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201. A Mid-Summer Fog | PSNet
     psnet.ahrq.gov/web-mm/mid-summer-fog
     September 29, 2017 - A Mid-Summer Fog Citation Text: Braddock CH. A Mid-Summer Fog. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

202. Unintentional therapeutic errors involving insulin in the ambulatory setting reported to poison centers. | PSNet
     psnet.ahrq.gov/issue/unintentional-therapeutic-errors-involving-insulin-ambulatory-setting-reported-poison-centers
     June 06, 2018 - Study Unintentional therapeutic errors involving insulin in the ambulatory setting reported to poison centers. Citation Text: Spiller HA, Borys DJ, Ryan ML, et al. Unintentional therapeutic errors involving insulin in the ambulatory setting reported to poison centers. Ann Pharmacother.…

203. Factors that influence the recognition, reporting and resolution of incidents related to medical devices and other healthcare technologies: a systematic review. | PSNet
     psnet.ahrq.gov/issue/factors-influence-recognition-reporting-and-resolution-incidents-related-medical-devices-and
     July 08, 2015 - Review Factors that influence the recognition, reporting and resolution of incidents related to medical devices and other healthcare technologies: a systematic review. Citation Text: Polisena J, Gagliardi AR, Urbach DR, et al. Factors that influence the recognition, reporting and resolut…

204. Poetry and Medicine. Mistakes. | PSNet
     psnet.ahrq.gov/issue/poetry-and-medicine-mistakes
     September 25, 2019 - Commentary Poetry and Medicine. Mistakes. Citation Text: Poetry and Medicine. Mistakes. Kittleson M. JAMA. 2019;322:984. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL …

205. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49733/psn-pdf
     May 01, 2015 - Transitions in Adolescent Medicine May 1, 2015 Okumura MJ, Williams RG. Transitions in Adolescent Medicine. PSNet [internet]. 2015. https://psnet.ahrq.gov/web-mm/transitions-adolescent-medicine The Case A 21-year-old woman with a history of Marfan syndrome complicated by aortic root dilation presented to the emer…

206. One ACE Too Many | PSNet
     psnet.ahrq.gov/web-mm/one-ace-too-many
     June 21, 2016 - One ACE Too Many Citation Text: Juurlink DN. One ACE Too Many. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

207. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866579/psn-pdf
     August 28, 2024 - Infection After Carpal Tunnel Surgery August 28, 2024 Szabo RM. Infection After Carpal Tunnel Surgery. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/infection-after-carpal-tunnel-surgery The Case A woman presented for surgery on her right wrist as a treatment for carpal tunnel syndrome. There were no repo…

208. Differences in strength expression on product labels of compounders and conventional manufacturers may lead to dosing errors. | PSNet
     psnet.ahrq.gov/issue/differences-strength-expression-product-labels-compounders-and-conventional-manufacturers-may
     April 08, 2020 - Government Resource Differences in strength expression on product labels of compounders and conventional manufacturers may lead to dosing errors. Citation Text: Differences in strength expression on product labels of compounders and conventional manufacturers may lead to dosing errors. U…

209. How safe are patients in primary care? | PSNet
     psnet.ahrq.gov/issue/how-safe-are-patients-primary-care
     April 13, 2011 - Newspaper/Magazine Article How safe are patients in primary care? Citation Text: How safe are patients in primary care? Carlowe J. Nursing Times. April 28, 2009. Copy Citation Save Save to your library Print Download PDF Share Facebook …

210. Creating a culture of safety by coaching clinicians to competence. | PSNet
     psnet.ahrq.gov/issue/creating-culture-safety-coaching-clinicians-competence
     January 10, 2024 - Commentary Creating a culture of safety by coaching clinicians to competence. Citation Text: Duff B. Creating a culture of safety by coaching clinicians to competence. Nurse Educ Today. 2013;33(10):1108-11. doi:10.1016/j.nedt.2012.05.025. Copy Citation Format: DOI Googl…

211. Use duodenoscopes with innovative designs to enhance safety: FDA Safety Communication. | PSNet
     psnet.ahrq.gov/issue/use-duodenoscopes-innovative-designs-enhance-safety-fda-safety-communication
     October 19, 2022 - Press Release/Announcement Use duodenoscopes with innovative designs to enhance safety: FDA Safety Communication. Citation Text: Use duodenoscopes with innovative designs to enhance safety: FDA Safety Communication. Silver Spring, MD: US Food and Drug Administration; April 5, 2022. C…

212. Confronting racism in pediatric care. | PSNet
     psnet.ahrq.gov/issue/confronting-racism-pediatric-care
     February 22, 2023 - Commentary Confronting racism in pediatric care. Citation Text: Danielson B. Confronting racism in pediatric care. Health Affairs. 2022;41(11):1681-1685. doi:10.1377/hlthaff.2022.01157. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tag…

213. Diagnostic overshadowing in dentistry. | PSNet
     psnet.ahrq.gov/issue/diagnostic-overshadowing-dentistry
     March 13, 2024 - Commentary Diagnostic overshadowing in dentistry. Citation Text: Clough S, Handley P. Diagnostic overshadowing in dentistry. Br Dent J. 2019;227(4):311-315. doi:10.1038/s41415-019-0623-x. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML En…

214. FDA alerts health care providers, compounders and patients of dosing errors associated with compounded injectable semaglutide products. | PSNet
     psnet.ahrq.gov/issue/fda-alerts-health-care-providers-compounders-and-patients-dosing-errors-associated-compounded
     February 15, 2024 - Press Release/Announcement FDA alerts health care providers, compounders and patients of dosing errors associated with compounded injectable semaglutide products. Citation Text: FDA alerts health care providers, compounders and patients of dosing errors associated with compounded injecta…

215. Patient errors in use of injectable antidiabetic medications: a need for improved clinic-based education. | PSNet
     psnet.ahrq.gov/issue/patient-errors-use-injectable-antidiabetic-medications-need-improved-clinic-based-education
     March 17, 2021 - Commentary Patient errors in use of injectable antidiabetic medications: a need for improved clinic-based education. Citation Text: Wei ET, Koh E, Kelly MS, et al. Patient errors in use of injectable antidiabetic medications: a need for improved clinic-based education. J Am Pharm Assoc (…

216. Spotlight Case [MONTH] 2003 (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.221_slideshow.ppt
     July 01, 2010 - Spotlight Case [MONTH] 2003 Spotlight Case Weighing in on Surgical Safety * * Source and Credits This presentation is based on the July 2010 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Jay B. Brodsky, MD, Stanford University Medical Cente…

217. Why do hundreds of US women die annually in childbirth? | PSNet
     psnet.ahrq.gov/issue/why-do-hundreds-us-women-die-annually-childbirth
     June 14, 2019 - Commentary Why do hundreds of US women die annually in childbirth? Citation Text: Slomski A. Why Do Hundreds of US Women Die Annually in Childbirth? JAMA. 2019;321(13):1239-1241. doi:10.1001/jama.2019.0714. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 X…

218. Standardised proformas improve patient handover: audit of trauma handover practice. | PSNet
     psnet.ahrq.gov/issue/standardised-proformas-improve-patient-handover-audit-trauma-handover-practice
     October 19, 2022 - Study Standardised proformas improve patient handover: audit of trauma handover practice. Citation Text: Ferran NA, Metcalfe AJ, O'Doherty D. Standardised proformas improve patient handover: Audit of trauma handover practice. Patient Saf Surg. 2008;2:24. doi:10.1186/1754-9493-2-24. C…

219. FDA Drug Safety Communication: FDA cautions about dosing errors when switching between different oral formulations of antifungal Noxafil (posaconazole); label changes approved. | PSNet
     psnet.ahrq.gov/issue/fda-drug-safety-communication-fda-cautions-about-dosing-errors-when-switching-between
     April 08, 2020 - Government Resource FDA Drug Safety Communication: FDA cautions about dosing errors when switching between different oral formulations of antifungal Noxafil (posaconazole); label changes approved. Citation Text: FDA Drug Safety Communication: FDA cautions about dosing errors when switchi…

220. Simulation-based training: the missing link to lastingly improved patient safety and health? | PSNet
     psnet.ahrq.gov/issue/simulation-based-training-missing-link-lastingly-improved-patient-safety-and-health
     January 17, 2024 - Review Simulation-based training: the missing link to lastingly improved patient safety and health? Citation Text: Mileder LP, Schmölzer GM. Simulation-based training: the missing link to lastingly improved patient safety and health? Postgrad Med J. 2016;92(1088):309-11. doi:10.1136/post…