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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…
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psnet.ahrq.gov/node/848107/psn-pdf
April 26, 2023 - model connecting work conditions, such as time pressure and volume-
based patient loads, to clinician stress
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psnet.ahrq.gov/web-mm/risks-absent-interoperability-medication-induced-hemolysis-patient-known-allergy
April 08, 2019 - SPOTLIGHT CASE
The Risks of Absent Interoperability: Medication-Induced Hemolysis in a Patient With a Known Allergy
Citation Text:
Reider J. The Risks of Absent Interoperability: Medication-Induced Hemolysis in a Patient With a Known Allergy. PSNet [internet]. Rockville (MD): Agency for Healthcar…
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psnet.ahrq.gov/perspective/conversation-eric-j-topol-md
February 26, 2025 - In Conversation With… Eric J. Topol, MD
September 1, 2015
Citation Text:
In Conversation With… Eric J. Topol, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015.
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psnet.ahrq.gov/node/857258/psn-pdf
November 30, 2023 - Administering NMBAs is a
pharmacological stress test for the neuromuscular junction; myasthenic patients
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psnet.ahrq.gov/perspective/improving-diagnostic-safety-and-quality
February 22, 2023 - model connecting work conditions, such as time pressure and volume-based patient loads, to clinician stress
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psnet.ahrq.gov/web-mm/delirium-or-dementia
September 27, 2023 - May 29, 2013
Learning from accident and error: avoiding the hazards of workload, stress
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psnet.ahrq.gov/web-mm/dissecting-presentation
May 05, 2021 - SPOTLIGHT CASE
Dissecting the Presentation
Citation Text:
Suat-Ooi SB. Dissecting the Presentation. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015.
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Format:
Google Scholar BibTeX EndNote X3 …
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psnet.ahrq.gov/node/33863/psn-pdf
August 01, 2018 - In Conversation With… Matthew Weinger, MD
August 1, 2018
In Conversation With… Matthew Weinger, MD. PSNet [internet]. 2018.
https://psnet.ahrq.gov/perspective/conversation-matthew-weinger-md
Editor's note: Dr. Weinger is Director of the Center for Research and Innovation in Systems Safety and
Professor of Anesthes…
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psnet.ahrq.gov/node/49792/psn-pdf
May 01, 2017 - Diagnostic Delay in the Emergency Department
May 1, 2017
Marshall K, Singh H. Diagnostic Delay in the Emergency Department. PSNet [internet]. 2017.
https://psnet.ahrq.gov/web-mm/diagnostic-delay-emergency-department
Case Objectives
Appreciate the importance of a broad differential diagnosis for acute abdominal pai…
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psnet.ahrq.gov/web-mm/delayed-diagnosis-endocrinologic-emergencies
November 13, 2024 - Delayed Diagnosis of Endocrinologic Emergencies
Citation Text:
Gomes-Lima C, Burman KD. Delayed Diagnosis of Endocrinologic Emergencies. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
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psnet.ahrq.gov/node/49750/psn-pdf
January 01, 2016 - A well-designed system would also include a contingency plan for times of unanticipated stress such as
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psnet.ahrq.gov/node/843051/psn-pdf
February 01, 2023 - Even when properly prepared, however, the high stress of airway emergencies
can lead to cognitive overload
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psnet.ahrq.gov/primer/retained-surgical-items-causation-and-prevention
January 04, 2024 - Retained Surgical Items: Causation and Prevention
Citation Text:
Gibbs V, Romano P. Retained Surgical Items: Causation and Prevention. PSNet [internet]. Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2025.
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psnet.ahrq.gov/web-mm/too-many-cooks-kitchen
March 07, 2018 - Optimal care of frail patients hinges on a plan with the least possible perioperative stress, both surgical
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psnet.ahrq.gov/node/72517/psn-pdf
November 25, 2020 - SBAR (Situation, Background, Assessment, and
Recommendations) technique, can be effective in high-stress
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psnet.ahrq.gov/web-mm/always-check-muscle-twitch-residual-neuromuscular-block-after-removal-gastric-balloon
January 29, 2021 - Administering NMBAs is a pharmacological stress test for the neuromuscular junction; myasthenic patients
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psnet.ahrq.gov/node/836794/psn-pdf
March 31, 2022 - people with serious
illness that is focused on providing patient with relief from symptoms, pain, and stress
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psnet.ahrq.gov/sites/default/files/2022-03/final_spotlight_case_mistaken_capacity.pdf
January 01, 2022 - people with serious illness that is
focused on providing patient with relief from symptoms, pain, and
stress
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psnet.ahrq.gov/web-mm/room-without-orders
September 01, 2011 - A well-designed system would also include a contingency plan for times of unanticipated stress such as