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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33701/psn-pdf
    October 01, 2010 - What Makes a Good Checklist October 1, 2010 McLaughlin AC. What Makes a Good Checklist. PSNet [internet]. 2010. https://psnet.ahrq.gov/perspective/what-makes-good-checklist Perspective The use of checklists is a primitive yet remarkably effective strategy for ensuring accuracy in complex tasks. Checklists have lo…
  2. psnet.ahrq.gov/web-mm/listen-family
    April 15, 2015 - Listen to the Family Citation Text: Campbell D. Listen to the Family. 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…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866846/psn-pdf
    September 24, 2024 - Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas of Agreement September 24, 2024 Stockmeier CA, Thomas E, Mossburg S, et al. Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas of Agreement. PSNet [internet]. 2023. https://psnet.ahrq.gov/perspective/zero…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49756/psn-pdf
    April 01, 2016 - Lost in Sign Out and Documentation April 1, 2016 Detsky ME. Lost in Sign Out and Documentation. PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/lost-sign-out-and-documentation The Case A 71-year-old man presented to the emergency department with chest pain. While being evaluated by the emergency physician, …
  5. psnet.ahrq.gov/web-mm/xl-or-smaller
    September 13, 2017 - XL or Smaller? Citation Text: Kozer E. XL or Smaller?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33634/psn-pdf
    May 04, 2006 - The Wild West: Patient Safety in Office-Based Anesthesia May 1, 2006 Kaushal R, Upadhyayula S, Gaba DM, et al. The Wild West: Patient Safety in Office-Based Anesthesia. PSNet [internet]. 2006. https://psnet.ahrq.gov/perspective/wild-west-patient-safety-office-based-anesthesia Perspective Over the last decade, sur…
  7. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2020-02/final_spotlight_opat_powerpoint_01102020_tocme.pdf
    January 01, 2020 - Spotlight Spotlight Discharged with IV antibiotics: When issues arise, who manages the complications? Source and Credits • This presentation is based on the February 2020 AHRQ WebM&M Spotlight Case ○ See the full article at https://psnet.ahrq.gov/webmm ○ CME credit is available • Commentary by: Monica Donnel…
  8. 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…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74242/psn-pdf
    January 07, 2022 - The Next Step: Use of a Pre-Operative Checklist to Prevent Missteps January 7, 2022 Sauder C, Kleber KT. The Next Step: Use of a Pre-Operative Checklist to Prevent Missteps. PSNet [internet]. 2022. https://psnet.ahrq.gov/web-mm/next-step-use-pre-operative-checklist-prevent-missteps The Case A 52-year-old woman w…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49521/psn-pdf
    September 12, 2006 - A Troubling Amine September 1, 2006 Flynn EA. A Troubling Amine. PSNet [internet]. 2006. https://psnet.ahrq.gov/web-mm/troubling-amine The Case A 43-year-old woman was admitted to the intensive care unit for symptoms of heart and respiratory failure. She was found to have severe mitral and tricuspid valve regurgi…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49724/psn-pdf
    January 01, 2015 - Bowel Injury After Laparoscopic Surgery January 1, 2015 Moorthy K. Bowel Injury After Laparoscopic Surgery. PSNet [internet]. 2015. https://psnet.ahrq.gov/web-mm/bowel-injury-after-laparoscopic-surgery The Case A 30-year-old man presented to the hospital for a scheduled laparoscopic inguinal hernia repair with mes…
  12. psnet.ahrq.gov/web-mm/lp-or-not-lp
    February 01, 2018 - To LP or Not LP Citation Text: Landrigan CP. To LP or Not LP. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …
  13. psnet.ahrq.gov/web-mm/back-basics
    July 13, 2010 - Back to Basics Citation Text: Hellman R. Back to Basics. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2007. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …
  14. psnet.ahrq.gov/web-mm/not-miscarriage
    June 01, 2005 - Not a Miscarriage Citation Text: Learman LA. Not a Miscarriage. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …
  15. psnet.ahrq.gov/web-mm/one-ace-too-many
    June 21, 2016 - One ACE Too Many Citation Text: Juurlink DN. One ACE Too Many. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …
  16. psnet.ahrq.gov/perspective/evidence-based-physical-examination-patient-safety-practice
    November 01, 2012 - Restoring physical diagnosis to its proper place in clinical medicine requires two types of changes.
  17. psnet.ahrq.gov/perspective/ahrq-psnet-annual-perspective-impact-covid-19-pandemic-patient-safety
    August 31, 2020 - Types of errors can include missed or delayed diagnoses in patients with respiratory problems, missed
  18. psnet.ahrq.gov/perspective/conversation-enrico-coiera-mb-bs-phd
    February 01, 2014 - Fewer studies have examined what types of interruptions or distractions cause actual errors in clinical
  19. psnet.ahrq.gov/perspective/high-reliability-organization-hro-principles-and-patient-safety
    February 26, 2025 - We need to experiment and try different types of interventions, which is a big barrier.
  20. psnet.ahrq.gov/perspective/conversation-timothy-vogus-about-high-reliability-organization-hro-principles-and
    February 26, 2025 - We need to experiment and try different types of interventions, which is a big barrier.

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