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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…
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psnet.ahrq.gov/node/49403/psn-pdf
June 01, 2003 - ) to prompt consideration of highly morbid diagnoses,
such as appendicitis, ectopic pregnancy, and diabetic
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psnet.ahrq.gov/node/49470/psn-pdf
December 01, 2004 - associated with higher risk and
therefore demand close attention: corticosteroids, anticoagulants, diabetic
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psnet.ahrq.gov/web-mm/are-you-mrs-issue-identification-over-telephone
January 01, 2016 - B was a 62-year-old man admitted to the same medicine unit with hypoglycemia and a diabetic foot ulcer
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psnet.ahrq.gov/node/49660/psn-pdf
August 01, 2012 - blood sugar was now 450 mg/dL and she had moderate ketones
on a urinalysis (showing early signs of diabetic
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psnet.ahrq.gov/web-mm/discharge-instructions-pacu-who-remembers
August 05, 2009 - Closing the loop: physician communication with diabetic patients who have low health literacy.
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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…
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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.
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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.
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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…
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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…
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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.
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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 (…
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psnet.ahrq.gov/web-mm/infection-after-carpal-tunnel-surgery
May 28, 2014 - Infection After Carpal Tunnel Surgery
Citation Text:
Szabo RM. Infection After Carpal Tunnel Surgery. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024.
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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…
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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.
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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…
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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…
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psnet.ahrq.gov/issue/pharmacist-led-admission-medication-reconciliation-and-after-implementation-electronic
January 15, 2025 - Study
Pharmacist-led admission medication reconciliation before and after the implementation of an electronic medication management system.
Citation Text:
Sardaneh AA, Burke R, Ritchie A, et al. Pharmacist-led admission medication reconciliation before and after the implementation of an …
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psnet.ahrq.gov/node/33883/psn-pdf
July 01, 2019 - So scanning retinal images to identify risk
of diabetic retinopathy is a good example where people are