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psnet.ahrq.gov/web-mm/danger-10-intravenous-calcium-chloride-extravasation
April 24, 2024 - Extravasation may be categorized into 4 stages according to the severity of the injury, as described
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.149_slideshow.ppt
May 01, 2007 - Spotlight Case [MONTH] 2003
Spotlight Case May 2007
Antiseizure Medication Disorder
Source and Credits
This presentation is based on the May 2007
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available through the Web site
Commentary by: Brian K. Alldredge, Pharm…
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psnet.ahrq.gov/node/39549/psn-pdf
March 22, 2011 - The impact of traditional and smart pump infusion
technology on nurse medication administration
performance in a simulated inpatient unit.
March 22, 2011
Trbovich PL, Pinkney S, Cafazzo JA, et al. The impact of traditional and smart pump infusion technology on
nurse medication administration performance in a simul…
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psnet.ahrq.gov/node/43865/psn-pdf
May 01, 2015 - Computerised physician order entry-related medication
errors: analysis of reported errors and vulnerability
testing of current systems.
May 1, 2015
Schiff GD, Amato MG, Eguale T, et al. Computerised physician order entry-related medication errors:
analysis of reported errors and vulnerability testing of current sy…
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psnet.ahrq.gov/node/33561/psn-pdf
September 15, 2024 - Never Events
September 15, 2024
Never Events. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/never-events
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the patient safety field. Last reviewed in 2024.
Backg…
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psnet.ahrq.gov/node/848109/psn-pdf
April 26, 2023 - Extravasation may be categorized into 4 stages according to the severity of the injury, as described
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psnet.ahrq.gov/node/39653/psn-pdf
November 15, 2011 - The new recommendations on duty hours from the
ACGME Task Force.
November 15, 2011
Nasca TJ, Day SH, Amis S, et al. The new recommendations on duty hours from the ACGME Task Force.
N Engl J Med. 2010;363(2):e3. doi:10.1056/NEJMsb1005800.
https://psnet.ahrq.gov/issue/new-recommendations-duty-hours-acgme-task-force
…
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psnet.ahrq.gov/node/49813/psn-pdf
January 01, 2018 - While palliative care may be beneficial for patients at various stages of serious illness, to be
eligible
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psnet.ahrq.gov/issue/saying-sorry
October 20, 2021 - Fact Sheet/FAQs
Saying Sorry.
Citation Text:
Saying Sorry. London, England: NHS Resolution; 2018.
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June 12, 2…
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psnet.ahrq.gov/node/33594/psn-pdf
November 18, 2021 - Debriefing for Clinical Learning
November 18, 2021
Edwards JJ, Wexner S, Nichols A. Debriefing for Clinical Learning. PSNet [internet]. 2021.
https://psnet.ahrq.gov/primer/debriefing-clinical-learning
Updated in September 2021. Originally published in December 2011 by researchers at the University of
California, S…
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psnet.ahrq.gov/issue/complaints-about-acute-trusts-2016-2017
April 17, 2024 - Book/Report
Complaints to the Parliamentary and Health Service Ombudsman.
Citation Text:
Complaints to the Parliamentary and Health Service Ombudsman. Manchester, UK: Parliamentary and Health Service Ombudsman.
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psnet.ahrq.gov/issue/improving-care-search-centre
July 05, 2013 - Multi-use Website
Improving Care Search Centre.
Citation Text:
Improving Care Search Centre. Canadian Patient Safety Institute; CPSI.
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…
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psnet.ahrq.gov/node/49835/psn-pdf
January 01, 2020 - Don't Pick the PICC
July 1, 2018
McGill RL. Don't Pick the PICC. PSNet [internet]. 2018.
https://psnet.ahrq.gov/web-mm/dont-pick-picc
The Case
A 63-year-old man with diabetes mellitus complicated by retinopathy, neuropathy, and nephropathy;
glaucoma; and stage IV chronic kidney disease was admitted to the hospita…
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psnet.ahrq.gov/node/49655/psn-pdf
June 01, 2012 - A Painful Dilemma
June 1, 2012
Davison SN. A Painful Dilemma. PSNet [internet]. 2012.
https://psnet.ahrq.gov/web-mm/painful-dilemma
The Case
A 47-year-old woman with end-stage renal disease due to polycystic kidney disease was admitted with
fever. She was taking propoxyphene or hydrocodone at home for pain. She h…
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psnet.ahrq.gov/node/50393/psn-pdf
September 01, 2019 - From the early stages of the
patient safety field, beginning with the 1999 To Err Is Human report,
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psnet.ahrq.gov/web-mm/antiseizure-medication-disorder
April 01, 2006 - SPOTLIGHT CASE
Antiseizure Medication Disorder
Citation Text:
Alldredge BK. Antiseizure Medication Disorder. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2007.
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Format:
Google Scholar BibTeX En…
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psnet.ahrq.gov/issue/improving-patient-safety-laboratory-medicine
November 16, 2022 - Special or Theme Issue
Improving Patient Safety in Laboratory Medicine.
Citation Text:
Improving Patient Safety in Laboratory Medicine. Randell E, Schneider W, eds. Clin Biochem. 2013;46:1159-1194.
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psnet.ahrq.gov/issue/council-recommendation-patient-safety-including-prevention-and-control-healthcare-associated
August 04, 2021 - Government Resource
Council recommendation on patient safety, including the prevention and control of healthcare associated infections.
Citation Text:
Council recommendation on patient safety, including the prevention and control of healthcare associated infections. Council of the Euro…
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psnet.ahrq.gov/issue/patient-safety-incident-response-framework
October 20, 2021 - Toolkit
Patient Safety Incident Response Framework.
Citation Text:
Patient Safety Incident Response Framework. London, England: NHS England; August 2022.
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psnet.ahrq.gov/issue/patient-safety-improvement-act-2020
February 12, 2020 - Government Resource
Patient Safety Improvement Act of 2020.
Citation Text:
Patient Safety Improvement Act of 2020. SB 3380. 116th Congress (2020).
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