-
psnet.ahrq.gov/node/49541/psn-pdf
August 21, 2007 - Inform the patient/parent/guardian verbally, and with a hand-held patient mirror, which
tooth/teeth
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psnet.ahrq.gov/node/60542/psn-pdf
May 27, 2020 - Life-Threatening Infant Overdose of Sodium Chloride
May 27, 2020
Hamline M, McGlynn G, Lee A, et al. Life-Threatening Infant Overdose of Sodium Chloride. PSNet
[internet]. 2020.
https://psnet.ahrq.gov/web-mm/life-threatening-infant-overdose-sodium-chloride
The Case
An infant with trisomy 21 underwent repair of a…
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psnet.ahrq.gov/node/49681/psn-pdf
April 01, 2013 - Total Parenteral Nutrition, Multifarious Errors
April 1, 2013
Boullata JI. Total Parenteral Nutrition, Multifarious Errors. PSNet [internet]. 2013.
https://psnet.ahrq.gov/web-mm/total-parenteral-nutrition-multifarious-errors
Case Objectives
Define parenteral nutrition (PN).
Describe the PN-use process.
Identify …
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psnet.ahrq.gov/issue/ashamed-admit-it-owning-medical-error
April 03, 2019 - Improving Diagnostic Safety and Quality
April 26, 2023
Parent … participation in morbidity and mortality review: parent and physician perspectives.
-
psnet.ahrq.gov/node/33845/psn-pdf
November 01, 2017 - Another perspective was thinking about
the hospital environment for caregivers, particularly parents
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psnet.ahrq.gov/sites/default/files/2020-05/webmm.ahrq_.gov_.392_slideshow.pptx
January 01, 2020 - Spotlight
Spotlight
Suicidal Ideation in the Family Medicine Clinic
1
Source and Credits
This presentation is based on the December 2016
AHRQ WebM&M Spotlight Case
See the full article at https://psnet.ahrq.gov/webmm
CME credit is available
Commentary by: Christine Moutier, MD, Chief Medical Officer, American …
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psnet.ahrq.gov/node/49842/psn-pdf
September 01, 2018 - simulated
cardiac resuscitation case was a 5-year-old boy, found pulseless and apneic in the bathtub by a parent
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psnet.ahrq.gov/node/49469/psn-pdf
December 01, 2004 - Overriding Considerations
December 1, 2004
Holtzman NA. Overriding Considerations. PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/overriding-considerations
The Case
Mrs. G visited her obstetrician for first trimester routine prenatal care. The obstetrician offered genetic
testing for a variety of condition…
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psnet.ahrq.gov/node/866265/psn-pdf
July 31, 2024 - misplaced-vial-medication-kit-variability-contributes-medication-error-
during-patient
The Case
A 19-month-old boy was found unresponsive and not breathing by a parent
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psnet.ahrq.gov/sites/default/files/2023-04/april_2023_spotlight_the_dose_makes_the_poison.pdf
January 01, 2023 - Initial vital signs were notable for tachycardia and tachypnea, but these
findings normalized after the parents … The ED physician obtained informed consent for
procedural sedation from the parents after full discussion
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psnet.ahrq.gov/node/72834/psn-pdf
March 10, 2021 - Conversely, parents of neonates in the NICU perceive care being safer when clinicians
communicate with
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psnet.ahrq.gov/node/49582/psn-pdf
April 01, 2009 - or surface coating on the PICC line to prevent fibrin adherence.(7)
Health care professionals and parents
-
psnet.ahrq.gov/web-mm/total-parenteral-nutrition-multifarious-errors
January 23, 2017 - SPOTLIGHT CASE
Total Parenteral Nutrition, Multifarious Errors
Citation Text:
Boullata JI. Total Parenteral Nutrition, Multifarious Errors. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013.
Copy Citation
Format:
…
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psnet.ahrq.gov/issue/patient-safety-part-i-patient-safety-and-dermatologist
June 07, 2008 - August 3, 2016
Parent participation in morbidity and mortality review: parent and physician
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psnet.ahrq.gov/issue/availability-spanish-prescription-labels
December 18, 2014 - October 19, 2022
Parent participation in morbidity and mortality review: parent and physician
-
psnet.ahrq.gov/web-mm/life-threatening-infant-overdose-sodium-chloride
December 23, 2020 - Life-Threatening Infant Overdose of Sodium Chloride
Citation Text:
Hamline M, McGlynn G, Lee A, et al. Life-Threatening Infant Overdose of Sodium Chloride. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020.
Copy Citation
Form…
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.146_slideshow.ppt
March 01, 2007 - retrieve&db=pubmed&dopt=abstract&list_uids=7790981
Failure to Report: Missed Opportunity
To inform parent
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psnet.ahrq.gov/web-mm/mark-my-tooth
June 01, 2014 - Inform the patient/parent/guardian verbally, and with a hand-held patient mirror, which tooth/teeth are
-
psnet.ahrq.gov/node/49740/psn-pdf
August 21, 2015 - Due to the
patient's age and parent preference, he was given a dose of midazolam for sedation in the
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psnet.ahrq.gov/sites/default/files/2020-10/final_slides_oct_2020_spotlight_case_inpt_stroke_mngt_in_adolescent_with_type1_diabetes.pdf
January 01, 2020 - Insulin Pump Use in Young Children with Type 1 Diabetes:
Sociodemographic Factors and Parent-Reported