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4881. Hospitals tackle high-risk drugs to reduce errors. | PSNet
      psnet.ahrq.gov/issue/hospitals-tackle-high-risk-drugs-reduce-errors
      October 07, 2015 - Newspaper/Magazine Article Hospitals tackle high-risk drugs to reduce errors. Citation Text: Landro L. Copy Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL March 19, 2008 Landr…

4882. 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 …

4883. Mandatory error reporting discourages disclosure of information. | PSNet
      psnet.ahrq.gov/issue/mandatory-error-reporting-discourages-disclosure-information
      October 26, 2011 - Newspaper/Magazine Article Mandatory error reporting discourages disclosure of information. Citation Text: Tokarski C Copy Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL April …

4884. Tragic medication errors result in accidental abortions and premature birth—safety advocates say drug mistakes are still too frequent, despite advances. | PSNet
      psnet.ahrq.gov/issue/tragic-medication-errors-result-accidental-abortions-and-premature-birth-safety-advocates-say
      August 21, 2019 - Audiovisual Presentation Tragic medication errors result in accidental abortions and premature birth—safety advocates say drug mistakes are still too frequent, despite advances. Citation Text: Patel A; ABCnews.com Copy Citation Save Save to your library Prin…

4885. How human factors lead to medical device adverse events. | PSNet
      psnet.ahrq.gov/issue/how-human-factors-lead-medical-device-adverse-events
      February 10, 2021 - Commentary How human factors lead to medical device adverse events. Citation Text: Rich S. Copy Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL June 11, 2008 Rich S. View…

4886. World Patient Safety Day 2024: Improving Diagnosis for Patient Safety | PSNet
      psnet.ahrq.gov/curated-library/world-patient-safety-day-2024-improving-diagnosis-patient-safety
      August 30, 2023 - Breadcrumb Home The PSNet Collection Curated Libraries Subscribed World Patient Safety Day 2024: Improving Diagnosis for Patient Safety  Download  Share Facebook Twitter Linkedin Copy URL Subscribe Last Upda…

4887. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49587/psn-pdf
      May 01, 2009 - Missing Trauma May 1, 2009 Jurkovich GJ. Missing Trauma. PSNet [internet]. 2009. https://psnet.ahrq.gov/web-mm/missing-trauma The Case A 54-year-old woman collapsed behind the counter of a small neighborhood market. She was discovered a few minutes later by a customer, who immediately called 911. On arrival, para…

4888. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33564/psn-pdf
      March 15, 2025 - Computerized Provider Order Entry March 15, 2025 Computerized Provider Order Entry. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/computerized-provider-order-entry PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current research and practice…

4889. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/849660/psn-pdf
      May 31, 2023 - Strategies to Improve Organizational Health Literacy. May 31, 2023 Seidel E, Cortes T, Chong C. Strategies to Improve Organizational Health Literacy. PSNet [internet]. 2023. https://psnet.ahrq.gov/primer/strategies-improve-organizational-health-literacy Background Health literacy is important at both the personal …

4890. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49757/psn-pdf
      April 01, 2016 - Situational Awareness and Patient Safety April 1, 2016 Farnan JE. Situational Awareness and Patient Safety. PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/situational-awareness-and-patient-safety The Case A 40-year-old woman with a history of cirrhosis and known esophageal varices was admitted to the hospit…

4891. Copy and Paste | PSNet
      psnet.ahrq.gov/web-mm/copy-and-paste
      December 10, 2014 - Copy and Paste Citation Text: Hersh WR. Copy and Paste. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2007. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

4892. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49626/psn-pdf
      May 01, 2011 - Outbreak May 1, 2011 Rothman R, Stapleton S. Outbreak. PSNet [internet]. 2011. https://psnet.ahrq.gov/web-mm/outbreak The Case A 36-year-old healthy man developed an acute febrile illness associated with a vesicular rash. He presented to an urgent care clinic where he was diagnosed with varicella infection ("chic…

4893. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33860/psn-pdf
      June 01, 2018 - Safety Considerations in Building a Point-of-Care Ultrasound Program June 1, 2018 Moore C. Safety Considerations in Building a Point-of-Care Ultrasound Program. PSNet [internet]. 2018. https://psnet.ahrq.gov/perspective/safety-considerations-building-point-care-ultrasound-program Perspective At the American Colle…

4894. Secured But Not Always Safe | PSNet
      psnet.ahrq.gov/web-mm/secured-not-always-safe
      October 01, 2015 - Secured But Not Always Safe Citation Text: Jahr JS, Hosseini P. Secured But Not Always Safe. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML …

4895. Spotlight (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.443_slideshow.ppt
      May 01, 2018 - Spotlight Spotlight Out of Sight, Out of Mind: Out-of-Office Test Result Management 1 Source and Credits This presentation is based on the May 2018 AHRQ WebM&M Spotlight Case See the full article at https://psnet.ahrq.gov/webmm CME credit is available Commentary by: Eric Poon, MD, MPH, Duke University School o…

4896. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49700/psn-pdf
      February 01, 2014 - Nonsustained Ventricular Tachycardia After Acute Coronary Syndromes: Recognizing High-Risk Patients February 1, 2014 Piccini JP, Newby KL, Califf R. Nonsustained Ventricular Tachycardia After Acute Coronary Syndromes: Recognizing High-Risk Patients. PSNet [internet]. 2014. https://psnet.ahrq.gov/web-mm/nonsustaine…

4897. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33676/psn-pdf
      November 01, 2008 - In Conversation with…Sanjay Saint, MD, MPH November 1, 2008 In Conversation with…Sanjay Saint, MD, MPH. PSNet [internet]. 2008. https://psnet.ahrq.gov/perspective/conversation-withsanjay-saint-md-mph Editor's note: Sanjay Saint, MD, MPH, is Professor of Medicine at the University of Michigan and the Ann Arbor VA …

4898. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49727/psn-pdf
      March 01, 2015 - Critical Opportunity Lost March 1, 2015 Genzen JR, Signorelli HN. Critical Opportunity Lost. PSNet [internet]. 2015. https://psnet.ahrq.gov/web-mm/critical-opportunity-lost The Case A 55-year-old woman presented to the emergency department (ED) with new onset chest pain. She reported eating a heavy dinner the pre…

4899. 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…

4900. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49814/psn-pdf
      December 01, 2017 - Miscommunication in the OR Leads to Anticoagulation Mishap December 1, 2017 Solsky I, Haynes AB. Miscommunication in the OR Leads to Anticoagulation Mishap. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/miscommunication-or-leads-anticoagulation-mishap The Case A 63-year-old man with a history of coronary…