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3061. Missed Patient Assignment: Is Anyone There? | PSNet
      psnet.ahrq.gov/web-mm/missed-patient-assignment-anyone-there
      September 01, 2017 - Missed Patient Assignment: Is Anyone There? Citation Text: Sittig DF, Campbell EM, Singh H. Missed Patient Assignment: Is Anyone There?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010. Copy Citation Format: Google …

3062. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49669/psn-pdf
      November 01, 2012 - Transfusion Overload November 1, 2012 Patel MS, Carson JL. Transfusion Overload. PSNet [internet]. 2012. https://psnet.ahrq.gov/web-mm/transfusion-overload Case Objectives Understand that the traditional transfusion thresholds of hemoglobin below 10 g/dL and hematocrit below 30% are not supported by the evidence.…

3063. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49639/psn-pdf
      November 01, 2011 - Near Miss with Bedside Medications November 1, 2011 Wu AW. Near Miss with Bedside Medications. PSNet [internet]. 2011. https://psnet.ahrq.gov/web-mm/near-miss-bedside-medications Case Objectives Understanding the definition of near miss—also known as close call. Appreciate the importance of close calls in reducin…

3064. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/848109/psn-pdf
      April 26, 2023 - The Danger of 10% Intravenous Calcium Chloride Extravasation. April 26, 2023 The Danger of 10% Intravenous Calcium Chloride Extravasation. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/danger-10-intravenous-calcium-chloride-extravasation The Case A 52-year-old man with a history of lymphoplasmacytic lymph…

3065. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72811/psn-pdf
      September 01, 2022 - Algorithm-Based Decision Support System Guides Trauma Staff During Initial Treatment, Leading to Fewer Medical Errors Originally published on March 3, 2021 Last updated on March 16, 2021 https://psnet.ahrq.gov/innovation/algorithm-based-decision-support-system-guides-trauma-staff-during- initial-treatment Summar…

3066. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49732/psn-pdf
      May 01, 2015 - Errors in Sepsis Management May 1, 2015 Shimabukuro D. Errors in Sepsis Management. PSNet [internet]. 2015. https://psnet.ahrq.gov/web-mm/errors-sepsis-management Case Objectives Define sepsis, severe sepsis, and septic shock. Describe the severe sepsis/septic shock resuscitation bundle. Recognize commonly encou…

3067. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49741/psn-pdf
      September 01, 2015 - Abdominal Pain in Early Pregnancy September 1, 2015 Kilpatrick CC. Abdominal Pain in Early Pregnancy. PSNet [internet]. 2015. https://psnet.ahrq.gov/web-mm/abdominal-pain-early-pregnancy Case Objectives Recognize when nausea and vomiting in pregnancy is abnormal. Identify the most common causes of non-obstetric a…

3068. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41633/psn-pdf
      January 01, 2013 - Determinants of success of quality improvement collaboratives: what does the literature show? December 31, 2012 Hulscher M, Schouten LMT, Grol R, et al. Determinants of success of quality improvement collaboratives: what does the literature show? BMJ Qual Saf. 2013;22(1):19-31. doi:10.1136/bmjqs-2011-000651. https…

3069. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40547/psn-pdf
      June 29, 2011 - What context features might be important determinants of the effectiveness of patient safety practice interventions? June 29, 2011 Taylor SL, Dy SM, Foy R, et al. What context features might be important determinants of the effectiveness of patient safety practice interventions? BMJ Qual Saf. 2011;20(7):611-7. doi:…

3070. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49394/psn-pdf
      April 01, 2003 - psnet.ahrq.gov//#references https://psnet.ahrq.gov//#references https://psnet.ahrq.gov//#references used to determine … considering induction, the physicians now weighed options of either proceeding with an amniocentesis to determine

3071. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47154/psn-pdf
      May 23, 2018 - Comparison of military and civilian methods for determining potentially preventable deaths: a systematic review. May 23, 2018 Janak JC, Sosnov JA, Bares JM, et al. Comparison of Military and Civilian Methods for Determining Potentially Preventable Deaths: A Systematic Review. JAMA Surg. 2018;153(4):367-375. doi:1…

3072. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37207/psn-pdf
      September 09, 2008 - Publicly available hospital comparison web sites: determination of useful, valid, and appropriate information for comparing surgical quality. September 9, 2008 Leonardi MJ, McGory ML, Ko CY. Publicly available hospital comparison web sites: determination of useful, valid, and appropriate information for comparing …

3073. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41067/psn-pdf
      February 10, 2012 - Determining the safety of office-based surgery: what 10 years of Florida data and 6 years of Alabama data reveal. February 10, 2012 Starling J, Thosani MK, Coldiron BM. Determining the safety of office-based surgery: what 10 years of Florida data and 6 years of Alabama data reveal. Dermatol Surg. 2012;38(2):171-7. …

3074. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36954/psn-pdf
      February 24, 2011 - Patient safety knowledge and its determinants in medical trainees. February 24, 2011 Kerfoot P, Conlin PR, Travison T, et al. Patient safety knowledge and its determinants in medical trainees. J Gen Intern Med. 2007;22(8):1150-4. https://psnet.ahrq.gov/issue/patient-safety-knowledge-and-its-determinants-medical-tr…

3075. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39141/psn-pdf
      June 27, 2011 - Determination of health-care teamwork training competencies: a Delphi study. June 27, 2011 Clay-Williams R, Braithwaite J. Determination of health-care teamwork training competencies: a Delphi study. Int J Qual Health Care. 2009;21(6):433-40. doi:10.1093/intqhc/mzp042. https://psnet.ahrq.gov/issue/determination-he…

3076. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43533/psn-pdf
      August 28, 2017 - Organizational, cultural, and psychological determinants of smart infusion pump work arounds: a study of 3 U.S. health systems. August 28, 2017 Dunford BB, Perrigino M, Tucker SJ, et al. Organizational, Cultural, and Psychological Determinants of Smart Infusion Pump Work Arounds: A Study of 3 U.S. Health Systems. …

3077. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37566/psn-pdf
      February 27, 2008 - Determinants of adverse events in hospitals—the potential role of patient safety culture. February 27, 2008 Kline TJB, Willness C, Ghali WA. Determinants of adverse events in hospitals--the potential role of patient safety culture. J Healthc Qual. 2008;30(1):11-7. https://psnet.ahrq.gov/issue/determinants-adverse-…

3078. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40599/psn-pdf
      November 23, 2011 - Organizational climate determinants of resident safety culture in nursing homes. November 23, 2011 Arnetz JE, Zhdanova LS, Elsouhag D, et al. Organizational climate determinants of resident safety culture in nursing homes. Gerontologist. 2011;51(6):739-49. doi:10.1093/geront/gnr053. https://psnet.ahrq.gov/issue/or…

3079. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35305/psn-pdf
      June 30, 2011 - Drug administration errors and their determinants in pediatric in-patients. June 30, 2011 Prot S, Fontan JE, Alberti C, et al. Drug administration errors and their determinants in pediatric in-patients. International Journal for Quality in Health Care. 2005;17(5). doi:10.1093/intqhc/mzi066. https://psnet.ahrq.gov/…

3080. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45372/psn-pdf
      November 18, 2016 - Determinants of patient–oncologist prognostic discordance in advanced cancer. November 18, 2016 Gramling R, Fiscella K, Xing G, et al. Determinants of Patient-Oncologist Prognostic Discordance in Advanced Cancer. JAMA Oncol. 2016;2(11):1421-1426. doi:10.1001/jamaoncol.2016.1861. https://psnet.ahrq.gov/issue/determ…