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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73549/psn-pdf
    July 28, 2021 - Local Anesthesia-Induced Coma During Total Knee Arthroplasty. July 28, 2021 Aldwinckle R. Local Anesthesia-Induced Coma During Total Knee Arthroplasty. PSNet [internet]. 2021. https://psnet.ahrq.gov/web-mm/local-anesthesia-induced-coma-during-total-knee-arthroplasty The Case A 61-year-old male patient weighing 57…
  2. psnet.ahrq.gov/web-mm/dont-wait-collect-accurate-weight-case-subtherapeutic-insulin-therapy
    July 01, 2008 - August 3, 2022 Prevalence, nature, severity and preventability of adverse drug events … February 16, 2022 An initiative to reduce insulin-related adverse drug events in a children's
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49857/psn-pdf
    March 01, 2019 - Duplicate Insulin Order March 1, 2019 Acquisto NM, Cobaugh DJ. Duplicate Insulin Order. PSNet [internet]. 2019. https://psnet.ahrq.gov/web-mm/duplicate-insulin-order The Case A 45-year-old man with a history of insulin-dependent diabetes mellitus was seen in the emergency department (ED) for complaints of letharg…
  4. psnet.ahrq.gov/web-mm/specimen-almost-lost
    September 21, 2022 - March 19, 2018 Advancing medication safety: establishing a National Action Plan for AdverseDrug Event Prevention.
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49770/psn-pdf
    September 01, 2016 - Wrong-Time Error With High-Alert Medication September 1, 2016 Yang A, Nelson LS. Wrong-Time Error With High-Alert Medication. PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/wrong-time-error-high-alert-medication The Case A 60-year-old man was admitted to the hospital for a total knee arthroplasty. During th…
  6. psnet.ahrq.gov/issue/managing-hospitalized-patients-ambulatory-pumps-findings-ismp-survey-part-1
    November 18, 2015 - Newspaper/Magazine Article Managing hospitalized patients with ambulatory pumps: findings from an ISMP survey—Part 1. Citation Text: Managing hospitalized patients with ambulatory pumps: findings from an ISMP survey—Part 1. ISMP Medication Safety Alert! Acute care edition. November 19, 2…
  7. psnet.ahrq.gov/issue/secret-data-hospital-inspections-may-soon-become-public
    January 30, 2019 - Newspaper/Magazine Article Secret data on hospital inspections may soon become public. Citation Text: Secret data on hospital inspections may soon become public. Ornstein C. Health Shots. National Public Radio and ProPublica. April 18, 2017. Copy Citation Save Sav…
  8. psnet.ahrq.gov/issue/error-disclosure-pathology-and-laboratory-medicine-review-literature
    July 28, 2021 - Review Error disclosure in pathology and laboratory medicine: a review of the literature. Citation Text: Perkins IU. Error Disclosure in Pathology and Laboratory Medicine: A Review of the Literature. AMA J Ethics. 2016;18(8):809-16. doi:10.1001/journalofethics.2016.18.8.nlit1-1608. Cop…
  9. psnet.ahrq.gov/issue/building-high-reliability-organization-one-systems-patient-safety-journey
    November 23, 2005 - Commentary Building a high-reliability organization: one system's patient safety journey. Citation Text: Building a high-reliability organization: one system's patient safety journey. J Healthc Manag. 2017;62. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndN…
  10. psnet.ahrq.gov/issue/safe-practices-better-healthcare-2006-update
    September 06, 2011 - Book/Report Safe Practices for Better Healthcare: 2006 Update. Citation Text: Safe Practices for Better Healthcare: 2006 Update. Washington DC: National Quality Forum; 2007. Copy Citation Save Save to your library Print Download PDF Share …
  11. psnet.ahrq.gov/issue/final-report-commission-care
    September 29, 2017 - Book/Report Final Report of the Commission on Care. Citation Text: Final Report of the Commission on Care. Washington, DC: Commission on Care; June 2016. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter …
  12. psnet.ahrq.gov/issue/implementing-closing-loop-safe-practices-diagnostic-results
    March 10, 2021 - Book/Report Implementing Closing the Loop. Safe Practices for Diagnostic Results Citation Text: Implementing Closing the Loop. Safe Practices for Diagnostic Results Partnership for HIT Patient Safety. Plymouth Meeting, PA: ECRI Institute; 2020. Copy Citation Save …
  13. psnet.ahrq.gov/issue/diagnostic-centers-excellence-x01-clinical-trial-not-allowed
    May 04, 2016 - Grant Announcement Diagnostic Centers of Excellence (X01 Clinical Trial Not Allowed). Citation Text: Diagnostic Centers of Excellence (X01 Clinical Trial Not Allowed). PAR-23-120. Bethesda, MD: National Institutes of Health; March 7, 2023 Copy Citation Save Save…
  14. psnet.ahrq.gov/issue/normalization-deviance-healthcare-delivery
    November 19, 2014 - Commentary The normalization of deviance in healthcare delivery. Citation Text: Banja J. The normalization of deviance in healthcare delivery. Bus Horiz. 2010;53(2):139. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedI…
  15. psnet.ahrq.gov/issue/patient-safety-systems-case-management
    December 22, 2008 - Review Patient safety systems for case management. Citation Text: Greenberg L. Patient safety systems for case management. Lippincotts Case Manag. 2004;9(5):223-229. doi:10.1097/00129234-200409000-00004. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNo…
  16. psnet.ahrq.gov/issue/prescription-errors-psychiatry-multi-centre-study
    September 27, 2017 - Study Prescription errors in psychiatry - a multi-centre study. Citation Text: Stubbs J, Haw C, Taylor D. Prescription errors in psychiatry - a multi-centre study. J Psychopharmacol. 2006;20(4):553-61. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndN…
  17. psnet.ahrq.gov/issue/please-dont-sleep-through-wake-call
    May 07, 2018 - Newspaper/Magazine Article Please don't sleep through this wake-up call. Citation Text: Please don't sleep through this wake-up call. ISMP Medication Safety Alert! Acute Care Edition. May 2, 2001.   Copy Citation Save Save to your library Print …
  18. psnet.ahrq.gov/issue/ongoing-nightmare-people-obesity-face-major-obstacles-when-seeking-medical-care
    November 09, 2022 - Newspaper/Magazine Article 'An ongoing nightmare': people with obesity face major obstacles when seeking medical care. Citation Text: 'An ongoing nightmare': people with obesity face major obstacles when seeking medical care. Schapiro R. NBC News. June 27, 2021. Copy Citation …
  19. psnet.ahrq.gov/issue/taking-aim-infusion-confusion
    June 06, 2018 - Commentary Taking aim at infusion confusion. Citation Text: Burdeu G, Crawford R, Van de Vreede M, et al. Taking aim at infusion confusion. J Nurs Care Qual. 2006;21(2):151-159. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged P…
  20. psnet.ahrq.gov/issue/hospital-discharge-and-readmission
    March 27, 2005 - Review Hospital discharge and readmission. Citation Text: Hospital discharge and readmission. Alper E, O'Malley TA, Greenwald J. UpToDate. February 3, 2023. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitt…

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