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341. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49623/psn-pdf
     March 01, 2011 - Are We Pushing Graduate Nurses Too Fast? March 1, 2011 Spector ND. Are We Pushing Graduate Nurses Too Fast? . PSNet [internet]. 2011. https://psnet.ahrq.gov/web-mm/are-we-pushing-graduate-nurses-too-fast The Case A middle-aged man was admitted to the surgical intensive care unit (SICU) following a complex surgical…

342. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49756/psn-pdf
     April 01, 2016 - Lost in Sign Out and Documentation April 1, 2016 Detsky ME. Lost in Sign Out and Documentation. PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/lost-sign-out-and-documentation The Case A 71-year-old man presented to the emergency department with chest pain. While being evaluated by the emergency physician, …

343. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49851/psn-pdf
     January 01, 2019 - One Bronchoscopy, Two Errors January 1, 2019 Leiten E, Nielsen R. One Bronchoscopy, Two Errors. PSNet [internet]. 2019. https://psnet.ahrq.gov/web-mm/one-bronchoscopy-two-errors The Case A 67-year-old man with a history of hypertension was admitted to the intensive care unit (ICU) with hypoxic respiratory failure…

344. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49572/psn-pdf
     October 01, 2008 - Mistaken Identity October 1, 2008 Hall LW. Mistaken Identity. PSNet [internet]. 2008. https://psnet.ahrq.gov/web-mm/mistaken-identity The Case An 85-year-old Cantonese-speaking woman was admitted to the medical service with altered mental status and a reported fall. After finding tenderness in her left hip, the p…

345. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49632/psn-pdf
     July 01, 2011 - A Seasonal Care Transition Failure July 1, 2011 Young JQ. A Seasonal Care Transition Failure. PSNet [internet]. 2011. https://psnet.ahrq.gov/web-mm/seasonal-care-transition-failure The Case A 70-year-old healthy man presented to his primary care doctor—a third-year internal medicine resident—for routine follow-up…

346. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49713/psn-pdf
     June 01, 2014 - CVC Removal: A Procedure Like Any Other June 1, 2014 Feil M. CVC Removal: A Procedure Like Any Other. PSNet [internet]. 2014. https://psnet.ahrq.gov/web-mm/cvc-removal-procedure-any-other The Case A 27-year-old man with a history of Behçet disease and recurrent liver abscesses was admitted to the hospital for a p…

347. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49640/psn-pdf
     November 01, 2011 - The Case for Patient Flow Management November 1, 2011 Litvak E, Bernheim SA. The Case for Patient Flow Management. PSNet [internet]. 2011. https://psnet.ahrq.gov/web-mm/case-patient-flow-management The Case A 52-year-old woman with a history of major depression, posttraumatic stress disorder, and alcohol abuse wa…

348. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49668/psn-pdf
     October 01, 2012 - Buprenorphine and the Medically Ill Patient October 1, 2012 McCance-Katz EF. Buprenorphine and the Medically Ill Patient. PSNet [internet]. 2012. https://psnet.ahrq.gov/web-mm/buprenorphine-and-medically-ill-patient The Case A 60-year-old man with a 15-year history of oxycodone dependence presented to a substance …

349. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49763/psn-pdf
     June 01, 2016 - July Syndrome June 1, 2016 Young JQ. July Syndrome. PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/july-syndrome The Case A 64-year-old man was seen in the thoracic surgery clinic in June after being diagnosed with a right lower lobe lung cancer. The attending surgeon saw the patient along with his fellow,…

350. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49490/psn-pdf
     September 01, 2005 - The Wrong Channel September 1, 2005 Gosbee JW. The Wrong Channel . PSNet [internet]. 2005. https://psnet.ahrq.gov/web-mm/wrong-channel The Case A 28-year-old woman in labor began receiving treatment with magnesium sulfate for preeclampsia. Initial dosing started at 50 mL/hour using a multi-channel medication pump…

351. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49804/psn-pdf
     September 01, 2017 - Transfusion Thresholds in Gastrointestinal Bleeding September 1, 2017 Strate L, Swanson S. Transfusion Thresholds in Gastrointestinal Bleeding. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/transfusion-thresholds-gastrointestinal-bleeding Case Objectives Describe risk factors for poor outcome in patients w…

352. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49679/psn-pdf
     March 01, 2013 - The Unfamiliar Catheter March 1, 2013 Swayze SC, James A. The Unfamiliar Catheter. PSNet [internet]. 2013. https://psnet.ahrq.gov/web-mm/unfamiliar-catheter The Case A 28-year-old woman, 20 months post–bilateral lung transplant, presented to the emergency department with sudden onset of severe shortness of breath…

353. 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…

354. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49531/psn-pdf
     March 01, 2007 - Failure to Report March 1, 2007 Spath P. Failure to Report. PSNet [internet]. 2007. https://psnet.ahrq.gov/web-mm/failure-report Case Objectives List common causes of medical errors. Appreciate the magnitude of underreporting of adverse events. List the common barriers to reporting adverse events and near misses…

355. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49546/psn-pdf
     October 17, 2007 - Do Not Disturb! October 1, 2007 Duffy DF, Cassel C. Do Not Disturb!. PSNet [internet]. 2007. https://psnet.ahrq.gov/web-mm/do-not-disturb Case Objectives Define professionalism. Discuss behaviors associated with lack of professionalism. Outline steps one should take if a significant breach of professionalism is …

356. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49777/psn-pdf
     December 01, 2016 - Suicidal Ideation in the Family Medicine Clinic December 1, 2016 Moutier C. Suicidal Ideation in the Family Medicine Clinic. PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/suicidal-ideation-family-medicine-clinic Case Objectives Recognize suicide as a major public health problem and the critical role of pri…

357. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49733/psn-pdf
     May 01, 2015 - Transitions in Adolescent Medicine May 1, 2015 Okumura MJ, Williams RG. Transitions in Adolescent Medicine. PSNet [internet]. 2015. https://psnet.ahrq.gov/web-mm/transitions-adolescent-medicine The Case A 21-year-old woman with a history of Marfan syndrome complicated by aortic root dilation presented to the emer…

358. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49843/psn-pdf
     October 01, 2018 - Spotlight: Overdiagnosis and Delay: Challenges in Sepsis Diagnosis October 1, 2018 Kuye I, Rhee C. Spotlight: Overdiagnosis and Delay: Challenges in Sepsis Diagnosis. PSNet [internet]. 2018. https://psnet.ahrq.gov/web-mm/spotlight-overdiagnosis-and-delay-challenges-sepsis-diagnosis Case Objectives Realize the im…

359. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49619/psn-pdf
     February 01, 2011 - Paradoxical Pulse February 1, 2011 Roy CL. Paradoxical Pulse. PSNet [internet]. 2011. https://psnet.ahrq.gov/web-mm/paradoxical-pulse The Case An 80-year-old man with paroxysmal atrial fibrillation and symptomatic bradycardia underwent successful pacemaker placement as an outpatient. The patient was restarted on …

360. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49773/psn-pdf
     July 01, 2016 - Near Miss With Neonate October 1, 2016 Malana J, Lyndon A. Near Miss With Neonate. PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/near-miss-neonate The Case A 37-year-old pregnant woman was admitted to the hospital for scheduled induction of labor for postterm dates. Early the next morning, intravenous oxy…