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psnet.ahrq.gov/node/49851/psn-pdf
January 01, 2019 - Adherence to guidelines and systematic approaches to improve drug administration
procedures can reduce
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psnet.ahrq.gov/node/41759/psn-pdf
October 10, 2012 - Optimal preoperative assessment of the geriatric surgical
patient: a best practices guideline from the American
College of Surgeons National Surgical Quality
Improvement Program and the American Geriatrics
Society.
October 10, 2012
Chow WB, Rosenthal RA, Merkow RP, et al. Optimal preoperative assessment of the ge…
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psnet.ahrq.gov/node/44242/psn-pdf
January 08, 2016 - Interpretive diagnostic error reduction in surgical
pathology and cytology: guideline from the College of
American Pathologists Pathology and Laboratory Quality
Center and the Association of Directors of Anatomic and
Surgical Pathology.
January 8, 2016
Nakhleh RE, Nosé V, Colasacco C, et al. Interpretive Diagnost…
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psnet.ahrq.gov/web-mm/blind-spot
July 30, 2020 - Blind Spot
Citation Text:
Lee LA. Blind Spot. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
Download …
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psnet.ahrq.gov/web-mm/delayed-sepsis-management-due-ambiguous-allergy
January 13, 2021 - Delayed Sepsis Management Due to Ambiguous Allergy
Citation Text:
Blumenthal K. Delayed Sepsis Management Due to Ambiguous Allergy. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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Format:
Google Schol…
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psnet.ahrq.gov/web-mm/bad-writing-wrong-medication
March 01, 2015 - SPOTLIGHT CASE
Bad Writing, Wrong Medication
Citation Text:
Devine B. Bad Writing, Wrong Medication. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010.
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Format:
Google Scholar BibTeX EndNote X3…
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psnet.ahrq.gov/web-mm/missed-diagnosis-addisons-disease-adolescent-presenting-fatigue
October 28, 2020 - Missed Diagnosis of Addison’s Disease in Adolescent Presenting with Fatigue.
Citation Text:
Jimenez S, Crossen S. Missed Diagnosis of Addison’s Disease in Adolescent Presenting with Fatigue.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Serv…
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psnet.ahrq.gov/web-mm/impatient-inpatient-dosing
June 24, 2020 - SPOTLIGHT CASE
Impatient Inpatient Dosing
Citation Text:
White RH. Impatient Inpatient Dosing. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005.
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psnet.ahrq.gov/web-mm/crossing-line
December 01, 2012 - SPOTLIGHT CASE
Crossing the Line
Citation Text:
Feldman JP, Gould MK. Crossing the Line. 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…
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psnet.ahrq.gov/web-mm/diagnosing-diagnostic-mistakes
April 30, 2014 - SPOTLIGHT CASE
Diagnosing Diagnostic Mistakes
Citation Text:
McNutt RA, Abrams RI, Hasler S. Diagnosing Diagnostic Mistakes. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005.
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Format:
Google S…
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psnet.ahrq.gov/node/49486/psn-pdf
August 21, 2005 - Impatient Inpatient Dosing
August 21, 2005
White RH. Impatient Inpatient Dosing. PSNet [internet]. 2005.
https://psnet.ahrq.gov/web-mm/impatient-inpatient-dosing
Case Objectives
Appreciate the challenges of initiating warfarin therapy in the hospitalized patient
Understand the fundamental pharmacology of warfarin…
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psnet.ahrq.gov/sites/default/files/2023-06/under_pressure.pdf
January 01, 2023 - Microsoft PowerPoint - FINAL Spotlight Case_Under Pressure.pptx
Spotlight
Under Pressure: Tracheostomy Cuff Over Inflation
Leading to Tissue Necrosis and Cuff Rupture
Source and Credits
• This presentation is based on the June 2023 AHRQ WebM&M
Spotlight Case
o See the full article at https://psnet.ahrq.gov/webmm…
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psnet.ahrq.gov/node/44789/psn-pdf
April 25, 2016 - Guideline for prevention of retained surgical items.
April 25, 2016
Putnam K. Guideline for prevention of retained surgical items. AORN J. 2015;102(6):P11-P13.
https://psnet.ahrq.gov/issue/guideline-prevention-retained-surgical-items
Retained surgical items are considered a sentinel event in perioperative care. Thi…
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psnet.ahrq.gov/perspective/conversation-withchristopher-p-landrigan-md
April 01, 2005 - whatever new ACGME guidelines are developed?
-
psnet.ahrq.gov/node/33804/psn-pdf
March 03, 2016 - for additional funding
and also payment penalties, various survey, certification, and accreditation guidelines
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psnet.ahrq.gov/perspective/conversation-richard-platt-md-msc
October 01, 2016 - Did clinicians at my institution transfuse blood in a way consistent with modern guidelines?
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psnet.ahrq.gov/perspective/conversation-paul-mcgann-md
July 10, 2024 - for additional funding and also payment penalties, various survey, certification, and accreditation guidelines
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psnet.ahrq.gov/perspective/introducing-new-ahrq-webmm-and-ahrq-patient-safety-network-psnet
April 01, 2005 - whatever new ACGME guidelines are developed?
-
psnet.ahrq.gov/node/45332/psn-pdf
August 27, 2018 - Guideline implementation: prevention of retained surgical
items.
August 27, 2018
Fencl JL. Guideline Implementation: Prevention of Retained Surgical Items. AORN J. 2016;104(1):37-48.
doi:10.1016/j.aorn.2016.05.005.
https://psnet.ahrq.gov/issue/guideline-implementation-prevention-retained-surgical-items
Although i…
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psnet.ahrq.gov/node/46096/psn-pdf
May 31, 2017 - Guideline for opioid therapy and chronic noncancer pain.
May 31, 2017
Busse JW, Craigie S, Juurlink DN, et al. Guideline for opioid therapy and chronic noncancer pain. CMAJ.
2017;189(18):E659-E666. doi:10.1503/cmaj.170363.
https://psnet.ahrq.gov/issue/guideline-opioid-therapy-and-chronic-noncancer-pain
Opioid pain…