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psnet.ahrq.gov/web-mm/febrile-neutropenia-and-almost-fatal-medication-error
February 01, 2012 - Febrile Neutropenia and an Almost Fatal Medication Error
Citation Text:
Faig J, Zerillo JA. Febrile Neutropenia and an Almost Fatal Medication Error. 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/web-mm/bowel-prep
March 01, 2017 - Bowel Prep
Citation Text:
Nelson D. Bowel Prep. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
Downloa…
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psnet.ahrq.gov/node/49769/psn-pdf
September 01, 2016 - Complaints as Safety Surveillance
September 1, 2016
Morris JL, Bismark M. Complaints as Safety Surveillance. PSNet [internet]. 2016.
https://psnet.ahrq.gov/web-mm/complaints-safety-surveillance
The Case
A 42-year-old woman presented to the emergency department with abdominal pain. She said the pain
came on sudden…
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psnet.ahrq.gov/sites/default/files/2020-11/final_nov_spotlight_case_premature_closing-snycope_11.20.2020-revised.pdf
January 01, 2020 - Microsoft PowerPoint - FINAL Nov_Spotlight Case_Premature Closing-Snycope_11.20.2020-revised.pptx
Spotlight
Premature Closure: Was it Just Syncope?
Source and Credits
• This presentation is based on the November 2020 AHRQ WebM&M
Spotlight Case
o See the full article at https://psnet.ahrq.gov/webmm
o CME credit i…
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psnet.ahrq.gov/node/837658/psn-pdf
July 08, 2022 - Preventable Transfer to the Hospital
July 8, 2022
Agrawal G, Kashkouli P, Bakerjian D. Preventable Transfer to the Hospital. PSNet [internet]. 2022.
https://psnet.ahrq.gov/web-mm/preventable-transfer-hospital
The Case
A 78-year-old veteran with dementia-associated aggressive behavior and multiple comorbidities had…
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psnet.ahrq.gov/node/865658/psn-pdf
April 24, 2024 - Managing Care Challenges in a Group Home Setting: Is
Staffing Adequate for Unplanned Incidents?
April 24, 2024
Ordona R, Bakerjian D. Managing Care Challenges in a Group Home Setting: Is Staffing Adequate for
Unplanned Incidents? PSNet [internet]. 2024.
https://psnet.ahrq.gov/web-mm/managing-care-challenges-group-…
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psnet.ahrq.gov/node/50701/psn-pdf
November 26, 2019 - In Conversation With... Heidi Wald, MD
November 26, 2019
In Conversation With.. Heidi Wald, MD. PSNet [internet]. 2019.
https://psnet.ahrq.gov/perspective/conversation-heidi-wald-md
Editor’s note: Dr. Wald, MD, MSPH, is the Chief Quality and Safety Officer at SCL Health in Denver, CO.
She has previously served as …
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psnet.ahrq.gov/web-mm/hospital-admission-due-high-dose-methotrexate-drug-interaction
October 01, 2003 - Hospital Admission Due to High-Dose Methotrexate Drug Interaction
Citation Text:
Siegel LC, Gandhi TK. Hospital Admission Due to High-Dose Methotrexate Drug Interaction. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009.
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psnet.ahrq.gov/node/49517/psn-pdf
August 01, 2006 - Miscalculated Risk
August 1, 2006
Strassels SA. Miscalculated Risk. PSNet [internet]. 2006.
https://psnet.ahrq.gov/web-mm/miscalculated-risk
The Case
A healthy 36-year-old man was admitted to a teaching hospital for acute low back strain after lifting his 2-
week-old infant. He received Vicodin (hydrocodone and a…
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psnet.ahrq.gov/node/72564/psn-pdf
November 14, 2018 - Antibiotic and Opioid Stewardship in Dentistry
December 7, 2020
Suda KJ, Fitall E, Hall KK, et al. Antibiotic and Opioid Stewardship in Dentistry. PSNet [internet]. 2020.
https://psnet.ahrq.gov/perspective/antibiotic-and-opioid-stewardship-dentistry
Introduction
Medication stewardship refers to efforts by frontlin…
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psnet.ahrq.gov/primer/telehealth-and-patient-safety
July 27, 2022 - Telehealth and Patient Safety.
Citation Text:
O'Malley G, Shaikh U, Marcin JP. Telehealth and Patient Safety.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022.
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psnet.ahrq.gov/perspective/how-does-health-care-simulation-affect-patient-care
August 01, 2018 - failure to escalate therapy when the initial therapy is not working; failure to use available resources effectively
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psnet.ahrq.gov/perspective/conversation-susan-smith-md
August 01, 2019 - So our first effort to reduce in-basket work was to triage messages more effectively.
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psnet.ahrq.gov/issue/eliminating-patient-harm
June 24, 2015 - Newspaper/Magazine Article
Published June 24, 2015
Eliminating patient harm.
Butcher L.
Topics
Approach to Improving Safety
Culture of Safety
Resource Type
Newspaper/Magazine Article
Setting of …
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psnet.ahrq.gov/issue/safe-critical-care-project-testing-improvement-strategies
January 30, 2008 - Tools/Toolkit
Published January 30, 2008
Safe Critical Care Project: Testing Improvement Strategies.
Hospital Corporation of America; HCA.
Topics
Approach to Improving Safety
Quality Improvement Strategies
Re…
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psnet.ahrq.gov/issue/introduction-psychology-medical-decision-making
September 29, 2021 - Upcoming Meeting/Conference
August 4, 2021
Introduction to Psychology of Medical Decision Making.
Citation Text:
Society for Medical Decision Making. August 10, 2021. 10:00 AM - 2:00 PM (eastern)
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psnet.ahrq.gov/issue/international-forum-quality-safety-healthcare-australasia
March 13, 2022 - Upcoming Meeting/Conference
May 6, 2021
International Forum on Quality & Safety in Healthcare- Australasia
Citation Text:
Institute for Healthcare Improvement, British Medical Journal. September 8-10, 2021.
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psnet.ahrq.gov/issue/revisiting-rapid-response
November 25, 2009 - Newspaper/Magazine Article
Revisiting rapid response.
Citation Text:
Huff C. Revisiting rapid response. Trustee. 2011;64(5):13-1.
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Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged RIS
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…
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psnet.ahrq.gov/issue/achievements-eliminating-healthcare-associated-infections-awards
September 18, 2013 - Award Recipient
Achievements in eliminating healthcare-associated infections awards.
Citation Text:
United States Health and Human Services; HHS; Critical Care Societies Collaborative.
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psnet.ahrq.gov/issue/medication-errors-prescriptions-safety
October 29, 2014 - Newspaper/Magazine Article
Medication errors: prescriptions for safety.
Citation Text:
Horowitz AC.
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January 8, 2014
Horowi…