-
psnet.ahrq.gov/perspective/conversation-richard-c-boothman-jd
March 01, 2012 - Interestingly, in my first trial I was representing a surgeon, and at the end of the 2-week trial, as
-
psnet.ahrq.gov/perspective/beyond-hospital-new-frontier-patient-safety
August 01, 2014 - clinician-based patient safety group that reviewed error reports, unexpected deaths, admissions within one week
-
psnet.ahrq.gov/node/33708/psn-pdf
March 01, 2011 - shift to another person who is essentially covering the service at night versus the person
finishing a week
-
psnet.ahrq.gov/perspective/conversation-eric-j-topol-md
February 26, 2025 - For example blood pressure, giving a nice screenshot summarizing data for a day, a week, or a month.
-
psnet.ahrq.gov/perspective/removing-insult-injury-disclosing-adverse-events
February 01, 2006 - But an error occurred when your Mom was here at the hospital last week."
-
psnet.ahrq.gov/perspective/conversation-withjohn-banja-phd
February 01, 2006 - But an error occurred when your Mom was here at the hospital last week."
-
psnet.ahrq.gov/node/865429/psn-pdf
April 24, 2024 - PCI and CABG for treating stable coronary artery disease:
JACC Review Topic of the Week.
-
psnet.ahrq.gov/node/33789/psn-pdf
August 01, 2015 - If a second report
was released next week, where do you see health IT falling in the pecking order relative
-
psnet.ahrq.gov/perspective/conversation-richard-platt-md-msc
October 01, 2016 - As an example, a week after I had finished caring for patients in the hospital, I wanted to review my
-
psnet.ahrq.gov/web-mm/complications-ecmo-during-transport
January 27, 2021 - competence is present at the bedside managing both the patient and ECMO at all times, 24 hours and 7 days a week
-
psnet.ahrq.gov/web-mm/missed-connection-case-inadequate-ecg-oversight-cardiac-surgery
March 25, 2020 - PCI and CABG for treating stable coronary artery disease: JACC Review Topic of the Week.
-
psnet.ahrq.gov/web-mm/impact-communication-medication-errors
August 01, 2009 - he was prescribed warfarin 4 mg daily on Mondays and Fridays and 3 mg daily on all other days of the week
-
psnet.ahrq.gov/web-mm/may-i-have-another-medication-error
March 01, 2009 - May I Have Another?—Medication Error
Citation Text:
Wolf MS. May I Have Another?—Medication Error. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote …
-
psnet.ahrq.gov/web-mm/reflexive-diagnosis-primary-care
April 01, 2008 - SPOTLIGHT CASE
A "Reflexive" Diagnosis in Primary Care
Citation Text:
Betjemann J, Josephson AS. A "Reflexive" Diagnosis in Primary Care. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014.
Copy Citation
Format:
…
-
psnet.ahrq.gov/web-mm/medication-reconciliation-whose-job-it
May 01, 2018 - SPOTLIGHT CASE
Medication Reconciliation: Whose Job Is It?
Citation Text:
Poon EG. Medication Reconciliation: Whose Job Is It?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2007.
Copy Citation
Format:
Googl…
-
psnet.ahrq.gov/web-mm/duplicate-insulin-order
May 04, 2012 - Duplicate Insulin Order
Citation Text:
Acquisto NM, Cobaugh DJ. Duplicate Insulin Order. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endn…
-
psnet.ahrq.gov/web-mm/weighing-surgical-safety
August 04, 2021 - SPOTLIGHT CASE
Weighing In on Surgical Safety
Citation Text:
Brodsky JB, Margarson M. Weighing In on Surgical Safety. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010.
Copy Citation
Format:
Google Scholar …
-
psnet.ahrq.gov/node/846170/psn-pdf
March 15, 2023 - Duplicate Therapies in Retail Pharmacy
March 15, 2023
Punatar N, Molla M, Lee S. Duplicate Therapies in Retail Pharmacy. PSNet [internet]. 2023.
https://psnet.ahrq.gov/web-mm/duplicate-therapies-retail-pharmacy
The Cases
Case 1: A middle-aged man with a past medical history of heart failure with reduced ejection f…
-
psnet.ahrq.gov/node/49729/psn-pdf
April 01, 2015 - Dissecting the Presentation
April 1, 2015
Suat-Ooi SB. Dissecting the Presentation. PSNet [internet]. 2015.
https://psnet.ahrq.gov/web-mm/dissecting-presentation
Case Objectives
Define aortic dissection.
Describe the epidemiology of acute aortic dissection.
State the common and uncommon presentation of acute aor…
-
psnet.ahrq.gov/node/49771/psn-pdf
July 01, 2016 - Unintended Consequences of CPOE
October 1, 2016
Wears RL. Unintended Consequences of CPOE. PSNet [internet]. 2016.
https://psnet.ahrq.gov/web-mm/unintended-consequences-cpoe
Case Objectives
Explain how technology, including computerized provider order entry, can transform, rather than
eliminate, hazards.
Recogni…