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psnet.ahrq.gov/web-mm/baffled-botulinum-toxin
July 17, 2024 - Baffled by Botulinum Toxin
Citation Text:
Sivaraman-Nair KP. Baffled by Botulinum Toxin. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015.
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psnet.ahrq.gov/node/49481/psn-pdf
May 01, 2005 - Discharge Against Medical Advice
May 1, 2005
Hwang SW. Discharge Against Medical Advice. PSNet [internet]. 2005.
https://psnet.ahrq.gov/web-mm/discharge-against-medical-advice
The Case
A 50-year-old man with a history of alcohol abuse and alcohol-induced dementia was admitted to the
medical service with mild alco…
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psnet.ahrq.gov/node/33618/psn-pdf
September 01, 2005 - Playing Well with Others: "Translocational Research" in
Patient Safety
September 1, 2005
Wachter R. Playing Well with Others: "Translocational Research" in Patient Safety. PSNet [internet]. 2005.
https://psnet.ahrq.gov/perspective/playing-well-others-translocational-research-patient-safety
Perspective
Translation…
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psnet.ahrq.gov/web-mm/complicated-course-severe-alcohol-withdrawal-dexmedetomidine-infusion
June 14, 2023 - SPOTLIGHT CASE
A Complicated Course: Severe Alcohol Withdrawal with Dexmedetomidine Infusion
Citation Text:
Duong T, Boctor N, Bourgeois JA. A Complicated Course: Severe Alcohol Withdrawal with Dexmedetomidine Infusion.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality…
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psnet.ahrq.gov/node/851568/psn-pdf
July 31, 2023 - A Complicated Course: Severe Alcohol Withdrawal with
Dexmedetomidine Infusion
July 31, 2023
Duong T, Boctor N, Bourgeois JA. A Complicated Course: Severe Alcohol Withdrawal with
Dexmedetomidine Infusion. PSNet [internet]. 2023.
https://psnet.ahrq.gov/web-mm/complicated-course-severe-alcohol-withdrawal-dexmedetomid…
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psnet.ahrq.gov/issue/patient-safety-and-systematic-reviews-finding-papers-indexed-medline-embase-and-cinahl
August 04, 2021 - Study
Patient safety and systematic reviews: finding papers indexed in MEDLINE, EMBASE and CINAHL.
Citation Text:
Tanon AA, Champagne F, Contandriopoulos A-P, et al. Patient safety and systematic reviews: finding papers indexed in MEDLINE, EMBASE and CINAHL. Qual Saf Health Care. 2010;…
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psnet.ahrq.gov/issue/safety-inpatient-pediatrics-preventing-medical-errors-and-injuries-among-hospitalized
November 16, 2022 - Review
The safety of inpatient pediatrics: preventing medical errors and injuries among hospitalized children.
Citation Text:
Landrigan CP. The safety of inpatient pediatrics: preventing medical errors and injuries among hospitalized children. Pediatr Clin North Am. 2005;52(4):979-93, …
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psnet.ahrq.gov/issue/incidence-adverse-drug-reactions-hospitalized-patients-meta-analysis-prospective-studies
October 04, 2017 - Study
Classic
Incidence of adverse drug reactions in hospitalized patients: a meta-analysis of prospective studies.
Citation Text:
Lazarou J, Pomeranz BH, Corey PN. Incidence of adverse drug reactions in hospitalized patients: a meta-analysis of prospective st…
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psnet.ahrq.gov/issue/aviation-medicine-applying-concepts-aviation-safety-risk-management-ambulatory-care
June 03, 2020 - Study
From aviation to medicine: applying concepts of aviation safety to risk management in ambulatory care.
Citation Text:
Wilf-Miron R, Lewenhoff I, Benyamini Z, et al. From aviation to medicine: applying concepts of aviation safety to risk management in ambulatory care. Qual Saf Hea…
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psnet.ahrq.gov/issue/against-silence-development-and-first-results-patient-survey-assess-experiences-safety
March 24, 2021 - Study
"Against the silence": development and first results of a patient survey to assess experiences of safety-related events in hospital.
Citation Text:
Schwappach DLB. "Against the silence": development and first results of a patient survey to assess experiences of safety-related eve…
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psnet.ahrq.gov/issue/incidence-adverse-events-swedish-hospitals-retrospective-medical-record-review-study
August 05, 2009 - Study
The incidence of adverse events in Swedish hospitals: a retrospective medical record review study.
Citation Text:
Soop M, Fryksmark U, Köster M, et al. The incidence of adverse events in Swedish hospitals: a retrospective medical record review study. Int J Qual Health Care. 2009;…
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psnet.ahrq.gov/issue/medication-administration-errors-and-pediatric-population-systematic-search-literature
September 16, 2015 - Review
Medication administration errors and the pediatric population: a systematic search of the literature.
Citation Text:
Gonzales K. Medication administration errors and the pediatric population: a systematic search of the literature. J Pediatr Nurs. 2010;25(6):555-565. doi:10.1016/…
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psnet.ahrq.gov/issue/emerging-ehr-purgatory-moving-process-outcomes
July 22, 2020 - Commentary
Emerging from EHR purgatory—moving from process to outcomes.
Citation Text:
Goroll AH. Emerging from EHR Purgatory - Moving from Process to Outcomes. N Engl J Med. 2017;376(21):2004-2006. doi:10.1056/NEJMp1700601.
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psnet.ahrq.gov/issue/parents-perceptions-pediatric-day-surgery-risks-unforeseeable-complications-or-avoidable
September 11, 2019 - Study
Parents' perceptions of pediatric day surgery risks: unforeseeable complications, or avoidable mistakes?
Citation Text:
Sobo EJ. Parents' perceptions of pediatric day surgery risks: unforeseeable complications, or avoidable mistakes? Soc Sci Med. 2005;60(10):2341-50.
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psnet.ahrq.gov/issue/team-resource-management-and-patient-safety-team-focused-approach-clinical-governance
August 26, 2015 - Study
Team resource management and patient safety: a team focused approach to clinical governance.
Citation Text:
Boddington R, Arthur H, Cummings D, et al. Team Resource Management and patient safety. Clinical Governance: An International Journal. 2006;11(1). doi:10.1108/1477727061064…
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psnet.ahrq.gov/issue/ssssh-handover-protected-medical-handover-optimising-quality-and-prioritising-safety-regional
March 08, 2017 - Commentary
Ssssh for handover: protected medical handover; optimising quality and prioritising safety—a regional initiative.
Citation Text:
Mallett P, Thompson A, Bourke T, et al. Ssssh for Handover: protected medical handover; optimising quality and prioritising safety-a regional initia…
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psnet.ahrq.gov/issue/computer-based-provider-order-entry-cpoe
July 20, 2022 - Multi-use Website
Computer-based Provider Order Entry--CPOE.
Citation Text:
ClinfoWiki: The Clinical Informatics Wiki.
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psnet.ahrq.gov/periodic-issue/periodic-issue-440
May 29, 2024 - May 15, 2024 Weekly Issue
PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly
Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient
safety literature, news, conferences, reports, a…
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psnet.ahrq.gov/web-mm/cvc-removal-procedure-any-other
October 01, 2018 - CVC Removal: A Procedure Like Any Other
Citation Text:
Feil M. CVC Removal: A Procedure Like Any Other. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014.
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psnet.ahrq.gov/node/49869/psn-pdf
July 02, 2019 - Failure to Rescue the Mother
July 2, 2019
Vivero A, Klapper EB, Gregory KD, et al. Failure to Rescue the Mother. PSNet [internet]. 2019.
https://psnet.ahrq.gov/web-mm/failure-rescue-mother
The Case
A 27-year-old woman, G5 P2 A2, was first admitted to the hospital at 25 weeks of pregnancy for vaginal
bleeding. An …