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  1. Hospital-Acquired Diabetic Ketoacidosis. | PSNet

    psnet.ahrq.gov/web-mm/hospital-acquired-diabetic-ketoacidosis
    October 28, 2020 - Hospital-Acquired Diabetic Ketoacidosis. Citation Text: Zuidema D, Bagley B, Tan CL. Hospital-Acquired Diabetic Ketoacidosis.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023. Copy Citation Format: Google Scholar Bi…

  2. Misplaced Nasogastric Tube Resulting in Aspiration | PSNet

    psnet.ahrq.gov/web-mm/misplaced-nasogastric-tube-resulting-aspiration
    August 01, 2009 - Misplaced Nasogastric Tube Resulting in Aspiration Citation Text: Singh A, Huang C. Misplaced Nasogastric Tube Resulting in Aspiration. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024. Copy Citation Format: Google S…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848107/psn-pdf
    April 26, 2023 - Improving Diagnostic Safety and Quality April 26, 2023 Al-Khafaji J, Lee M, Mossburg S. Improving Diagnostic Safety and Quality . PSNet [internet]. 2023. https://psnet.ahrq.gov/perspective/improving-diagnostic-safety-and-quality Introduction During an annual editorial review of featured articles in the Agency for …

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49611/psn-pdf
    October 01, 2010 - The Deadly Duo October 1, 2010 Maldonado JR. The Deadly Duo. PSNet [internet]. 2010. https://psnet.ahrq.gov/web-mm/deadly-duo The Case A 29-year-old man with a history of depression and possible psychosis was found unconscious and unresponsive at home and was brought to the emergency department. He was tachycardi…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/861738/psn-pdf
    January 31, 2024 - A Laceration that Needed a Proper Exam, Not an X-Ray January 31, 2024 Wander J, Barnes DK. A Laceration that Needed a Proper Exam, Not an X-Ray. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/laceration-needed-proper-exam-not-x-ray Disclosure of Relevant Financial Relationships: As a provider accredited by t…

  6. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2024-01/spotlight_case_laceration_needed_exam_not_x-ray_final.pdf
    January 01, 2024 - Spotlight Spotlight Laceration that Needed a Proper Exam, Not an X-Ray Source and Credits • This presentation is based on the January 2024 AHRQ WebM&M Spotlight Case o See the full article at https://psnet.ahrq.gov/webmm o CME credit is available o Commentary by: Jazmin A. Wander, MD and David K. Barnes, MD, F…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837963/psn-pdf
    August 31, 2022 - Delayed Diagnosis of Mesenteric Ischemia August 31, 2022 Robles A, Utter GH. Delayed Diagnosis of Mesenteric Ischemia. PSNet [internet]. 2022. https://psnet.ahrq.gov/web-mm/delayed-diagnosis-mesenteric-ischemia Disclosure of Relevant Financial Relationships: As a provider accredited by the Accreditation Council for…

  8. Suicide Prevention in an Emergency Department Population: ED-SAFE | PSNet

    psnet.ahrq.gov/innovation/suicide-prevention-emergency-department-population-ed-safe
    July 23, 2024 - Suicide Prevention in an Emergency Department Population: ED-SAFE Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL April 24, 2024 View more articles from the same authors. Innovation …

  9. Improving Diagnostic Safety and Quality | PSNet

    psnet.ahrq.gov/perspective/improving-diagnostic-safety-and-quality
    January 31, 2024 - Annual Perspective Improving Diagnostic Safety and Quality Jawad Al-Khafaji, MD, MHSA, Merton Lee, PhD, PharmD, Sarah Mossburg, RN, PhD | April 26, 2023  View more articles from the same authors. Citation Text: Al-Khafaji J, Lee M, Mossburg S. Improving Di…

  10. Implementation of Patient Safety Projects | PSNet

    psnet.ahrq.gov/curated-library/implementation-patient-safety-projects
    September 01, 2025 - Breadcrumb Home The PSNet Collection Curated Libraries Subscribed Implementation of Patient Safety Projects  Download  Share Facebook Twitter Linkedin Copy URL Subscribe Created By: Lorri Zipperer, Cybraria…

  11. Medical Error. | PSNet

    psnet.ahrq.gov/issue/medical-error
    August 07, 2018 - Book/Report Medical Error. Citation Text: Medical Error. National Patient Safety Agency, Medical Defence Union, Medical Protection Society. London, UK: National Patient Safety Agency; 2005. Copy Citation Save Save to your library Print Download PDF …

  12. Nurse Vaught sentenced for deadly medical error. | PSNet

    psnet.ahrq.gov/issue/nurse-vaught-sentenced-deadly-medical-error
    January 25, 2023 - Newspaper/Magazine Article Nurse Vaught sentenced for deadly medical error. Citation Text: Nurse Vaught sentenced for deadly medical error. DePeau-Wilson M. MedPage Today. May 13, 2022.  Copy Citation Save Save to your library Print Download …

  13. ISMP medication error report analysis. | PSNet

    psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-43
    September 26, 2017 - Commentary ISMP medication error report analysis. Citation Text: Cohen MR, Smetzer JL. Safer Connectors in the United Kingdom; Value of the Independent Double-Check; Medication Errors Column in 35th Year. Hosp Pharm. 2010;45(3). doi:10.1310/hpj4503-191. Copy Citation Format: …

  14. Safety Problems With Your Child's Medical Device? | PSNet

    psnet.ahrq.gov/issue/safety-problems-your-childs-medical-device
    January 09, 2013 - Fact Sheet/FAQs Safety Problems With Your Child's Medical Device? Citation Text: Safety Problems With Your Child's Medical Device? Consumer Updates. Silver Spring, MD: US Food and Drug Administration; July 16, 2013. Copy Citation Save Save to your library …

  15. Heparin sodium injection 10,000 units/mL, and HEP-LOCK U/P 10 units/mL medication errors. | PSNet

    psnet.ahrq.gov/issue/heparin-sodium-injection-10000-unitsml-and-hep-lock-10-unitsml-medication-errors
    February 17, 2021 - Press Release/Announcement Heparin sodium injection 10,000 units/mL, and HEP-LOCK U/P 10 units/mL medication errors. Citation Text: Heparin sodium injection 10,000 units/mL, and HEP-LOCK U/P 10 units/mL medication errors. MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Adm…

  16. UCSD, doc who overdosed in hospital bathroom face lawsuits. | PSNet

    psnet.ahrq.gov/issue/ucsd-doc-who-overdosed-hospital-bathroom-face-lawsuits
    March 27, 2024 - Newspaper/Magazine Article UCSD, doc who overdosed in hospital bathroom face lawsuits. Citation Text: UCSD, doc who overdosed in hospital bathroom face lawsuits. Clark C. MedPage Today. February 10, 2020.  Copy Citation Save Save to your library …

  17. Kentucky first state to decriminalize medical errors. | PSNet

    psnet.ahrq.gov/issue/kentucky-first-state-decriminalize-medical-errors
    March 13, 2024 - Newspaper/Magazine Article Kentucky first state to decriminalize medical errors. Citation Text: Kentucky first state to decriminalize medical errors. Robertson R. MedPage Today. April 30, 2024. Copy Citation Save Save to your library Print Download PDF …

  18. Pathways for Patient Safety. | PSNet

    psnet.ahrq.gov/issue/pathways-patient-safety
    May 06, 2015 - Toolkit Pathways for Patient Safety. Citation Text: Pathways for Patient Safety. Chicago, IL: Health Research and Educational Trust, Institute for Safe Medication Practices, Medical Group Management Association; 2009. Copy Citation Save Save to your library …

  19. Healthcare Quality and Safety Workforce Report: New Imperatives for Quality and Safety Mean New Imperatives for Workforce Development. | PSNet

    psnet.ahrq.gov/issue/healthcare-quality-and-safety-workforce-report-new-imperatives-quality-and-safety-mean-new
    May 06, 2015 - Book/Report Healthcare Quality and Safety Workforce Report: New Imperatives for Quality and Safety Mean New Imperatives for Workforce Development. Citation Text: Healthcare Quality and Safety Workforce Report: New Imperatives for Quality and Safety Mean New Imperatives for Workforce Deve…

  20. Be an Active Member of Your Health Care Team. | PSNet

    psnet.ahrq.gov/issue/be-active-member-your-health-care-team
    April 08, 2020 - Government Resource Be an Active Member of Your Health Care Team. Citation Text: Be an Active Member of Your Health Care Team. US Food and Drug Administration; FDA. Copy Citation Save Save to your library Print Download PDF Share Facebook …
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