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141. Uterine Artery Injury during Cesarean Delivery Leads to Cardiac Arrests and Emergency Hysterectomy | PSNet
     psnet.ahrq.gov/web-mm/uterine-artery-injury-during-cesarean-delivery-leads-cardiac-arrests-and-emergency
     September 28, 2005 - J Womens Health (Larchmt) . 2014;23(1):3-9. [ Free full text ] The California Pregnancy-Associated … PLoS One . 2013;8: e57594. [ Free full text ] Bonnar J. Massive obstetric haemorrhage. … Am J Obstet Gynecol . 2016; 214:527.e1-6. [ Free full text ] Umar A, Ameh CA, Muriithi F, et al. … PLoS One . 2019;14(5):e0217864. [ Free full text ] Singh S, McGlennan A, England A, et al. … Anaesthesia . 2012;67(1):12-18. [ Free full text ] Balch, B.

142. Under Pressure: Tracheostomy Cuff Over Inflation Leading to Tissue Necrosis and Cuff Rupture. | PSNet
     psnet.ahrq.gov/web-mm/under-pressure-tracheostomy-cuff-over-inflation-leading-tissue-necrosis-and-cuff-rupture
     March 15, 2023 - Anesth. 1963;35,388. [ Free full text ] Ciaglia P, Firsching R, Syniec C. … Acute Crit Care . 2021;36(4):374-379. [ Free full text ] Patel V, Hodges EJ, Mariyaselvam MZ, et al … J Laryngol Otol . 2021;135(7):656-658. [ Free full text ] Abubaker J, Ullah S, Ahmed S, et al. … Cureus . 2019;11(7):e5061. [ Free full text ] Bedwell JR, Pandian V, Roberson DW, et al. … Respir Care . 2021;66(1):156-169. [ Free full text ] Rackley CR.

143. Patient Safety in the OR. | PSNet
     psnet.ahrq.gov/issue/patient-safety-or
     March 06, 2005 - Share Facebook Twitter Linkedin Copy URL This free

144. Sepsis Resulting from Delays in Treatment and Miscommunication among Specialists | PSNet
     psnet.ahrq.gov/web-mm/sepsis-resulting-delays-treatment-and-miscommunication-among-specialists
     August 01, 2014 - World J Emerg Surg . 2018;13:5. [ Free full text ] Moridzadeh RS, Sanaiha Y, Madrigal J, et al. … JAMA . 2010;303(17):1716-1722. [ Free full text ] Coppa K, Kim EJ, Oppenheim MI, et al. … J Gen Intern Med . 2021;36(5):1214-1221. [ Free full text ] DeLia D, Tong J, Gaboda D, et al. … Annu Rev Med . 2014;65:471-485. [ Free full text ] Shaw M, Pelecanos AM, Mudge AM. … JAMA Netw Open . 2020;3(5):e204088. [ Free full text ] Charns MP, Benzer JK, McIntosh NM, et al.

145. The Unhappy Patient Leaves Against Medical Advice. | PSNet
     psnet.ahrq.gov/web-mm/unhappy-patient-leaves-against-medical-advice
     January 31, 2024 - J Allergy Clin Immunol . 2007;119(4):924-929. [ Free full text ] Lekas HM, Alfandre D, Gordon P, et … J Gen Intern Med . 2013;28(12):1657-1662. [ Free full text ] Devitt PJ, Devitt AC, Dewan M. … Medicine (Baltimore) . 2016;95(6):e2788.[ Free full text ] Levy F, Mareiniss DP, Iacovelli C. … Am J Med . 2012;125(6):594-602. [ Free full text ] Lee CA, Cho JP, Choi SC, et al. … Clin Exp Emerg Med . 2016;3(2):88-94. [ Free full text ] Haines K, Freeman J, Vastaas C, et al.

146. Anesthesiology 2022 | PSNet
     psnet.ahrq.gov/training-catalog/anesthesiology-2022
     January 01, 2022 - Event Location: In Person: New Orleans, LA Date: October 21 - 25, 2022 Event Fee: Free CE

147. Weight and Height Juxtaposition in the Electronic Medical Record Causing an Accidental Medication Overdose | PSNet
     psnet.ahrq.gov/web-mm/weight-and-height-juxtaposition-electronic-medical-record-causing-accidental-medication
     March 15, 2023 - Am J Med . 2020;133(11):1249-1251. [ Free full text ] Woo M, Bacon O. Alarm Fatigue. … Rockville (MD): Agency for Healthcare Research and Quality; 2020. [ Free full text ] Welch J. … BMJ Open . 2017;7(1):e013285. [ Free full text ] Institute for Safe Medical Practices (ISMP). … 2019;24(11). [ Free full text ] ASHP Guidelines on Preventing Medication Errors in Hospitals. … BMC Med Educ . 2019;19(1):293. [ Free full text ] Buchanan AH, Michelfelder AJ.

148. Sepsis Alliance Summit | PSNet
     psnet.ahrq.gov/training-catalog/sepsis-alliance-summit
     September 16, 2021 - Event Location: Online Date: September 28 - 29, 2022 Event Fee: Free CE or CME Offered?

149. Computerised clinical decision support systems to improve medication safety in long-term care homes: a systematic review. | PSNet
     psnet.ahrq.gov/issue/computerised-clinical-decision-support-systems-improve-medication-safety-long-term-care-homes
     October 04, 2023 - PubMed citation Free full text Save Save to your library Print Share … 23, 2019 Cranky comments: detecting clinical decision support malfunctions through free-text

150. Incomplete Orders for Hypertonic Saline to Treat Hyponatremia | PSNet
     psnet.ahrq.gov/web-mm/incomplete-orders-hypertonic-saline-treat-hyponatremia
     February 23, 2022 - The infusion was stopped immediately, and the patient was administered dextrose, free water, and desmopressin … In a rush, the intensivist ordered the 500 mL infusion and added a free-text comment to "infuse 50 cc … Unfortunately, the free-text comment was missed both by the pharmacist and the ICU nurse, resulting in … Specifically, the prescriber was obligated to enter a personalized order with free-text instructions, … European and American expert panels recommend therapeutic lowering of serum sodium by administering free

151. A cure for scrawl: doctors being encouraged to switch to e-prescriptions. | PSNet
     psnet.ahrq.gov/issue/cure-scrawl-doctors-being-encouraged-switch-e-prescriptions
     December 12, 2018 - Free full text (limited availability) Save Print Share

152. Myasthenia Crisis after a Delayed Diagnosis in a Medically Complex Patient. | PSNet
     psnet.ahrq.gov/web-mm/myasthenia-crisis-after-delayed-diagnosis-medically-complex-patient
     February 21, 2020 - Am J Med . 2010;123(3):238-244. [ Free full text ] Graber ML, Siegal D, Riah H, et al. … J Patient Saf . 2019;15(2):77-85. [ Free full text ] Dixit RA, Boxley CL, Samuel S, et al. … Acad Med . 1998;73(10 Suppl):S109-S111. [ Free full text ] Tay SW, Ryan P, Ryan CA. … Can Med Educ J . 2016;7(2):e97-e103. [ Free full text ] Blazin LJ, Sitthi-Amorn J, Hoffman JM, et al … Pediatr Qual Saf . 2020;5(4):E323. [ Free full text ] This project was funded under contract

153. Check Twice, Transport Once | PSNet
     psnet.ahrq.gov/web-mm/check-twice-transport-once
     March 15, 2023 - BMJ Open . 2017;7(11):e017932. [ Free full text ] Nonami S, Kawakami D, Ito J, et al. … Crit Care Explor . 2022;4(3):e0657. [ Free full text ] Hains IM, Marks A, Georgiou A, et al. … Crit Care . 2015;19(1):214. [ Free full text ] Pesanka DA, Greenhouse PK, Rack LL, et al. … J Pediatr Surg . 2012;47(1):112-118. [ Free full text ] American College of Surgeons (ACS) Committee … Bull Am Coll Surg . 2016;101(10):52. [ Free full text ] Mendlovic J, Gargir E, Katz DE.

154. Saved by ECMO | PSNet
     psnet.ahrq.gov/web-mm/saved-ecmo
     March 13, 2024 - Anesthesiology . 2014;120(6):1505-1512. [ Free full text ] Jeejeebhoy FM, Zelop CM, Lipman S, et al … Circulation . 2015;132(18):1747-1773. [ Free full text ] Yang JZ, Odish MF, Mathers H, et al. … Pulm Circ . 2022;12(2):e12066. [ Free full text ] Hoeper MM, Galié N, Murali S, et al. … Am J Respir Crit Care Med . 2002;165(3):341-344. [ Free full text ] Naoum EE, Chalupka A, Haft J, et … J Am Heart Assoc. 2020;9(13):e016072. [ Free full text ] Grodzinsky, A., Florio, K., Spertus, J.A.

155. Identifying patient-centred recommendations for improving patient safety in General Practices in England: a qualitative content analysis of free-text responses using the Patient Reported Experiences and Outcomes of Safety in Primary Care (PREOS-PC) questionnaire. | PSNet
     psnet.ahrq.gov/issue/identifying-patient-centred-recommendations-improving-patient-safety-general-practices
     April 25, 2018 - recommendations for improving patient safety in General Practices in England: a qualitative content analysis of free-text … recommendations for improving patient safety in General Practices in England: a qualitative content analysis of free-text … PubMed citation Available at Free full text Save Save to your library Print … recommendations for improving patient safety in General Practices in England: a qualitative content analysis of free-text

156. Conservative prescribing needed to improve medication safety. | PSNet
     psnet.ahrq.gov/issue/conservative-prescribing-needed-improve-medication-safety
     February 06, 2019 - Free full text Save Print Share Facebook Twitter

157. Drug shortages still at crisis levels. | PSNet
     psnet.ahrq.gov/issue/drug-shortages-still-crisis-levels
     May 01, 2019 - Free full text Save Save to your library Print Share Facebook Twitter

158. Five Years of Quality: Working Together to Improve Care. | PSNet
     psnet.ahrq.gov/issue/five-years-quality-working-together-improve-care
     December 30, 2021 - Information Free full text (PDF) Save Save to your library Print Share

159. Doctors see flaw in device recalls. | PSNet
     psnet.ahrq.gov/issue/doctors-see-flaw-device-recalls
     December 05, 2018 - Free full text Save Save to your library Print Share Facebook Twitter

160. Webinar Series | PSNet
     psnet.ahrq.gov/training-catalog/webinar-series-3
     Event Location: Online Date: On demand Event Fee: Free CE or CME Offered?