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  1. Assessment of the AHRQ Patient Safety Initiative: Focus on Implementation and Dissemination Evaluation Report III. | PSNet

    psnet.ahrq.gov/issue/assessment-ahrq-patient-safety-initiative-focus-implementation-and-dissemination-evaluation
    May 21, 2014 - Book/Report Assessment of the AHRQ Patient Safety Initiative: Focus on Implementation and Dissemination Evaluation Report III. Citation Text: Assessment of the AHRQ Patient Safety Initiative: Focus on Implementation and Dissemination Evaluation Report III. Farley DO, Damberg CL, Ridgely …

  2. Improving diagnosis by improving education: a policy brief on education in healthcare professions. | PSNet

    psnet.ahrq.gov/issue/improving-diagnosis-improving-education-policy-brief-education-healthcare-professions
    August 28, 2019 - Commentary Improving diagnosis by improving education: a policy brief on education in healthcare professions. Citation Text: Graber ML, Rencic J, Rusz D, et al. Improving diagnosis by improving education: a policy brief on education in healthcare professions. Diagnosis (Berl). 2018;5(3):…

  3. Multiple latent failures align to allow a serious drug interaction to harm a patient. | PSNet

    psnet.ahrq.gov/issue/multiple-latent-failures-align-allow-serious-drug-interaction-harm-patient
    June 10, 2018 - Newspaper/Magazine Article Multiple latent failures align to allow a serious drug interaction to harm a patient. Citation Text: Multiple latent failures align to allow a serious drug interaction to harm a patient. ISMP Medication Safety Alert! Acute care edition. May 5, 2011;16:1-3. Co…

  4. American College of Radiology White Paper on MR Safety: 2004 Update and Revisions. | PSNet

    psnet.ahrq.gov/issue/american-college-radiology-white-paper-mr-safety-2004-update-and-revisions
    September 28, 2022 - Clinical Guideline American College of Radiology White Paper on MR Safety: 2004 Update and Revisions. Citation Text: doi:10.2214/ajr.182.5.182111. Copy Citation Format: DOI BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation …

  5. Hidden danger, obvious opportunity: error and risk in the management of cancer. | PSNet

    psnet.ahrq.gov/issue/hidden-danger-obvious-opportunity-error-and-risk-management-cancer
    June 07, 2018 - Commentary Hidden danger, obvious opportunity: error and risk in the management of cancer. Citation Text: Munro AJ. Hidden danger, obvious opportunity: error and risk in the management of cancer. Br J Radiol. 2007;80(960):955-66. Copy Citation Format: Google Scholar PubMe…

  6. Maternal and Infant Health Inequality: New Evidence from Linked Administrative Data. | PSNet

    psnet.ahrq.gov/issue/maternal-and-infant-health-inequality-new-evidence-linked-administrative-data
    August 23, 2017 - Book/Report Maternal and Infant Health Inequality: New Evidence from Linked Administrative Data. Citation Text: Maternal and Infant Health Inequality: New Evidence from Linked Administrative Data. Kennedy-Moulton K, Miller S, Persson P, et al. Cambridge, MA: National Bureau of Econo…

  7. Acting Locally: Working in Clinical Microsystems CD-ROM. | PSNet

    psnet.ahrq.gov/issue/acting-locally-working-clinical-microsystems-cd-rom
    May 20, 2019 - Special or Theme Issue Acting Locally: Working in Clinical Microsystems CD-ROM. Citation Text: Acting Locally: Working in Clinical Microsystems CD-ROM. Oakbrook Terrance, IL: Joint Commission Resources; 2005. ISBN 9780866889865. Copy Citation Save Save to yo…

  8. Accelerating what works: using qualitative research methods in developing a change package for a learning collaborative. | PSNet

    psnet.ahrq.gov/issue/accelerating-what-works-using-qualitative-research-methods-developing-change-package-learning
    November 25, 2009 - Commentary Accelerating what works: using qualitative research methods in developing a change package for a learning collaborative. Citation Text: Sorensen A, Bernard SL. Accelerating what works: using qualitative research methods in developing a change package for a learning collaborati…

  9. Adverse glycemic events and critical emergencies. | PSNet

    psnet.ahrq.gov/issue/adverse-glycemic-events-and-critical-emergencies
    December 14, 2022 - Newspaper/Magazine Article Adverse glycemic events and critical emergencies. Citation Text: Adverse glycemic events and critical emergencies. ISMP Medication Safety Alert! Acute care edition. December 2, 2021;(24)1-4. Copy Citation Save Save to your library …

  10. Doctor, Don't Treat Thyself | PSNet

    psnet.ahrq.gov/web-mm/doctor-dont-treat-thyself
    August 21, 2024 - Doctor, Don't Treat Thyself Citation Text: Rosvold EO. Doctor, Don't Treat Thyself. 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 t…

  11. More Treatment—Better Care? | PSNet

    psnet.ahrq.gov/web-mm/more-treatment-better-care
    August 11, 2021 - More Treatment—Better Care? Citation Text: Redberg R. More Treatment—Better Care?. 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 Endnote ta…

  12. Too Tight Control | PSNet

    psnet.ahrq.gov/web-mm/too-tight-control
    March 20, 2013 - SPOTLIGHT CASE Too Tight Control Citation Text: Rubin HR, Fajtova VT. Too Tight Control. 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…

  13. 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…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49570/psn-pdf
    October 01, 2008 - Recurrent Hypoglycemia: A Care Transition Failure? October 1, 2008 Eytan T. Recurrent Hypoglycemia: A Care Transition Failure? PSNet [internet]. 2008. https://psnet.ahrq.gov/web-mm/recurrent-hypoglycemia-care-transition-failure Case Objectives Understand the complementary abilities of an electronic health record a…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33746/psn-pdf
    March 01, 2013 - In Conversation With… David M. Gaba, MD March 1, 2013 In Conversation With… David M. Gaba, MD. PSNet [internet]. 2013. https://psnet.ahrq.gov/perspective/conversation-david-m-gaba-md Editor's note: David M. Gaba, MD, is a Professor of Anesthesia at the Stanford University School of Medicine. An international leade…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867475/psn-pdf
    February 26, 2025 - From Pain Relief to Risk: A Case of Suspected Opioid Overdose in a Pediatric Patient February 26, 2025 Markham K, Usui M, Smith C. From Pain Relief to Risk: A Case of Suspected Opioid Overdose in a Pediatric Patient. PSNet [internet]. 2025. https://psnet.ahrq.gov/web-mm/pain-relief-risk-case-suspected-opioid-overd…

  17. From Pain Relief to Risk: A Case of Suspected Opioid Overdose in a Pediatric Patient | PSNet

    psnet.ahrq.gov/web-mm/pain-relief-risk-case-suspected-opioid-overdose-pediatric-patient
    October 04, 2023 - From Pain Relief to Risk: A Case of Suspected Opioid Overdose in a Pediatric Patient Citation Text: Markham K, Usui M, Smith C. From Pain Relief to Risk: A Case of Suspected Opioid Overdose in a Pediatric Patient. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49558/psn-pdf
    April 01, 2008 - Antibiotics for URI/Sinusitis—A Simple Decision Gone Bad April 1, 2008 Ranji SR. Antibiotics for URI/Sinusitis—A Simple Decision Gone Bad. PSNet [internet]. 2008. https://psnet.ahrq.gov/web-mm/antibiotics-urisinusitis-simple-decision-gone-bad Case Objectives Understand the indications for antibiotic treatment in …

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33818/psn-pdf
    November 01, 2016 - In Conversation With… Andrew Bindman, MD November 1, 2016 In Conversation With… Andrew Bindman, MD. PSNet [internet]. 2016. https://psnet.ahrq.gov/perspective/conversation-andrew-bindman-md Editor's note: Dr. Bindman was appointed as Director of the Agency for Healthcare Research and Quality (AHRQ) in May 2016. P…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847934/psn-pdf
    April 26, 2023 - Patient Safety Indicators April 26, 2023 Tokareva I, Romano P. Patient Safety Indicators. PSNet [internet]. 2023. https://psnet.ahrq.gov/primer/patient-safety-indicators Background Over the past 25 years, policymakers and providers, payers, and purchasers of health care have increasingly focused attention on pati…
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