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psnet.ahrq.gov/node/49676/psn-pdf
February 01, 2013 - Death by PCA
February 1, 2013
Hicks RW. Death by PCA. PSNet [internet]. 2013.
https://psnet.ahrq.gov/web-mm/death-pca
The Case
A healthy 21-year-old pregnant woman delivered a healthy baby via Caesarean section after an
uncomplicated pregnancy. Two hours after delivery, the post-anesthesia care unit (PACU) nurse …
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psnet.ahrq.gov/perspective/building-capacity-patient-safety
July 31, 2023 - We were working not on falls or adverse drug reactions, but on the overarching issues that could make
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psnet.ahrq.gov/perspective/conversation-regina-hoffman-about-building-capacity-patient-safety
July 31, 2023 - We were working not on falls or adverse drug reactions, but on the overarching issues that could make
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psnet.ahrq.gov/node/33813/psn-pdf
August 01, 2016 - Safety In Dentistry
August 1, 2016
Ramoni R, Walji MF, Kalenderian E. Safety In Dentistry. PSNet [internet]. 2016.
https://psnet.ahrq.gov/perspective/safety-dentistry
Perspective
In a famous scene from the 1976 film, Marathon Man, Laurence Olivier, playing dentist Dr. Christian Szell
tortures Babe Levy (played by…
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psnet.ahrq.gov/node/851158/psn-pdf
June 28, 2023 - Ventricular Wall Injury during a Diagnostic Cardiac
Catheterization
June 28, 2023
Pham TH, Atreja S. Ventricular Wall Injury during a Diagnostic Cardiac Catheterization. PSNet [internet].
2023.
https://psnet.ahrq.gov/web-mm/ventricular-wall-injury-during-diagnostic-cardiac-catheterization
The Case
A patient was …
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psnet.ahrq.gov/node/852699/psn-pdf
August 30, 2023 - measures associated with healthcare-acquired conditions, such as central-line bloodstream infections and
adverse … drug events.
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psnet.ahrq.gov/node/33601/psn-pdf
December 15, 2024 - computerized-provider-order-entry
https://psnet.ahrq.gov//#1
https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events
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psnet.ahrq.gov/web-mm/fatal-error-neonate-does-just-culture-provide-answer
June 24, 2020 - SPOTLIGHT CASE
Fatal Error in Neonate: Does "Just Culture" Provide an Answer?
Citation Text:
Dekker SWA. Fatal Error in Neonate: Does "Just Culture" Provide an Answer?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010. …
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psnet.ahrq.gov/node/836879/psn-pdf
April 27, 2022 - Is an adverse drug reaction a safety issue that could have been prevented or not?
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psnet.ahrq.gov/node/33864/psn-pdf
January 01, 2019 - In 2007, the Institute of Medicine
estimated that 1.5 million preventable adverse drug events occur
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psnet.ahrq.gov/perspective/overuse-patient-safety-problem
September 01, 2014 - Overuse as a Patient Safety Problem
Christopher Moriates, MD | September 1, 2014
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Moriates C. Overuse as a Patient Safety Problem. PSNet [internet]. Rockville (MD): Agency for Heal…
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psnet.ahrq.gov/perspective/conversation-rosemary-gibson-msc
September 01, 2014 - In Conversation With… Rosemary Gibson, MSc
September 1, 2014
Also Read an Essay
Citation Text:
In Conversation With… Rosemary Gibson, MSc. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 20…
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psnet.ahrq.gov/node/851568/psn-pdf
July 31, 2023 - Medication Administration Errors
Medication errors are common in the hospital setting and can cause adverse … drug events.25 Up to 33% of
reported medication errors concern medication administration and 22% concern … psnet.ahrq.gov//#20
https://psnet.ahrq.gov//#23
https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events
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psnet.ahrq.gov/node/49494/psn-pdf
January 01, 2006 - Pharmacist participation on physician rounds and adverse drug
events in the intensive care unit.
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psnet.ahrq.gov/perspective/patient-safety-perspective-office-practice
May 01, 2009 - Adverse drug events in ambulatory care. N Engl J Med. 2003;348:1556-1564. [go to PubMed]
2.
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psnet.ahrq.gov/web-mm/situational-awareness-and-patient-safety
May 01, 2012 - Situational Awareness and Patient Safety
Citation Text:
Farnan JE. Situational Awareness and Patient Safety. 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 XM…
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psnet.ahrq.gov/web-mm/benefits-vs-risks-intraosseous-vascular-access
September 01, 2005 - Benefits vs. Risks of Intraosseous Vascular Access
Citation Text:
Fowler RL, Lippmann MJ. Benefits vs. Risks of Intraosseous Vascular Access. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014.
Copy Citation
Format:
Go…
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psnet.ahrq.gov/web-mm/consequences-medical-overuse
May 05, 2021 - overuse of antibiotics and the known complications including Clostridium difficile infection and adverse … drug reactions.
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psnet.ahrq.gov/web-mm/unhappy-patient-leaves-against-medical-advice
January 31, 2024 - The Unhappy Patient Leaves Against Medical Advice.
Citation Text:
Nichols A. The Unhappy Patient Leaves Against Medical Advice.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022.
Copy Citation
Format:
Google Scholar …
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psnet.ahrq.gov/node/836877/psn-pdf
May 16, 2022 - In Conversation With... Remle P. Crowe, PhD
May 16, 2022
In Conversation With.. Remle P. Crowe, PhD . PSNet [internet]. 2022.
https://psnet.ahrq.gov/perspective/conversation-remle-p-crowe-phd
Editor’s Note: Remle Crowe, PhD, NREMT, is the Director of Clinical and Operational Research at ESO.
In her professional ro…