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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42549/psn-pdf
    August 28, 2013 - issue/patient-safety-threats-and-solutions This commentary provides an overview of patient safety, including
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42242/psn-pdf
    September 06, 2018 - psnet.ahrq.gov/issue/world-sepsis-day This website provides resources to raise awareness of sepsis, including
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41681/psn-pdf
    January 01, 2013 - patient-safety-plastic-surgery This commentary outlines tactics to prevent complications in plastic surgery, including
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35567/psn-pdf
    December 14, 2005 - recommendations developed by United States Pharmacopeia (USP) to improve the safety of using medical gas, including
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37282/psn-pdf
    September 27, 2016 - describes the causes of medication errors in the operating room and discusses prevention strategies, including
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35973/psn-pdf
    August 13, 2010 - follow-tips-safe-efficient-practice This article provides suggestions for physicians to ensure reliable follow-up on test results, including
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49525/psn-pdf
    December 01, 2006 - Discuss the management of HIT, including use of direct thrombin inhibitors and extended anticoagulation … appropriate initial management of the condition includes discontinuation of all forms of heparin (including … Such an approach is supported by several studies, including a randomized controlled trial of UFH versus … †ASR = acute systemic reaction, including hypertension, tachypnea, fever, following intravenous heparin … ‡Discontinue all forms of heparin, including vascular catheter heparin flushes and heparin-coated catheters
  8. psnet.ahrq.gov/web-mm/time-death
    January 03, 2017 - The Case An 80-year-old woman with multiple illnesses, including chronic obstructive pulmonary disease … This case vividly illustrates shortcomings in the educational process of resuscitation skills, including … The case also brings to light several issues of team performance, including (i) problems of situation … Effective debriefing, including performance feedback, provides opportunities for learners to analyze … A recent review further describes the key components of effective team training, including management
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49768/psn-pdf
    September 01, 2016 - visited one of his patients—an 80- year-old, Spanish-speaking woman with multiple medical problems including … Her family was advised that she would require ongoing assistance to manage complex tasks including organizing … The patient's medical record revealed that she was supposed to be taking eight medications daily, including … The resident identified several errors in the pill organization system, including empty slots for upcoming … Medication access interventions, including unit dose packaging, have demonstrated an increase in medication
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42620/psn-pdf
    April 04, 2018 - diagnostic-error-medicine-0 Articles in this special issue cover efforts to reduce diagnostic errors, including
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41308/psn-pdf
    April 18, 2012 - health-care-associated-infections-hai-portal This Web site provides resources on infection prevention and control, including
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42072/psn-pdf
    August 03, 2016 - innovation-perioperative-patient-safety Articles in this special issue discuss strategies to improve safety in anesthesia, including
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41874/psn-pdf
    November 21, 2012 - reducing-diagnostic-errors This online continuing education module will educate participants on diagnostic errors, including
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42647/psn-pdf
    October 09, 2013 - improving-patient-safety-laboratory-medicine Articles in this special issue explore patient safety in laboratory medicine, including
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36592/psn-pdf
    May 08, 2018 - a series focusing on high-alert medications, discusses issues related to heparin and warfarin use, including
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37884/psn-pdf
    November 03, 2008 - epidemiology-malpractice-lawsuits-paediatrics This review identified potential high-risk sources of medical errors in pediatrics, including
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34997/psn-pdf
    June 22, 2009 - In this review, the author summarizes the benefits of effective teamwork in health care settings, including
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37582/psn-pdf
    September 24, 2010 - psnet.ahrq.gov/issue/reducing-accidental-extubation-neonates This study describes practical strategies, including
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36723/psn-pdf
    July 26, 2011 - prescribing-safely-children The authors describe challenges in prescribing medications for children, including
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33921/psn-pdf
    October 10, 2018 - ashp-guidelines-preventing-medication-errors-hospitals Strategies to prevent inpatient medication errors are discussed, including

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