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3781. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35734/psn-pdf
      May 04, 2015 - Benzocaine sprays marketed under different names, including Hurricaine, Topex, and Cetacaine. May 4, 2015 Food and Drug Administration; FDA; CDER; Center for Drug Evaluation and Research. https://psnet.ahrq.gov/issue/benzocaine-sprays-marketed-under-different-names-including-hurricaine- topex-and-cetacaine This F…

3782. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40147/psn-pdf
      January 19, 2011 - Assessing the quality of patient handoffs at care transitions. January 19, 2011 Manser T, Foster S, Gisin S, et al. Assessing the quality of patient handoffs at care transitions. Qual Saf Health Care. 2010;19(6):e44. doi:10.1136/qshc.2009.038430. https://psnet.ahrq.gov/issue/assessing-quality-patient-handoffs-care…

3783. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50727/psn-pdf
      December 11, 2019 - Your diagnosis was wrong. Could doctor bias have been a factor? December 11, 2019 Glicksman E. Washington Post. November 17, 2019. https://psnet.ahrq.gov/issue/your-diagnosis-was-wrong-could-doctor-bias-have-been-factor Unconscious assumptions and biases are known contributors to poor decision-making. This news st…

3784. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37786/psn-pdf
      March 23, 2011 - A theoretical framework and competency-based approach to improving handoffs. March 23, 2011 Arora VM, Johnson JK, Meltzer DO, et al. A theoretical framework and competency-based approach to improving handoffs. Qual Saf Health Care. 2008;17(1):11-4. doi:10.1136/qshc.2006.018952. https://psnet.ahrq.gov/issue/theoret…

3785. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39724/psn-pdf
      July 28, 2010 - Prone to error: earliest steps to find cancer. July 28, 2010 Saul S. New York Times. July 19, 2010;A1. https://psnet.ahrq.gov/issue/prone-error-earliest-steps-find-cancer This newspaper article investigates diagnostic errors in breast cancer through the story of a patient who was misdiagnosed. Concern about the ac…

3786. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40660/psn-pdf
      October 04, 2011 - Incidence, nature and impact of error in surgery. October 4, 2011 Bosma E, Veen EJ, Roukema JA. Incidence, nature and impact of error in surgery. Br J Surg. 2011;98(11):1654-1659. doi:10.1002/bjs.7594. https://psnet.ahrq.gov/issue/incidence-nature-and-impact-error-surgery This study noted a 6% error rate for patie…

3787. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36883/psn-pdf
      August 31, 2011 - Voluntary review of quality of care peer review for patient safety. August 31, 2011 Stumpf PG. Voluntary review of quality of care peer review for patient safety. Best Pract Res Clin Obstet Gynaecol. 2007;21(4):557-64. https://psnet.ahrq.gov/issue/voluntary-review-quality-care-peer-review-patient-safety The autho…

3788. Situational Awareness and Patient Safety | PSNet
      psnet.ahrq.gov/web-mm/situational-awareness-and-patient-safety
      May 01, 2012 - View More Related Resources Serious hazards of transfusion: evaluating

3789. "Superficial" Report Leads to "Deep" Problem | PSNet
      psnet.ahrq.gov/web-mm/superficial-report-leads-deep-problem
      July 01, 2012 - The emergency medicine resident evaluating the patient was concerned about the possibility of a deep

3790. Medication Reconciliation Victory After an Avoidable Error | PSNet
      psnet.ahrq.gov/web-mm/medication-reconciliation-victory-after-avoidable-error
      April 01, 2015 - and that 2.6% of elderly patients take medications that should always be avoided.( 3,9 ) A study evaluating

3791. Hyponatremia Secondary to Home Parenteral Nutrition Error | PSNet
      psnet.ahrq.gov/web-mm/hyponatremia-secondary-home-parenteral-nutrition-error
      May 27, 2020 - Healthcare organizations shall have a system of evaluating pharmacist competency in reviewing PN orders

3792. Are Two Insulin Pumps Better Than One? | PSNet
      psnet.ahrq.gov/web-mm/are-two-insulin-pumps-better-one
      March 01, 2005 - should have in place a policy and set of standardized procedures that result in a systematic approach to evaluating

3793. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49583/psn-pdf
      April 01, 2009 - the medical team can reduce medication-related problems and prescribing errors by 66%.(9) In a study evaluating

3794. The Unintended Consequences of Florida Medical Liability Legislation | PSNet
      psnet.ahrq.gov/perspective/unintended-consequences-florida-medical-liability-legislation
      February 01, 2003 - Unexplained Apnea Under Anesthesia February 1, 2003 Serious hazards of transfusion: evaluating

3795. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73229/psn-pdf
      May 26, 2021 - Evaluating the impact of obesity on safety and efficacy of weight-based norepinephrine dosing in septic

3796. Missing Trauma | PSNet
      psnet.ahrq.gov/web-mm/missing-trauma
      March 03, 2011 - In evaluating the extent of injury after penetrating wounds, we continue to be guided by an old saw,

3797. Special Issue on Health Information Technology. | PSNet
      psnet.ahrq.gov/issue/special-issue-health-information-technology
      August 22, 2007 - June 29, 2022 Scoping review of studies evaluating frailty and its association with medication

3798. Digital Healthcare Research. | PSNet
      psnet.ahrq.gov/issue/digital-healthcare-research
      December 24, 2008 - August 19, 2020 Novel, High-Impact Studies Evaluating Health System and Healthcare Professional

3799. AHRQ Grants by State. | PSNet
      psnet.ahrq.gov/issue/grants-line-database-gold
      December 24, 2008 - September 22, 2021 Novel, High-Impact Studies Evaluating Health System and Healthcare

3800. Hospital mistakes kept secret. | PSNet
      psnet.ahrq.gov/issue/hospital-mistakes-kept-secret
      September 30, 2009 - June 21, 2017 Medication safety at the interface: evaluating risks associated with discharge