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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49868/psn-pdf
    July 02, 2019 - Delayed Clozapine Prescription in an Elderly Man With Dementia July 2, 2019 Tsourounis C, Ghomeshi KK. Delayed Clozapine Prescription in an Elderly Man With Dementia. PSNet [internet]. 2019. https://psnet.ahrq.gov/web-mm/delayed-clozapine-prescription-elderly-man-dementia The Case An 86-year-old man with neurode…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841468/psn-pdf
    December 14, 2022 - Don’t Bite Your Tongue. December 14, 2022 Singh NS. Don’t Bite Your Tongue. PSNet [internet]. 2022. https://psnet.ahrq.gov/web-mm/dont-bite-your-tongue The Case A 63-year-old woman with a past medical history of hypertension, osteoarthritis, migraine headaches, and daily smoking was admitted to a hospital for ant…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50697/psn-pdf
    November 27, 2019 - Cardiac Arrest in a Woman with UTI: A Case of QT Prolongation November 27, 2019 Kulig CE, Ebong IA. Cardiac Arrest in a Woman with UTI: A Case of QT Prolongation. PSNet [internet]. 2019. https://psnet.ahrq.gov/web-mm/cardiac-arrest-woman-uti-case-qt-prolongation The Case A 36-year-old woman with a history of dep…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49839/psn-pdf
    August 01, 2018 - Mixup Beyond the Medication Label August 1, 2018 Pervanas H, VanValkenburgh D. Mixup Beyond the Medication Label. PSNet [internet]. 2018. https://psnet.ahrq.gov/web-mm/mixup-beyond-medication-label The Case An 80-year-old man was admitted to a hospital for recurrent hypoglycemia. He had been seen at another hospi…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49716/psn-pdf
    August 21, 2014 - Benefits vs. Risks of Intraosseous Vascular Access August 21, 2014 Fowler RL, Lippmann MJ. Benefits vs. Risks of Intraosseous Vascular Access. PSNet [internet]. 2014. https://psnet.ahrq.gov/web-mm/benefits-vs-risks-intraosseous-vascular-access The Case A 72-year-old woman with a history of asthma, congestive heart…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49505/psn-pdf
    March 01, 2006 - Collegiality vs. Competence March 1, 2006 Sagin T. Collegiality vs. Competence. PSNet [internet]. 2006. https://psnet.ahrq.gov/web-mm/collegiality-vs-competence The Case A 91-year-old man with coronary artery disease was taken to the operating room (OR) for semi-elective repair of a 10-cm abdominal aortic aneurys…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49781/psn-pdf
    January 01, 2017 - Hazards of Loading Doses January 1, 2017 Mucksavage JJ, Tesoro EP. Hazards of Loading Doses. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/hazards-loading-doses The Case A 40-year-old woman was recently discharged after a prolonged hospitalization for seizures and a cardiac arrest. Two days after discharg…
  8. psnet.ahrq.gov/perspective/playing-well-others-translocational-research-patient-safety
    September 01, 2005 - More recently, Landrigan and colleagues demonstrated that shorter shifts among intensive care unit residents
  9. psnet.ahrq.gov/perspective/making-just-culture-reality-one-organizations-approach
    October 01, 2007 - Related Resources From the Same Author(s) Outbreak investigation of COVID-19 among residents
  10. psnet.ahrq.gov/web-mm/missed-connection-case-inadequate-ecg-oversight-cardiac-surgery
    March 25, 2020 - SPOTLIGHT CASE Missed Connection: A Case of Inadequate ECG Oversight in Cardiac Surgery Citation Text: Bohringer C, Fierro M, Venugopal S. Missed Connection: A Case of Inadequate ECG Oversight in Cardiac Surgery. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Dep…
  11. psnet.ahrq.gov/web-mm/impact-communication-medication-errors
    August 01, 2009 - The Impact of Communication on Medication Errors Citation Text: Branch J, Hiner D, Jackson V. The Impact of Communication on Medication Errors. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2021. Copy Citation Format: …
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60362/psn-pdf
    April 13, 2018 - low- and very low-birthweight babies in Arkansas (a state with a high poverty rate and many rural residents
  13. psnet.ahrq.gov/issue/international-forum-quality-and-safety-healthcare
    September 10, 2024 - Meeting/Conference Proceedings The International Forum on Quality and Safety in Healthcare. Citation Text: Institute for Healthcare Improvement and British Medical Journal. ExCeL London, London, UK, April 10-12, 2024. Copy Citation Save Save to your library Pr…
  14. psnet.ahrq.gov/issue/reducing-patient-risk-prescription-instruction-errors-six-sigma-approach
    October 17, 2012 - Audiovisual Presentation Reducing patient risk from prescription instruction errors—a six sigma approach. Citation Text: O'Dell ML; Andell JL; American Society for Quality; ASQ; Creative Healthcare USA. Copy Citation Save Save to your library Print S…
  15. psnet.ahrq.gov/perspective/patient-safety-and-opioid-medications
    January 01, 2015 - Annual Perspective Patient Safety and Opioid Medications Urmimala Sarkar, MD, and Kaveh Shojania, MD | January 1, 2016  View more articles from the same authors. Citation Text: Sarkar U, Shojania KG. Patient Safety and Opioid Medications. PSNet [internet]. Ro…
  16. psnet.ahrq.gov/innovation/critical-radiology-alert-process
    November 16, 2022 - Critical Radiology Alert Process Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL October 30, 2024 View more articles from the same authors. Innovation Contact …
  17. psnet.ahrq.gov/perspective/what-weve-learned-about-leveraging-leadership-and-culture-affect-change-and-improve
    March 01, 2017 - What We've Learned About Leveraging Leadership and Culture to Affect Change and Improve Patient Safety Sara J. Singer, MBA, PhD | September 1, 2013  View more articles from the same authors. Citation Text: Singer SJ. What We've Learned About Leveraging Leadership a…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49626/psn-pdf
    May 01, 2011 - Outbreak May 1, 2011 Rothman R, Stapleton S. Outbreak. PSNet [internet]. 2011. https://psnet.ahrq.gov/web-mm/outbreak The Case A 36-year-old healthy man developed an acute febrile illness associated with a vesicular rash. He presented to an urgent care clinic where he was diagnosed with varicella infection ("chic…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33860/psn-pdf
    June 01, 2018 - Safety Considerations in Building a Point-of-Care Ultrasound Program June 1, 2018 Moore C. Safety Considerations in Building a Point-of-Care Ultrasound Program. PSNet [internet]. 2018. https://psnet.ahrq.gov/perspective/safety-considerations-building-point-care-ultrasound-program Perspective At the American Colle…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49727/psn-pdf
    March 01, 2015 - Critical Opportunity Lost March 1, 2015 Genzen JR, Signorelli HN. Critical Opportunity Lost. PSNet [internet]. 2015. https://psnet.ahrq.gov/web-mm/critical-opportunity-lost The Case A 55-year-old woman presented to the emergency department (ED) with new onset chest pain. She reported eating a heavy dinner the pre…

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