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  1. Psn-Pdf (pdf file)

    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…
  2. Psn-Pdf (pdf file)

    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…
  3. 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 …
  4. Psn-Pdf (pdf file)

    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-…
  5. Psn-Pdf (pdf file)

    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…
  6. Psn-Pdf (pdf file)

    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…
  7. 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.
  8. 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.
  9. Psn-Pdf (pdf file)

    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…
  10. Psn-Pdf (pdf file)

    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 …
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49648/psn-pdf
    March 01, 2012 - For example, nurses recently discovered that a newly diagnosed diabetic was administering long-acting
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49735/psn-pdf
    June 01, 2015 - possibilities: compartment syndrome, tarsal tunnel syndrome, thromboangiitis obliterans, POEMS syndrome, and diabetic
  13. Psn-Pdf (pdf file)

    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. …
  14. Psn-Pdf (pdf file)

    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…
  15. Psn-Pdf (pdf file)

    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…
  16. Psn-Pdf (pdf file)

    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…
  17. Psn-Pdf (pdf file)

    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…
  18. Psn-Pdf (pdf file)

    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…
  19. Psn-Pdf (pdf file)

    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…
  20. 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

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