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8821. Errors of omission: missed nursing care. | PSNet
      psnet.ahrq.gov/issue/errors-omission-missed-nursing-care
      September 27, 2017 - Review Errors of omission: missed nursing care. Citation Text: Kalisch BJ, Xie B. Errors of Omission: Missed Nursing Care. West J Nurs Res. 2014;36(7):875-890. doi:10.1177/0193945914531859. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML …

8822. 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):…

8823. 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 …

8824. 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…

8825. 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…

8826. 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 …

8827. Implications of Health Literacy for Public Health: Workshop Summary. | PSNet
      psnet.ahrq.gov/issue/implications-health-literacy-public-health-workshop-summary
      December 17, 2014 - Book/Report Implications of Health Literacy for Public Health: Workshop Summary. Citation Text: Implications of Health Literacy for Public Health: Workshop Summary. Hewitt M, Hernandez LM; Roundtable on Health Literacy, Board on Population Health and Public Health Practice, Institute of …

8828. Patient concerns about medical errors in emergency departments. | PSNet
      psnet.ahrq.gov/issue/patient-concerns-about-medical-errors-emergency-departments
      March 21, 2017 - Study Patient concerns about medical errors in emergency departments. Citation Text: Burroughs TE, Waterman AD, Gallagher TH, et al. Patient concerns about medical errors in emergency departments. Acad Emerg Med. 2005;12(1):57-64. Copy Citation Format: Google Scholar PubM…

8829. Spotlight Case July 2008 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.281_slideshow.ppt
      October 01, 2012 - Spotlight Case July 2008 Spotlight Case CA-MRSA Skin Infections: An Ounce of Prevention is Worth a Pound of Cure * * Source and Credits This presentation is based on the October 2012 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Catherine L…

8830. How Do Providers Recover From Errors? | PSNet
      psnet.ahrq.gov/web-mm/how-do-providers-recover-errors
      May 22, 2024 - SPOTLIGHT CASE How Do Providers Recover From Errors? Citation Text: West CP. How Do Providers Recover From Errors?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008. Copy Citation Format: Google Scholar Bi…

8831. Picking Up the Cause of the Stroke | PSNet
      psnet.ahrq.gov/web-mm/picking-cause-stroke
      August 07, 2024 - Picking Up the Cause of the Stroke Citation Text: Chopra V. Picking Up the Cause of the Stroke. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 X…

8832. Tacit Handover, Overt Mishap | PSNet
      psnet.ahrq.gov/web-mm/tacit-handover-overt-mishap
      August 01, 2006 - Tacit Handover, Overt Mishap Citation Text: Cooper JB, Kamdar BB. Tacit Handover, Overt Mishap. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 X…

8833. 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…

8834. 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…

8835. 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…

8836. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49865/psn-pdf
      June 01, 2019 - Delayed Sepsis Management Due to Ambiguous Allergy June 1, 2019 Blumenthal K. Delayed Sepsis Management Due to Ambiguous Allergy. PSNet [internet]. 2019. https://psnet.ahrq.gov/web-mm/delayed-sepsis-management-due-ambiguous-allergy The Case A 75-year-old man with a past medical history of hemorrhagic stroke, coron…

8837. In Conversation With… Ann L. Hendrich, RN, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-ann-l-hendrich-rn-phd
      February 26, 2025 - In Conversation With… Ann L. Hendrich, RN, PhD December 1, 2011  Citation Text: In Conversation With… Ann L. Hendrich, RN, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011. Copy Cita…

8838. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49516/psn-pdf
      August 01, 2006 - Physical Diagnosis: A Lost Art? August 1, 2006 Thompson GR, Verghese A. Physical Diagnosis: A Lost Art? PSNet [internet]. 2006. https://psnet.ahrq.gov/web-mm/physical-diagnosis-lost-art Case Objectives Appreciate the decline in proficiency and reliance on physical examination skills among health care providers. …

8839. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33704/psn-pdf
      December 01, 2010 - In Conversation with...Geri Amori, PhD December 1, 2010 In Conversation with..Geri Amori, PhD. PSNet [internet]. 2010. https://psnet.ahrq.gov/perspective/conversation-withgeri-amori-phd Editor's note: Geri Amori, PhD, is Vice President for the Education Center at The Risk Management and Patient Safety Institute, a…

8840. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49654/psn-pdf
      June 01, 2012 - Transfer Troubles June 1, 2012 Hains IM. Transfer Troubles. PSNet [internet]. 2012. https://psnet.ahrq.gov/web-mm/transfer-troubles Case Objectives Recognize that transfer of patients between hospitals is common. Understand the frequency of errors and adverse events in the transfer of patients between hospitals. …