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6221. Myasthenia Crisis after a Delayed Diagnosis in a Medically Complex Patient. | PSNet
      psnet.ahrq.gov/web-mm/myasthenia-crisis-after-delayed-diagnosis-medically-complex-patient
      February 21, 2020 - Myasthenia Crisis after a Delayed Diagnosis in a Medically Complex Patient. Citation Text: Chaffin Z. Myasthenia Crisis after a Delayed Diagnosis in a Medically Complex Patient.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024. …

6222. 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…

6223. 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 …

6224. Clinical Areas | PSNet
      psnet.ahrq.gov/clinical-areas
      March 24, 2025 - Clinical Areas Scroll down to search or browse using Clinical Area if you would like to explore PSNet by the healthcare profession, such as the nurse care or medical specialty, featured in the resources. Latest by Clinical Areas In Conversation with Edwin Boudreaux about S…

6225. PSNet Curated Library (pdf file)
      psnet.ahrq.gov/print/pdf/node/865864
      January 01, 2024 - PSNet Curated Library AHRQ: Agency for Healthcare Research and Quality Diagnostic Error Curated Library Incidence of Diagnostic Errors 25-Year summary of US malpractice claims for diagnostic errors 1986–2010: an analysis from the National Practitioner Data Bank. Tehrani ASS, Lee HW, Mathews SC, et al. BMJ Qua…

6226. A Seasonal Care Transition Failure | PSNet
      psnet.ahrq.gov/web-mm/seasonal-care-transition-failure
      June 01, 2016 - A Seasonal Care Transition Failure Citation Text: Young JQ. A Seasonal Care Transition Failure. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 X…

6227. 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…

6228. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/851360/psn-pdf
      July 12, 2023 - How does work environment relate to diagnostic quality? A prospective, mixed methods study in primary care. July 12, 2023 Khazen M, Sullivan EE, Arabadjis S, et al. How does work environment relate to diagnostic quality? A prospective, mixed methods study in primary care. BMJ Open. 2023;13(5):e071241. doi:10.1136/b…

6229. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50702/psn-pdf
      December 04, 2019 - Smart pumps improve medication safety but increase alert burden in neonatal care December 4, 2019 Melton KR, Timmons K, Walsh KE, et al. Smart pumps improve medication safety but increase alert burden in neonatal care. BMC Medical Inform Decis Mak. 2019;19(1):213. doi:10.1186/s12911-019-0945-2. https://psnet.ahrq.…

6230. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40448/psn-pdf
      September 19, 2016 - Health care workers as second victims of medical errors. September 19, 2016 Edrees HH, Paine LA, Feroli R, et al. Health care workers as second victims of medical errors. Pol Arch Med Wewn. 2011;121(4):101-108. https://psnet.ahrq.gov/issue/health-care-workers-second-victims-medical-errors Medical errors can have a…

6231. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45117/psn-pdf
      August 03, 2016 - Using computerized prescriber order entry to limit overrides from automated dispensing cabinets. August 3, 2016 Drake E, Srinivas P, Trujillo T. Using computerized prescriber order entry to limit overrides from automated dispensing cabinets. Am J Health-Syst Pharm. 2016;73(14):1033-1035. doi:10.2146/ajhp150564. ht…

6232. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/838176/psn-pdf
      September 28, 2022 - Challenges and strategies for patient safety in primary care: a qualitative study. September 28, 2022 Yuan CT, Dy SM, Yuanhong Lai A, et al. Challenges and strategies for patient safety in primary care: a qualitative study. Am J Med Qual. 2022;37(5):379-387. doi:10.1097/jmq.0000000000000054. https://psnet.ahrq.gov…

6233. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60029/psn-pdf
      March 11, 2020 - Prevalence, nature and predictors of omitted medication doses in mental health hospitals: a multi-centre study. March 11, 2020 Keers RN, Hann M, Alshehri GH, et al. Prevalence, nature and predictors of omitted medication doses in mental health hospitals: A multi-centre study. PLoS One. 2020;15(2):e0228868. doi:10.…

6234. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47225/psn-pdf
      November 02, 2018 - Preventable adverse drug events among inpatients: a systematic review. November 2, 2018 Gates PJ, Meyerson SA, Baysari M, et al. Preventable Adverse Drug Events Among Inpatients: A Systematic Review. Pediatrics. 2018;142(3):e20180805. doi:10.1542/peds.2018-0805. https://psnet.ahrq.gov/issue/preventable-adverse-dru…

6235. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43594/psn-pdf
      May 01, 2015 - Impact of introducing an electronic physiological surveillance system on hospital mortality. May 1, 2015 Schmidt PE, Meredith P, Prytherch DR, et al. Impact of introducing an electronic physiological surveillance system on hospital mortality. BMJ Qual Saf. 2015;24(1):10-20. doi:10.1136/bmjqs-2014-003073. https://p…

6236. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39495/psn-pdf
      September 20, 2011 - Safe Practices for Better Healthcare: 2010 Update. September 20, 2011 Washington, DC: National Quality Forum; 2010. https://psnet.ahrq.gov/issue/safe-practices-better-healthcare-2010-update The National Quality Forum originally published the Safe Practices for Better Healthcare in 2003. These practices are intende…

6237. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36886/psn-pdf
      May 27, 2011 - The extent and importance of unintended consequences related to computerized provider order entry. May 27, 2011 Ash JS, Sittig DF, Poon EG, et al. The extent and importance of unintended consequences related to computerized provider order entry. J Am Med Inform Assoc. 2007;14(4):415-23. https://psnet.ahrq.gov/issu…

6238. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41370/psn-pdf
      September 01, 2016 - Evaluating alert fatigue over time to EHR-based clinical trial alerts: findings from a randomized controlled study. September 1, 2016 Embi P, Leonard AC. Evaluating alert fatigue over time to EHR-based clinical trial alerts: findings from a randomized controlled study. J Am Med Inform Assoc. 2012;19(e1):e145-8. ht…

6239. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39525/psn-pdf
      March 13, 2019 - Effect of bar-code technology on the safety of medication administration. March 13, 2019 Poon EG, Keohane C, Yoon CS, et al. Effect of bar-code technology on the safety of medication administration. New Engl J Med. 2010;362(18):1698-1707. doi:10.1056/NEJMsa0907115. https://psnet.ahrq.gov/issue/effect-bar-code-tech…

6240. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72755/psn-pdf
      February 17, 2021 - Renal medication-related clinical decision support (CDS) alerts and overrides in the inpatient setting following implementation of a commercial electronic health record: implications for designing more effective alerts. February 17, 2021 Shah SN, Amato MG, Garlo KG, et al. Renal medication-related clinical decisio…