - Diagnostic Error Equipment failures (e.g., instrument miscalibration) Teamwork/communication/transition-of-care

4397. Misidentifying the Unidentified – John Doe and the EHR | PSNet
      psnet.ahrq.gov/web-mm/misidentifying-unidentified-john-doe-and-ehr
      September 27, 2017 - Misidentifying the Unidentified – John Doe and the EHR Citation Text: Janowak CF, Janowak LM. Misidentifying the Unidentified – John Doe and the EHR. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: …

4398. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/846935/psn-pdf
      March 29, 2023 - Maternal Safety and Perinatal Mental Health March 29, 2023 Allen C, Van CM, Mossburg S. Maternal Safety and Perinatal Mental Health . PSNet [internet]. 2023. https://psnet.ahrq.gov/perspective/maternal-safety-and-perinatal-mental-health Maternal patient safety is a critical aspect of healthcare given the complex pr…

4399. Update on Safety Culture | PSNet
      psnet.ahrq.gov/perspective/update-safety-culture
      January 22, 2020 - Update on Safety Culture Allan Frankel, MD, and Michael Leonard, MD | August 22, 2013  View more articles from the same authors. Citation Text: Frankel A, Leonard M. Update on Safety Culture. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Qual…

4400. Patient Safety and the Evolution of WebM&M and PSNet | PSNet
      psnet.ahrq.gov/perspective/patient-safety-and-evolution-webmm-and-psnet
      April 01, 2008 - Patient Safety and the Evolution of WebM&M and PSNet September 1, 2019  View more articles from the same authors. Citation Text: Ranji SR, Wachter R. Patient Safety and the Evolution of WebM&M and PSNet. PSNet [internet]. Rockville (MD): Agency for Healthcare Resea…