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261. The use of bar code technology in medication administration. | PSNet
     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…

262. How human factors lead to medical device adverse events. | PSNet
     psnet.ahrq.gov/issue/how-human-factors-lead-medical-device-adverse-events
     February 10, 2021 - Commentary How human factors lead to medical device adverse events. Citation Text: Rich S. Copy Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL June 11, 2008 Rich S. View…

263. 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

264. CPOE: not the first step toward patient safety. | PSNet
     psnet.ahrq.gov/issue/cpoe-not-first-step-toward-patient-safety
     March 02, 2016 - Newspaper/Magazine Article CPOE: not the first step toward patient safety. Citation Text: Kremsdorf R Copy Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL March 6, 2005 Kremsdo…

265. Urine a Tough Position | PSNet
     psnet.ahrq.gov/web-mm/urine-tough-position
     January 01, 2009 - Urine a Tough Position Citation Text: Gandhi TK. Urine a Tough Position. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMe…

266. Spotlight Case [MONTH] 2003 (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.146_slideshow.ppt
     March 01, 2007 - Spotlight Case [MONTH] 2003 Spotlight Case March 2007 Failure to Report Source and Credits This presentation is based on the March 2007 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available through the Web site Commentary by: Patrice L. Spath, BA, RHIT, Brown-Sp…

267. A Postpartum Woman with an Erroneous SARS-CoV-2 Test | PSNet
     psnet.ahrq.gov/web-mm/postpartum-woman-erroneous-sars-cov-2-test
     December 23, 2020 - A Postpartum Woman with an Erroneous SARS-CoV-2 Test Citation Text: Martin SA, Kanjilal S, Schiff G. A Postpartum Woman with an Erroneous SARS-CoV-2 Test. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2021. Copy Citation Forma…

268. Technical Expert Panel | PSNet
     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.

269. In Conversation With… Suchi Saria, PhD | PSNet
     psnet.ahrq.gov/perspective/conversation-suchi-saria-phd
     March 27, 2024 - These are tiny fragile babies.

270. Health Care at the Crossroads: Strategies for Improving the Medical Liability System and Preventing Patient Injury. | PSNet
     psnet.ahrq.gov/issue/health-care-crossroads-strategies-improving-medical-liability-system-and-preventing-patient
     September 07, 2005 - Book/Report Health Care at the Crossroads: Strategies for Improving the Medical Liability System and Preventing Patient Injury. Citation Text: Oakbrook Terrace, IL: Joint Commission on Accreditation of Healthcare Organizations; 2005. Copy Citation Save Save to y…

271. Door-to-Doc Patient Safety Toolkit. | PSNet
     psnet.ahrq.gov/issue/door-doc-patient-safety-toolkit
     August 17, 2011 - Multi-use Website Door-to-Doc Patient Safety Toolkit. Citation Text: Banner Health. Copy Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL January 9, 2008 Banner Health. Th…

272. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49704/psn-pdf
     March 01, 2014 - Late Anemia Following Rh Disease in a Newborn March 1, 2014 Newman TB, Maisels JM. Late Anemia Following Rh Disease in a Newborn. PSNet [internet]. 2014. https://psnet.ahrq.gov/web-mm/late-anemia-following-rh-disease-newborn The Case A full-term neonate was delivered uneventfully to an Rh-negative woman who had re…

273. Rapid Mis-St(r)ep | PSNet
     psnet.ahrq.gov/web-mm/rapid-mis-strep
     February 01, 2004 - Rapid Mis-St(r)ep Citation Text: Kaplan EL. Rapid Mis-St(r)ep. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2007. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

274. Spotlight Case July 2008 (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.212_slideshow.ppt
     February 01, 2010 - Spotlight Case July 2008 Spotlight Case Adolescent Diabetes: A Routine Visit? Source and Credits This presentation is based on the February 2010 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Gail B. Slap, MD, MSc, Children’s Hospital of P…

275. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49424/psn-pdf
     November 01, 2003 - Waiting Too Long November 1, 2003 Rosen MA. Waiting Too Long. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/waiting-too-long The Case A 31-year-old gravida 1, para 1 woman presented at 40 weeks in the early stages of labor having received limited prenatal care at an outside clinic. Physical exam performed…

276. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49394/psn-pdf
     April 01, 2003 - Premature or Overdue? April 1, 2003 Thomas J, Hannah M. Premature or Overdue? PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/premature-or-overdue The Case A 32-year-old woman, gravida 3, para 1, presented for prenatal care at 24 weeks. Her past medical history was unremarkable, and results of her prenatal …

277. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49772/psn-pdf
     October 01, 2016 - Lapse in Antibiotics Leads to Sepsis October 1, 2016 Levy MM. Lapse in Antibiotics Leads to Sepsis. PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/lapse-antibiotics-leads-sepsis The Case A 34-year-old near-term pregnant woman presented to the emergency department (ED) with abdominal pain, fevers, and short…

278. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74253/psn-pdf
     January 12, 2022 - Patient Safety Events and the Role of Patient Safety Organizations During the COVID-19 Pandemic January 12, 2022 Dickman R, Sharma P, Higgins D, et al. Patient Safety Events and the Role of Patient Safety Organizations During the COVID-19 Pandemic. PSNet [internet]. 2022. https://psnet.ahrq.gov/perspective/patient…

279. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50842/psn-pdf
     January 29, 2020 - Patient Identification Errors: A Systems Challenge January 29, 2020 Choudhury LS, Vu CT. Patient Identification Errors: A Systems Challenge. PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/patient-identification-errors-systems-challenge The Cases The following four events involving five patients all involved…

280. In Conversation With... Barbara Drew, RN, PhD | PSNet
     psnet.ahrq.gov/perspective/conversation-barbara-drew-rn-phd
     May 01, 2016 - In Conversation With... Barbara Drew, RN, PhD May 1, 2016  Also Read an Essay Citation Text: In Conversation With.. Barbara Drew, RN, PhD. PSNet [internet]. 2016.In Conversation With... Barbara Drew, RN, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare…