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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/860050/psn-pdf
    January 04, 2024 - AHT occurs from direct impact to the head, shaking, or a combination of both, and can lead to serious

  2. Deprescribing as a Patient Safety Strategy | PSNet

    psnet.ahrq.gov/primer/deprescribing-patient-safety-strategy
    September 07, 2019 - phases, the use of data-driven goals to guide design of deprescribing interventions will ultimately lead

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836841/psn-pdf
    June 01, 2020 - prepared to deliver strategies for helping the patient population with their psychosocial challenges that lead

  4. Coming up for Err: Missed Diagnosis in a Patient with Recurrent Pneumothorax | PSNet

    psnet.ahrq.gov/web-mm/coming-err-missed-diagnosis-patient-recurrent-pneumothorax
    December 14, 2022 - atypical smooth muscle-like cells called LAM cells that carry mutations in the TSC1 or TSC2 genes that lead

  5. Good Catch in the Operating Room | PSNet

    psnet.ahrq.gov/web-mm/good-catch-operating-room
    August 27, 2017 - Its absence can quickly lead to misunderstandings, failed directives, and disruptions in workflow that

  6. Tacit Handover, Overt Mishap | PSNet

    psnet.ahrq.gov/web-mm/tacit-handover-overt-mishap
    August 01, 2006 - We can only hope that this will soon lead to more effective handoffs in anesthesia.

  7. Undetected Foreign Object | PSNet

    psnet.ahrq.gov/web-mm/undetected-foreign-object
    April 24, 2018 - safety suggest improving team communication, flattening hierarchy, and teaching and enhancing teamwork lead

  8. Periodic Issue | PSNet

    psnet.ahrq.gov/periodic-issue/periodic-issue-376
    February 01, 2023 - Delays in diagnosis and treatment can lead to poor outcomes.

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73300/psn-pdf
    July 01, 2022 - Implemented 2005-01-01 Problem Addressed Recently discharged patients often suffer complications that lead

  10. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2020-03/final_spotlight_case_delays_in_the_ed_powerpoint_for_cme_review_03.09.2020.pdf
    January 01, 2020 - waiting room – Performance and frequency of patient reassessment 23 Triage • ESI framework may lead

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49840/psn-pdf
    September 01, 2018 - multifaceted approach is needed to address each of these factors and ensure that systems issues do not lead

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867206/psn-pdf
    December 18, 2024 - vomiting and dizziness.42 At the same time, concern about missing a stroke in patients with dizziness can lead … , would lead most radiologists to carefully scrutinize the structures fed by the posterior circulation

  13. How I minimize mistransfusion risk in my hospital. | PSNet

    psnet.ahrq.gov/issue/how-i-minimize-mistransfusion-risk-my-hospital
    July 22, 2015 - Commentary How I minimize mistransfusion risk in my hospital. Citation Text: Aubuchon JP. How I minimize mistransfusion risk in my hospital. Transfusion (Paris). 2006;46(7):1085-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tag…

  14. A piece of my mind. Mistakes. | PSNet

    psnet.ahrq.gov/issue/piece-my-mind-mistakes
    March 19, 2008 - Commentary A piece of my mind. Mistakes. Citation Text: Lesnewski R. A piece of my mind. Mistakes. JAMA. 2006;296(11):1327-8. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation …

  15. When does quality improvement count as research? Human subject protection and theories of knowledge. | PSNet

    psnet.ahrq.gov/issue/when-does-quality-improvement-count-research-human-subject-protection-and-theories-knowledge
    July 10, 2019 - Commentary When does quality improvement count as research? Human subject protection and theories of knowledge. Citation Text: Lynn J. When does quality improvement count as research? Human subject protection and theories of knowledge. Qual Saf Health Care. 2004;13(1):67-70. Copy Cit…

  16. Diagnostic errors in medicine: a case of neglect. | PSNet

    psnet.ahrq.gov/issue/diagnostic-errors-medicine-case-neglect
    July 15, 2015 - Study Diagnostic errors in medicine: a case of neglect. Citation Text: Graber ML. Diagnostic errors in medicine: a case of neglect. Jt Comm J Qual Patient Saf. 2005;31(2):106-13. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged …

  17. Up Next for Patient Safety. | PSNet

    psnet.ahrq.gov/issue/next-patient-safety
    September 11, 2019 - Audiovisual Presentation Up Next for Patient Safety. Citation Text: National Patient Safety Board. 2021-2023. Copy Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL June 9, 2023 …

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49397/psn-pdf
    May 01, 2003 - The Dropped Lung May 1, 2003 Heffner JR. The Dropped Lung. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/dropped-lung The Case A 79-year-old woman was admitted for hypoxia and shortness of breath. Two weeks prior she had been hospitalized for dyspnea and was found to have multiple bilateral pulmonary nodu…

  19. Oral chemotherapy: not just an ordinary pill. | PSNet

    psnet.ahrq.gov/issue/oral-chemotherapy-not-just-ordinary-pill
    May 05, 2018 - Newspaper/Magazine Article Oral chemotherapy: not just an ordinary pill. Citation Text: Oral chemotherapy: not just an ordinary pill. ISMP Canada. SafeMedicineUse. August 19, 2015;6:1-2. Copy Citation Save Save to your library Print Download PDF …

  20. Adverse events from cough and cold medications after a market withdrawal of products labeled for infants. | PSNet

    psnet.ahrq.gov/issue/adverse-events-cough-and-cold-medications-after-market-withdrawal-products-labeled-infants
    August 02, 2015 - Study Adverse events from cough and cold medications after a market withdrawal of products labeled for infants. Citation Text: Shehab N, Schaefer MK, Kegler SR, et al. Adverse events from cough and cold medications after a market withdrawal of products labeled for infants. Pediatrics. 20…
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