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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49675/psn-pdf
    February 01, 2013 - Delay in Treatment: Failure to Contact Patient Leads to Significant Complications February 1, 2013 Shapiro DS. Delay in Treatment: Failure to Contact Patient Leads to Significant Complications. PSNet [internet]. 2013. https://psnet.ahrq.gov/web-mm/delay-treatment-failure-contact-patient-leads-significant-complicat…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49840/psn-pdf
    September 01, 2018 - Steroids and Safety: Preventing Medication Adverse Events During Transitions of Care September 1, 2018 Lucier DJ, Greenwald JL. Steroids and Safety: Preventing Medication Adverse Events During Transitions of Care. PSNet [internet]. 2018. https://psnet.ahrq.gov/web-mm/steroids-and-safety-preventing-medication-adver…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33837/psn-pdf
    July 01, 2017 - In Conversation With… Michelle Mello, MPhil, JD, PhD July 1, 2017 In Conversation With… Michelle Mello, MPhil, JD, PhD. PSNet [internet]. 2017. https://psnet.ahrq.gov/perspective/conversation-michelle-mello-mphil-jd-phd Editor's note: Michelle Mello is Professor of Law at Stanford Law School and Professor of Healt…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49733/psn-pdf
    May 01, 2015 - Transitions in Adolescent Medicine May 1, 2015 Okumura MJ, Williams RG. Transitions in Adolescent Medicine. PSNet [internet]. 2015. https://psnet.ahrq.gov/web-mm/transitions-adolescent-medicine The Case A 21-year-old woman with a history of Marfan syndrome complicated by aortic root dilation presented to the emer…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33879/psn-pdf
    May 01, 2019 - In Conversation With… Jane Brice, MD, MPH May 1, 2019 In Conversation With… Jane Brice, MD, MPH. PSNet [internet]. 2019. https://psnet.ahrq.gov/perspective/conversation-jane-brice-md-mph Editor's note: Dr. Brice is Professor and Chair of the Department of Emergency Medicine at the University of North Carolina. She…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49758/psn-pdf
    April 01, 2016 - Dropping to New Lows April 1, 2016 Juang PC, Kulasa K. Dropping to New Lows. PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/dropping-new-lows Case Objectives State how to manage diabetes medications when patients are admitted to the hospital Describe a guideline-recommended insulin regimen for a hospitaliz…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49585/psn-pdf
    May 01, 2009 - Delirium or Dementia? May 1, 2009 Rudolph JL. Delirium or Dementia? PSNet [internet]. 2009. https://psnet.ahrq.gov/web-mm/delirium-or-dementia Case Objectives State the key diagnostic differences between delirium and dementia. Describe the Confusion Assessment Method for workup of suspected delirium. Explain the…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33756/psn-pdf
    October 01, 2013 - In Conversation With… Rebecca Smith-Bindman, MD October 1, 2013 In Conversation With… Rebecca Smith-Bindman, MD. PSNet [internet]. 2013. https://psnet.ahrq.gov/perspective/conversation-rebecca-smith-bindman-md Editor's note: Rebecca Smith-Bindman, MD, is professor in residence at the University of California, San …
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866995/psn-pdf
    October 30, 2024 - A Cognitive and Communication Blind Spot Contributes to Permanent Paralysis October 30, 2024 Utter GH. A Cognitive and Communication Blind Spot Contributes to Permanent Paralysis. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/cognitive-and-communication-blind-spot-contributes-permanent-paralysis Disclosur…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33842/psn-pdf
    January 01, 2018 - Assessing the Safety of Electronic Health Records: What Have We Learned? September 1, 2017 Sittig DF, Singh H. Assessing the Safety of Electronic Health Records: What Have We Learned? PSNet [internet]. 2017. https://psnet.ahrq.gov/perspective/assessing-safety-electronic-health-records-what-have-we-learned Perspec…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33792/psn-pdf
    September 01, 2015 - In Conversation With… Eric J. Topol, MD September 1, 2015 In Conversation With… Eric J. Topol, MD. PSNet [internet]. 2015. https://psnet.ahrq.gov/perspective/conversation-eric-j-topol-md Editor's note: Eric J. Topol, MD, is Director of Scripps Translational Science Institute, Professor of Genomics at The Scripps …
  12. psnet.ahrq.gov/sites/default/files/2024-05/spotlight_case_managing_complexity_in_diagnosis_-_slides_final.pptx
    January 01, 2024 - Spotlight Spotlight Managing Complexity in Diagnosis: Life-threatening Complications after Gastric Bypass Surgery 1 Source and Credits This presentation is based on the May 2024 AHRQ WebM&M Spotlight Case See the full article at https://psnet.ahrq.gov/webmm  CME credit is available  Commentary by: Andrew P.J. …
  13. psnet.ahrq.gov/web-mm/painful-medication-reconciliation-mishap
    May 01, 2008 - SPOTLIGHT CASE A Painful Medication Reconciliation Mishap Citation Text: Chou R. A Painful Medication Reconciliation Mishap. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. Copy Citation Format: Google S…
  14. psnet.ahrq.gov/web-mm/weighty-mistake
    September 01, 2016 - SPOTLIGHT CASE A Weighty Mistake Citation Text: Bokser SJ. A Weighty Mistake. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endn…
  15. psnet.ahrq.gov/web-mm/aspergillus-mediastinitis-endocarditis-pediatric-patient-complicating-cardiac-surgery-and
    November 16, 2022 - Aspergillus Mediastinitis & Endocarditis in a Pediatric Patient Complicating Cardiac Surgery and Bedside Chest Closure. Citation Text: Partridge E, Dodson D, Reilly M, et al. Aspergillus Mediastinitis & Endocarditis in a Pediatric Patient Complicating Cardiac Surgery and Bedside Chest Closure.. PSNet [inter…
  16. psnet.ahrq.gov/web-mm/medication-reconciliation-whose-job-it
    May 01, 2018 - SPOTLIGHT CASE Medication Reconciliation: Whose Job Is It? Citation Text: Poon EG. Medication Reconciliation: Whose Job Is It?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2007. Copy Citation Format: Googl…
  17. psnet.ahrq.gov/perspective/implementing-fall-prevention-program
    November 29, 2023 - Implementing a Fall Prevention Program Frances Healey, RN, PhD | December 1, 2011  View more articles from the same authors. Citation Text: Healey F. Implementing a Fall Prevention Program. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Qualit…
  18. psnet.ahrq.gov/web-mm/mismanagement-delirium
    February 13, 2014 - Mismanagement of Delirium Citation Text: Merrilees J, Lee KP. Mismanagement of Delirium. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endn…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74713/psn-pdf
    January 26, 2022 - Patient Safety Events Involving Opioid Dose Stacking January 26, 2022 Porras H, Lammers C. Patient Safety Events Involving Opioid Dose Stacking. PSNet [internet]. 2022. https://psnet.ahrq.gov/web-mm/patient-safety-events-involving-opioid-dose-stacking Disclosure of Relevant Financial Relationships: As a provider ac…
  20. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2022-01/final_spotlight_stacked_opioid_administration_01.03.2022.pdf
    January 01, 2022 - Spotlight Spotlight Patient Safety Events Involving Opioid Dose Stacking Source and Credits • This presentation is based on the January 2022 AHRQ WebM&M Spotlight Case o See the full article at https://psnet.ahrq.gov/webmm o CME credit is available o Commentary by: Hollie Porras, PharmD, BCPS and Cathy Lammers…

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