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psnet.ahrq.gov/node/50816/psn-pdf
January 29, 2020 - Identifying potential patient safety issues from the
Federal Electronic Health Record Surveillance Program
January 29, 2020
Pacheco TB, Hettinger AZ, Ratwani RM. Identifying Potential Patient Safety Issues From the Federal
Electronic Health Record Surveillance Program. JAMA. 2019;322(23):2339-2340.
doi:10.1001/jam…
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psnet.ahrq.gov/node/49867/psn-pdf
July 02, 2019 - Diuretics and Electrolyte Abnormalities
July 2, 2019
Dreischulte T. Diuretics and Electrolyte Abnormalities. PSNet [internet]. 2019.
https://psnet.ahrq.gov/web-mm/diuretics-and-electrolyte-abnormalities
Case Objectives
Recognize that thiazide diuretics can lead to serious adverse events.
State how commonly used t…
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psnet.ahrq.gov/web-mm/hold-order
December 19, 2018 - Hold That Order
Citation Text:
Grissinger M. Hold That Order. 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
…
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psnet.ahrq.gov/node/43126/psn-pdf
April 23, 2014 - Safe and appropriate use of insulin and other
antihyperglycemic agents in hospital.
April 23, 2014
Cornish W. Safe and appropriate use of insulin and other antihyperglycemic agents in hospital. Can J
Diabetes. 2014;38(2):94-100. doi:10.1016/j.jcjd.2014.01.002.
https://psnet.ahrq.gov/issue/safe-and-appropriate-use-…
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psnet.ahrq.gov/node/45567/psn-pdf
October 12, 2016 - Insulin Pens Devices.
October 12, 2016
Am J Health Syst Pharm. 2016;73(19 suppl 5);s1-s47.
https://psnet.ahrq.gov/issue/insulin-pens-devices
As a high-alert medication, insulin has the potential to result in serious patient harm if administered
incorrectly. Articles in this special issue discuss recommendations de…
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psnet.ahrq.gov/node/41652/psn-pdf
September 30, 2012 - Discontinuation of antihyperglycemic therapy after acute
myocardial infarction: medical necessity or medical
error?
September 30, 2012
Lovig KO, Horwitz LI, Lipska K, et al. Discontinuation of antihyperglycemic therapy after acute myocardial
infarction: medical necessity or medical error? Jt Comm J Qual Patient Sa…
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psnet.ahrq.gov/perspective/diagnostic-errors-new-chapter-patient-safety-science-policy-and-practice
January 01, 2016 - There is some data; for example, optometrists looking at diabetic eyes don't all agree on what grade … diabetic retinopathy it is.
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psnet.ahrq.gov/perspective/conversation-mark-l-graber-md
January 01, 2016 - There is some data; for example, optometrists looking at diabetic eyes don't all agree on what grade … diabetic retinopathy it is.
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psnet.ahrq.gov/node/60231/psn-pdf
April 15, 2020 - Regret among primary care physicians: a survey of
diagnostic decisions.
April 15, 2020
Müller BS, Donner-Banzhoff N, Beyer M, et al. Regret among primary care physicians: a survey of
diagnostic decisions. BMC Fam Pract. 2020;21(1). doi:10.1186/s12875-020-01125-w.
https://psnet.ahrq.gov/issue/regret-among-primary-c…
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psnet.ahrq.gov/node/60734/psn-pdf
July 29, 2020 - Delayed access to care and late presentations in children
during the COVID-19 pandemic: a snapshot survey of
4075 paediatricians in the UK and Ireland.
July 29, 2020
Lynn RM, Avis JL, Lenton S, et al. Delayed access to care and late presentations in children during the
COVID-19 pandemic: a snapshot survey of 4075 …
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psnet.ahrq.gov/node/49648/psn-pdf
March 01, 2012 - For example, nurses recently discovered that a newly diagnosed diabetic was administering long-acting
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psnet.ahrq.gov/node/49735/psn-pdf
June 01, 2015 - possibilities: compartment syndrome, tarsal
tunnel syndrome, thromboangiitis obliterans, POEMS syndrome, and diabetic
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psnet.ahrq.gov/node/61038/psn-pdf
October 21, 2020 - Diagnosis of physical and mental health conditions in
primary care during the COVID-19 pandemic: a
retrospective cohort study.
October 21, 2020
Williams R, Jenkins DA, Ashcroft DM, et al. Diagnosis of physical and mental health conditions in primary
care during the COVID-19 pandemic: a retrospective cohort study. …
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psnet.ahrq.gov/node/851914/psn-pdf
August 02, 2023 - Insulin pump-associated adverse events: a qualitative
descriptive study of clinical consequences and potential
root causes.
August 2, 2023
Estock JL, Codario RA, Keddem S, et al. Insulin pump-associated adverse events: a qualitative descriptive
study of clinical consequences and potential root causes. Diabetes Tec…
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psnet.ahrq.gov/node/34796/psn-pdf
November 18, 2015 - The business case for quality: case studies and an
analysis.
November 18, 2015
Leatherman S, Berwick DM, Iles D, et al. The business case for quality: case studies and an analysis.
Health Aff (Millwood). 2003;22(2):17-30.
https://psnet.ahrq.gov/issue/business-case-quality-case-studies-and-analysis
This comprehens…
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psnet.ahrq.gov/node/43127/psn-pdf
April 23, 2014 - An interprofessional qualitative study of barriers and
potential solutions for the safe use of insulin in the
hospital setting.
April 23, 2014
Rousseau M-P, Beauchesne M-F, Naud A-S, et al. An interprofessional qualitative study of barriers and
potential solutions for the safe use of insulin in the hospital settin…
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psnet.ahrq.gov/node/49807/psn-pdf
October 01, 2017 - Translating From Normal to Abnormal
October 1, 2017
Turner AM. Translating From Normal to Abnormal. PSNet [internet]. 2017.
https://psnet.ahrq.gov/web-mm/translating-normal-abnormal
Case Objectives
Define limited English proficiency.
Understand the principal approaches to machine translation.
Review the way mach…
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psnet.ahrq.gov/node/49605/psn-pdf
June 01, 2010 - Acute Respiratory Arrest in Pregnancy
June 1, 2010
Sibai B. Acute Respiratory Arrest in Pregnancy. PSNet [internet]. 2010.
https://psnet.ahrq.gov/web-mm/acute-respiratory-arrest-pregnancy
The Case
A 35-year-old woman was 38 weeks pregnant with twins (G3P2). When she developed acute onset of
shortness of breath an…
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psnet.ahrq.gov/node/33815/psn-pdf
September 01, 2016 - Telemedicine and Patient Safety
September 1, 2016
Agboola SO, Kvedar JC. Telemedicine and Patient Safety. PSNet [internet]. 2016.
https://psnet.ahrq.gov/perspective/telemedicine-and-patient-safety
Perspective
A paradigm shift is ongoing in the health care sector. The traditional model of episodic and hospital-base…
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psnet.ahrq.gov/perspective/conversation-suchi-saria-phd
March 27, 2024 - So scanning retinal images to identify risk of diabetic retinopathy is a good example where people are