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psnet.ahrq.gov/issue/preventing-pediatric-medication-errors
August 05, 2020 - Sentinel Event Alerts
Preventing pediatric medication errors.
Citation Text:
Preventing pediatric medication errors. Sentinel event alert. 2008;39:1-4.
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psnet.ahrq.gov/issue/survey-results-reveal-tubing-misconnections-are-common-and-underreported-parts-i-and-ii
December 18, 2024 - Newspaper/Magazine Article
Survey results reveal tubing misconnections are common and underreported—Parts I and II.
Citation Text:
Survey results reveal tubing misconnections are common and underreported—Parts I and II. ISMP Medication Safety Alert! Acute Care. October 31, 2024;29(22 & 2…
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psnet.ahrq.gov/node/49429/psn-pdf
January 01, 2004 - Ruptured Heterotopic Pregnancy
January 1, 2004
Cedars MI. Ruptured Heterotopic Pregnancy. PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/ruptured-heterotopic-pregnancy
The Case
A 43-year-old woman, gravida 3 para 2, presented at 16 weeks' gestational age with abdominal pain. Her
current pregnancy was the r…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.227_slideshow.ppt
November 01, 2010 - Spotlight Case [MONTH] 2003
Spotlight Case
Treatment Challenges After Discharge
*
*
Source and Credits
This presentation is based on the November 2010
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Chase Coffey, MD, Henry Ford Health System,…
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psnet.ahrq.gov/primer/falls
October 27, 2021 - Falls
Citation Text:
Falls. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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psnet.ahrq.gov/web-mm/primary-workaround-secondary-complication
January 24, 2018 - Primary Workaround, Secondary Complication
Citation Text:
Debono D, Levett-Jones T. Primary Workaround, Secondary Complication. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018.
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psnet.ahrq.gov/node/60330/psn-pdf
May 05, 2020 - Telehealth and Patient Safety During the COVID-19
Response
May 14, 2020
Sikka N, Willis JS, Fitall E, et al. Telehealth and Patient Safety During the COVID-19 Response. PSNet
[internet]. 2020.
https://psnet.ahrq.gov/perspective/telehealth-and-patient-safety-during-covid-19-response
Introduction
Telehealth typ…
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psnet.ahrq.gov/node/865413/psn-pdf
March 27, 2024 - In Conversation with...Barbara Pelletreau and John Riggi
about Cybersecurity
March 27, 2024
Pelletreau B, Riggi J. In Conversation with..Barbara Pelletreau and John Riggi about Cybersecurity. PSNet
[internet]. 2024.
https://psnet.ahrq.gov/perspective/conversation-withbarbara-pelletreau-and-john-riggi-about-cyberse…
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psnet.ahrq.gov/node/50754/psn-pdf
December 18, 2019 - "Do You Want Everything Done?": Clarifying Code Status
December 18, 2019
Steinberg K, Mason Pope T. "Do You Want Everything Done?": Clarifying Code Status. PSNet [internet].
2019.
https://psnet.ahrq.gov/web-mm/do-you-want-everything-done-clarifying-code-status
Disclosure of Relevant Financial Relationships: As a p…
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psnet.ahrq.gov/node/60242/psn-pdf
March 01, 2021 - Team-Developed Care Plan and Ongoing Care
Management by Social Workers and Nurse Practitioners
Result in Better Outcomes and Reduced Acute Care
Utilization in Low-Income Seniors and other High-Risk
Populations
Originally published on June 12, 2020
Last updated on January 11, 2021
https://psnet.ahrq.gov/innovatio…
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psnet.ahrq.gov/issue/oral-medications-inadvertently-given-intravenous-route
December 19, 2016 - Government Resource
Oral medications inadvertently given via the intravenous route.
Citation Text:
Oral medications inadvertently given via the intravenous route. Shah-Mohammadi AR, Gaunt MJ. PA-PSRS Patient Saf Advis. September 2013;10:85-91.
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psnet.ahrq.gov/issue/never-events-framework-200910
January 31, 2018 - Multi-use Website
Never Events--Framework 2010-11.
Citation Text:
Never Events--Framework 2010-11. National Patient Safety Agency. London, UK: National Reporting and Learning Service; 2010.
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psnet.ahrq.gov/issue/exploring-vulnerability-patient-safety-events-along-age-continuum
July 18, 2018 - Newspaper/Magazine Article
Exploring vulnerability to patient safety events along the age continuum.
Citation Text:
Exploring vulnerability to patient safety events along the age continuum. Field C, Finley E, Deutsch ES. PA-PSRS Pa Patient Saf Advis. 2019;16(1).
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psnet.ahrq.gov/issue/checklists-improve-patient-safety
July 31, 2013 - Book/Report
Checklists to Improve Patient Safety.
Citation Text:
Checklists to Improve Patient Safety. Chicago, IL: Health Research & Educational Trust; June 2013.
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psnet.ahrq.gov/issue/reading-signals-maternity-and-neonatal-services-east-kent-report-independent-investigation
February 19, 2020 - Book/Report
'Reading the Signals' : Maternity and Neonatal Services in East Kent – the Report of the Independent Investigation.
Citation Text:
'Reading the Signals' : Maternity and Neonatal Services in East Kent – the Report of the Independent Investigation. Kirkup B. Department of Healt…
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psnet.ahrq.gov/issue/saving-moms
April 26, 2023 - Audiovisual
Saving Moms.
Citation Text:
Saving Moms. Boswell B. KCET: April 2023.
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April 19, 2023
Boswe…
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psnet.ahrq.gov/issue/when-water-breaks
February 06, 2019 - Newspaper/Magazine Article
When the water breaks.
Citation Text:
When the water breaks. Jones LA. The Philadelphia Inquirer. July 17, 2022.
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psnet.ahrq.gov/issue/safety-anaesthesia
April 07, 2021 - Special or Theme Issue
Safety in Anaesthesia.
Citation Text:
Safety in Anaesthesia. Staender S, ed. Best Pract Res Clin Anaesthesiol. 2011;25(2):109-304.
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psnet.ahrq.gov/issue/mris-strong-magnets-cited-accidents
June 08, 2010 - Newspaper/Magazine Article
M.R.I.'s strong magnets cited in accidents.
Citation Text:
M.R.I.'s strong magnets cited in accidents. McNeil DG, Jr.
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psnet.ahrq.gov/issue/medication-errors-occurring-use-bar-code-administration-technology
March 18, 2010 - Newspaper/Magazine Article
Medication errors occurring with the use of bar-code administration technology.
Citation Text:
Medication errors occurring with the use of bar-code administration technology. PA-PSRS Patient Saf Advis. December 2008;5:122-126.
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