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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.260_slideshow.ppt
February 01, 2012 - Spotlight Case July 2008
Spotlight Case
E-prescribing: E for Error?
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Source and Credits
This presentation is based on the February 2012
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Elisa W. Ashton, PharmD, Assistant Clinical Professor, Departm…
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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/867980/psn-pdf
March 25, 2025 - Not All Headaches are Due to Migraine: Red Flags, Don’t
Miss Diagnoses, and Diagnostic Pitfalls
March 25, 2025
Olson APJ. Not All Headaches are Due to Migraine: Red Flags, Don’t Miss Diagnoses, and Diagnostic
Pitfalls. PSNet [internet]. 2025.
https://psnet.ahrq.gov/web-mm/not-all-headaches-are-due-migraine-red-fla…
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psnet.ahrq.gov/node/867651/psn-pdf
February 26, 2025 - Safety I, Safety II, and the New Views of Safety
February 26, 2025
Scanlon M, Jacobson N. Safety I, Safety II, and the New Views of Safety. PSNet [internet]. 2025.
https://psnet.ahrq.gov/primer/safety-i-safety-ii-and-new-views-safety
Background and Context
Safety I and Safety II (Safety I/II) are not safety method…
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psnet.ahrq.gov/perspective/patient-advocacy-patient-safety-have-things-changed
June 01, 2014 - With its roots in the disability rights movement and pediatric hospital care, family-centered or patient-centered … Family-centered care: current applications and future directions in pediatric health care.
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psnet.ahrq.gov/perspective/conversation-dave-debronkart
June 01, 2014 - With its roots in the disability rights movement and pediatric hospital care, family-centered or patient-centered … Family-centered care: current applications and future directions in pediatric health care.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.281_slideshow.ppt
October 01, 2012 - Randomized, controlled trial of antibiotics in the management of community-acquired skin abscesses in the pediatric
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psnet.ahrq.gov/web-mm/vial-mistakes-involving-heparin
May 11, 2014 - Give special consideration to pediatric use of heparin since most drugs stocked in anesthesia are intended
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psnet.ahrq.gov/perspective/updates-role-health-it-patient-safety
January 31, 2020 - Specific examples highlight the use of AI in pediatric diseases .
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psnet.ahrq.gov/web-mm/inappropriate-antibiotic-use
September 22, 2010 - Reduction of nosocomial infection during pediatric intensive care by protective isolation.
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psnet.ahrq.gov/web-mm/bandemia-harbinger-stercoral-colitis-and-impending-perforation
November 25, 2020 - WebM&M Cases
Intraosseous Line Extravasation in a Pediatric
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psnet.ahrq.gov/web-mm/when-looks-arent-all-they-appear-be-medication-error-uncommon-indication
July 02, 2019 - July 17, 2024
Standardizing medication reconciliation in a pediatric emergency department
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psnet.ahrq.gov/web-mm/electronic-err
April 01, 2014 - Medication Access Issue
April 1, 2014
Evaluation and accurate diagnoses of pediatric
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psnet.ahrq.gov/web-mm/poorly-advanced-directives
August 01, 2018 - WebM&M Cases
Mitigating the Risk of Intrahospital Transport for Pediatric
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psnet.ahrq.gov/web-mm/continuity-errors-resident-clinic
October 02, 2019 - recently performed site visits and a qualitative analysis of 23 family medicine, internal medicine, and pediatric
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psnet.ahrq.gov/web-mm/caution-interrupted
October 01, 2016 - December 22, 2009
Color coded medication safety system reduces community pediatric emergency
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psnet.ahrq.gov/web-mm/reaction-dye
March 01, 2007 - December 23, 2016
Image Gently, Step Lightly: promoting radiation safety in pediatric
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psnet.ahrq.gov/web-mm/fluidity-diagnostic-wet-reads
April 24, 2018 - April 24, 2018
Optimizing Pediatric Patient Safety in the Emergency Care Setting.
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psnet.ahrq.gov/web-mm/ventricular-wall-injury-during-diagnostic-cardiac-catheterization
September 01, 2012 - May 30, 2016
ASHP–PPAG Guidelines for Providing Pediatric Pharmacy Services in Hospitals
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psnet.ahrq.gov/web-mm/medical-devices-wild
March 27, 2024 - October 3, 2013
Work system barriers and facilitators in inpatient care transitions of pediatric