-
psnet.ahrq.gov/node/49857/psn-pdf
March 01, 2019 - Duplicate Insulin Order
March 1, 2019
Acquisto NM, Cobaugh DJ. Duplicate Insulin Order. PSNet [internet]. 2019.
https://psnet.ahrq.gov/web-mm/duplicate-insulin-order
The Case
A 45-year-old man with a history of insulin-dependent diabetes mellitus was seen in the emergency
department (ED) for complaints of letharg…
-
psnet.ahrq.gov/web-mm/slow-down-right-drug-wrong-formulation
October 13, 2018 - Slow Down: Right Drug, Wrong Formulation
Citation Text:
Amato MG, Schiff G. Slow Down: Right Drug, Wrong Formulation. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018.
Copy Citation
Format:
Google Scholar BibTeX EndN…
-
psnet.ahrq.gov/web-mm/check-wristband
August 03, 2009 - Check the Wristband
Citation Text:
Rosenthal M. Check the Wristband. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId …
-
psnet.ahrq.gov/node/836839/psn-pdf
March 31, 2022 - Annual Perspective: Psychological Safety of Healthcare
Staff
March 31, 2022
Kingston MB, Dowell P, Mossburg SE, et al. Annual Perspective: Psychological Safety of Healthcare Staff.
PSNet [internet]. 2022.
https://psnet.ahrq.gov/perspective/annual-perspective-psychological-safety-healthcare-staff
Introduction
The…
-
psnet.ahrq.gov/perspective/second-victim-phenomenon-harsh-reality-health-care-professions
November 13, 2024 - The Second Victim Phenomenon: A Harsh Reality of Health Care Professions
Susan D. Scott RN, MSN | May 1, 2011
View more articles from the same authors.
Citation Text:
Scott SD. The Second Victim Phenomenon: A Harsh Reality of Health Care Professions. PSNet [intern…
-
psnet.ahrq.gov/periodic-issue/periodic-issue-469
December 31, 2024 - January 8, 2025 Weekly Issue
PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly
Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient
safety literature, news, conferences, reports…
-
psnet.ahrq.gov/web-mm/result-stopped-here
December 01, 2006 - The Result Stopped Here
Citation Text:
Astion ML. The Result Stopped Here. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pub…
-
psnet.ahrq.gov/web-mm/doctor-dont-treat-thyself
August 21, 2024 - Doctor, Don't Treat Thyself
Citation Text:
Rosvold EO. Doctor, Don't Treat Thyself. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote t…
-
psnet.ahrq.gov/web-mm/neurological-red-flags-missed-stroke-after-intermittent-episodes-dizziness-and-headache
February 08, 2023 - Because BPPV is one of the most common causes of dizziness (with a lifetime incidence of nearly 10%), … Incidence and outcome of cerebrovascular events related to cervical artery dissection: the Dijon Stroke … Incidence and size of patent foramen ovale during the first 10 decades of life: an autopsy study of 965
-
psnet.ahrq.gov/node/867206/psn-pdf
December 18, 2024 - Because BPPV is one of the most common causes of dizziness (with a lifetime incidence of nearly 10%), … Incidence and outcome of cerebrovascular events related to
cervical artery dissection: the Dijon Stroke … Incidence and size of patent foramen ovale during the first 10
decades of life: an autopsy study of
-
psnet.ahrq.gov/sites/default/files/2024-11/spotlight_case_neurological_red_flags_final.pptx
January 01, 2024 - Because BPPV is one of the most common causes of dizziness (with a lifetime incidence of nearly 10%), … Incidence and outcome of cerebrovascular events related to cervical artery dissection: the Dijon Stroke … Incidence and size of patent foramen ovale during the first 10 decades of life: an autopsy study of 965
-
psnet.ahrq.gov/innovation/reducing-preventable-patient-harm-due-retained-surgical-items-rsi-bundle
July 23, 2024 - and Development Process
After identifying an opportunity to improve surgical safety by reducing the incidence
-
psnet.ahrq.gov/node/60744/psn-pdf
July 29, 2020 - symptoms such as dyspnea also suggest myocardial ischemia and MI, especially in women, who have a
higher incidence … Race and Sex
Differences in the Incidence and Prognostic Significance of Silent Myocardial Infarction
-
psnet.ahrq.gov/web-mm/intraosseous-line-extravasation-pediatric-trauma-patient
September 29, 2021 - Most patients in this case series were men under 35 years of age, reflecting the high incidence of trauma … September 14, 2022
Incidence and characteristics of errors detected by a short team briefing
-
psnet.ahrq.gov/perspective/health-care-data-science-quality-improvement-and-patient-safety
October 01, 2016 - May 12, 2021
Incidence of "never events" among weekend admissions versus weekday admissions … August 2, 2015
National incidence of medication error in surgical patients before and
-
psnet.ahrq.gov/web-mm/delayed-evaluation-abdominal-pain-elderly-patient
February 26, 2020 - Points Even if the physical exam is reassuring, older adult patients with abdominal pain have a high incidence … Acute mesenteric ischemia (part I) - Incidence, etiologies, and how to improve early diagnosis.
-
psnet.ahrq.gov/perspective/interpreting-patient-safety-literature
June 01, 2005 - Perspective
Five years ago, a widely publicized randomized trial reported a 90% reduction in the incidence … Effects of a medical emergency team on reduction of incidence of and mortality from unexpected cardiac
-
psnet.ahrq.gov/perspective/conversation-withpeter-j-pronovost-md-phd
June 01, 2005 - Perspective
Five years ago, a widely publicized randomized trial reported a 90% reduction in the incidence … Effects of a medical emergency team on reduction of incidence of and mortality from unexpected cardiac
-
psnet.ahrq.gov/node/72587/psn-pdf
December 23, 2020 - Adverse events during intrahospital transport of
critically ill patients: incidence and risk factors
-
psnet.ahrq.gov/node/846935/psn-pdf
March 29, 2023 - Reports of the prevalence and incidence of these conditions vary; one study
estimates that roughly 9%