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  1. psnet.ahrq.gov/perspective/conversation-withgerald-b-hickson-md
    December 01, 2009 - In Conversation with…Gerald B. Hickson, MD December 1, 2009  Also Read an Essay Citation Text: In Conversation with…Gerald B. Hickson, MD . PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72563/psn-pdf
    December 07, 2020 - their patients only take one dose of an antibiotic before a procedure and that this can’t cause any adversedrug reactions, but we know that antibiotics taken for short duration can and do cause adverse events
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867427/psn-pdf
    December 18, 2024 - The Ongoing Journey to Prevent Patient Falls December 18, 2024 Dykes PC, Sousane Z, Mossburg SE. The Ongoing Journey to Prevent Patient Falls. PSNet [internet]. 2024. https://psnet.ahrq.gov/perspective/ongoing-journey-prevent-patient-falls Falls are not a new issue, especially among older adults. The Centers for D…
  4. psnet.ahrq.gov/sites/default/files/2020-11/final_nov_spotlight_case_premature_closing-snycope_11.20.2020-revised.pdf
    January 01, 2020 - Microsoft PowerPoint - FINAL Nov_Spotlight Case_Premature Closing-Snycope_11.20.2020-revised.pptx Spotlight Premature Closure: Was it Just Syncope? Source and Credits • This presentation is based on the November 2020 AHRQ WebM&M Spotlight Case o See the full article at https://psnet.ahrq.gov/webmm o CME credit i…
  5. psnet.ahrq.gov/web-mm/out-sight-out-mind-out-office-test-result-management
    September 01, 2007 - Effect of an electronic medication reconciliation application and process redesign on potential adversedrug events: a cluster-randomized trial. … May 27, 2011 Medication dispensing errors and potential adverse drug events before and
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851870/psn-pdf
    July 31, 2023 - We were working not on falls or adverse drug reactions, but on the overarching issues that could make
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49635/psn-pdf
    September 01, 2011 - Central, not Epidural September 1, 2011 Simmons D. Central, not Epidural. PSNet [internet]. 2011. https://psnet.ahrq.gov/web-mm/central-not-epidural The Case A 55-year-old man with lung cancer recently had the lower lobe of his left lung removed. Post-operatively, he was awake, alert, and oriented to time, place,…
  8. psnet.ahrq.gov/web-mm/hidden-mystery
    December 01, 2011 - SPOTLIGHT CASE Hidden Mystery Citation Text: Brunette DD. Hidden Mystery. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote …
  9. psnet.ahrq.gov/web-mm/carpe-diem-seize-day
    September 01, 2012 - Carpe Diem (Seize the Day) Citation Text: Krumholz A. Carpe Diem (Seize the Day). PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tag…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33632/psn-pdf
    April 01, 2006 - In Conversation with… Michael Cohen, RPh, MS, ScD (hon) April 1, 2006 In Conversation with… Michael Cohen, RPh, MS, ScD (hon). PSNet [internet]. 2006. https://psnet.ahrq.gov/perspective/conversation-michael-cohen-rph-ms-scd-hon Robert Wachter, Editor, AHRQ WebM&M: Tell us a little bit about your background and how…
  11. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.107_slideshow.ppt
    November 01, 2005 - Medication Reconciliation Recommended change for teams participating in IHI collaboratives to reduce adversedrug events One of six changes chosen by the 100,000 Lives Campaign to improve patient care and prevent
  12. psnet.ahrq.gov/perspective/conversation-matthew-weinger-md
    August 01, 2018 - In 2007, the Institute of Medicine estimated that 1.5 million preventable adverse drug events occur each
  13. psnet.ahrq.gov/perspective/conversation-remle-p-crowe-phd
    May 16, 2022 - In Conversation With... Remle P. Crowe, PhD May 16, 2022  Also Read the Essay Citation Text: In Conversation With.. Remle P. Crowe, PhD . PSNet [internet]. 2022.In Conversation With... Remle P. Crowe, PhD . PSNet [internet]. Rockville (MD): Agency for Healthcare …
  14. psnet.ahrq.gov/web-mm/check-twice-transport-once
    March 15, 2023 - Check Twice, Transport Once Citation Text: DePew A, Rice J, Chou J. Check Twice, Transport Once. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 …
  15. psnet.ahrq.gov/perspective/how-identify-and-manage-problem-behaviors
    December 01, 2009 - How to Identify and Manage Problem Behaviors Alan H. Rosenstein, MD, MBA; Michelle O'Daniel, MSG, MHA | December 1, 2009  Also Read a Conversation View more articles from the same authors. Citation Text: Rosenstein AH, O'Daniel M. How to Identify and Manage Prob…
  16. psnet.ahrq.gov/web-mm/fatal-oversight-misdiagnosis-nocturnal-chest-pain-elevated-d-dimer
    May 01, 2005 - systematic review of the performance characteristics of clinical event monitor signals used to detect adversedrug events in the hospital setting.
  17. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2021-05/final_psnet_spotlight_inadvertent_bolus_of_norepinephrine_pp.pdf
    January 01, 2021 - infusions further increase the likelihood of an IV medication error taking place and a subsequent adversedrug event – The Institute for Safe Medication Practices (ISMP) reports that that 56% of medication … Analysis of risk factors for adverse drug events in critically ill patients.
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49614/psn-pdf
    November 01, 2010 - Effect of an electronic medication reconciliation application and process redesign on potential adversedrug events: a cluster-randomized trial.
  19. psnet.ahrq.gov/perspective/measuring-patient-safety
    December 14, 2022 - Severe hypoglycemia events are avoidable adverse drug events.
  20. psnet.ahrq.gov/web-mm/over-counter-oversight
    March 21, 2009 - complications, patients undergoing surgery represent a population that may be particularly vulnerable to adversedrug events from medication errors.

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