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  1. 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…
  2. 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
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33883/psn-pdf
    July 01, 2019 - These are tiny fragile babies.
  4. 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
  5. 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…
  6. 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…
  7. 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…
  8. 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 …
  9. 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…
  10. 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
  11. psnet.ahrq.gov/web-mm/hurried-team-huddle-and-poor-communication-unsafe-practice-during-anesthesia-emergency
    September 27, 2023 - SPOTLIGHT CASE 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 Cesarean Delivery.. PSNet [internet]…
  12. 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…
  13. 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…
  14. 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…
  15. 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
  16. 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
  17. 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 …
  18. psnet.ahrq.gov/Information/Panel
    January 01, 2012 - She is the Executive Lead for the $30 Million Safe Babies Safe Moms initiative, funded by the A.
  19. 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 …
  20. psnet.ahrq.gov/issue/use-bar-code-technology-medication-administration
    January 23, 2019 - Commentary The use of bar code technology in medication administration. Citation Text: McRoberts S. Copy Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL March 6, 2005 McRober…

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