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psnet.ahrq.gov/node/60330/psn-pdf
May 05, 2020 - Telehealth and Patient Safety During the COVID-19
Response
May 14, 2020
Sikka N, Willis JS, Fitall E, et al. Telehealth and Patient Safety During the COVID-19 Response. PSNet
[internet]. 2020.
https://psnet.ahrq.gov/perspective/telehealth-and-patient-safety-during-covid-19-response
Introduction
Telehealth typ…
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psnet.ahrq.gov/web-mm/insulin-administration-pen-vs-vial-similar-not-interchangeable
December 20, 2023 - The Case A fourteen-year-old girl presented to the emergency department with a one-week history of fatigue
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psnet.ahrq.gov/web-mm/low-totem-pole
October 01, 2003 - Error reduction and performance improvement in the emergency department through formal teamwork training
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psnet.ahrq.gov/web-mm/consequences-miscommunication-regarding-possible-artifact
May 11, 2019 - SPOTLIGHT CASE
The Consequences of Miscommunication Regarding a Possible Artifact
Citation Text:
Gwal K. The Consequences of Miscommunication Regarding a Possible Artifact. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 20…
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psnet.ahrq.gov/node/33844/psn-pdf
October 01, 2017 - Health Care Worker Presenteeism: A Challenge for Patient
Safety
October 1, 2017
Szymczak JE. Health Care Worker Presenteeism: A Challenge for Patient Safety. PSNet [internet]. 2017.
https://psnet.ahrq.gov/perspective/health-care-worker-presenteeism-challenge-patient-safety
Perspective
Introduction
Health care–as…
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psnet.ahrq.gov/web-mm/abdominal-aortic-aneurysm-screening
October 01, 2011 - SPOTLIGHT CASE
Abdominal Aortic Aneurysm Screening
Citation Text:
Jim J. Abdominal Aortic Aneurysm Screening. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018.
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psnet.ahrq.gov/node/49732/psn-pdf
May 01, 2015 - In the emergency department, she was ill appearing and in
some respiratory distress. … The patient was given 1 liter of normal saline in the emergency department. … example, with the exact same organism in an identical location, one individual may
present to the emergency … department (ED) with only a mild tachycardia and be sent home, while another
may be admitted to the … UCSF Bundle Compliance and Mortality (Includes All Adult Inpatients and the Emergency
Department).
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psnet.ahrq.gov/node/49495/psn-pdf
December 01, 2005 - Error reduction and performance improvement in the emergency
department through formal teamwork training
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psnet.ahrq.gov/node/49622/psn-pdf
March 01, 2011 - large health care system with an
inpatient/outpatient electronic medical record (EMR) presented to the emergency … department (ED) with a
fractured humerus.
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psnet.ahrq.gov/web-mm/syringe-swap-during-regional-block-case-medication-error-and-recovery
July 22, 2020 - Syringe Swap During Regional Block: A Case of Medication Error and Recovery
Citation Text:
Beres K, Gutierrez MC. Syringe Swap During Regional Block: A Case of Medication Error and Recovery.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Serv…
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psnet.ahrq.gov/node/846564/psn-pdf
March 29, 2023 - Usability
https://psnet.ahrq.gov//#8
https://psnet.ahrq.gov/issue/medication-safety-emergency-department-study-serious-medication-errors-reported … -hospitals
https://psnet.ahrq.gov/issue/antibiotic-prescribing-errors-patients-discharged-pediatric-emergency-department … Department and then surveyed clinician users about their experiences using the tool. … Department. … psnet.ahrq.gov//#10
https://psnet.ahrq.gov/issue/usability-human-factors-based-clinical-decision-support-emergency-department-lessons-learned
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psnet.ahrq.gov/web-mm/medication-errors-retail-pharmacies-wrong-patient-wrong-instructions
March 19, 2019 - Medication Errors in Retail Pharmacies: Wrong Patient, Wrong Instructions.
Citation Text:
Li C, Marquez K. Medication Errors in Retail Pharmacies: Wrong Patient, Wrong Instructions.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 202…
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psnet.ahrq.gov/node/72834/psn-pdf
March 10, 2021 - For example, one study found
that during the diagnosis process in the emergency department (ED), 23% … communicating-uncertainty-narrative-review-and-framework-future-research
https://psnet.ahrq.gov/issue/feasibility-patient-reported-diagnostic-errors-following-emergency-department-discharge-pilot … implementation-discharge-education-program-improve-transitions-care-patients-high-risk
https://psnet.ahrq.gov/issue/awareness-diagnosis-and-follow-care-after-discharge-emergency-department
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psnet.ahrq.gov/web-mm/how-do-providers-recover-errors
May 22, 2024 - The Dose Makes the Poison: Medication Error During Procedural Sedation in the Pediatric Emergency … Department.
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psnet.ahrq.gov/web-mm/shortcuts-acetaminophen-induced-liver-failure
July 01, 2017 - The Case An 18-year-old woman, 27 weeks pregnant, presented to the emergency department (ED) after … Appendicitis
June 1, 2003
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See More About The Topic
Emergency … Departments
Health Care Providers
Emergency Medicine
Clinical Misdiagnosis
Cognitive Errors
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psnet.ahrq.gov/web-mm/blind-spot
July 30, 2020 - Blind Spot
Citation Text:
Lee LA. Blind Spot. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
Download …
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psnet.ahrq.gov/perspective/what-have-we-learned-about-safe-inpatient-handovers
March 01, 2011 - Improving handoffs in the emergency department. Ann Emerg Med. 2010;55:171-180. … certainly admission, which includes things like transfer from EMS [emergency medical services] to the emergency … department, the emergency department up to the floor ICU, a floor patient going for urgent surgery,
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psnet.ahrq.gov/web-mm/complicated-course-severe-alcohol-withdrawal-dexmedetomidine-infusion
June 14, 2023 - weighing 71 kg with a past medical history of alcohol use disorder and prostate cancer presented to an emergency … department (ED) 36 hours after his last alcoholic drink with signs and symptoms of alcohol withdrawal … Pediatrics . 2016;138(6). [ Available at ] Douglass AM, Elder J, Watson R, et al. … WebM&M Cases
The One That Got Away—Elopement of a Suicidal Patient in the Emergency … Department.
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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…
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psnet.ahrq.gov/web-mm/safeguarding-diagnostic-testing-point-care
September 30, 2011 - Safeguarding Diagnostic Testing at the Point of Care
Citation Text:
Kost GJ, Ehrmeyer SS. Safeguarding Diagnostic Testing at the Point of Care. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
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Format:
…