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psnet.ahrq.gov/web-mm/dual-therapy-debacle
February 01, 2007 - Dual Therapy Debacle
Citation Text:
Kayser SR. Dual Therapy Debacle. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId …
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psnet.ahrq.gov/node/49442/psn-pdf
May 01, 2004 - Missed TB
May 1, 2004
FitzGerald MJ, Menzies D. Missed TB. PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/missed-tb
The Case
A 38-year-old white female with no past medical history presented to the hospital with fevers, respiratory
failure, and bilateral pulmonary infiltrates. She was treated empirically w…
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psnet.ahrq.gov/node/49595/psn-pdf
December 01, 2009 - "Superficial" Report Leads to "Deep" Problem
December 1, 2009
Dhaliwal G. "Superficial" Report Leads to "Deep" Problem. PSNet [internet]. 2009.
https://psnet.ahrq.gov/web-mm/superficial-report-leads-deep-problem
The Case
A 35-year-old woman presented to the emergency department (ED) complaining of left foot and an…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.84_slideshow.ppt
December 01, 2004 - Spotlight Case [MONTH] 2003
Spotlight Case December 2004
Discharge Fumbles
Source and Credits
This presentation is based on the Dec. 2004
AHRQ WebM&M Spotlight Case in Hospital Medicine
See the full article at http://webmm.ahrq.gov
CME credit is available through the Web site
Commentary by: Alan Forster, M…
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psnet.ahrq.gov/node/849660/psn-pdf
May 31, 2023 - Strategies to Improve Organizational Health Literacy.
May 31, 2023
Seidel E, Cortes T, Chong C. Strategies to Improve Organizational Health Literacy. PSNet [internet]. 2023.
https://psnet.ahrq.gov/primer/strategies-improve-organizational-health-literacy
Background
Health literacy is important at both the personal …
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psnet.ahrq.gov/web-mm/lethal-cap
December 19, 2018 - Lethal Cap
Citation Text:
Schillinger D. Lethal Cap. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004.
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Do…
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psnet.ahrq.gov/perspective/university-texas-system-clinical-safety-and-effectiveness-course
February 01, 2011 - August 26, 2020
Prescribing patterns of heart failure-exacerbating medications following
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psnet.ahrq.gov/web-mm/out-sight-out-mind-out-office-test-result-management
September 01, 2007 - November 10, 2015
Unrealized potential and residual consequences of electronic prescribing
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psnet.ahrq.gov/web-mm/volume-too-low-and-out
July 01, 2017 - We know that errors in prescribing, dispensing, and administering medications represent a substantial
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psnet.ahrq.gov/web-mm/crossing-line
December 01, 2012 - November 16, 2022
Opioid prescribing for acute pain management in children and adolescents
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psnet.ahrq.gov/web-mm/diagnosing-diagnostic-mistakes
April 30, 2014 - October 31, 2011
Opioid prescribing for acute pain management in children and adolescents
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psnet.ahrq.gov/web-mm/multiple-high-risk-events-involving-workflow-wasting-medications-used-anesthesia
August 29, 2021 - Challenges include but are not limited to 16
Decreased access to clinical decision support tools for prescribing
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psnet.ahrq.gov/node/49810/psn-pdf
November 01, 2017 - psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
Many different errors may arise in prescribing
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psnet.ahrq.gov/web-mm/emergent-triage-miss
March 06, 2015 - June 27, 2018
Early prescribing outcomes after exporting the EQUIPPED medication safety
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psnet.ahrq.gov/primer/nursing-and-patient-safety
September 15, 2024 - Same Author(s)
WebM&M Cases
Multiple Levels Involved in Prescribing
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psnet.ahrq.gov/web-mm/missing-abscess-radiology-reads-digital-era
January 01, 2009 - February 23, 2011
Reducing prescribing errors in hospitalized children on the ketogenic
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psnet.ahrq.gov/web-mm/failure-latch
November 27, 2012 - April 3, 2024
Prevalence of potentially inappropriate medication prescribing in US nursing
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psnet.ahrq.gov/web-mm/ecg-not-normal
November 10, 2015 - The care these doctor/parents provided included otoscopy, chest auscultation, and antibiotic prescribing
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psnet.ahrq.gov/web-mm/delayed-sepsis-management-due-ambiguous-allergy
January 13, 2021 - Decision support around penicillin allergies can be incorporated into antibiotic prescribing and sepsis
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psnet.ahrq.gov/web-mm/false-assumptions-result-missed-pneumothorax-after-bronchoscopy-transbronchial-biopsy
March 15, 2023 - December 3, 2008
WebM&M Cases
Multiple Levels Involved in Prescribing