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  1. psnet.ahrq.gov/issue/risk-factors-wrong-patient-medication-orders-emergency-department
    June 08, 2022 - Study Risk factors for wrong-patient medication orders in the emergency department. Citation Text: Krummrey G, Sauter TC, Hautz WE, et al. Risk factors for wrong-patient medication orders in the emergency department. JAMIA Open. 2024;7(4):ooae103. doi:10.1093/jamiaopen/ooae103. Copy Ci…
  2. psnet.ahrq.gov/issue/rca-recast-root-cause-analysis-simulation-interprofessional-clinical-learning-environment
    May 18, 2022 - Study The RCA ReCAst: a root cause analysis simulation for the interprofessional clinical learning environment. Citation Text: Ziemba JB, Berns JS, Huzinec JG, et al. The RCA ReCAst: a root cause analysis simulation for the interprofessional clinical learning environment. Acad Med. 2021;…
  3. psnet.ahrq.gov/issue/using-machine-learning-or-deep-learning-models-hospital-setting-detect-inappropriate
    January 17, 2024 - Review Using machine learning or deep learning models in a hospital setting to detect inappropriate prescriptions: a systematic review. Citation Text: Johns E, Alkanj A, Beck M, et al. Using machine learning or deep learning models in a hospital setting to detect inappropriate prescripti…
  4. psnet.ahrq.gov/issue/hospital-infection-prevention-how-much-can-we-prevent-and-how-hard-should-we-try
    November 16, 2022 - Review Hospital infection prevention: how much can we prevent and how hard should we try? Citation Text: Bearman G, Doll M, Cooper K, et al. Hospital Infection Prevention: How Much Can We Prevent and How Hard Should We Try? Curr Infect Dis Rep. 2019;21(1):2. doi:10.1007/s11908-019-0660-2…
  5. psnet.ahrq.gov/issue/does-applying-technology-throughout-medication-use-process-improve-patient-safety
    October 30, 2024 - Review Does applying technology throughout the medication use process improve patient safety with antineoplastics? Citation Text: Bubalo J, Warden BA, Wiegel JJ, et al. Does applying technology throughout the medication use process improve patient safety with antineoplastics? J Oncol Pha…
  6. psnet.ahrq.gov/issue/observational-study-adult-admissions-medical-icu-due-adverse-drug-events
    January 28, 2015 - Study An observational study of adult admissions to a medical ICU due to adverse drug events. Citation Text: Jolivot P-A, Pichereau C, Hindlet P, et al. An observational study of adult admissions to a medical ICU due to adverse drug events. Ann Intensive Care. 2016;6(1):9. doi:10.1186/s1…
  7. psnet.ahrq.gov/issue/assessing-effectiveness-engaging-patients-and-their-families-three-step-fall-prevention
    February 19, 2020 - Study Assessing the effectiveness of engaging patients and their families in the three-step fall prevention process across modalities of an evidence-based fall prevention toolkit: an implementation science study. Citation Text: Duckworth M, Adelman JS, Belategui K, et al. Assessing the E…
  8. psnet.ahrq.gov/issue/impact-electronic-medical-records-hospital-acquired-adverse-safety-events-differential
    October 24, 2012 - Study The impact of electronic medical records on hospital-acquired adverse safety events: differential effects between single-source and multiple-source systems. Citation Text: Bae J, Rask KJ, Becker ER. The Impact of Electronic Medical Records on Hospital-Acquired Adverse Safety Events…
  9. psnet.ahrq.gov/issue/evolving-role-medical-scribe-variation-and-implications-organizational-effectiveness-and
    October 24, 2018 - Study The evolving role of medical scribe: variation and implications for organizational effectiveness and safety. Citation Text: Woodcock D, Pranaat R, McGrath K, et al. The Evolving Role of Medical Scribe: Variation and Implications for Organizational Effectiveness and Safety. Stud Hea…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865411/psn-pdf
    March 27, 2024 - Uterine Artery Injury during Cesarean Delivery Leads to Cardiac Arrests and Emergency Hysterectomy March 27, 2024 Lopez C, Tache V. Uterine Artery Injury during Cesarean Delivery Leads to Cardiac Arrests and Emergency Hysterectomy. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/uterine-artery-injury-during-…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865412/psn-pdf
    March 27, 2024 - Delayed Diagnosis and Treatment of Systemic Lupus Erythematosus with a Psychiatric Presentation March 27, 2024 Bourgeois JA, Xiong G. Delayed Diagnosis and Treatment of Systemic Lupus Erythematosus with a Psychiatric Presentation. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/delayed-diagnosis-and-treatmen…
  12. psnet.ahrq.gov/web-mm/strongyloides-hidden-traveler-and-potentially-lethal-missed-diagnosis
    August 25, 2021 - SPOTLIGHT CASE Strongyloides: A Hidden Traveler and Potentially Lethal Missed Diagnosis. Citation Text: Carlile N, Smith CL, Maguire JH, et al. Strongyloides: A Hidden Traveler and Potentially Lethal Missed Diagnosis.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, …
  13. psnet.ahrq.gov/web-mm/radiology-missed-intracranial-bleed-lethargic-infant
    August 21, 2016 - Radiology Missed an Intracranial Bleed in a Lethargic Infant. Citation Text: Yuk J, Magana J. Radiology Missed an Intracranial Bleed in a Lethargic Infant.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024. Copy Citation For…
  14. psnet.ahrq.gov/web-mm/failed-interpretation-screening-tool-delayed-treatment
    August 20, 2018 - Failed Interpretation of Screening Tool: Delayed Treatment Citation Text: Cable CA, Murphy DJ, Martin GS. Failed Interpretation of Screening Tool: Delayed Treatment. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. Copy Citatio…
  15. psnet.ahrq.gov/web-mm/emr-entry-error-not-so-benign
    July 01, 2012 - EMR Entry Error: Not So Benign Citation Text: Koppel R. EMR Entry Error: Not So Benign. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endno…
  16. psnet.ahrq.gov/curated-library/nurse-wellbeing-and-patient-safety
    August 30, 2023 - Breadcrumb Home The PSNet Collection Curated Libraries Subscribed Nurse Wellbeing and Patient Safety  Download  Share Facebook Twitter Linkedin Copy URL Subscribe Created By: Lorri Zipperer, Cybrarian, AHRQ…
  17. psnet.ahrq.gov/web-mm/open-wider-failure-use-interpreter-results-fractured-teeth-and-hypoxia-during-simple
    January 29, 2021 - Open wider: Failure to use an interpreter results in fractured teeth and hypoxia during a simple elective operation. Citation Text: Bohringer C, Godoy L. Open wider: Failure to use an interpreter results in fractured teeth and hypoxia during a simple elective operation.. PSNet [internet]. Rockville (MD): Ag…
  18. psnet.ahrq.gov/web-mm/multiple-high-risk-events-involving-workflow-wasting-medications-used-anesthesia
    August 29, 2021 - Multiple High-Risk Events Involving Workflow for Wasting of Medications Used by Anesthesia Citation Text: Nguyen DD, Harper TA, Cello R. Multiple High-Risk Events Involving Workflow for Wasting of Medications Used by Anesthesia. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, U…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49542/psn-pdf
    August 21, 2007 - Copy and Paste August 21, 2007 Hersh WR. Copy and Paste. PSNet [internet]. 2007. https://psnet.ahrq.gov/web-mm/copy-and-paste The Case A 77-year-old woman was admitted to a teaching hospital with diarrhea and dehydration after completing her fifth cycle of chemotherapy for ovarian cancer. Her only relevant past m…
  20. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.116_slideshow.ppt
    February 01, 2006 - Spotlight Case [MONTH] 2003 Spotlight Case February 2006 Lost in Transition Source and Credits This presentation is based on the February 2006 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available through the Web site Commentary by: Christopher Beach, MD; Northwe…

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