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4921. The Role of Graduate Medical Education (GME) in Improving Patient Safety | PSNet
      psnet.ahrq.gov/perspective/role-graduate-medical-education-gme-improving-patient-safety
      February 01, 2010 - Second, residents are being trained to deliver a lifetime of clinical care and to lead complex health

4922. In Conversation with…Thomas J. Nasca, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-withthomas-j-nasca-md
      February 01, 2010 - Second, residents are being trained to deliver a lifetime of clinical care and to lead complex health

4923. Assessing the Safety of Electronic Health Records: What Have We Learned? | PSNet
      psnet.ahrq.gov/perspective/assessing-safety-electronic-health-records-what-have-we-learned
      September 01, 2017 - Assessing the Safety of Electronic Health Records: What Have We Learned? Dean F. Sittig, PhD, and Hardeep Singh, MD, MPH | September 1, 2017  Also Read a Conversation View more articles from the same authors. Citation Text: Sittig DF, Singh H. Assessing the Safe…

4924. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73334/psn-pdf
      August 01, 2024 - administering multiple IV infusions concurrently is underappreciated and lack thereof can, in fact, lead

4925. In Conversation With... Charles A Crecelius, MD, PhD, CMD and Lori L Popejoy, PhD, RN, FAAN | PSNet
      psnet.ahrq.gov/perspective/conversation-charles-crecelius-md-phd-cmd-and-lori-l-popejoy-phd-rn-faan
      October 28, 2020 - KH : It's doing the root cause analysis and tackling the root causes before they actually lead to an

4926. Microsoft PowerPoint - FINAL Spotlight Case_Medication Error During Procedural Sedation in the Pediatric ED_03.27.2023.pptx (pdf file)
      psnet.ahrq.gov/sites/default/files/2023-04/april_2023_spotlight_the_dose_makes_the_poison.pdf
      January 01, 2023 - example, potassium supplements for a patient on furosemide is routine, however, this same drug may lead

4927. Long-Term Care and the Response to COVID-19 | PSNet
      psnet.ahrq.gov/perspective/long-term-care-and-response-covid-19
      October 28, 2020 - KH : It's doing the root cause analysis and tackling the root causes before they actually lead to an

4928. An Inadvertent Bolus of Norepinephrine. | PSNet
      psnet.ahrq.gov/web-mm/inadvertent-bolus-norepinephrine
      December 04, 2016 - administering multiple IV infusions concurrently is underappreciated and lack thereof can, in fact, lead

4929. Coronavirus Disease 2019 (COVID-19) and Safety of Older Adults Residing in Nursing Homes | PSNet
      psnet.ahrq.gov/primer/coronavirus-disease-2019-covid-19-and-safety-older-adults
      April 10, 2024 - Coronavirus Disease 2019 (COVID-19) and Safety of Older Adults Residing in Nursing Homes Citation Text: Bakerjian D. Coronavirus Disease 2019 (COVID-19) and Safety of Older Adults Residing in Nursing Homes. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health…

4930. In Conversation With… Kaveh Shojania, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-kaveh-shojania-md
      February 26, 2025 - He was also lead editor (and authored six chapters) of Making Healthcare Safer, the evidence report

4931. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33855/psn-pdf
      April 01, 2018 - sounds and odors designed to lift their mood (I have written that adult hospitals should follow the lead

4932. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60329/psn-pdf
      May 14, 2020 - In addition to working in the ED, I lead our Innovative Practice and Telehealth Section, which is a

4933. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33831/psn-pdf
      April 01, 2017 - Those kinds of exposures not only make the workplace unpleasant, but they themselves lead to unsafe

4934. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33776/psn-pdf
      January 01, 2015 - organization listens to those people and then helps them fix things, these are the cultural themes that lead

4935. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44183/psn-pdf
      November 03, 2015 - The absence of a drug–disease interaction alert leads to a child's death. November 3, 2015 ISMP Medication Safety Alert! Acute Care Edition. May 21, 2015;20:1-4. https://psnet.ahrq.gov/issue/absence-drug-disease-interaction-alert-leads-childs-death The disabling of alerts due to alarm fatigue can hinder the abilit…

4936. In Conversation With... Jeffrey Shuren, MD, JD | PSNet
      psnet.ahrq.gov/perspective/conversation-jeffrey-shuren-md-jd
      May 28, 2020 - This can lead to adverse effects and device failure.

4937. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49561/psn-pdf
      May 01, 2008 - in settings with good access to health care, high-risk behaviors often remain undetected or fail to lead

4938. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73128/psn-pdf
      July 01, 2022 - However, Hospital at Home patients were less likely to receive IV fluids, sedatives (which can lead

4939. Annual Perspective: Topics in Medication Safety | PSNet
      psnet.ahrq.gov/perspective/annual-perspective-topics-medication-safety
      April 27, 2022 - The issue becomes more complex when two drugs interacting with each other can, in turn, lead to one or

4940. Syringe Swap During Regional Block: A Case of Medication Error and Recovery | PSNet
      psnet.ahrq.gov/web-mm/syringe-swap-during-regional-block-case-medication-error-and-recovery
      July 22, 2020 - 14,15 A systematic review concluded that multimodal interventions and improved medication labeling lead