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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49604/psn-pdf
    June 01, 2010 - Tacit Handover, Overt Mishap June 1, 2010 Cooper JB, Kamdar BB. Tacit Handover, Overt Mishap. PSNet [internet]. 2010. https://psnet.ahrq.gov/web-mm/tacit-handover-overt-mishap The Case A 61-year-old man was admitted for management of an infected aortic stent, which had been placed 3 years earlier to treat an abdo…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33685/psn-pdf
    May 01, 2009 - In Conversation with…William B. Weeks, MD, MBA May 1, 2009 In Conversation with…William B. Weeks, MD, MBA. PSNet [internet]. 2009. https://psnet.ahrq.gov/perspective/conversation-withwilliam-b-weeks-md-mba Editor's note: William B. Weeks, MD, MBA, is Associate Professor of Psychiatry and of Community and Family M…

  3. Not All Headaches are Due to Migraine: Red Flags, Don’t Miss Diagnoses, and Diagnostic Pitfalls | PSNet

    psnet.ahrq.gov/web-mm/not-all-headaches-are-due-migraine-red-flags-dont-miss-diagnoses-and-diagnostic-pitfalls
    February 17, 2021 - Not All Headaches are Due to Migraine: Red Flags, Don’t Miss Diagnoses, and Diagnostic Pitfalls Citation Text: Olson APJ. Not All Headaches are Due to Migraine: Red Flags, Don’t Miss Diagnoses, and Diagnostic Pitfalls. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Departme…

  4. Patient Safety 101 | PSNet

    psnet.ahrq.gov/primer/patient-safety-101
    January 16, 2025 - Patient Safety 101 Citation Text: Patient Safety 101. 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 Endnote tagged PubMedId RIS D…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49444/psn-pdf
    May 01, 2004 - Do Me a Favor May 1, 2004 Williamson A. Do Me a Favor. PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/do-me-favor The Case A 26-year-old gravida 4 para 1 woman reported that her last menstrual period was 5 weeks prior, and she had a positive home pregnancy test. With a history of one ectopic pregnancy, one…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848110/psn-pdf
    April 26, 2023 - Failure to Ensure Patient Safety Leads to Patient Falls in Nursing Homes. April 26, 2023 Failure to Ensure Patient Safety Leads to Patient Falls in Nursing Homes. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/failure-ensure-patient-safety-leads-patient-falls-nursing-homes Disclosure of Relevant Financial R…

  7. The Michigan Hospital Medicine Safety Consortium (HMS) Finds Infectious Diseases (ID) Physician Approval for Placement of Peripherally Inserted Central Catheters (PICCs) Prevents Unnecessary PICC Use and Reduces Complications | PSNet

    psnet.ahrq.gov/innovation/michigan-hospital-medicine-safety-consortium-hms-finds-infectious-diseases-id-physician
    July 23, 2024 - The Michigan Hospital Medicine Safety Consortium (HMS) Finds Infectious Diseases (ID) Physician Approval for Placement of Peripherally Inserted Central Catheters (PICCs) Prevents Unnecessary PICC Use and Reduces Complications Save Save to your library Print Download PDF Sha…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33570/psn-pdf
    June 15, 2024 - Diagnostic Errors June 15, 2024 Diagnostic Errors. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/diagnostic-errors PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current research and practice in the patient safety field. Last reviewed in 20…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49603/psn-pdf
    June 01, 2010 - Fatal Error in Neonate: Does "Just Culture" Provide an Answer? June 1, 2010 Dekker SWA. Fatal Error in Neonate: Does "Just Culture" Provide an Answer? PSNet [internet]. 2010. https://psnet.ahrq.gov/web-mm/fatal-error-neonate-does-just-culture-provide-answer Case Objectives Describe the just culture approach to in…

  10. Ambulatory Care Safety | PSNet

    psnet.ahrq.gov/primer/ambulatory-care-safety
    December 15, 2024 - Ambulatory Care Safety Citation Text: Ambulatory Care Safety. 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 Endnote tagged PubMedId RIS …

  11. Root Cause Analysis | PSNet

    psnet.ahrq.gov/primer/root-cause-analysis
    March 30, 2022 - Root Cause Analysis Citation Text: Root Cause Analysis. 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 Endnote tagged PubMedId RIS …

  12. Diagnostic Errors | PSNet

    psnet.ahrq.gov/primer/diagnostic-errors
    June 15, 2024 - Diagnostic Errors Citation Text: Diagnostic Errors. 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 Endnote tagged PubMedId RIS Dow…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836812/psn-pdf
    March 30, 2022 - Strategies and Approaches for Investigating Patient Safety Events March 30, 2022 Shaikh U. Strategies and Approaches for Investigating Patient Safety Events. PSNet [internet]. 2022. https://psnet.ahrq.gov/primer/strategies-and-approaches-investigating-patient-safety-events Background This primer provides a broad …

  14. National Patient Safety Foundation. | PSNet

    psnet.ahrq.gov/issue/national-patient-safety-foundation
    November 23, 2016 - Multi-use Website National Patient Safety Foundation. Citation Text: National Patient Safety Foundation. National Patient Safety Foundation. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedi…

  15. Betsy Lehman Center for Patient Safety. | PSNet

    psnet.ahrq.gov/issue/betsy-lehman-center-patient-safety
    January 29, 2018 - Multi-use Website Betsy Lehman Center for Patient Safety. Citation Text: Betsy Lehman Center for Patient Safety. 501 Boylston Street, 5th Floor, Boston, MA, 02116 info@BetsyLehmanCenterMA.gov Copy Citation Save Save to your library Print Download PDF …

  16. Engaging Patients in Improving Ambulatory Care. | PSNet

    psnet.ahrq.gov/issue/engaging-patients-improving-ambulatory-care
    January 17, 2024 - Book/Report Engaging Patients in Improving Ambulatory Care. Citation Text: Engaging Patients in Improving Ambulatory Care. Aligning Forces for Quality. Princeton, NJ: Robert Wood Johnson Foundation; 2013. Copy Citation Save Save to your library Print …

  17. Agent of change. | PSNet

    psnet.ahrq.gov/issue/agent-change
    September 01, 2021 - Newspaper/Magazine Article Agent of change. Citation Text: Agent of change. Gale SF. Chief Learning Officer. July/August 2018;17:22-25. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin …

  18. Resilience Engineering: Concepts and Precepts. | PSNet

    psnet.ahrq.gov/issue/resilience-engineering-concepts-and-precepts
    January 12, 2011 - Book/Report Resilience Engineering: Concepts and Precepts. Citation Text: Resilience Engineering: Concepts and Precepts. Hollnagel E, Woods DD, Leveson N. Burlington, VT: Ashgate; 2006. ISBN: 978-0754649045. Copy Citation Save Save to your library Print …

  19. Medical Errors and Medical Narcissism. | PSNet

    psnet.ahrq.gov/issue/medical-errors-and-medical-narcissism
    August 03, 2005 - Book/Report Medical Errors and Medical Narcissism. Citation Text: Medical Errors and Medical Narcissism. Banja JD. Sudbury MA: Jones and Bartlett, 2005. ISBN: 0763783617. Copy Citation Save Save to your library Print Download PDF Share …

  20. Practicing Medicine in Difficult Times: Protecting Physicians from Malpractice Litigation. | PSNet

    psnet.ahrq.gov/issue/practicing-medicine-difficult-times-protecting-physicians-malpractice-litigation
    August 03, 2005 - Book/Report Practicing Medicine in Difficult Times: Protecting Physicians from Malpractice Litigation. Citation Text: Practicing Medicine in Difficult Times: Protecting Physicians from Malpractice Litigation. Thomas MO, Quinn CJ, Donohue GM. Sudbury, MA: Jones Bartlett; 2009. ISBN: 1…
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