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psnet.ahrq.gov/issue/fda-101-medication-errors
March 11, 2015 - Government Resource
FDA 101: Medication Errors.
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March 26, 2008
This fact sheet discusses the role of the Food and Drug Administration (FDA) in reducing medica…
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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/node/33883/psn-pdf
July 01, 2019 - So scanning retinal images to identify risk
of diabetic retinopathy is a good example where people are
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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/periodic-issue/periodic-issue-286
April 28, 2021 - team managed her diabetes with subcutaneous insulin but thought the patient did not meet criteria for diabetic
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psnet.ahrq.gov/periodic-issue/periodic-issue-287
April 28, 2021 - team managed her diabetes with subcutaneous insulin but thought the patient did not meet criteria for diabetic
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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/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/49835/psn-pdf
January 01, 2020 - Don't Pick the PICC
July 1, 2018
McGill RL. Don't Pick the PICC. PSNet [internet]. 2018.
https://psnet.ahrq.gov/web-mm/dont-pick-picc
The Case
A 63-year-old man with diabetes mellitus complicated by retinopathy, neuropathy, and nephropathy;
glaucoma; and stage IV chronic kidney disease was admitted to the hospita…
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psnet.ahrq.gov/perspective/conversation-paul-g-shekelle-md-mph-phd
February 26, 2025 - In Conversation With… Paul G. Shekelle, MD, MPH, PhD
October 1, 2011
Citation Text:
In Conversation With… Paul G. Shekelle, MD, MPH, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011. …
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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.
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psnet.ahrq.gov/issue/problem-list-completeness-electronic-health-records-multi-site-study-and-assessment-success
April 29, 2018 - Study
Problem list completeness in electronic health records: a multi-site study and assessment of success factors.
Citation Text:
Wright A, McCoy AB, Hickman T-TT, et al. Problem list completeness in electronic health records: A multi-site study and assessment of success factors. Int J …
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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/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/49704/psn-pdf
March 01, 2014 - Late Anemia Following Rh Disease in a Newborn
March 1, 2014
Newman TB, Maisels JM. Late Anemia Following Rh Disease in a Newborn. PSNet [internet]. 2014.
https://psnet.ahrq.gov/web-mm/late-anemia-following-rh-disease-newborn
The Case
A full-term neonate was delivered uneventfully to an Rh-negative woman who had re…
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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/issue/possible-dose-counter-errors-asmanex-twisthaler
March 11, 2015 - Government Resource
Possible dose-counter errors with the Asmanex Twisthaler.
Citation Text:
Food and Drug Administration; FDA
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psnet.ahrq.gov/node/33601/psn-pdf
December 15, 2024 - Electronic Health Records
December 15, 2024
Electronic Health Records. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/electronic-health-records
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the patient safet…