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  1. US national trends in pediatric deaths from prescription and illicit opioids, 1999–2016. | PSNet

    psnet.ahrq.gov/issue/us-national-trends-pediatric-deaths-prescription-and-illicit-opioids-1999-2016
    January 23, 2017 - Study US national trends in pediatric deaths from prescription and illicit opioids, 1999–2016. Citation Text: Gaither JR, Shabanova V, Leventhal JM. US National Trends in Pediatric Deaths From Prescription and Illicit Opioids, 1999-2016. JAMA Netw Open. 2018;1(8):e186558. doi:10.1001/jam…

  2. Cognitive interventions to reduce diagnostic error: a narrative review. | PSNet

    psnet.ahrq.gov/issue/cognitive-interventions-reduce-diagnostic-error-narrative-review
    October 16, 2012 - Review Classic Cognitive interventions to reduce diagnostic error: a narrative review. Citation Text: Graber ML, Kissam S, Payne VL, et al. Cognitive interventions to reduce diagnostic error: a narrative review. BMJ Qual Saf. 2012;21(7):535-557. doi:10.1136/bmjq…

  3. Target-focused medical emergency team training using a human patient simulator: effects on behaviour and attitude. | PSNet

    psnet.ahrq.gov/issue/target-focused-medical-emergency-team-training-using-human-patient-simulator-effects
    May 23, 2013 - Study Target-focused medical emergency team training using a human patient simulator: effects on behaviour and attitude. Citation Text: Wallin C-J, Meurling L, Hedman L, et al. Target-focused medical emergency team training using a human patient simulator: effects on behaviour and atti…

  4. Missed serious neurologic conditions in emergency department patients discharged with nonspecific diagnoses of headache or back pain. | PSNet

    psnet.ahrq.gov/issue/missed-serious-neurologic-conditions-emergency-department-patients-discharged-nonspecific
    April 08, 2018 - Study Missed serious neurologic conditions in emergency department patients discharged with nonspecific diagnoses of headache or back pain. Citation Text: Dubosh NM, Edlow JA, Goto T, et al. Missed Serious Neurologic Conditions in Emergency Department Patients Discharged With Nonspecifi…

  5. The Stoplight Mobility Alert System for safety and prevention of falls in children with physical and cognitive impairments. | PSNet

    psnet.ahrq.gov/innovation/stoplight-mobility-alert-system-safety-and-prevention-falls-children-physical-and
    September 14, 2022 - EMERGING INNOVATIONS The Stoplight Mobility Alert System for safety and prevention of falls in children with physical and cognitive impairments. Citation Text: The Stoplight Mobility Alert System for safety and prevention of falls in children with physical and cognitive impairments. Mullen JB,&nbs…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851870/psn-pdf
    July 31, 2023 - newborn fall often means the baby was dropped, likely by exhausted parents who fall asleep holding their babies

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49613/psn-pdf
    November 01, 2010 - Mother's Milk, but Whose Mother? November 1, 2010 Dougherty D. Mother's Milk, but Whose Mother? PSNet [internet]. 2010. https://psnet.ahrq.gov/web-mm/mothers-milk-whose-mother The Case A 2-month-old otherwise healthy infant was admitted to the hospital to rule out sepsis. The infant had been exclusively breastfed…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33737/psn-pdf
    September 01, 2012 - Preparing for Health Reform: The Federal Government and the Nursing Workforce September 1, 2012 Buerhaus P. Preparing for Health Reform: The Federal Government and the Nursing Workforce. PSNet [internet]. 2012. https://psnet.ahrq.gov/perspective/preparing-health-reform-federal-government-and-nursing-workforce Per…

  9. Mother's Milk, but Whose Mother? | PSNet

    psnet.ahrq.gov/web-mm/mothers-milk-whose-mother
    November 15, 2023 - Mother's Milk, but Whose Mother? Citation Text: Dougherty D. Mother's Milk, but Whose Mother?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XM…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33807/psn-pdf
    May 01, 2016 - In Conversation With... Barbara Drew, RN, PhD May 1, 2016 In Conversation With.. Barbara Drew, RN, PhD. PSNet [internet]. 2016. https://psnet.ahrq.gov/perspective/conversation-barbara-drew-rn-phd Editor's note: Dr. Drew, a nurse researcher, is the David Mortara Distinguished Professor of Physiological Nursing and…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74252/psn-pdf
    January 12, 2022 - In Conversation With... Poonam Sharma, MD, MPH, the Senior Clinical Data Analyst at Atrium Health, and Rhonda Dickman, MSN, RN, CPHQ, the Director of the Tennessee Hospital Association PSO January 12, 2022 In Conversation With.. Poonam Sharma, MD, MPH, the Senior Clinical Data Analyst at Atrium Health, and Rhonda…

  12. In Conversation With... James Augustine, MD | PSNet

    psnet.ahrq.gov/perspective/conversation-james-augustine-md
    July 28, 2021 - The same with stroke, the same with acute MIs, the same with delivering babies, the same with very sick … similar pathways for strokes, and STEMIs [ST-segment elevation myocardial infarctions], and delivering babies

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33883/psn-pdf
    July 01, 2019 - These are tiny fragile babies.

  14. Microsoft PowerPoint - Spotlight Case_Anesthesia Error During Cesarean_06.22.2023 - Final.pptx (pdf file)

    psnet.ahrq.gov/sites/default/files/2023-06/hurried_huddle_0.pdf
    January 01, 2023 - Microsoft PowerPoint - Spotlight Case_Anesthesia Error During Cesarean_06.22.2023 - Final.pptx Spotlight Hurried Team Huddle and Poor Communication: Unsafe Practice During Anesthesia for Emergency Cesarean Delivery Source and Credits • This presentation is based on the June 2023 AHRQ WebM&M Spotlight Case o See…

  15. In Conversation With... Poonam Sharma, MD, MPH, the Senior Clinical Data Analyst at Atrium Health, and Rhonda Dickman, MSN, RN, CPHQ, the Director of the Tennessee Hospital Association PSO | PSNet

    psnet.ahrq.gov/perspective/conversation-poonam-sharma-md-mph-senior-clinical-data-analyst-atrium-health-and-rhonda
    January 12, 2022 - In Conversation With... Poonam Sharma, MD, MPH, the Senior Clinical Data Analyst at Atrium Health, and Rhonda Dickman, MSN, RN, CPHQ, the Director of the Tennessee Hospital Association PSO January 12, 2022  Also Read the Essay Citation Text: In Conversation With.…

  16. Patient Safety Events and the Role of Patient Safety Organizations During the COVID-19 Pandemic | PSNet

    psnet.ahrq.gov/perspective/patient-safety-events-and-role-patient-safety-organizations-during-covid-19-pandemic
    January 12, 2022 - Patient Safety Events and the Role of Patient Safety Organizations During the COVID-19 Pandemic January 12, 2022  Also Read the Conversation View more articles from the same authors. Citation Text: Dickman R, Sharma P, Higgins D, et al. Patient Safety Events and…

  17. EMS Patient Safety in the Field | PSNet

    psnet.ahrq.gov/perspective/ems-patient-safety-field
    July 28, 2021 - The same with stroke, the same with acute MIs, the same with delivering babies, the same with very sick … similar pathways for strokes, and STEMIs [ST-segment elevation myocardial infarctions], and delivering babies

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60542/psn-pdf
    May 27, 2020 - Life-Threatening Infant Overdose of Sodium Chloride May 27, 2020 Hamline M, McGlynn G, Lee A, et al. Life-Threatening Infant Overdose of Sodium Chloride. PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/life-threatening-infant-overdose-sodium-chloride The Case  An infant with trisomy 21 underwent repair of a…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849661/psn-pdf
    June 28, 2023 - Hurried Team Huddle and Poor Communication: Unsafe Practice During Anesthesia for Emergency Cesarean Delivery June 28, 2023 Curtin A, Schloemerkemper N. Hurried Team Huddle and Poor Communication: Unsafe Practice During Anesthesia for Emergency Cesarean Delivery. PSNet [internet]. 2023. https://psnet.ahrq.gov/web…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49421/psn-pdf
    October 01, 2003 - Urine a Tough Position October 1, 2003 Gandhi TK. Urine a Tough Position. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/urine-tough-position The Case A 22-year-old unmarried woman came to her doctor’s office worried that she might be pregnant. Although she did not want to have a baby at that time, she sta…
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