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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49594/psn-pdf
    December 01, 2009 - Standard Deviations December 1, 2009 Sabin JE. Standard Deviations. PSNet [internet]. 2009. https://psnet.ahrq.gov/web-mm/standard-deviations Case Objectives Understand the safety risks associated with patients being discharged against medical advice (AMA). Recognize safety risks associated with being part of a …
  2. psnet.ahrq.gov/web-mm/around-block
    March 04, 2020 - Around the Block Citation Text: Minichiello T. Around the Block. 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 tagged PubMedId RIS …
  3. psnet.ahrq.gov/web-mm/unexpected-drawbacks-electronic-order-sets
    December 01, 2017 - Unexpected Drawbacks of Electronic Order Sets Citation Text: McGreevey JD. Unexpected Drawbacks of Electronic Order Sets. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016. Copy Citation Format: Google Scholar BibTeX …
  4. psnet.ahrq.gov/web-mm/infused-not-ingested
    February 01, 2017 - Infused, Not Ingested Citation Text: Foley M. Infused, Not Ingested. 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 tagged PubMedId …
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49451/psn-pdf
    June 01, 2004 - The Result Stopped Here June 1, 2004 Astion ML. The Result Stopped Here. PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/result-stopped-here The Case A 91-year-old female was transferred to a hospital-based skilled nursing unit from the acute care hospital for continued wound care and intravenous (IV) antib…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49806/psn-pdf
    September 01, 2017 - Failed Interpretation of Screening Tool: Delayed Treatment September 1, 2017 Cable CA, Murphy DJ, Martin GS. Failed Interpretation of Screening Tool: Delayed Treatment. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/failed-interpretation-screening-tool-delayed-treatment The Case An 88-year-old man present…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33743/psn-pdf
    December 01, 2012 - Quality and Safety Challenges in Critical Care: Preventing and Treating Delirium in the Intensive Care Unit December 1, 2012 Vasilevskis EE, Ely WE, Dittus RS. Quality and Safety Challenges in Critical Care: Preventing and Treating Delirium in the Intensive Care Unit. PSNet [internet]. 2012. https://psnet.ahrq.gov…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49446/psn-pdf
    August 30, 2021 - Too Tight Control May 1, 2004 Rubin HR, Fajtova VT. Too Tight Control. PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/too-tight-control Case Objectives Appreciate the advantages and potential complications of intensive insulin therapy in the hospitalized patient List hospital-based safeguards available to…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846770/psn-pdf
    March 29, 2023 - Procedure Complications – Who is Responsible for Follow up? March 29, 2023 Chalupsky M, Wei H, Marquet E. Procedure Complications – Who is Responsible for Follow up? PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/procedure-complications-who-responsible-follow The Case A 74-year-old man with newly diagnose…
  10. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.407_slideshow.ppt
    May 01, 2017 - PowerPoint Presentation Spotlight Diagnostic Delay in the Emergency Department 1 Source and Credits This presentation is based on the May 2017 AHRQ WebM&M Spotlight Case See the full article at https://psnet.ahrq.gov/webmm CME credit is available Commentary by: Kyle Marshall, MD, Geisinger Medical Center, Danv…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49795/psn-pdf
    June 01, 2017 - The Perils of Contrast Media June 1, 2017 Sadat U, Solomon R. The Perils of Contrast Media. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/perils-contrast-media Case Objectives Recognize that contrast media are potentially nephrotoxic. Identify key risk factors for the development of contrast-induced kidne…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33864/psn-pdf
    January 01, 2019 - How Does Health Care Simulation Affect Patient Care? August 1, 2018 Lopreiato JO. How Does Health Care Simulation Affect Patient Care? PSNet [internet]. 2018. https://psnet.ahrq.gov/perspective/how-does-health-care-simulation-affect-patient-care Perspective Introduction Health care simulation programs have spread…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49544/psn-pdf
    September 01, 2007 - Discharging Our Responsibility September 1, 2007 Fonarow GC. Discharging Our Responsibility. PSNet [internet]. 2007. https://psnet.ahrq.gov/web-mm/discharging-our-responsibility The Case A 75-year-old man with a history of hypertension, coronary artery disease, and congestive heart failure (CHF) presented to the …
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49582/psn-pdf
    April 01, 2009 - Breakage of a PICC Line April 1, 2009 Dimov V. Breakage of a PICC Line. PSNet [internet]. 2009. https://psnet.ahrq.gov/web-mm/breakage-picc-line Case Objectives Appreciate the incidence and consequences of PICC line breakage. Understand the risk factors for PICC line breakage. Understand the treatment options in…
  15. psnet.ahrq.gov/web-mm/wrong-channel
    February 01, 2003 - The Wrong Channel Citation Text: Gosbee JW. The Wrong Channel . 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 tagged PubMedId RI…
  16. psnet.ahrq.gov/web-mm/residual-anesthesia-tepid-burn
    February 10, 2010 - Residual Anesthesia: Tepid Burn Citation Text: Kurrek MM, Twersky RS. Residual Anesthesia: Tepid Burn. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndN…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73953/psn-pdf
    October 27, 2021 - Deprescribing as a Patient Safety Strategy October 27, 2021 Takhar S, Nelson N. Deprescribing as a Patient Safety Strategy. PSNet [internet]. 2021. https://psnet.ahrq.gov/primer/deprescribing-patient-safety-strategy Background Polypharmacy is defined as the act of taking five or more medications on a regular basis…
  18. psnet.ahrq.gov/web-mm/after-visit-confusion
    August 21, 2007 - After-Visit Confusion Citation Text: Ventres W. After-Visit Confusion. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedI…
  19. psnet.ahrq.gov/web-mm/wrongful-resuscitation
    October 12, 2012 - The Wrongful Resuscitation Citation Text: Teno JM. The Wrongful Resuscitation. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49693/psn-pdf
    October 01, 2013 - It's Sarah, Not Stephen! October 1, 2013 Sarkar U. It's Sarah, Not Stephen!. PSNet [internet]. 2013. https://psnet.ahrq.gov/web-mm/its-sarah-not-stephen Case Objectives Define and distinguish the terms gender identity, gender expression, and gender variance. Delineate patient safety issues associated with transge…

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