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3301. Retained Surgical Items: Definition and Epidemiology. | PSNet
      psnet.ahrq.gov/primer/retained-surgical-items-definition-and-epidemiology
      September 15, 2024 - September 21, 2022 Prevalence and characteristics of interruptions and distractions during surgical

3302. Medication Errors in Retail Pharmacies: Wrong Patient, Wrong Instructions. | PSNet
      psnet.ahrq.gov/web-mm/medication-errors-retail-pharmacies-wrong-patient-wrong-instructions
      March 19, 2019 - October 19, 2022 Prevalence and causes of diagnostic errors in hospitalized patients

3303. Strongyloides: A Hidden Traveler and Potentially Lethal Missed Diagnosis. | PSNet
      psnet.ahrq.gov/web-mm/strongyloides-hidden-traveler-and-potentially-lethal-missed-diagnosis
      August 25, 2021 - Prevalence of intestinal parasites in a low-income Texas community.  

3304. Missed Diagnosis of Addison’s Disease in Adolescent Presenting with Fatigue. | PSNet
      psnet.ahrq.gov/web-mm/missed-diagnosis-addisons-disease-adolescent-presenting-fatigue
      October 28, 2020 - Epidemiology of primary and secondary adrenal insufficiency: Prevalence and incidence, acute adrenal

3305. The Safety and Quality of Long Term Care | PSNet
      psnet.ahrq.gov/web-mm/safety-and-quality-long-term-care
      January 01, 2016 - Pressure Ulcers in America: Prevalence, Incidence, and Implications for the Future.

3306. Near Miss with Bedside Medications | PSNet
      psnet.ahrq.gov/web-mm/near-miss-bedside-medications
      February 01, 2006 - Given that the true prevalence of near misses is likely quite high, capturing even a fraction of these

3307. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60376/psn-pdf
      July 30, 2020 - COVID-19: Team and Human Factors to Improve Safety July 30, 2020 Zipperer L. COVID-19: Team and Human Factors to Improve Safety. PSNet [internet]. 2020. https://psnet.ahrq.gov/primer/covid-19-team-and-human-factors-improve-safety Background The rapid transmission of COVID-19 has resulted in an international pandem…

3308. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49630/psn-pdf
      July 01, 2011 - Watch the Warfarin! July 1, 2011 Khanna R, Fang MC. Watch the Warfarin!. PSNet [internet]. 2011. https://psnet.ahrq.gov/web-mm/watch-warfarin Case Objectives Understand best practices for safe discharge of patients on warfarin. Describe recent advances in anticoagulation monitoring for ambulatory patients. Discu…

3309. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49470/psn-pdf
      December 01, 2004 - Discharge Fumbles December 1, 2004 Forster AJ. Discharge Fumbles. PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/discharge-fumbles Case Objectives List the types of adverse events that occur at discharge Identify the characteristics that identify patients at high risk for errors at discharge Understand th…

3310. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49664/psn-pdf
      January 01, 2013 - Empty Handoff September 1, 2012 Goldman A, Catchpole K. Empty Handoff. PSNet [internet]. 2012. https://psnet.ahrq.gov/web-mm/empty-handoff The Case A 29-year-old man with "brittle diabetes" was admitted to the surgery service for incision and drainage of a leg wound. The patient's medical history included chronic…

3311. No BP During NIBP | PSNet
      psnet.ahrq.gov/web-mm/no-bp-during-nibp
      March 01, 2011 - No BP During NIBP Citation Text: Görges M, Ansermino MJ. No BP During NIBP. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pu…

3312. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49582/psn-pdf
      April 01, 2009 - Breakage of a PICC Line April 1, 2009 Dimov V. Breakage of a PICC Line. PSNet [internet]. 2009. https://psnet.ahrq.gov/web-mm/breakage-picc-line Case Objectives Appreciate the incidence and consequences of PICC line breakage. Understand the risk factors for PICC line breakage. Understand the treatment options in…

3313. EMR Entry Error: Not So Benign | PSNet
      psnet.ahrq.gov/web-mm/emr-entry-error-not-so-benign
      July 01, 2012 - Experts estimate that their prevalence ranges from less than 2% of hospitals (for fully operational EMRs

3314. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33680/psn-pdf
      March 22, 2009 - Given the prevalence of the problem, particularly if one is working in a public hospital, I don't advocate

3315. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49519/psn-pdf
      September 01, 2006 - https://psnet.ahrq.gov/web-mm/triple-handoff Case Objectives Appreciate the prevalence of handoffs

3316. Verification Screen That Includes Prominent Patient Photograph Significantly Reduces Errors Caused by Orders Placed in Wrong Chart | PSNet
      psnet.ahrq.gov/innovation/verification-screen-includes-prominent-patient-photograph-significantly-reduces-errors
      October 30, 2024 - The bulk of this decline is attributable to this program, since the prevalence of identification-related

3317. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33766/psn-pdf
      May 01, 2014 - Many studies looked at the overall prevalence of infections.

3318. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49786/psn-pdf
      March 01, 2017 - , and attending physicians were asked the following question: "If a test to detect a disease whose prevalence

3319. Verbal Orders and Medication Overrides: A Dangerous Combination | PSNet
      psnet.ahrq.gov/web-mm/verbal-orders-and-medication-overrides-dangerous-combination
      September 27, 2023 - Medication errors in emergency departments: a systematic review and meta-analysis of prevalence

3320. Triaging Interhospital Transfers | PSNet
      psnet.ahrq.gov/web-mm/triaging-interhospital-transfers
      April 12, 2023 - November 16, 2022 Prevalence and causes of diagnostic errors in hospitalized patients