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5521. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49850/psn-pdf
      January 01, 2019 - Critical Order Set Change and Critical Limb Ischemia January 1, 2019 Clay B. Critical Order Set Change and Critical Limb Ischemia. PSNet [internet]. 2019. https://psnet.ahrq.gov/web-mm/critical-order-set-change-and-critical-limb-ischemia The Case A 72-year-old woman with a history of severe peripheral vascular dis…

5522. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49413/psn-pdf
      September 01, 2003 - Did We Forget Something? September 1, 2003 Gibbs VC. Did We Forget Something? PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/did-we-forget-something The Case A 76-year-old-man underwent right aorto-iliac aneurysm repair. He developed postoperative fever, initially attributed to ventilator-associated pneumo…

5523. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49742/psn-pdf
      September 01, 2015 - A Fumbled Handoff to Inpatient Rehab September 1, 2015 Ashcraft LE, Kahn JM. A Fumbled Handoff to Inpatient Rehab. PSNet [internet]. 2015. https://psnet.ahrq.gov/web-mm/fumbled-handoff-inpatient-rehab The Case An 18-year-old man with no significant past medical history sustained a traumatic brain injury after a mo…

5524. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49542/psn-pdf
      August 21, 2007 - Copy and Paste August 21, 2007 Hersh WR. Copy and Paste. PSNet [internet]. 2007. https://psnet.ahrq.gov/web-mm/copy-and-paste The Case A 77-year-old woman was admitted to a teaching hospital with diarrhea and dehydration after completing her fifth cycle of chemotherapy for ovarian cancer. Her only relevant past m…

5525. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49860/psn-pdf
      April 01, 2019 - Hip Fractures in Older Patients: the Case for Geriatrics Comanagement April 1, 2019 Rogers S, Ward D. Hip Fractures in Older Patients: the Case for Geriatrics Comanagement. PSNet [internet]. 2019. https://psnet.ahrq.gov/web-mm/hip-fractures-older-patients-case-geriatrics-comanagement The Case An 82-year-old man …

5526. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49617/psn-pdf
      January 01, 2011 - Failure to Reevaluate December 1, 2010 Wong-Beringer A. Failure to Reevaluate. PSNet [internet]. 2010. https://psnet.ahrq.gov/web-mm/failure-reevaluate The Case A 61-year-old woman receiving palliative chemotherapy for non–small-cell lung cancer at a community hospital developed methicillin-resistant staphylococc…

5527. Novel Drug Misuse | PSNet
      psnet.ahrq.gov/web-mm/novel-drug-misuse
      September 30, 2010 - SPOTLIGHT CASE Novel Drug Misuse Citation Text: Angus DC, Milbrandt EB. Novel Drug Misuse. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNo…

5528. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49870/psn-pdf
      August 10, 2019 - Anemia and Delayed Colon Cancer Diagnosis August 10, 2019 Pathipati MP, Richter JM. Anemia and Delayed Colon Cancer Diagnosis. PSNet [internet]. 2019. https://psnet.ahrq.gov/web-mm/anemia-and-delayed-colon-cancer-diagnosis Case Objectives Describe the initial evaluation for iron deficiency anemia in elderly adults…

5529. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49454/psn-pdf
      July 01, 2004 - Novel Drug Misuse July 1, 2004 Angus DC, Milbrandt EB. Novel Drug Misuse. PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/novel-drug-misuse Case Objectives Define the inclusion and exclusion criteria for patients in PROWESS. Understand why the FDA included APACHE score as an indication criterion for drotrec…

5530. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60929/psn-pdf
      September 16, 2020 - Safer Together: A National Action Plan to Advance Patient Safety. September 16, 2020 Boston, MA: Institute for Healthcare Improvement: September 2020.   https://psnet.ahrq.gov/issue/national-action-plan-advance-patient-safety This National Action Plan developed by the National Steering Committee for Pati…

5531. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46901/psn-pdf
      May 30, 2018 - Physician resiliency and wellness for transforming a health system. May 30, 2018 Armato CS, Jenike TE. NEJM Catalyst. May 2, 2018. https://psnet.ahrq.gov/issue/physician-resiliency-and-wellness-transforming-health-system Physician burnout can contribute to medical errors. This article discusses an organizational e…

5532. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/48045/psn-pdf
      June 05, 2019 - Obstetric practice guidelines: labor's love lost? June 5, 2019 Cohen WR, Friedman EA. Obstetric practice guidelines: labor's love lost? J Matern Fetal Neonatal Med. 2019;32(9):1567-1570. doi:10.1080/14767058.2017.1406474. https://psnet.ahrq.gov/issue/obstetric-practice-guidelines-labors-love-lost Guidelines play a…

5533. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/864862/psn-pdf
      March 20, 2024 - Global Burden of Preventable Medication-related Harm in Health Care: A Systematic Review. March 20, 2024 Geneva, Switzerland: World Health Organization; 2023. ISBN: 9789240088887. https://psnet.ahrq.gov/issue/global-burden-preventable-medication-related-harm-health-care-systematic- review The Medication Without H…

5534. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43704/psn-pdf
      November 26, 2014 - Magnet in Support of Patient Safety. November 26, 2014 Lewis L, ed. J Nurs Adm. 2014;44(suppl 10):S1-S53. https://psnet.ahrq.gov/issue/magnet-support-patient-safety The Magnet Hospital Program recognizes hospitals with a track record of maintaining an excellent work environment for nurses. Articles in this special…

5535. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43557/psn-pdf
      October 01, 2014 - 5th National Audit Project (NAP5) on accidental awareness during general anaesthesia: protocol, methods, and analysis of data. October 1, 2014 Pandit JJ, Andrade J, Bogod DG, et al. 5th National Audit Project (NAP5) on accidental awareness during general anaesthesia: protocol, methods, and analysis of data. Br J A…

5536. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72829/psn-pdf
      March 10, 2021 - Safe Practices to Reduce CPOE Alert Fatigue through Monitoring, Analysis, and Optimization. March 10, 2021 Partnership for Health IT Patient Safety. Plymouth Meeting, PA: ECRI Institute; 2021. https://psnet.ahrq.gov/issue/safe-practices-reduce-cpoe-alert-fatigue-through-monitoring-analysis-and- optimization Alert…

5537. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837850/psn-pdf
      August 17, 2022 - Shared understanding of resilient practices in the context of inpatient suicide prevention: a narrative synthesis. August 17, 2022 Berg SH, Rørtveit K, Walby FA, et al. Shared understanding of resilient practices in the context of inpatient suicide prevention: a narrative synthesis. BMC Health Serv Res. 2022;22(1):…

5538. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866160/psn-pdf
      June 19, 2024 - Checking all the boxes: a checklist for when and how to use checklists effectively. June 19, 2024 Alfred M, Barg-Walkow LH, Keebler JR, et al. Checking all the boxes: a checklist for when and how to use checklists effectively. BMJ Qual Saf. 2024;33(10):673-681. doi:10.1136/bmjqs-2023-016934. https://psnet.ahrq.gov…

5539. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/48141/psn-pdf
      July 24, 2019 - Evidence Brief: Implementation of High Reliability Organization Principles. July 24, 2019 Veazie S, Peterson K, Bourne D. Washington DC: United States Department of Veterans Affairs; May 2019. https://psnet.ahrq.gov/issue/evidence-brief-implementation-high-reliability-organization-principles This brief evalu…

5540. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72561/psn-pdf
      December 09, 2020 - Artificial Intelligence in Health Care: Benefits and Challenges of Technologies to Augment Patient Care. December 9, 2020 Washington DC; United States Government Accountability Office; November 26, 2020. Publication GAO- 21-7SP. https://psnet.ahrq.gov/issue/artificial-intelligence-health-care-benefits-and-challeng…