- 
                                        
psnet.ahrq.gov/node/866578/psn-pdf
August 28, 2024 - Don’t Wait to Collect an Accurate Weight: A Case of
Subtherapeutic Insulin Therapy
August 28, 2024
Newton B, Seitz R. Don’t Wait to Collect an Accurate Weight: A Case of Subtherapeutic Insulin Therapy.
PSNet [internet]. 2024.
https://psnet.ahrq.gov/web-mm/dont-wait-collect-accurate-weight-case-subtherapeutic-insul… 
                                     
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psnet.ahrq.gov/node/49525/psn-pdf
December 01, 2006 - persistent HIT antibodies, as our
patient most likely had, who are re-challenged with heparin can develop rapid-onset
                                     
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psnet.ahrq.gov/node/49553/psn-pdf
January 01, 2008 - Rapid classification of positive blood cultures.
                                     
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psnet.ahrq.gov/node/49431/psn-pdf
January 01, 2004 - Crushing Chest Pain: A Missed Opportunity
January 1, 2004
Graber ML. Crushing Chest Pain: A Missed Opportunity. PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/crushing-chest-pain-missed-opportunity
Case Objectives
Appreciate the challenges of diagnosing aortic dissection
Describe a Bayesian approach to dia… 
                                     
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psnet.ahrq.gov/web-mm/steroids-and-safety-preventing-medication-adverse-events-during-transitions-care
September 09, 2013 - SPOTLIGHT CASE
         
 Steroids and Safety: Preventing Medication Adverse Events During Transitions of Care 
 
 
 
 
 Citation Text: 
 Lucier DJ, Greenwald JL. Steroids and Safety: Preventing Medication Adverse Events During Transitions of Care. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Qu… 
                                     
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psnet.ahrq.gov/web-mm/ca-mrsa-skin-infections-ounce-prevention-worth-pound-cure
March 01, 2005 - SPOTLIGHT CASE
         
 CA-MRSA Skin Infections: An Ounce of Prevention is Worth a Pound of Cure 
 
 
 
 
 Citation Text: 
 Liu C. CA-MRSA Skin Infections: An Ounce of Prevention is Worth a Pound of Cure. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human S… 
                                     
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psnet.ahrq.gov/web-mm/when-patients-and-providers-speak-different-languages
December 08, 2021 - For example, unidirectional mobile applications intended for rapid information gathering and simple communication
                                     
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psnet.ahrq.gov/curated-library/implementation-patient-safety-projects
November 03, 2025 - importance of leadership support, assembling a multidisciplinary team, maintaining a narrow focus to foster rapid
                                     
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psnet.ahrq.gov/web-mm/crushing-chest-pain-missed-opportunity
February 01, 2007 - SPOTLIGHT CASE
         
 Crushing Chest Pain: A Missed Opportunity 
 
 
 
 
 Citation Text: 
 Graber ML. Crushing Chest Pain: A Missed Opportunity. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004. 
 Copy Citation 
 
 Format: 
 
 
 
 Google … 
                                     
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psnet.ahrq.gov/web-mm/dont-wait-collect-accurate-weight-case-subtherapeutic-insulin-therapy
July 01, 2008 - Don’t Wait to Collect an Accurate Weight: A Case of Subtherapeutic Insulin Therapy 
 
 
 
 
 Citation Text: 
 Newton B, Seitz R. Don’t Wait to Collect an Accurate Weight: A Case of Subtherapeutic Insulin Therapy. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and H… 
                                     
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psnet.ahrq.gov/perspective/conversation-tejal-k-gandhi-md-mph
February 26, 2025 - This rapid transition is a good thing.
                                     
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psnet.ahrq.gov/web-mm/code-status-vs-care-status
September 30, 2020 - February 28, 2024 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 Patient Safety Innovations 
 
 
 
 
 
 
 
 
 Remote Response
                                     
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psnet.ahrq.gov/perspective/conversation-francoise-marvel-md
August 05, 2022 - information is provided that suggests a possible danger to a patient’s health, the appropriate patient response … October 31, 2023 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 Patient Safety Innovations 
 
 
 
 
 
 
 
 
 Remote Response
                                     
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psnet.ahrq.gov/perspective/emergence-application-based-healthcare
August 05, 2022 - information is provided that suggests a possible danger to a patient’s health, the appropriate patient response … August 30, 2023 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 Patient Safety Innovations 
 
 
 
 
 
 
 
 
 Remote Response
                                     
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psnet.ahrq.gov/perspective/safety-considerations-building-point-care-ultrasound-program
June 01, 2018 - Safety Considerations in Building a Point-of-Care Ultrasound Program 
 Chris Moore, MD | June 1, 2018 
                       
 Also Read a Conversation  
 
 
 
 
 
 
 View more articles from the same authors. 
 
 
 
 
 
 
 Citation Text: 
 Moore C. Safety Considerations in Building a Point-of-Care Ultrasound Program. … 
                                     
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psnet.ahrq.gov/web-mm/unseen-perils-urinary-catheters
January 31, 2024 - Commentary 
 References 
 Table 
 
 
 
 
 
 
 
 
 Related Resources From the Same Author(s) 
 
 
 
 
 
 
 Rapid
                                     
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psnet.ahrq.gov/web-mm/hidden-heparins-hit-happens
March 27, 2024 - persistent HIT antibodies, as our patient most likely had, who are re-challenged with heparin can develop  rapid-onset
                                     
                                                                    - 
                                        
psnet.ahrq.gov/node/49597/psn-pdf
February 01, 2010 - Adolescent Diabetes: A Routine Visit?
February 1, 2010
Slap GB. Adolescent Diabetes: A Routine Visit? PSNet [internet]. 2010.
https://psnet.ahrq.gov/web-mm/adolescent-diabetes-routine-visit
Case Objectives
Appreciate the increasing prevalence of obesity and type 2 diabetes mellitus (T2DM) among
adolescents in the… 
                                     
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psnet.ahrq.gov/node/72516/psn-pdf
November 25, 2020 - https://psnet.ahrq.gov//#21
In an emergency department setting, where the pace of clinical work is rapid
                                     
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psnet.ahrq.gov/node/853081/psn-pdf
August 30, 2023 - In Conversation with... Kathleen Sanford and Sue
Schuelke about Virtual Nursing
August 30, 2023
Sanford K, Schuelke S, Lee M, et al. In Conversation with.. Kathleen Sanford and Sue Schuelke about
Virtual Nursing. PSNet [internet]. 2023.
https://psnet.ahrq.gov/perspective/conversation-kathleen-sanford-and-sue-schue…