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psnet.ahrq.gov/node/853772/psn-pdf
September 27, 2023 - Insulin Administration: Pen vs Vial – Similar, but Not
Interchangeable
September 27, 2023
Camarillo H. Insulin Administration: Pen vs Vial – Similar, but Not Interchangeable. PSNet [internet]. 2023.
https://psnet.ahrq.gov/web-mm/insulin-administration-pen-vs-vial-similar-not-interchangeable
The Case
A fourteen-ye…
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psnet.ahrq.gov/node/49589/psn-pdf
August 01, 2009 - Hiding in Plain Sight
August 1, 2009
Weinberg JM. Hiding in Plain Sight. PSNet [internet]. 2009.
https://psnet.ahrq.gov/web-mm/hiding-plain-sight
The Case
A 65-year-old woman presented to an emergency department (ED) with 48 hours of nontraumatic left lower
back pain and general malaise. She was diagnosed with a …
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psnet.ahrq.gov/node/49601/psn-pdf
April 01, 2010 - Nosy Business
April 1, 2010
Orlandi RR. Nosy Business. PSNet [internet]. 2010.
https://psnet.ahrq.gov/web-mm/nosy-business
The Case
A 59-year-old man with a history of idiopathic thrombocytopenic purpura (ITP) presented to the emergency
department (ED) with epistaxis (a "nose bleed"). He reported no previous h…
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psnet.ahrq.gov/node/33582/psn-pdf
September 15, 2024 - Detection of Safety Hazards
September 15, 2024
Detection of Safety Hazards. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/detection-safety-hazards
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the patient s…
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psnet.ahrq.gov/primer/detection-safety-hazards
March 30, 2022 - Detection of Safety Hazards
Citation Text:
Detection of Safety Hazards. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMed…
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psnet.ahrq.gov/web-mm/weak-response
February 24, 2011 - A "Weak" Response
Citation Text:
Reisman AB. A "Weak" Response. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
…
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psnet.ahrq.gov/web-mm/back-basics
July 13, 2010 - Back to Basics
Citation Text:
Hellman R. Back to Basics. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2007.
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…
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psnet.ahrq.gov/perspective/conversation-withsorrel-king
March 01, 2007 - An alert mother read the order, checked the drug, and informed the nurse that the drug and dose were correct
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psnet.ahrq.gov/node/33839/psn-pdf
August 01, 2017 - KB: Correct.
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psnet.ahrq.gov/node/72811/psn-pdf
September 01, 2022 - particularly
international), additional results from expanded use, additional publications, and ensuring the correct
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psnet.ahrq.gov/node/865376/psn-pdf
March 27, 2024 - The best chances to have helped this patient would have
been to (1) immediately initiate MTP and correct
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psnet.ahrq.gov/node/33841/psn-pdf
September 01, 2017 - it doesn't
make sense, just because the computer presented it to you doesn't necessarily mean it's correct
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psnet.ahrq.gov/node/33744/psn-pdf
February 01, 2013 - BJ: That is correct.
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psnet.ahrq.gov/web-mm/getting-diagnosis-both-right-and-wrong
May 29, 2024 - plausible that some of them involved early in the case would still consider tumor lysis syndrome as the correct
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psnet.ahrq.gov/sites/default/files/2024-05/spotlight_case_managing_complexity_in_diagnosis_-_slides_final.pptx
January 01, 2024 - involving patients, their families, clinicians, and other members of the health care team that leads to correct
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psnet.ahrq.gov/web-mm/no-news-may-not-be-good-news
December 07, 2009 - Workflow changes should: (i) ensure that all laboratory tests include the correct ordering provider;
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psnet.ahrq.gov/web-mm/missing-abscess-radiology-reads-digital-era
January 01, 2009 - fellow, or resident as the consultant of the day and actively encourage consultation on selection of the correct
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psnet.ahrq.gov/node/837791/psn-pdf
August 05, 2022 - also one of the
major challenges in assessing and caring for COVID patients, including making the correct
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psnet.ahrq.gov/web-mm/deaths-not-foretold-are-unexpected-deaths-useful-patient-safety-signals
March 01, 2004 - to change The detection method should capture sufficient detail to understand the events and correct
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psnet.ahrq.gov/web-mm/weighty-mistake
September 01, 2016 - EHR that can accept the message and display these data, usually allowing for manual user over-ride to correct