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241. Periodic Issue | PSNet
     psnet.ahrq.gov/periodic-issue/periodic-issue-406
     August 30, 2023 - contributed to a British nurse serial murderer, who, despite warnings from others, continued to harm babies

242. 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…

243. 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…

244. 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.…

245. Periodic Issue | PSNet
     psnet.ahrq.gov/periodic-issue/periodic-issue-306
     August 25, 2021 - effectively support clinicians providing maternity care, provide patient-centered care to mothers and babies

246. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33883/psn-pdf
     July 01, 2019 - These are tiny fragile babies.

247. 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

248. 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…

249. Spotlight Case September 2003 (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.29_slideshow.ppt
     September 01, 2003 - Spotlight Case September 2003 Spotlight Case September 2003 Infant Paralyzed for Intubation Before Airway Materials Ready Source and Credits This presentation is based on the Sept. 2003 AHRQ WebM&M Spotlight Case in Pediatrics See the full article at http://webmm.ahrq.gov CME credit is available through the …

250. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33627/psn-pdf
     February 01, 2006 - Removing Insult from Injury—Disclosing Adverse Events February 1, 2006 Wu AW. Removing Insult from Injury—Disclosing Adverse Events. PSNet [internet]. 2006. https://psnet.ahrq.gov/perspective/removing-insult-injury-disclosing-adverse-events Perspective You pull into a parking space, swing open the car door, and ar…

251. 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…

252. 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…

253. Hurried Team Huddle and Poor Communication: Unsafe Practice During Anesthesia for Emergency Cesarean Delivery | PSNet
     psnet.ahrq.gov/web-mm/hurried-team-huddle-and-poor-communication-unsafe-practice-during-anesthesia-emergency
     September 27, 2023 - SPOTLIGHT CASE CME/MOC Hurried Team Huddle and Poor Communication: Unsafe Practice During Anesthesia for Emergency Cesarean Delivery Citation Text: Curtin A, Schloemerkemper N. Hurried Team Huddle and Poor Communication: Unsafe Practice During Anesthesia for Emergency Cesare…

254. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33815/psn-pdf
     September 01, 2016 - Telemedicine and Patient Safety September 1, 2016 Agboola SO, Kvedar JC. Telemedicine and Patient Safety. PSNet [internet]. 2016. https://psnet.ahrq.gov/perspective/telemedicine-and-patient-safety Perspective A paradigm shift is ongoing in the health care sector. The traditional model of episodic and hospital-base…

255. Life-Threatening Infant Overdose of Sodium Chloride | PSNet
     psnet.ahrq.gov/web-mm/life-threatening-infant-overdose-sodium-chloride
     December 23, 2020 - Life-Threatening Infant Overdose of Sodium Chloride Citation Text: Hamline M, McGlynn G, Lee A, et al. Life-Threatening Infant Overdose of Sodium Chloride. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020. Copy Citation Form…

256. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73202/psn-pdf
     April 28, 2021 - A Postpartum Woman with an Erroneous SARS-CoV-2 Test April 28, 2021 Martin SA, Kanjilal S, Schiff G. A Postpartum Woman with an Erroneous SARS-CoV-2 Test. PSNet [internet]. 2021. https://psnet.ahrq.gov/web-mm/postpartum-woman-erroneous-sars-cov-2-test The Case A full-term pregnant patient was admitted in March 2…

257. Improving Safety, Efficiencies, and Reducing Waste with Ready-to-Administer IV Medications: A Roadmap to Success. | PSNet
     psnet.ahrq.gov/issue/improving-safety-efficiencies-and-reducing-waste-ready-administer-iv-medications-roadmap
     January 24, 2024 - International Meeting/Conference Improving Safety, Efficiencies, and Reducing Waste with Ready-to-Administer IV Medications: A Roadmap to Success. Citation Text: Institute for Safe Medication Practices. February 6, 2024, 1:00-2:00 PM (eastern). Copy Citation Save …

258. In Conversation with... Regina Hoffman about Building Capacity for Patient Safety | PSNet
     psnet.ahrq.gov/perspective/conversation-regina-hoffman-about-building-capacity-patient-safety
     July 31, 2023 - newborn fall often means the baby was dropped, likely by exhausted parents who fall asleep holding their babies

259. Building Capacity for Patient Safety | PSNet
     psnet.ahrq.gov/perspective/building-capacity-patient-safety
     July 31, 2023 - newborn fall often means the baby was dropped, likely by exhausted parents who fall asleep holding their babies

260. Impact of medical mistakes: navigating work–family boundaries for physicians and their families. | PSNet
     psnet.ahrq.gov/issue/impact-medical-mistakes-navigating-work-family-boundaries-physicians-and-their-families
     January 23, 2019 - Study Impact of medical mistakes: navigating work–family boundaries for physicians and their families. Citation Text: Petronio S. Copy Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL …