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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836942/psn-pdf
    April 27, 2022 - Saline Flush Leads to Acute Paralysis of an Awake Patient: Risks of Improper Medication Labeling in an Operating Room April 27, 2022 Kriss RS. Saline Flush Leads to Acute Paralysis of an Awake Patient: Risks of Improper Medication Labeling in an Operating Room. PSNet [internet]. 2022. https://psnet.ahrq.gov/web-m…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49574/psn-pdf
    November 01, 2008 - A Mid-Summer Fog November 1, 2008 Braddock CH. A Mid-Summer Fog. PSNet [internet]. 2008. https://psnet.ahrq.gov/web-mm/mid-summer-fog The Case A 33-year-old woman with type I diabetes mellitus was admitted for symptoms of left flank pain, dysuria, and emesis, concerning for pyelonephritis. The patient was taking …
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49487/psn-pdf
    August 21, 2005 - Surprise Wire August 21, 2005 Pearl JM, Donaldson NE. Surprise Wire. PSNet [internet]. 2005. https://psnet.ahrq.gov/web-mm/surprise-wire The Case A 39-year-old man with a history of liver disease presented to the emergency department (ED) with gastrointestinal bleeding and altered mental status. Due to his clinic…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49463/psn-pdf
    October 14, 2004 - Moved Too Soon October 1, 2004 Lindenauer PK. Moved Too Soon. PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/moved-too-soon The Case A 67-year-old man was admitted to a general hospital ward after undergoing a laminectomy. Two hours after arriving, while the patient was still groggy from anesthesia, a nurs…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49814/psn-pdf
    December 01, 2017 - Miscommunication in the OR Leads to Anticoagulation Mishap December 1, 2017 Solsky I, Haynes AB. Miscommunication in the OR Leads to Anticoagulation Mishap. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/miscommunication-or-leads-anticoagulation-mishap The Case A 63-year-old man with a history of coronary…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33621/psn-pdf
    November 01, 2005 - Rapid Response Teams: Lessons from the Early Experience November 1, 2005 Krimsky WS. Rapid Response Teams: Lessons from the Early Experience. PSNet [internet]. 2005. https://psnet.ahrq.gov/perspective/rapid-response-teams-lessons-early-experience Perspective Health care organizations throughout the world have ide…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72837/psn-pdf
    September 01, 2022 - Project Nurture Engages Pregnant People with Substance Use Disorder, Improves Maternal and Infant Outcomes. Originally published on March 11, 2021 Last updated on March 16, 2021 https://psnet.ahrq.gov/innovation/project-nurture-engages-pregnant-people-substance-use-disorder- improves-maternal-and Summary Project…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33727/psn-pdf
    March 01, 2012 - Can Research Help Us Improve the Medical Liability System? March 1, 2012 Kachalia A. Can Research Help Us Improve the Medical Liability System? PSNet [internet]. 2012. https://psnet.ahrq.gov/perspective/can-research-help-us-improve-medical-liability-system Perspective The United States medical malpractice liabili…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49650/psn-pdf
    March 01, 2012 - Turn the Other Cheek March 1, 2012 Starling J. Turn the Other Cheek. PSNet [internet]. 2012. https://psnet.ahrq.gov/web-mm/turn-other-cheek The Case A 56-year-old man underwent two skin biopsies to evaluate clinically concerning lesions. The first biopsy was diagnostic for squamous cell carcinoma (SCC) and docume…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33623/psn-pdf
    December 01, 2005 - The Unintended Consequences of Florida Medical Liability Legislation December 1, 2005 Barach P. The Unintended Consequences of Florida Medical Liability Legislation. PSNet [internet]. 2005. https://psnet.ahrq.gov/perspective/unintended-consequences-florida-medical-liability-legislation Perspective Quality health …
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33773/psn-pdf
    September 01, 2014 - Overuse as a Patient Safety Problem September 1, 2014 Moriates C. Overuse as a Patient Safety Problem. PSNet [internet]. 2014. https://psnet.ahrq.gov/perspective/overuse-patient-safety-problem Perspective Nearly half of primary care physicians in the United States believe that patients cared for in their own prac…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33779/psn-pdf
    March 01, 2015 - Handoffs and Transitions January 22, 2014 Sehgal NL. Handoffs and Transitions. PSNet [internet]. 2014. https://psnet.ahrq.gov/perspective/handoffs-and-transitions Annual Perspective 2014 Despite recent efforts to promote clinical integration, the United States health care system remains highly fragmented. From it…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49755/psn-pdf
    February 01, 2016 - Good Night's Sleep Gone Wrong February 1, 2016 Gillis CM, Degrado J, Anger KE. Good Night's Sleep Gone Wrong. PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/good-nights-sleep-gone-wrong The Case A 64-year-old woman came to the emergency department complaining of cough and shortness of breath, along with an…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49507/psn-pdf
    April 01, 2006 - Is the "Surgical Personality" a Threat to Patient Safety? April 1, 2006 Bosk CL. Is the "Surgical Personality" a Threat to Patient Safety? PSNet [internet]. 2006. https://psnet.ahrq.gov/web-mm/surgical-personality-threat-patient-safety Case Objectives Describe the myth of the "surgical personality" Identify featu…
  15. psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events
    December 15, 2024 - Medication Errors and Adverse Drug Events Citation Text: Medication Errors and Adverse Drug Events. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote…
  16. psnet.ahrq.gov/web-mm/citrate-mix
    February 01, 2010 - Citrate Mix-Up Citation Text: Weber RJ. Citrate Mix-Up. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …
  17. psnet.ahrq.gov/primer/radiation-safety
    September 15, 2024 - Radiation Safety Citation Text: Radiation Safety. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Downl…
  18. psnet.ahrq.gov/perspective/organizational-change-face-highly-public-errors-ii-duke-experience
    July 20, 2010 - Organizational Change in the Face of Highly Public Errors—II. The Duke Experience Karen Frush, MD | May 1, 2005  View more articles from the same authors. Citation Text: Frush K. Organizational Change in the Face of Highly Public Errors—II. The Duke Experience. PSN…
  19. psnet.ahrq.gov/web-mm/nstemi-curbside-consultation
    August 04, 2021 - by improving access to specialist knowledge, providing more timely coordination of patient care, and promoting
  20. psnet.ahrq.gov/innovation/statewide-telehealth-program-enhances-access-care-improves-outcomes-high-risk
    November 13, 2024 - The center concentrates on promoting telemedicine education in Arkansas, Mississippi, and Tennessee

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