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  1. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2022-10/trocar_injury_final.pdf
    January 01, 2022 - TAKE HOME POINTS 38 Take-Home Points (1) 39 • Peritoneal access is the most vulnerable stage in
  2. psnet.ahrq.gov/sites/default/files/2022-02/final_cme_reviewed_spotlight_loss_of_trust_and_a_missed_diagnosis_02.14.20221_-_clean_-_revised.pdf
    January 01, 2022 - that screening had been performed, her lung cancer would likely have been diagnosed at an earlier stage
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49525/psn-pdf
    December 01, 2006 - Case & Commentary: Part 1 A patient with a history of end-stage renal disease requiring hemodialysis
  4. psnet.ahrq.gov/web-mm/delay-treatment-failure-contact-patient-leads-significant-complications
    February 01, 2004 - tests with their parents before discharge.( 3 ) After an important test result is produced, the final stage
  5. psnet.ahrq.gov/web-mm/hidden-heparins-hit-happens
    March 27, 2024 - Case & Commentary: Part 1 A patient with a history of end-stage renal disease requiring hemodialysis
  6. psnet.ahrq.gov/perspective/conversation-jack-needleman-phd
    September 01, 2012 - The second stage is: "my patients are sicker and you haven't taken that into account." … Then you get to the third stage, which is: "I'm practicing as well as I know how to already, there's
  7. psnet.ahrq.gov/web-mm/spotlight-overdiagnosis-and-delay-challenges-sepsis-diagnosis
    October 28, 2020 - SPOTLIGHT CASE Spotlight: Overdiagnosis and Delay: Challenges in Sepsis Diagnosis Citation Text: Kuye I, Rhee C. Spotlight: Overdiagnosis and Delay: Challenges in Sepsis Diagnosis. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Serv…
  8. psnet.ahrq.gov/perspective/conversation-michael-cohen-rph-ms-scd-hon-0
    October 24, 2021 - A lot of that can happen at the counseling stage, where there's some communication between the pharmacist
  9. psnet.ahrq.gov/web-mm/right-regimen-wrong-cancer-patient-catches-medical-error
    August 01, 2006 - SPOTLIGHT CASE Right Regimen, Wrong Cancer: Patient Catches Medical Error Citation Text: Weingart SN, Jacobson J. Right Regimen, Wrong Cancer: Patient Catches Medical Error. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2…
  10. psnet.ahrq.gov/perspective/conversation-tejal-k-gandhi-md-mph
    February 26, 2025 - means that patients are getting seen by primary care and into the health care system at an earlier stage
  11. psnet.ahrq.gov/sites/default/files/2024-10/spotlight_case_delayed_symptomatic_subdural_hematoma_slides.pptx
    January 01, 2024 - Spotlight Spotlight Delayed Symptomatic Subdural Hematoma Following an Initially Normal CT Head 1 Source and Credits This presentation is based on the October 2024 AHRQ WebM&M Spotlight Case See the full article at https://psnet.ahrq.gov/webmm  CME credit is available  Commentary by: Ryan Martin, MD, FCNS and …
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33692/psn-pdf
    February 01, 2010 - In Conversation with…Thomas J. Nasca, MD February 1, 2010 In Conversation with…Thomas J. Nasca, MD. PSNet [internet]. 2010. https://psnet.ahrq.gov/perspective/conversation-withthomas-j-nasca-md Editor's note: Thomas J. Nasca, MD, is the executive director and chief executive officer of the Accreditation Council fo…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33855/psn-pdf
    April 01, 2018 - We felt that payment in isolation might not be sufficiently helpful—at least at that stage.
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/857258/psn-pdf
    November 30, 2023 - Always Check the Muscle Twitch: Residual Neuromuscular Block After Removal of a Gastric Balloon November 30, 2023 Bohringer C, Ashley S. Always Check the Muscle Twitch: Residual Neuromuscular Block After Removal of a Gastric Balloon. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/always-check-muscle-twitch-…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50613/psn-pdf
    October 30, 2019 - You don't have a lot of agency when you're in the second stage of labor, which is like running the gauntlet
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33867/psn-pdf
    October 01, 2018 - A lot of that can happen at the counseling stage, where there's some communication between the pharmacist
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/861760/psn-pdf
    January 31, 2024 - Syringe Swap During Regional Block: A Case of Medication Error and Recovery January 31, 2024 Beres K, Gutierrez MC. Syringe Swap During Regional Block: A Case of Medication Error and Recovery. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/syringe-swap-during-regional-block-case-medication-error-and-recover…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33748/psn-pdf
    April 01, 2013 - at the level of the initial review by hospital-based reviewers as well as at the secondary analysis stage
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33783/psn-pdf
    April 01, 2015 - RW: At this stage now in the safety field, what do you see that gives you hope?
  20. 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…

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