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psnet.ahrq.gov/node/44058/psn-pdf
July 03, 2016 - Metric units and the preferred dosing of orally
administered liquid medications.
July 3, 2016
Metric Units and the Preferred Dosing of Orally Administered Liquid Medications. doi:10.1542/peds.2015-
0072.
https://psnet.ahrq.gov/issue/metric-units-and-preferred-dosing-orally-administered-liquid-medications
Accident…
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psnet.ahrq.gov/node/44070/psn-pdf
September 09, 2015 - Communication of vital signs at emergency department
handoff: opportunities for improvement.
September 9, 2015
Venkatesh AK, Curley D, Chang Y, et al. Communication of Vital Signs at Emergency Department Handoff:
Opportunities for Improvement. Ann Emerg Med. 2015;66(2):125-30.
doi:10.1016/j.annemergmed.2015.02.025…
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psnet.ahrq.gov/node/60567/psn-pdf
June 03, 2020 - Keeping Nursing Home Residents and Staff Safe in the
Era of COVID-19.
June 3, 2020
National Academy of Medicine. April-June 2020.
https://psnet.ahrq.gov/issue/keeping-nursing-home-residents-and-staff-safe-era-covid-19
Nursing homes are care environments that are particularly challenged by the COVID-19 pandemic. Th…
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psnet.ahrq.gov/node/60766/psn-pdf
August 05, 2020 - Dermatology faces a reckoning: lack of darker skin in
textbooks and journals harms care for patients of color.
August 5, 2020
McFarling UL. Stat. July 21, 2020.
https://psnet.ahrq.gov/issue/dermatology-faces-reckoning-lack-darker-skin-textbooks-and-journals-harms-
care-patients-color
Dermatologists rely on v…
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psnet.ahrq.gov/node/60310/psn-pdf
May 06, 2020 - ‘They are terrified’: fearing coronavirus, people with
potentially fatal conditions avoid emergency care.
May 6, 2020
Bruggeman L, Bhatt J. ABC News. April 23, 2020.
https://psnet.ahrq.gov/issue/they-are-terrified-fearing-coronavirus-people-potentially-fatal-conditions-avoid-
emergency
Patient ability to acc…
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psnet.ahrq.gov/node/60875/psn-pdf
September 02, 2020 - Understanding context specificity: the effect of contextual
factors on clinical reasoning.
September 2, 2020
Konopasky A, Artino AR, Battista A, et al. Understanding context specificity: the effect of contextual factors
on clinical reasoning. Diagnosis (Berl). 2020;79(3):257-264. doi:10.1515/dx-2020-0016.
https://…
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psnet.ahrq.gov/node/45547/psn-pdf
October 05, 2016 - Sick children face potentially deadly danger: medication
errors.
October 5, 2016
Furfaro H. Wall Street Journal. September 25, 2016.
https://psnet.ahrq.gov/issue/sick-children-face-potentially-deadly-danger-medication-errors
Medication errors in pediatric care are common in the hospital and at home. This newspaper…
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psnet.ahrq.gov/node/73894/psn-pdf
February 22, 2022 - Achieving Excellence in Cancer Diagnosis: Proceedings
of a Workshop—in Brief.
February 22, 2022
National Academies of Sciences, Engineering, and Medicine. Washington, DC: The National
Academies Press; 2022.
https://psnet.ahrq.gov/issue/achieving-excellence-cancer-diagnosis
Diagnostic errors remain an o…
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psnet.ahrq.gov/node/837155/psn-pdf
November 15, 2022 - Advancing Diagnostic Excellence for Older Adults:
Proceedings of a Workshop in Brief.
November 15, 2022
National Academies of Sciences, Engineering, and Medicine. Washington, DC: The National
Academies Press; 2022. ISBN 9780309696333.
https://psnet.ahrq.gov/issue/advancing-diagnostic-excellence-ol…
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psnet.ahrq.gov/node/46199/psn-pdf
September 27, 2017 - The development and implementation of checklists in
obstetrics.
September 27, 2017
Medicine S for M-F, Bernstein PS, Combs A, et al. The development and implementation of checklists in
obstetrics. Am J Obstet Gynecol. 2017;217(2):B2-B6. doi:10.1016/j.ajog.2017.05.032.
https://psnet.ahrq.gov/issue/development-and-i…
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psnet.ahrq.gov/node/72511/psn-pdf
November 25, 2020 - Hospital Preparedness for a COVID-19 Surge:
Assessment Tool.
November 25, 2020
Boston, MA: Institute for Healthcare Improvement; 2020.
https://psnet.ahrq.gov/issue/hospital-preparedness-covid-19-surge-assessment-tool
Hospital crisis management, preparation, and planning are of heightened interest due to the …
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psnet.ahrq.gov/node/35766/psn-pdf
March 02, 2011 - Unexpected hypoglycemia in a critically ill patient.
March 2, 2011
Bates DW. Unexpected hypoglycemia in a critically ill patient. Ann Intern Med. 2002;137(2):110-6.
https://psnet.ahrq.gov/issue/unexpected-hypoglycemia-critically-ill-patient
This case study shares the experiences of a patient who suffered a medicati…
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psnet.ahrq.gov/node/37689/psn-pdf
April 16, 2008 - Resident uncertainty in clinical decision making and
impact on patient care: a qualitative study.
April 16, 2008
Farnan JM, Johnson JK, Meltzer DO, et al. Resident uncertainty in clinical decision making and impact on
patient care: a qualitative study. Qual Saf Health Care. 2008;17(2):122-6. doi:10.1136/qshc.2007.0…
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psnet.ahrq.gov/node/844556/psn-pdf
February 15, 2023 - Using Machine Learning to Improve Patient Safety in the
Home or Remote Setting for Adults.
February 15, 2023
Feske-Kirby K, Whittington J, McGaffigan P. Boston, MA: Institute for Healthcare Improvement; 2022.
https://psnet.ahrq.gov/issue/using-machine-learning-improve-patient-safety-home-or-remote-setting-adults
T…
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psnet.ahrq.gov/node/39680/psn-pdf
July 14, 2010 - Safety of using a computerized rounding and sign-out
system to reduce resident duty hours.
July 14, 2010
Van Eaton EG, McDonough K, Lober WB, et al. Safety of Using a Computerized Rounding and Sign-Out
System to Reduce Resident Duty Hours. Academic Medicine. 2010;85(7).
doi:10.1097/acm.0b013e3181e0116f.
https://p…
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psnet.ahrq.gov/node/45633/psn-pdf
December 21, 2016 - Lost in translation: medication labeling for immigrant
families.
December 21, 2016
Smith MCJ, Yin S, Sanders LM. Lost in translation: Medication labeling for immigrant families. J Am Pharm
Assoc (2003). 2016;56(6):677-679. doi:10.1016/j.japh.2016.07.002.
https://psnet.ahrq.gov/issue/lost-translation-medication-lab…
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psnet.ahrq.gov/node/46461/psn-pdf
November 01, 2017 - Complications: acknowledging, managing, and coping
with human error.
November 1, 2017
Helo S, Moulton C-AE. Complications: acknowledging, managing, and coping with human error. Transl
Androl Urol. 2017;6(4):773-782. doi:10.21037/tau.2017.06.28.
https://psnet.ahrq.gov/issue/complications-acknowledging-managing-and-…
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psnet.ahrq.gov/node/46349/psn-pdf
August 16, 2017 - Health Literacy Tools for Providers of Medication Therapy
Management.
August 16, 2017
Rockville, MD: Agency for Healthcare Research and Quality; July 2017.
https://psnet.ahrq.gov/issue/health-literacy-tools-providers-medication-therapy-management
Health literacy is important for effective care communications and s…
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psnet.ahrq.gov/node/74244/psn-pdf
May 30, 2019 - Racial and ethnic differences in the experience and
treatment of noncancer pain.
May 30, 2019
Meints SM, Cortes A, Morais CA, et al. Racial and ethnic differences in the experience and treatment of
noncancer pain. Pain Manag. 2019;9(3):317-334. doi:10.2217/pmt-2018-0030.
https://psnet.ahrq.gov/issue/racial-and-eth…
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psnet.ahrq.gov/node/48162/psn-pdf
July 24, 2019 - Allowing failure for educational purposes in postgraduate
clinical training: a narrative review.
July 24, 2019
Klasen JM, Lingard LA. Allowing failure for educational purposes in postgraduate clinical training: A
narrative review. Med Teach. 2019;41(11):1263-1269. doi:10.1080/0142159X.2019.1630728.
https://psnet.a…