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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865419/psn-pdf
    March 27, 2024 - Do Not Miss Sepsis Needles in Viral Haystacks! March 27, 2024 Hamline M, Shaikh U. Do Not Miss Sepsis Needles in Viral Haystacks!. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/do-not-miss-sepsis-needles-viral-haystacks Disclosure of Relevant Financial Relationships: As a provider accredited by the Accredit…
  2. psnet.ahrq.gov/web-mm/do-not-miss-sepsis-needles-viral-haystacks
    March 27, 2024 - SPOTLIGHT CASE Do Not Miss Sepsis Needles in Viral Haystacks! Citation Text: Hamline M, Shaikh U. Do Not Miss Sepsis Needles in Viral Haystacks!. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024. Copy Citation For…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49716/psn-pdf
    August 21, 2014 - After 10 minutes of chest compressions and advanced cardiovascular life support protocol, spontaneous
  4. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.347_slideshow.ppt
    May 01, 2015 - PowerPoint Presentation Spotlight Errors in Sepsis Management This presentation is based on the May 2015 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: David Shimabukuro, MD, University of California, San Francisco (UCSF) Editor, AHRQ WebM&M: Rober…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50613/psn-pdf
    October 30, 2019 - In Conversation With… Neel Shah, MD, MPP October 30, 2019 In Conversation With… Neel Shah, MD, MPP. PSNet [internet]. 2019. https://psnet.ahrq.gov/perspective/conversation-neel-shah-md-mpp Editor's note: Dr. Shah, MD, MPP, is an Assistant Professor of Obstetrics, Gynecology and Reproductive Biology at Harvard Medi…
  6. psnet.ahrq.gov/web-mm/ems-perils-hospital-overcrowding
    November 25, 2020 - Offload Time (APOT) by the California Health and Safety Code, wall time is defined as the “time (in minutes … recommended “zero tolerance” for ambulance transfer delays and established a national standard of 15 minutes
  7. psnet.ahrq.gov/issue/safetynet-lessons-learned-close-calls-or
    October 28, 2020 - Special or Theme Issue SafetyNet: Lessons Learned from Close Calls in the OR. Citation Text: SafetyNet: Lessons Learned from Close Calls in the OR. AORN J. 2006;84(1S1):CO1-CO2,s6-s12. Copy Citation Save Save to your library Print Download PDF …
  8. psnet.ahrq.gov/issue/human-factors-nursing-and-patient-safety
    July 07, 2021 - Special or Theme Issue Human factors, nursing and patient safety. Citation Text: Human factors, nursing and patient safety. Nurs Stand. Apr-May 2012;26. Copy Citation Save Save to your library Print Download PDF Share Facebook Twi…
  9. psnet.ahrq.gov/issue/first-do-no-harm-part-1-case-study-systems-failure
    September 07, 2022 - Audiovisual Presentation First, Do No Harm Part 1: A Case Study of Systems Failure. Citation Text: First, Do No Harm Part 1: A Case Study of Systems Failure. Chicago: Partnership for Patient Safety, Harvard Risk Management Foundation; 2000. Copy Citation Save Save…
  10. psnet.ahrq.gov/issue/adverse-events-expecting-too-much-nurses-and-too-little-nursing-research
    December 01, 2010 - Special or Theme Issue Adverse Events: Expecting too Much of Nurses and too Little of Nursing Research. Citation Text: Adverse Events: Expecting too Much of Nurses and too Little of Nursing Research. Jordan S, ed. J Nurs Manag. 2011;19(3):287-417.  Copy Citation …
  11. psnet.ahrq.gov/issue/removing-insult-injury-disclosing-adverse-events
    November 07, 2012 - Audiovisual Removing Insult from Injury: Disclosing Adverse Events. Citation Text: Removing Insult from Injury: Disclosing Adverse Events. Johns Hopkins Bloomberg School of Public Health Copy Citation Save Save to your library Print Download PDF …
  12. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.242_slideshow.ppt
    June 01, 2011 - Spotlight Case July 2008 Spotlight Case The ECG is Not Normal * * Source and Credits This presentation is based on the June 2011 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Abigail Zuger, MD, Columbia University Editor, AHRQ WebM&M: Robe…
  13. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2024-03/final_spotlight_case_not_missing_sepsis_needles_in_viral_haystacks_slides_march_date.pdf
    January 01, 2024 - Spotlight Spotlight Do Not Miss Sepsis Needles in Viral Haystacks! Source and Credits • This presentation is based on the March 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: Michelle Hamline, MD, PhD, MAS and Ulfat Shaikh, MD, M…
  14. psnet.ahrq.gov/issue/disrespectful-behavior-healthcare-has-it-improved-please-take-our-survey
    May 19, 2021 - Newspaper/Magazine Article Disrespectful behavior in healthcare: has it improved? Please take our survey! Citation Text: Disrespectful behavior in healthcare: has it improved? Please take our survey! ISMP Medication Safety Alert! Acute care edition. September 9, 2021;26(18);1-5. Copy C…
  15. psnet.ahrq.gov/issue/challenges-requiring-five-characters-during-adc-drug-searches-override
    October 20, 2021 - Newspaper/Magazine Article Challenges with requiring five characters during ADC drug searches via override. Citation Text: Challenges with requiring five characters during ADC drug searches via override. ISMP Medication Safety Alert! Acute care edition. October 21, 2021;26(21):1-3. Cop…
  16. psnet.ahrq.gov/issue/independent-double-checks-undervalued-and-misused
    July 12, 2023 - Newspaper/Magazine Article Independent double checks: undervalued and misused. Citation Text: Independent double checks: undervalued and misused. ISMP Medication Safety Alert! Acute care edition. June 13, 2013;18:1-4.   Copy Citation Save Save to your lib…
  17. psnet.ahrq.gov/issue/nurse-faces-prison-deadly-error-her-colleagues-worry-could-i-be-next
    May 11, 2022 - Newspaper/Magazine Article As a nurse faces prison for a deadly error, her colleagues worry: could I be next? Citation Text: As a nurse faces prison for a deadly error, her colleagues worry: could I be next? Kelman B. Kaiser Health News. March 22, 2022 Copy Citation S…
  18. psnet.ahrq.gov/issue/oops-sorry-wrong-patient-patient-verification-process-needed-everywhere-not-just-bedside
    March 15, 2022 - Newspaper/Magazine Article Oops, sorry, wrong patient! A patient verification process is needed everywhere, not just at the bedside. Citation Text: Oops, sorry, wrong patient! A patient verification process is needed everywhere, not just at the bedside. ISMP Medication Safety Alert! Acut…
  19. psnet.ahrq.gov/issue/us-hospitals-drug-mix-just-few-keystrokes-away
    March 30, 2022 - Newspaper/Magazine Article At US hospitals, a drug mix-up is just a few keystrokes away. Citation Text: At US hospitals, a drug mix-up is just a few keystrokes away. Kelman B. Kaiser Health News. April 29, 2022. Copy Citation Save Save to your library Prin…
  20. psnet.ahrq.gov/issue/patient-death-after-inadvertent-infusion-prn-medication-hanging-bedside-intravenous-iv-pole
    April 17, 2024 - Newspaper/Magazine Article Patient death after inadvertent infusion of PRN medication hanging on bedside intravenous (IV) pole. Citation Text: Patient death after inadvertent infusion of PRN medication hanging on bedside intravenous (IV) pole. ISMP Medication Safety Alert! Acute Care. 20…

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