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81. Microsoft PowerPoint - FINAL Spotlight Case_Under Pressure.pptx (pdf file)
    psnet.ahrq.gov/sites/default/files/2023-06/under_pressure.pdf
    January 01, 2023 - [Free full text] 3. Ciaglia P, Firsching R, Syniec C. … [Free full text] 12. Abubaker J, Ullah S, Ahmed S, et al. … [Free full text] References 34 16. … [Free full text] 18. Park JH, Lee HJ, Lee SH, et al. … [Free full text]

82. Delayed Evaluation of Abdominal Pain in an Elderly Patient. | PSNet
    psnet.ahrq.gov/web-mm/delayed-evaluation-abdominal-pain-elderly-patient
    February 26, 2020 - Niger J Surg . 2021;27(1):16-21. [ Free full text ] Leuthauser A, McVane B. … J Am Geriatr Soc . 2020;68(8):1755-1762. [ Free full text ] Lyon C, Clark DC. … Am J Emerg Med . 2021;48:73-78. [ Free full text ] Hsia RY, Sarkar N, Shen YC. … Acad Emerg Med . 2022;29(2):228-230. [ Free full text ] Corl K. … Accessed August 31, 2023. [ Free full text ] Kärkkäinen JM, Acosta S.

83. Misconnection Leading to Arterial Thrombosis | PSNet
    psnet.ahrq.gov/web-mm/misconnection-leading-arterial-thrombosis
    January 29, 2021 -  [ Free full text ] Devulapalli C, Han KD, Bello RJ, et al. … [ Free full text ] Lokoff A, Maynes JT. … Indian J Anaesth . 2013;57(3):320-322 . [ Free full text ] Beale EW, Behnam A. … Ann Med Surg (Lond) . 2022;83:104736 . [ Free full text ] Rai KM, Rao KS, Maudar KK. … Saudi J Anaesth . 2017;11(4):476-478 . [ Free full text ] Holley HS, Cuthrell L.

84. Misplaced Nasogastric Tube Resulting in Aspiration | PSNet
    psnet.ahrq.gov/web-mm/misplaced-nasogastric-tube-resulting-aspiration
    August 01, 2009 - [ Free full text ] Sullivan EM, Statler PM. Clinical Procedures. … Crit Care . 1998;2(1):25-28. [ Free full text ] Sorokin R, Gottlieb JE. … Heart Lung . 2019;48(3):226-235. [ Free full text ] Metheny NA, Smith L, Stewart BJ. … [Free full text (PDF) ] Salik I, Ashurst JV. … [Free full text ] Fatahi N, Krupic F, Hellström M.

85. Challenges of Diabetes Management and Medication Reconciliation | PSNet
    psnet.ahrq.gov/web-mm/challenges-diabetes-management-and-medication-reconciliation
    March 15, 2023 - CMAJ . 2005;173(5):510-515. [ Free full text ] Al-Hashar A, Al-Zakwani I, Eriksson T, et al. … Int J Clin Pharm . 2018;40(5):1154-1164. [ Free full text ] Medication Reconciliation Review. … Curr Diab Rep. ; 18(8): 53. [ Free full text ] Meguerditchian AN, Krotneva S, Reidel K, et al. … Arch Intern Med . 2007;167(10):1034-1040. [ Free full text ] Jylhä V, Saranto K. … BMJ Qual Saf . 2022;31(4):278-286. [ Free full text ] Mixon AS, Smith GR Jr, Mallouk M, et al.

86. EMS Perils from Hospital Overcrowding | PSNet
    psnet.ahrq.gov/web-mm/ems-perils-hospital-overcrowding
    November 25, 2020 - Accessed September 1, 2022.[ Free full text ] Law Insider. … [ Free full text ] Leyenaar JK, Lagu T, Lindenauer PK. … Accessed July 2022. [ Free full text ] Baker P. … Accessed September 2022. [ Free full text ] Backer H. … Free full text] Cooney DR, Millin MG, Carter A, et al.

87. When Vomit Gets in the Way: Aspiration Resulting in Death During Endoscopy | PSNet
    psnet.ahrq.gov/web-mm/when-vomit-gets-way-aspiration-resulting-death-during-endoscopy
    December 01, 2006 - Gastrointest Endosc . 2010;71(1):1-9. [ Free full text ] Li S, Guizzetti L, Ma C, et al. … Anesth Analg . 2022;134(6):1192-1200. [ Free full text ] Blayney MR. … Anesthesiology . 2011;114(3):495-511. [ Free full text ] Green SM, Mason KP, Krauss BS. … Br J Anaesth . 2017;118(3):344-354. [ Free full text ] Takenaka I, Aoyama K, Iwagaki T. … Anesthesiology . 2001;95(4):836-841. [ Free full text ] Kalinowski CP, Kirsch JR.

88. Advancing Equity through Quality and Safety Peer Network Series | PSNet
    psnet.ahrq.gov/training-catalog/advancing-equity-through-quality-and-safety-peer-network-series
    American Medical Association (AMA) Event Description: This set of free … Event Location: Online Date: On demand Event Fee: Free CE or CME Offered?

89. A Missed Bowel Perforation - the Importance of Diagnostic Reasoning | PSNet
    psnet.ahrq.gov/web-mm/missed-bowel-perforation-importance-diagnostic-reasoning
    January 29, 2021 - Sci Rep . 2022;12(1):1028. [ Free full text ] Bone RC, Balk RA, Cerra FB, et al. … JAMA . 2017;318(13):1241-1249. [ Free full text ] Kumar A, Roberts D, Wood KE, et al. … Chest . 2022;161(2):392-406. [ Free full text ] Shin R, Lee SM, Sohn B, et al. … J Yeungnam Med Sci . 2022;39(2):133-140. [ Free full text ] Weber DG, et al. … BJS . 2014;101:e109-e118. [ Free full text ] Moore LJ, Moore FA.

90. Spotlight Case [MONTH] 2003 (ppt file)
    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.149_slideshow.ppt
    May 01, 2007 - Free drug measurements. When and why? An overview. … Free drug measurements. When and why? An overview. … Determining Free Phenytoin Levels Order an unbound phenytoin level and assess it in the context of … Free drug measurements. When and why? An overview. … Evidence-based implementation of free phenytoin therapeutic drug monitoring.

91. Aspergillus Mediastinitis & Endocarditis in a Pediatric Patient Complicating Cardiac Surgery and Bedside Chest Closure. | PSNet
    psnet.ahrq.gov/web-mm/aspergillus-mediastinitis-endocarditis-pediatric-patient-complicating-cardiac-surgery-and
    June 01, 2007 - Accessed January 19, 2023. [ Free full text ] Kaiser GC, Naunheim KS, Fiore AC, et al. … J Clin Med . 2021;10(19). [ Free full text ] LaPar DJ, Isbell JM, Mulloy DP, et al. … Ann Thorac Surg . 2014;98(5):1645-1652. [ Free full text ] Cuomo CA. … Accessed January 19, 2023. [ Free full text (PDF) ]. … Accessed January 19, 2023. [ Free full text ] Rutala WA, Kanamori H, Gergen MF et al.

92. Spotlight (pdf file)
    psnet.ahrq.gov/sites/default/files/2022-03/final_spotlight_case_mistaken_capacity.pdf
    January 01, 2022 - Free full text 2. Barstow, MD C, Shahan, MD B, Roberts, MD M. … Free full text 8. Kern DE, Branch WT Jr, Jackson JL, et al. … Free full text 9. McCall L, Clarke DM, Rowley G. … Free full text 13. Sepúlveda C, Marlin A, Yoshida T, Ullrich A. … Free full text 14. Crawford GB, Price SD.

93. An Incomplete Anesthesia History Leads to Adverse Outcomes | PSNet
    psnet.ahrq.gov/web-mm/incomplete-anesthesia-history-leads-adverse-outcomes
    January 29, 2021 - J Bras Pneumol . 2020;46(4):e201180125. [ Free full text ] Feldman JM. … Mol Pathol . 2001;54(6):381-385. [ Free full text ] Marinelli WA, Leatherman JW. … Anaesth Intensive Care . 2021;49(6):497-498. [ Free full text ] Ting J. … Transl Periper Pain Med. 2019;6(1):5-16. [ Free full text ] Okocha O, Sweitzer BJ. … Ann Clin Biochem. 2004;41(2)98-110. [ Free full text ] Bohringer H, Moua H, Liu H.

94. Spotlight (pdf file)
    psnet.ahrq.gov/sites/default/files/2022-05/final_cme_reviewed_-_spotlight_missing_a_large_vessel_occlusion_stroke_04.14.2022_-_copy.pdf
    January 01, 2022 - [Free full text] 2. Saver JL, Goyal M, Lugt A van der, et al. … [Free full text] 4. Albers GW, Marks MP, Kemp S, et al. … [Free full text] 7. Virani SS, Alonso A, Benjamin EJ. … [Free full text] 8. Campbell BCV, Lansberg MG, Broderick JP, et al. … [Free full text] 11. American Heart Association. Clinical Tools and Resources.

95. A Loss of Trust and a Missed Diagnosis | PSNet
    psnet.ahrq.gov/web-mm/loss-trust-and-missed-diagnosis
    June 05, 2013 - Free full text US Preventive Services Task Force. … Free full text Qaseem A, Wilt TJ, McLean RM, et al. … Free full text Chou R, Deyo R, Friedly J, et al. … Free full text Chou R, Deyo R, Friedly J, et al. … Free full text Atlas SJ.

96. Medication Mix-Up Leads to Patient Death | PSNet
    psnet.ahrq.gov/web-mm/medication-mix-leads-patient-death
    January 04, 2024 - Nat Med . 2022;28(7):1331-1333 . [ Free full text ] Ekelund M, Fernsund H, Karlsson S, et al. … Perception . 2022;51(2):131-147. [ Free full text ] Thirsk LM, Panchuk JT, Stahlke S, et al. … Int J Nurs Stud . 2022;133:104284 . [ Free full text ] Andel SA, Tedone AM, Shen W, et al. … J Adv Nurs . 2022;78(1):121-130 . [ Free full text ] Rae PJL, Pearce S, Greaves PJ, et al. … [ Free full text ] Macdonald M.

97. Open wider: Failure to use an interpreter results in fractured teeth and hypoxia during a simple elective operation. | PSNet
    psnet.ahrq.gov/web-mm/open-wider-failure-use-interpreter-results-fractured-teeth-and-hypoxia-during-simple
    January 29, 2021 - Front Public Health . 2015;3:210. [ Free full text ] Clarke SK, Jaffe J, Mutch R. … Singapore Med J. 2018;59(5):271-278. [ Free full text ] Eichhorn JH. … Can J Anaesth . 2013;60(2):111-8. [ Free full text ] Silva MD, Tsai S, Sobota RM, et al. … J Pain Symptom Manage . 2020;59(3):694-701. [ Free full text ] White J, Plompen T, Tao L, et al. … BMC Public Health . 2019;19(1):1096. [ Free full text ] Tang AS, Kruger JF, Quan J, Fernandez A.

98. Battle Buddies: rapid deployment of a psychological resilience intervention for health care workers during the COVID-19 pandemic | PSNet
    psnet.ahrq.gov/innovation/battle-buddies-rapid-deployment-psychological-resilience-intervention-health-care
    July 22, 2020 - MN Resilience Program. [ Free full text ]  Battle Buddies Tip Sheet [ Free full text ] Battle Buddies … Pocket Card [ Free full text ] Battle Buddies Roll-Out Diagram [ Free full text ] Related News Articles … Accessed September 27, 2021. [ Free full text ]  Advanced Care Hospitalist. … Anaesthesia . 2020;75(10):1364-1371. [ Free full text ] Schreiber M, Cates DS, Formanski S, et al. … Mil Med . 2019;184(Suppl 1):114-120. [ Free full text ] PubMed citation Free full

99. Respiratory Distress after Neck Surgery: Two Cases of Postoperative Cervical Hematoma. | PSNet
    psnet.ahrq.gov/web-mm/respiratory-distress-after-neck-surgery-two-cases-postoperative-cervical-hematoma
    August 26, 2020 - Perm J . 2015;19(1):22-28. [ Free full text ] Liu J, Li Z, Liu S, et al. … Br J Surg . 2021;108(7):851-857. [ Free full text ] Yee TJ, Swong K, Park P. … J Spine Surg . 2019;5(1):142-154. [ Free full text ] Fan C, Zhou X, Su G, et al. … BMC Surg . 2019;19(1):98. [ Free full text ] Mahoney RC, Vossler JD, Woodruff SL, et al. … Ann Surg Oncol . 2015;22(2):429-436. [ Free full text ] Lee DJ, Chin CJ, Hong CJ, et al.

100. Getting beyond blame in your practice. | PSNet
     psnet.ahrq.gov/issue/getting-beyond-blame-your-practice
     January 31, 2018 - The author discusses how to develop core competencies to help teams create a blame-free culture that … PubMed citation Free full text Save Save to your library Print Share