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8881. Right Electrocardiogram, Wrong Patient | PSNet
      psnet.ahrq.gov/web-mm/right-electrocardiogram-wrong-patient
      April 24, 2024 - Association between mobile telephone interruptions and medication administration errors in a pediatric

8882. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49523/psn-pdf
      November 01, 2006 - Adult and Pediatric Urology. 2nd ed. St. Louis, MO: Mosby Year Book; 1991:1001-1099. 3.

8883. Critical Opportunity Lost | PSNet
      psnet.ahrq.gov/web-mm/critical-opportunity-lost
      February 17, 2017 - September 23, 2020 Discrepancies between prescribed and actual pediatric home parenteral

8884. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49823/psn-pdf
      March 01, 2018 - Reston, VA: American College of Radiology and the Society for Pediatric Radiology; 2013.

8885. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49776/psn-pdf
      November 01, 2016 - recently performed site visits and a qualitative analysis of 23 family medicine, internal medicine, and pediatric

8886. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33650/psn-pdf
      May 01, 2007 - realization that clinical problems underlie much litigation, certain high-profile cases such as the Bristol pediatric

8887. Spotlight Case July 2008 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.296_slideshow.ppt
      April 01, 2013 - dedicate pharmacist time to review or clarify PN orders When knowledgeable pharmacists are involved, pediatric

8888. Walking Out of a Hospital After Attempted Suicide | PSNet
      psnet.ahrq.gov/web-mm/walking-out-hospital-after-attempted-suicide
      March 29, 2023 - Departments Physicians Emergency Medicine Mental Health Care (Psychiatry and Clinical Psychology) Pediatric

8889. Sleep Deprivation Leads to Medication Error During Spinal Epidural Anesthesia | PSNet
      psnet.ahrq.gov/web-mm/sleep-deprivation-leads-medication-error-during-spinal-epidural-anesthesia
      January 29, 2021 - At least among pediatric residents, the total number of hours of work and sleep, the overall medication

8890. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/852807/psn-pdf
      August 30, 2023 - At least among pediatric residents, the total number of hours of work and sleep, the overall medication

8891. Misdiagnosis of Small Bowel Obstruction in the Setting of Previous Abdominal Operations | PSNet
      psnet.ahrq.gov/web-mm/misdiagnosis-small-bowel-obstruction-setting-previous-abdominal-operations
      September 27, 2023 - increased from 3.9% to 37.8% between 1997 and 2016. 3 There are circumstances, such as those involving pediatric

8892. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/857059/psn-pdf
      November 29, 2023 - The Risks of a Malpositioned Gastrostomy Tube and Poor Communication November 29, 2023 Hight RA. The Risks of a Malpositioned Gastrostomy Tube and Poor Communication. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/risks-malpositioned-gastrostomy-tube-and-poor-communication Disclosure of Relevant Financial …

8893. Becoming a Certified Professional in Patient Safety—A Pharmacist's Perspective | PSNet
      psnet.ahrq.gov/perspective/becoming-certified-professional-patient-safety-pharmacists-perspective
      June 01, 2016 - April 12, 2023 Systematic review of medication errors in pediatric patients.

8894. Patient Engagement in Safety | PSNet
      psnet.ahrq.gov/perspective/patient-engagement-safety
      January 01, 2018 - Annual Perspective Patient Engagement in Safety Rachel J. Stern, MD, and Urmimala Sarkar, MD | January 1, 2017  View more articles from the same authors. Citation Text: Stern RJ, Sarkar U. Patient Engagement in Safety. PSNet [internet]. Rockville (MD): Agency…

8895. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49773/psn-pdf
      July 01, 2016 - Near Miss With Neonate October 1, 2016 Malana J, Lyndon A. Near Miss With Neonate. PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/near-miss-neonate The Case A 37-year-old pregnant woman was admitted to the hospital for scheduled induction of labor for postterm dates. Early the next morning, intravenous oxy…

8896. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33679/psn-pdf
      January 01, 2009 - Disclosure of Medical Error January 1, 2009 Kachalia A. Disclosure of Medical Error. PSNet [internet]. 2009. https://psnet.ahrq.gov/perspective/disclosure-medical-error Perspective Disclosure of medical error is inextricably linked to today's patient safety efforts. Health care experts advocate that greater discl…

8897. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49439/psn-pdf
      March 01, 2004 - Lethal Cap March 1, 2004 Schillinger D. Lethal Cap. PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/lethal-cap The Case A 9-month-old child was seen by her pediatrician for a fever and decreased appetite. She was found to have otitis media and was prescribed amoxicillin. The doctor gave the first dose to th…

8898. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49467/psn-pdf
      December 01, 2004 - A "Weak" Response December 1, 2004 Reisman AB. A "Weak" Response. PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/weak-response The Case A primary care physician on call for his group received a call at 9:00PM from a 68-year-old man. He said, "They started me on a new pill for my blood pressure and now I fe…

8899. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49514/psn-pdf
      July 01, 2006 - One ACE Too Many July 1, 2006 Juurlink DN. One ACE Too Many. PSNet [internet]. 2006. https://psnet.ahrq.gov/web-mm/one-ace-too-many The Case A 72-year-old man with coronary artery disease, diabetes, and recently diagnosed congestive heart failure presented to the emergency department (ED) with chest pain. An acut…

8900. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33868/psn-pdf
      October 01, 2018 - Safety in the Retail Pharmacy October 1, 2018 Chui MA. Safety in the Retail Pharmacy. PSNet [internet]. 2018. https://psnet.ahrq.gov/perspective/safety-retail-pharmacy Perspective There are approximately 67,000 retail/community pharmacies dispensing 4.4 billion prescriptions each year.(1) Many patients interact w…