-
psnet.ahrq.gov/node/34746/psn-pdf
July 08, 2016 - the United States, is that one can still refer to “The IOM Report” and
everyone will recognize the reference
-
psnet.ahrq.gov/node/44094/psn-pdf
November 03, 2015 - Compared to
reference patients, those notified of a possible exposure were more likely to be tested
-
psnet.ahrq.gov/node/49869/psn-pdf
July 02, 2019 - Opportunities for Improvement in Obstetric Hemorrhage Management With Reference to the
National Partnership
-
psnet.ahrq.gov/node/49847/psn-pdf
November 01, 2018 - handoff communication are necessary as they are complementary—a verbal
handoff does not provide a guided reference … Written and verbal handoff are complementary; written documents serve as a reference and can
reinforce
-
psnet.ahrq.gov/issue/doctors-lawyers-make-deal-medical-malpractice-bill
March 18, 2020 - prehospital pediatric medication dosing errors after implementation of a state-wide EMS pediatric drug dosing reference
-
psnet.ahrq.gov/node/49637/psn-pdf
October 01, 2011 - psnet.ahrq.gov//#references
Double-reading is another system change that can prevent errors.(11) In the reference … For example, if the radiologist in the reference case had to choose
phrases from a drop down menu list
-
psnet.ahrq.gov/node/49405/psn-pdf
June 01, 2003 - The nurse had consulted a drug reference and
had seen that Procardia was typically given as 5 mg, but … Clinician use of a palmtop drug reference guide.
-
psnet.ahrq.gov/node/49436/psn-pdf
February 26, 2004 - transfusions originated from such samples.(4) Unlike laboratory tests in
which there is a clinical frame of reference … including: mechanical generation of labels from the wristband itself; a forcing function
requiring reference
-
psnet.ahrq.gov/node/864369/psn-pdf
March 13, 2024 - Telemedicine vs telephone consultations and medication
prescribing errors among referring physicians: a cluster
randomized crossover trial.
March 13, 2024
Marcin JP, Lieng MK, Mouzoon J, et al. Telemedicine vs telephone consultations and medication
prescribing errors among referring physicians: a cluster randomize…
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psnet.ahrq.gov/sites/default/files/2021-06/final_spotlight_miscommunication_possible_artifact_06.21.2021.pdf
January 01, 2021 - Spotlight
Spotlight
The Consequences of Miscommunication
Regarding a Possible Artifact
Source and Credits
• This presentation is based on the June 2021 AHRQ WebM&M
Spotlight Case
o See the full article at https://psnet.ahrq.gov/webmm
o CME credit is available
o Commentary by: Kriti Gwal, MD
o AHRQ WebM&M Edit…
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.227_slideshow.ppt
November 01, 2010 - Nosocomial infections
Procedural complications
Diagnostic errors
Therapeutic errors
*
See Notes for reference … medical centers do not have formal policies or protocols regarding follow-up of TPADs
*
See Notes for reference
-
psnet.ahrq.gov/node/49705/psn-pdf
January 01, 2020 - A "Reflexive" Diagnosis in Primary Care
April 1, 2014
Betjemann J, Josephson AS. A "Reflexive" Diagnosis in Primary Care. PSNet [internet]. 2014.
https://psnet.ahrq.gov/web-mm/reflexive-diagnosis-primary-care
Case Objectives
Appreciate that primary care doctors may be caring for an increasing number of patients wi…
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.212_slideshow.ppt
February 01, 2010 - overweight is BMI ≥ 85th percentile for age and sex and obesity is BMI ≥ 95th percentile
See Notes for reference … likely to disclose personal information about sexuality, mental health, and substance use
See Notes for reference … than 10% had mentioned the possibility and 10.5% denied a history of sexual intercourse
See Notes for reference
-
psnet.ahrq.gov/node/49852/psn-pdf
February 01, 2019 - Triaging Interhospital Transfers
February 1, 2019
Mueller SK. Triaging Interhospital Transfers. PSNet [internet]. 2019.
https://psnet.ahrq.gov/web-mm/triaging-interhospital-transfers
Case Objectives
Recognize that transfer of patients between acute care hospitals is common.
Realize that the interhospital transfer…
-
psnet.ahrq.gov/node/49792/psn-pdf
May 01, 2017 - Assist in weighing diagnoses
Support intelligent selection of diagnostic testing
Enhance access to reference
-
psnet.ahrq.gov/issue/industry-automates-adverse-events-continue-haunt-caregivers
February 08, 2023 - prehospital pediatric medication dosing errors after implementation of a state-wide EMS pediatric drug dosing reference
-
psnet.ahrq.gov/issue/patient-safety-listen-whistleblowers
May 22, 2019 - paramedics during pediatric patient simulations after implementation of a state-wide pediatric drug dosing reference
-
psnet.ahrq.gov/issue/air-pressure-human-factors-are-key-safer-flight-environment
October 27, 2021 - prehospital pediatric medication dosing errors after implementation of a state-wide EMS pediatric drug dosing reference
-
psnet.ahrq.gov/node/49865/psn-pdf
June 01, 2019 - Delayed Sepsis Management Due to Ambiguous Allergy
June 1, 2019
Blumenthal K. Delayed Sepsis Management Due to Ambiguous Allergy. PSNet [internet]. 2019.
https://psnet.ahrq.gov/web-mm/delayed-sepsis-management-due-ambiguous-allergy
The Case
A 75-year-old man with a past medical history of hemorrhagic stroke, coron…
-
psnet.ahrq.gov/node/49758/psn-pdf
April 01, 2016 - screenshot with direct links to the protocol
from the electronic health record for easy access and reference … when hyperlinks are added at appropriate
places in the electronic medical record to allow for quick reference