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  1. psnet.ahrq.gov/web-mm/hyponatremia-secondary-home-parenteral-nutrition-error
    May 27, 2020 - Hyponatremia Secondary to Home Parenteral Nutrition Error Citation Text: Haas K, Lee A. Hyponatremia Secondary to Home Parenteral Nutrition Error. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2021. Copy Citation Format: …
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49841/psn-pdf
    September 01, 2018 - Chemotherapy Administration Safety Standards September 1, 2018 Bergsbaken J. Chemotherapy Administration Safety Standards. PSNet [internet]. 2018. https://psnet.ahrq.gov/web-mm/chemotherapy-administration-safety-standards The Case A 67-year-old woman with cancer was admitted to the hospital to begin a chemotherapy…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49635/psn-pdf
    September 01, 2011 - Central, not Epidural September 1, 2011 Simmons D. Central, not Epidural. PSNet [internet]. 2011. https://psnet.ahrq.gov/web-mm/central-not-epidural The Case A 55-year-old man with lung cancer recently had the lower lobe of his left lung removed. Post-operatively, he was awake, alert, and oriented to time, place,…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74252/psn-pdf
    January 12, 2022 - In Conversation With... Poonam Sharma, MD, MPH, the Senior Clinical Data Analyst at Atrium Health, and Rhonda Dickman, MSN, RN, CPHQ, the Director of the Tennessee Hospital Association PSO January 12, 2022 In Conversation With.. Poonam Sharma, MD, MPH, the Senior Clinical Data Analyst at Atrium Health, and Rhonda…
  5. psnet.ahrq.gov/web-mm/mothers-milk-whose-mother
    November 15, 2023 - Mother's Milk, but Whose Mother? Citation Text: Dougherty D. Mother's Milk, but Whose Mother?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XM…
  6. psnet.ahrq.gov/perspective/conversation-withsorrel-king
    March 01, 2007 - In Conversation with...Sorrel King March 1, 2007  Also Read an Essay Citation Text: In Conversation with..Sorrel King. PSNet [internet]. 2007.In Conversation with...Sorrel King. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Depar…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/857061/psn-pdf
    November 27, 2023 - In Conversation with... Joan Stanley about The Role of Undergraduate Nursing Education in Patient Safety November 27, 2023 Stanley J. In Conversation with.. Joan Stanley about The Role of Undergraduate Nursing Education in Patient Safety . PSNet [internet]. 2023. https://psnet.ahrq.gov/perspective/conversation-joa…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49414/psn-pdf
    September 01, 2003 - Making Do September 1, 2003 Bradley LD. Making Do. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/making-do The Case A 56-year-old female with dysfunctional uterine bleeding and possible retained intrauterine device (IUD) was scheduled for elective hysteroscopy and dilation and curettage (D&C). Of note, sh…
  9. Spotlight (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.461_slideshow.ppt
    November 01, 2018 - Spotlight Spotlight Supervision and Entrustment in Clinical Training: Protecting Patients, Protecting Trainees * Source and Credits This presentation is based on the November 2018 AHRQ WebM&M Spotlight Case See the full article at https://psnet.ahrq.gov/webmm CME credit is available Commentary by: Olle ten C…
  10. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.236_slideshow.ppt
    March 01, 2011 - Spotlight Case July 2008 Spotlight Case March 2011 Volume Too Low: In and Out Pediatric Patient Safety * * Source and Credits This presentation is based on the March 2011 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Marlene Miller, MD, MSc…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46183/psn-pdf
    July 12, 2017 - Medication-related Malpractice Risks. 2016 CRICO Strategies National CBS Report. July 12, 2017 Boston, MA: CRICO Strategies; 2017. https://psnet.ahrq.gov/issue/medication-related-malpractice-risks-2016-crico-strategies-national-cbs-report Medication errors are a persistent challenge in health care that can occur a…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40657/psn-pdf
    August 03, 2011 - Effectiveness and cost of a transitional care program for heart failure: a prospective study with concurrent controls. August 3, 2011 Stauffer BD, Fullerton C, Fleming N, et al. Effectiveness and cost of a transitional care program for heart failure: a prospective study with concurrent controls. Arch Intern Med. 2…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/861760/psn-pdf
    January 31, 2024 - Syringe Swap During Regional Block: A Case of Medication Error and Recovery January 31, 2024 Beres K, Gutierrez MC. Syringe Swap During Regional Block: A Case of Medication Error and Recovery. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/syringe-swap-during-regional-block-case-medication-error-and-recover…
  14. psnet.ahrq.gov/sites/default/files/2023-03/march_2023_spotlight_agitated_delirium.pdf
    January 01, 2023 - Microsoft PowerPoint - Spotlight Case_Agitated Delirium_FINAL.pptx Spotlight Agitated Delirium Contributes to Missed Testing and Delayed Diagnosis of Gastric Perforation Source and Credits • This presentation is based on the March 2023 AHRQ WebM&M Spotlight Case o See the full article at https://psnet.ahrq.gov/…
  15. psnet.ahrq.gov/issue/patient-safety-essentials-toolkit
    January 08, 2020 - Toolkit Patient Safety Essentials Toolkit. Citation Text: Patient Safety Essentials Toolkit. Boston, MA: Institute for Healthcare Improvement; 2019. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter …
  16. psnet.ahrq.gov/issue/what-happened-patient-safety
    August 23, 2007 - Audiovisual What Happened to Patient Safety. Citation Text: What Happened to Patient Safety. Sheridan S. Turn on the Lights. Institute for Healthcare Improvement.  May 2023 Copy Citation Save Save to your library Print Download PDF Share …
  17. psnet.ahrq.gov/issue/hospitals-two-states-denied-abortion-miscarrying-patient-investigators-say-they-broke-federal
    September 20, 2023 - Newspaper/Magazine Article Hospitals in two states denied an abortion to a miscarrying patient. Investigators say they broke federal law. Citation Text: Hospitals in two states denied an abortion to a miscarrying patient. Investigators say they broke federal law. Surana K. Pro Publica. M…
  18. psnet.ahrq.gov/issue/focus-computerized-provider-order-entry
    March 11, 2020 - Special or Theme Issue Focus on Computerized Provider Order Entry. Citation Text: Focus on Computerized Provider Order Entry. J Am Med Inform Assoc. 2007 Jan-Feb;14(1):25-75 Copy Citation Save Save to your library Print Download PDF Share …
  19. psnet.ahrq.gov/issue/inside-preventable-deaths-happened-within-prominent-transplant-center
    May 02, 2018 - Newspaper/Magazine Article Inside the preventable deaths that happened within a prominent transplant center. Citation Text: Inside the preventable deaths that happened within a prominent transplant center. Blau M. ProPublica. June 14, 2023. Copy Citation Save S…
  20. psnet.ahrq.gov/issue/medication-therapy-management-programs-forming-new-cornerstone-quality-and-safety-medicare
    January 06, 2017 - Commentary Medication therapy management programs: forming a new cornerstone for quality and safety in Medicare. Citation Text: Smith SR, Clancy CM. Medication therapy management programs: forming a new cornerstone for quality and safety in medicare. Am J Med Qual. 2006;21(4):276-9. …

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