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psnet.ahrq.gov/node/33564/psn-pdf
March 15, 2025 - Computerized Provider Order Entry
March 15, 2025
Computerized Provider Order Entry. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/computerized-provider-order-entry
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice…
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psnet.ahrq.gov/node/49742/psn-pdf
September 01, 2015 - A Fumbled Handoff to Inpatient Rehab
September 1, 2015
Ashcraft LE, Kahn JM. A Fumbled Handoff to Inpatient Rehab. PSNet [internet]. 2015.
https://psnet.ahrq.gov/web-mm/fumbled-handoff-inpatient-rehab
The Case
An 18-year-old man with no significant past medical history sustained a traumatic brain injury after a mo…
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psnet.ahrq.gov/node/33687/psn-pdf
August 01, 2009 - Workarounds and Resiliency on the Front Lines of Health
Care
August 1, 2009
Tucker AL. Workarounds and Resiliency on the Front Lines of Health Care. PSNet [internet]. 2009.
https://psnet.ahrq.gov/perspective/workarounds-and-resiliency-front-lines-health-care
Perspective
Frontline health care providers are challen…
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psnet.ahrq.gov/primer/strategies-and-approaches-tracking-improvements-patient-safety
June 15, 2024 - Strategies and Approaches for Tracking Improvements in Patient Safety
Citation Text:
Shaikh U. Strategies and Approaches for Tracking Improvements in Patient Safety . PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2021.
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psnet.ahrq.gov/primer/computerized-provider-order-entry
March 15, 2025 - Computerized Provider Order Entry
Citation Text:
Computerized Provider Order Entry. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote t…
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psnet.ahrq.gov/primer/radiation-safety
September 15, 2024 - Radiation Safety
Citation Text:
Radiation Safety. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
Downl…
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psnet.ahrq.gov/node/866578/psn-pdf
August 28, 2024 - resulting in delayed
resolution of DKA, increased PICU length of stay, and potential long-term sequelae of severe
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psnet.ahrq.gov/perspective/role-patient-improving-patient-safety
March 01, 2007 - October 23, 2024
Severe hypertension in pregnancy: progress made and future directions
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psnet.ahrq.gov/node/49831/psn-pdf
June 01, 2018 - staff in rural EDs treat high-risk, low-frequency events (e.g., acute
myocardial infarction, stroke, severe
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psnet.ahrq.gov/node/49546/psn-pdf
October 17, 2007 - Case & Commentary: Part 1
A 55-year-old obese woman with a history of hypertension and severe obstructive
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psnet.ahrq.gov/node/49675/psn-pdf
February 01, 2013 - This severe form of
chlamydial infection likely developed because of the delay in treatment.
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psnet.ahrq.gov/node/33635/psn-pdf
July 01, 2006 - But, prior to the legal cases,
risk managers review their severe incidents and claims, and patient safety
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psnet.ahrq.gov/node/49846/psn-pdf
November 01, 2018 - that time, on two occasions the patient's heart rate fell to 20 beats per
minute, associated with severe
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psnet.ahrq.gov/web-mm/chest-pain-rural-hospital
June 02, 2021 - staff in rural EDs treat high-risk, low-frequency events (e.g., acute myocardial infarction, stroke, severe
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psnet.ahrq.gov/web-mm/dont-wait-collect-accurate-weight-case-subtherapeutic-insulin-therapy
July 01, 2008 - resulting in delayed resolution of DKA, increased PICU length of stay, and potential long-term sequelae of severe
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psnet.ahrq.gov/web-mm/dissecting-presentation
May 05, 2021 - Dissection.( 18 ) Common Presentations Chest pain (90%) or upper abdominal pain (21%–43%) Sudden, severe
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psnet.ahrq.gov/classics
August 01, 2023 - Patients taking oral anti-cancer drugs may experience severe side effects and medication errors.
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psnet.ahrq.gov/web-mm/do-not-disturb
February 03, 2011 - Case & Commentary: Part 1 A 55-year-old obese woman with a history of hypertension and severe obstructive
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psnet.ahrq.gov/node/865610/psn-pdf
April 24, 2024 - including the ED, as a sentinel event (a
patient safety event that results in death, permanent harm, or severe
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psnet.ahrq.gov/perspective/human-factors-engineering-can-teach-you-how-be-surprised-again
November 01, 2006 - Human Factors Engineering Can Teach You How to Be Surprised Again
John Gosbee, MD, MS | November 1, 2006
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Gosbee JW. Human Factors Engineering Can Teach You How to Be Surprised Aga…