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Showing results for "service".

7101. Organisation-Memory-Report-Expert-Group-Learning-Adverse-Events-Nhs-Chaired-Chief-Medical
      psnet.ahrq.gov/issue/organisation-memory-report-expert-group-learning-adverse-events-nhs-chaired-chief-medical
      June 12, 2013 - psnet

7102. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/846935/psn-pdf
      March 29, 2023 - Maternal Safety and Perinatal Mental Health March 29, 2023 Allen C, Van CM, Mossburg S. Maternal Safety and Perinatal Mental Health . PSNet [internet]. 2023. https://psnet.ahrq.gov/perspective/maternal-safety-and-perinatal-mental-health Maternal patient safety is a critical aspect of healthcare given the complex pr…

7103. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49586/psn-pdf
      May 01, 2009 - Vial Mistakes Involving Heparin May 1, 2009 Vanderveen T. Vial Mistakes Involving Heparin. PSNet [internet]. 2009. https://psnet.ahrq.gov/web-mm/vial-mistakes-involving-heparin The Case A 65-year-old man was admitted to the hospital for an elective left carotid endarterectomy. During the procedure, the surgeon re…

7104. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49853/psn-pdf
      February 01, 2019 - Adverse Event During Intrahospital Transport February 1, 2019 Bergman L, Chaboyer W. Adverse Event During Intrahospital Transport. PSNet [internet]. 2019. https://psnet.ahrq.gov/web-mm/adverse-event-during-intrahospital-transport The Case A 4-year-old boy underwent surgery under general anesthesia for correction o…

7105. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49575/psn-pdf
      November 01, 2008 - Sick and Pregnant November 1, 2008 El-Ibiary S. Sick and Pregnant. PSNet [internet]. 2008. https://psnet.ahrq.gov/web-mm/sick-and-pregnant The Case A 35-year-old woman with chronic asthma presented to the emergency department (ED) with difficulty breathing. The patient informed the staff that she was 17 weeks pre…

7106. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49580/psn-pdf
      March 21, 2009 - Medication Reconciliation Victory After an Avoidable Error March 21, 2009 Cutler TW. Medication Reconciliation Victory After an Avoidable Error. PSNet [internet]. 2009. https://psnet.ahrq.gov/web-mm/medication-reconciliation-victory-after-avoidable-error The Case A 91-year-old woman, previously active and indepen…

7107. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49453/psn-pdf
      July 01, 2004 - Bowel Prep July 1, 2004 Nelson D. Bowel Prep. PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/bowel-prep The Case The patient is a 73-year-old woman who 20 years ago underwent treatment for breast cancer. At her daughter's suggestion, the patient requested referral for colonoscopy, as she understood there w…

7108. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49661/psn-pdf
      August 01, 2012 - Residual Anesthesia: Tepid Burn August 1, 2012 Kurrek MM, Twersky RS. Residual Anesthesia: Tepid Burn. PSNet [internet]. 2012. https://psnet.ahrq.gov/web-mm/residual-anesthesia-tepid-burn The Case A 42-year-old Filipino man presented to an outpatient surgery center for scheduled repair of an anal fistula. The pat…

7109. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49751/psn-pdf
      January 01, 2016 - New Patient Mistakenly Checked in as Another January 1, 2016 Green RA, Adelman JS. New Patient Mistakenly Checked in as Another. PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/new-patient-mistakenly-checked-another The Case A 55-year-old man, presented to a primary care physician's office for an initial vis…

7110. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50843/psn-pdf
      January 29, 2020 - Incomplete Orders for Hypertonic Saline to Treat Hyponatremia January 29, 2020 Wiegley N, Morfín JA. Incomplete Orders for Hypertonic Saline to Treat Hyponatremia. PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/incomplete-orders-hypertonic-saline-treat-hyponatremia The Case A 54-year-old man was brought t…

7111. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49427/psn-pdf
      January 01, 2004 - Inadvertent Castration January 1, 2004 Calland FJ. Inadvertent Castration. PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/inadvertent-castration The Case An 83-year-old man presented with a left groin mass, "which had been there for years" but had recently increased in size. The patient described persisten…

7112. ECHO-Care Transitions Successfully Reduces Patient Readmissions from Skilled Nursing Facilities, Reduces Length of Stay | PSNet
      psnet.ahrq.gov/innovation/echo-care-transitions-successfully-reduces-patient-readmissions-skilled-nursing
      October 30, 2024 - ECHO-Care Transitions Successfully Reduces Patient Readmissions from Skilled Nursing Facilities, Reduces Length of Stay Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL August 25, 2021 Innova…

7113. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49782/psn-pdf
      January 01, 2017 - A Potent Medication Administered in a Not So Viable Route January 1, 2017 Loubani O. A Potent Medication Administered in a Not So Viable Route. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/potent-medication-administered-not-so-viable-route The Case A 55-year-old man with history of nonischemic cardiomyop…

7114. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49686/psn-pdf
      May 01, 2013 - Don't Use That Port: Insert a PICC May 1, 2013 Ilan R. Don't Use That Port: Insert a PICC. PSNet [internet]. 2013. https://psnet.ahrq.gov/web-mm/dont-use-port-insert-picc The Case A 48-year-old woman receiving neoadjuvant therapy for breast cancer was admitted to the hospital with fever and abdominal pain. A comp…

7115. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49396/psn-pdf
      April 01, 2003 - The 2-Week Itch April 1, 2003 Cohen MR. The 2-Week Itch. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/2-week-itch The Case A 40-year-old woman with bipolar disorder (on trazodone) came to her primary care physician with new urticaria. She received a handwritten prescription for Zyrtec and Atarax. The ha…

7116. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49479/psn-pdf
      April 01, 2005 - The Forgotten Med April 1, 2005 Cucina R. The Forgotten Med. PSNet [internet]. 2005. https://psnet.ahrq.gov/web-mm/forgotten-med The Case A 78-year-old woman with a history of chronic obstructive pulmonary disease (COPD) came to the hospital with increasing shortness of breath and chest pain. Although she had no …

7117. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49785/psn-pdf
      February 01, 2017 - Refused Medication Error February 1, 2017 Foley M. Refused Medication Error. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/refused-medication-error The Case A 59-year-old man was admitted to the hospital with acute renal failure and mental status changes. He was alert to self and place only. The patient h…

7118. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49394/psn-pdf
      April 01, 2003 - Premature or Overdue? April 1, 2003 Thomas J, Hannah M. Premature or Overdue? PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/premature-or-overdue The Case A 32-year-old woman, gravida 3, para 1, presented for prenatal care at 24 weeks. Her past medical history was unremarkable, and results of her prenatal …

7119. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49680/psn-pdf
      March 01, 2013 - Pathologic Mistake March 1, 2013 Alaghehbandan R, Raab SS. Pathologic Mistake. PSNet [internet]. 2013. https://psnet.ahrq.gov/web-mm/pathologic-mistake The Case A 32-year-old previously healthy woman experienced abdominal pain and bloating for 6 months. The discomfort worsened with eating. After losing 15 pounds …

7120. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/853772/psn-pdf
      September 27, 2023 - Insulin Administration: Pen vs Vial – Similar, but Not Interchangeable September 27, 2023 Camarillo H. Insulin Administration: Pen vs Vial – Similar, but Not Interchangeable. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/insulin-administration-pen-vs-vial-similar-not-interchangeable The Case A fourteen-ye…