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psnet.ahrq.gov/sites/default/files/2023-04/april_2023_spotlight_the_dose_makes_the_poison.pdf
January 01, 2023 - Microsoft PowerPoint - FINAL Spotlight Case_Medication Error During Procedural Sedation in the Pediatric ED_03.27.2023.pptx
Spotlight
The Dose Makes the Poison: Medication Error During
Procedural Sedation in the Pediatric Emergency
Department
Source and Credits
• This presentation is based on the April 2023 AH…
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psnet.ahrq.gov/web-mm/dose-makes-poison-medication-error-during-procedural-sedation-pediatric-emergency-department
April 24, 2024 - SPOTLIGHT CASE
CE/MOC
The Dose Makes the Poison: Medication Error During Procedural Sedation in the Pediatric Emergency Department.
PPT
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psnet.ahrq.gov/issue/system-weaknesses-contributing-causes-accidents-health-care
August 31, 2022 - Study
System weaknesses as contributing causes of accidents in health care.
Citation Text:
Ternov S, Akselsson R. System weaknesses as contributing causes of accidents in health care. Int J Qual Health Care. 2005;17(1):5-13.
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psnet.ahrq.gov/primer/health-care-associated-infections
September 07, 2019 - Health Care - Associated Infections
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September 7, 2019
Background
Health care–associated infections (HAIs) are among the most common complications of hospital care. Accor…
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psnet.ahrq.gov/sites/default/files/2020-09/final_slides_sept_spotlight_case_when_the_lytes_go_out_slides_08.25.2020-revised.pdf
January 01, 2020 - Microsoft PowerPoint - FINAL SLIDES Sept_Spotlight Case_When the Lytes Go Out_SLIDES_08.25.2020-revised.pptx
Spotlight
When the Lytes Go Out: A Case
of Inpatient Cardiac Arrest
Source and Credits
• This presentation is based on the September 2020 AHRQ WebM&M
Spotlight Case
o See the full article at https://psne…
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psnet.ahrq.gov/web-mm/reconciling-records
September 01, 2017 - Reconciling Records
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Hardeep Singh, MD, MPH; Dean F. Sittig, PhD; Maureen Layden, MD, MPH | November 1, 2010
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The Cases
Case …
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psnet.ahrq.gov/web-mm/paroxysmal-supraventricular-tachycardia-masquerading-panic-attacks
December 01, 2004 - High output states
Pregnancy
Anemia
Fever
Medications
ADHD drugs (e.g., stimulants
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psnet.ahrq.gov/issue/diagnostic-excellence-improving-experience-and-outcomes-patient-care
October 06, 2022 - Multi-use Website
Diagnostic Excellence Initiative.
Citation Text:
Gordon and Betty Moore Foundation.
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November 7, 2018
Gord…
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psnet.ahrq.gov/issue/supplemental-issue-quality-and-safety-education-nurses-qsen-program
August 12, 2009 - Special or Theme Issue
Supplemental Issue: Quality and Safety Education for Nurses (QSEN) program.
Citation Text:
Altmiller G, Dolansky MA, eds. Nurse Educ. 2017;42(5S suppl 1);S1-S52.
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psnet.ahrq.gov/issue/quality-and-safety-education
September 06, 2017 - Special or Theme Issue
Quality and Safety Education.
Citation Text:
Dolansky MA, Singh MK, eds. Qual Manag Health Care. 2009;18(3):149-227.
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psnet.ahrq.gov/web-mm/coming-short
January 11, 2017 - Coming Up Short
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Ze'ev Hochberg, MD, PhD | October 1, 2008
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The Case A 12-year-old Hispanic female was seen for a well-child ch…
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psnet.ahrq.gov/issue/risk-and-safety-management-infertility-and-assisted-reproductive-technology
November 09, 2011 - Special or Theme Issue
Risk and Safety Management in Infertility and Assisted Reproductive Technology.
Citation Text:
Fertil Steril. 2013;100:1497-1523.
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psnet.ahrq.gov/issue/minor-mistakes-deadly-results
April 02, 2008 - Newspaper/Magazine Article
Minor mistakes, deadly results.
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February 8, 2012
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This magazine article discu…
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psnet.ahrq.gov/issue/patient-safety-papers-4
November 10, 2010 - Special or Theme Issue
Patient Safety Papers 4.
Citation Text:
Baker GR, ed. Healthc Q. 2009;12(Spec No Patient):1-198.
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…
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psnet.ahrq.gov/issue/innovation-practice-multidisciplinary-medication-safety-initiative
May 03, 2023 - Newspaper/Magazine Article
Innovation in practice: a multidisciplinary medication safety initiative.
Citation Text:
Eid KA. Innovation in practice: A multidisciplinary medication safety initiative. Nursing. 2015;45(7):14-6. doi:10.1097/01.NURSE.0000466458.62870.99.
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psnet.ahrq.gov/issue/health-professions-education
August 30, 2023 - Special or Theme Issue
Health Professions Education.
Citation Text:
Dhaliwal G, Olson APJ, Singhal G, eds. Diagnosis (Berl). 2019;6(2):75-185.
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psnet.ahrq.gov/issue/medical-office-survey-patient-safety-culture
June 28, 2023 - Measurement Tool/Indicator
Medical Office Survey on Patient Safety Culture.
Citation Text:
Rockville, MD: Agency for Healthcare Research and Quality; June 2023.
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psnet.ahrq.gov/issue/transparency-and-public-reporting-are-essential-safe-health-care-system
February 10, 2010 - Newspaper/Magazine Article
Transparency and public reporting are essential for a safe health care system.
Citation Text:
Leape LL. Perspect Health Reform. New York, NY: The Commonwealth Fund; March 17, 2010.
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psnet.ahrq.gov/issue/global-patient-safety-alerts
June 10, 2015 - Database/Directory
Global Patient Safety Alerts.
Citation Text:
Canadian Patient Safety Institute; CPSI.
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February 23, 2011
…
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psnet.ahrq.gov/web-mm/delayed-diagnosis-endocrinologic-emergencies
January 03, 2018 - Delayed Diagnosis of Endocrinologic Emergencies
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Cristiane Gomes-Lima, MD, and Kenneth D. Burman, MD | November 1, 2017
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The Cases …