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  1. psnet.ahrq.gov/sites/default/files/2019-11/webmm_spotlight_suicide_risk_assessment.pdf
    January 01, 2019 - Spotlight Missed Opportunities for Suicide Risk Assessment Source and Credits • This presentation is based on the November 2019 AHRQ WebM&M Spotlight Case ○ See the full article at https://psnet.ahrq.gov/webmm ○ CME credit is available • Commentary by: Glen Xiong, MD & Debra Kahn, MD ○ Editors in Chief, AHRQ We…
  2. Psn-Pdf (pdf file)

    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…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865376/psn-pdf
    March 27, 2024 - Navigating Chaos: Fatal Iatrogenic Liver Injury in a Patient Admitted for Leg Fractures March 27, 2024 Loseth C. Navigating Chaos: Fatal Iatrogenic Liver Injury in a Patient Admitted for Leg Fractures. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/navigating-chaos-fatal-iatrogenic-liver-injury-patient-admi…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33807/psn-pdf
    May 01, 2016 - In Conversation With... Barbara Drew, RN, PhD May 1, 2016 In Conversation With.. Barbara Drew, RN, PhD. PSNet [internet]. 2016. https://psnet.ahrq.gov/perspective/conversation-barbara-drew-rn-phd Editor's note: Dr. Drew, a nurse researcher, is the David Mortara Distinguished Professor of Physiological Nursing and…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49798/psn-pdf
    July 01, 2017 - Pseudo-obstruction But a Real Perforation July 1, 2017 Paski SC, Dominitz JA. Pseudo-obstruction But a Real Perforation. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/pseudo-obstruction-real-perforation Case Objectives Recognize acute colonic pseudo-obstruction and implement a medical management plan. Ide…
  6. psnet.ahrq.gov/perspective/methicillin-resistant-staphylococcus-aureus
    June 24, 2010 - Methicillin-Resistant Staphylococcus aureus Gary A. Noskin, MD | April 1, 2008  View more articles from the same authors. Citation Text: Noskin GA. Methicillin-Resistant Staphylococcus aureus. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Qua…
  7. psnet.ahrq.gov/web-mm/inappropriate-antibiotic-use
    September 22, 2010 - Inappropriate Antibiotic Use Citation Text: Babcock HM, Fraser VJ. Inappropriate Antibiotic Use. 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 …
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49600/psn-pdf
    April 01, 2010 - Bad Writing, Wrong Medication April 1, 2010 Devine B. Bad Writing, Wrong Medication. PSNet [internet]. 2010. https://psnet.ahrq.gov/web-mm/bad-writing-wrong-medication Case Objectives Differentiate between a medication error and an adverse drug event. Appreciate the system complexities involved in medication erro…
  9. psnet.ahrq.gov/web-mm/double-trouble
    August 01, 2012 - SPOTLIGHT CASE Double Trouble Citation Text: Gurwitz JH. Double Trouble. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote t…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49402/psn-pdf
    June 01, 2003 - Inappropriate Antibiotic Use June 1, 2003 Babcock HM, Fraser VJ. Inappropriate Antibiotic Use. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/inappropriate-antibiotic-use The Case A 41-year-old woman presented to the hospital with acute renal failure, which came to be diagnosed as a first presentation of s…
  11. psnet.ahrq.gov/web-mm/transfusion-thresholds-gastrointestinal-bleeding
    November 26, 2014 - SPOTLIGHT CASE Transfusion Thresholds in Gastrointestinal Bleeding Citation Text: Strate L, Swanson S. Transfusion Thresholds in Gastrointestinal Bleeding. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. Copy Citati…
  12. psnet.ahrq.gov/sites/default/files/2024-10/The%20Different%20Count%20Contributions%20to%20Retention.pdf
    January 01, 2024 - The Different Count Contributions to Retention Differential Count Contributions in Retained Surgical Sponge Cases: Examination of Administrative Penalty Cases from the California Department of Public Health (CDPH), Health and Safety Code Section 1280.1 Enforcement Reports from 2007-2014 A NoThing Left Behin…
  13. psnet.ahrq.gov/web-mm/intraosseous-line-extravasation-pediatric-trauma-patient
    September 29, 2021 - Compartment syndrome is a clinical diagnosis and patients’ reported symptoms are the earliest indicators
  14. psnet.ahrq.gov/issue/post-hospital-medication-discrepancies-home-risk-factor-90-day-return-emergency-department
    March 18, 2020 - Study Post-hospital medication discrepancies at home: risk factor for 90-day return to emergency department. Citation Text: Costa LL, Byon HD. Post-Hospital Medication Discrepancies at Home: Risk Factor for 90-Day Return to Emergency Department. J Nurs Care Qual. 2018;33(2):180-186. doi:…
  15. psnet.ahrq.gov/issue/no-shortcuts-safer-opioid-prescribing
    March 30, 2016 - Commentary Classic No shortcuts to safer opioid prescribing. Citation Text: Dowell D, Haegerich T, Chou R. No Shortcuts to Safer Opioid Prescribing. N Engl J Med. 2019;380(24):2285-2287. doi:10.1056/NEJMp1904190. Copy Citation Format: DOI Google Sc…
  16. psnet.ahrq.gov/issue/trend-analysis-radiation-therapy-incidents-over-seven-years
    December 20, 2023 - Study Trend analysis of radiation therapy incidents over seven years. Citation Text: Bissonnette J-P, Medlam G. Trend analysis of radiation therapy incidents over seven years. Radiother Oncol. 2010;96(1):139-44. doi:10.1016/j.radonc.2010.05.002. Copy Citation Format: DOI …
  17. psnet.ahrq.gov/issue/what-about-doctors-impact-medical-errors
    January 14, 2015 - Commentary What about doctors? The impact of medical errors. Citation Text: Elwahab SA, Doherty E. What about doctors? The impact of medical errors. Surgeon. 2014;12(6):297-300. doi:10.1016/j.surge.2014.06.004. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote …
  18. psnet.ahrq.gov/issue/infection-control-hazards-and-near-misses-reported-nursing-students
    February 11, 2009 - Study Infection control hazards and near misses reported by nursing students. Citation Text: Geller NF, Bakken S, Currie LM, et al. Infection control hazards and near misses reported by nursing students. Am J Infect Control. 2010;38(10):811-6. doi:10.1016/j.ajic.2010.06.001. Copy Cit…
  19. psnet.ahrq.gov/issue/potential-drug-interactions-hospitalized-cancer-patients
    June 07, 2016 - Study Potential for drug interactions in hospitalized cancer patients. Citation Text: Riechelmann RP, Moreira F, Smaletz Ò, et al. Potential for drug interactions in hospitalized cancer patients. Cancer Chemother Pharmacol. 2005;56(3). doi:10.1007/s00280-004-0998-4. Copy Citation …
  20. psnet.ahrq.gov/issue/can-electronic-clinical-documentation-help-prevent-diagnostic-errors
    December 02, 2020 - Commentary Can electronic clinical documentation help prevent diagnostic errors? Citation Text: Schiff G, Bates DW. Can electronic clinical documentation help prevent diagnostic errors? New Engl J Med. 2010;362(12):1066-1069. doi:10.1056/NEJMp0911734. Copy Citation Format: …

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