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4801. Agitated Delirium Contributes to Missed Testing and Delayed Diagnosis of Gastric Perforation | PSNet
      psnet.ahrq.gov/web-mm/agitated-delirium-contributes-missed-testing-and-delayed-diagnosis-gastric-perforation
      June 28, 2023 - SPOTLIGHT CASE CME/MOC Agitated Delirium Contributes to Missed Testing and Delayed Diagnosis of Gastric Perforation Citation Text: Trask J, Carlsen KM, Kuhn BT. Agitated Delirium Contributes to Missed Testing and Delayed Diagnosis of Gastric Perforation. PSNet [internet]. Ro…

4802. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867651/psn-pdf
      February 26, 2025 - Safety I, Safety II, and the New Views of Safety February 26, 2025 Scanlon M, Jacobson N. Safety I, Safety II, and the New Views of Safety. PSNet [internet]. 2025. https://psnet.ahrq.gov/primer/safety-i-safety-ii-and-new-views-safety Background and Context Safety I and Safety II (Safety I/II) are not safety method…

4803. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867206/psn-pdf
      December 18, 2024 - it relates to BPPV diagnosis.8,9,10 Using a logical, evidence-based algorithmic approach more often leads

4804. Part 2 of the 9th Annual Communication, Apology, and Resolution (CARe) Forum. | PSNet
      psnet.ahrq.gov/issue/part-2-9th-annual-communication-apology-and-resolution-care-forum
      June 19, 2019 - Meeting/Conference Proceedings Part 2 of the 9th Annual Communication, Apology, and Resolution (CARe) Forum. Citation Text: Betsy Lehman Center for Patient Safety. June 2, 2022. Copy Citation Save Save to your library Print Share Facebook Tw…

4805. How the Built Environment Impacts Resilient Healthcare Systems. | PSNet
      psnet.ahrq.gov/issue/how-built-environment-impacts-resilient-healthcare-systems
      January 24, 2024 - International Meeting/Conference How the Built Environment Impacts Resilient Healthcare Systems. Citation Text: Resilient Health Care Society. January 18, 2024; 3:00-4:00 PM (eastern). Copy Citation Save Save to your library Print Share Facebook …

4806. Impact of medical mistakes: navigating work–family boundaries for physicians and their families. | PSNet
      psnet.ahrq.gov/issue/impact-medical-mistakes-navigating-work-family-boundaries-physicians-and-their-families
      January 23, 2019 - Study Impact of medical mistakes: navigating work–family boundaries for physicians and their families. Citation Text: Petronio S. Copy Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL …

4807. Fourth Cause Campaign. | PSNet
      psnet.ahrq.gov/issue/fourth-cause-campaign
      April 22, 2009 - Multi-use Website Fourth Cause Campaign. Citation Text: American Society of Pharmacovigilance. Copy Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL April 23, 2021 American Soc…

4808. Surgical mistakes persist in Bay State: still a tiny fraction of total procedures. | PSNet
      psnet.ahrq.gov/issue/surgical-mistakes-persist-bay-state-still-tiny-fraction-total-procedures
      September 10, 2014 - Newspaper/Magazine Article Surgical mistakes persist in Bay State: still a tiny fraction of total procedures. Citation Text: Kowalczyk L. Copy Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL …

4809. State starts project to track serious hospital mistakes. | PSNet
      psnet.ahrq.gov/issue/state-starts-project-track-serious-hospital-mistakes
      May 10, 2006 - Newspaper/Magazine Article State starts project to track serious hospital mistakes. Citation Text: Colburn D. Copy Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL February 15, 20…

4810. Facts About Patient Safety. | PSNet
      psnet.ahrq.gov/issue/facts-about-patient-safety
      May 30, 2012 - Fact Sheet/FAQs Facts About Patient Safety. Citation Text: The Joint Commission. Copy Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL March 6, 2005 The Joint Commission. …

4811. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49395/psn-pdf
      April 01, 2003 - Medication Overdose April 1, 2003 Kaushal R. Medication Overdose. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/medication-overdose The Case A 15-year-old boy with end-stage AIDS was admitted to the pediatric ICU with mental status changes. He was diagnosed with status epilepticus and started on a loading…

4812. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49832/psn-pdf
      June 01, 2018 - Febrile Neutropenia and an Almost Fatal Medication Error June 1, 2018 Faig J, Zerillo JA. Febrile Neutropenia and an Almost Fatal Medication Error. PSNet [internet]. 2018. https://psnet.ahrq.gov/web-mm/febrile-neutropenia-and-almost-fatal-medication-error The Case A 33-year-old woman with recently diagnosed acute …

4813. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49405/psn-pdf
      June 01, 2003 - XL or Smaller? June 1, 2003 Kozer E. XL or Smaller? PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/xl-or-smaller The Case With a history of hypertension and chronic renal failure secondary to hemolytic uremia syndrome at age 3, a 14-year-old boy presented to the emergency department with dehydration second…

4814. Discharged Blindly | PSNet
      psnet.ahrq.gov/web-mm/discharged-blindly
      October 26, 2022 - Discharged Blindly Citation Text: Iezzoni LI. Discharged Blindly. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS…

4815. A Little Shuteye | PSNet
      psnet.ahrq.gov/web-mm/little-shuteye
      December 22, 2018 - A Little Shuteye Citation Text: Farion KJ. A Little Shuteye. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

4816. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/846922/psn-pdf
      March 29, 2023 - Enhancing Support for Patients’ Social Needs to Reduce Hospital Readmissions and Improve Health Outcomes March 29, 2023 https://psnet.ahrq.gov/innovation/enhancing-support-patients-social-needs-reduce-hospital-readmissions- and-improve-health Summary With increasing recognition that health is linked to the condit…

4817. Communication With Consultants | PSNet
      psnet.ahrq.gov/web-mm/communication-consultants
      October 01, 2018 - Communication With Consultants Citation Text: Cohn SL. Communication With Consultants. 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 Endnot…

4818. Spotlight Case (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.275_slideshow.ppt
      August 01, 2012 - Spotlight Case Spotlight Case No News May Not Be Good News 1 2 Source and Credits This presentation is based on the August 2012 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Carlton R. Moore, MD, MS; University of North Carolina, School of Medicin…

4819. The Forgotten Drip | PSNet
      psnet.ahrq.gov/web-mm/forgotten-drip
      April 01, 2014 - The Forgotten Drip Citation Text: Josephson AS. The Forgotten Drip. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId R…

4820. Spotlight Case July 2008 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.266_slideshow.ppt
      May 01, 2012 - Spotlight Case July 2008 Spotlight Case The Perils of Cross Coverage * * Source and Credits This presentation is based on the May 2012 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Jeanne M. Farnan, MD, MHPE, and Vineet M. Arora, MD, MAPP, …