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psnet.ahrq.gov/web-mm/who-nose-where-airway
May 01, 2016 - Who Nose Where the Airway Is?
Citation Text:
Lee CR. Who Nose Where the Airway Is?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009.
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psnet.ahrq.gov/web-mm/fatal-oversight-misdiagnosis-nocturnal-chest-pain-elevated-d-dimer
May 01, 2005 - Fatal Oversight: Misdiagnosis of Nocturnal Chest Pain with Elevated D-dimer.
Citation Text:
Agusala V, Deen J, Schaefer S. Fatal Oversight: Misdiagnosis of Nocturnal Chest Pain with Elevated D-dimer.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and H…
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psnet.ahrq.gov/node/49816/psn-pdf
January 01, 2018 - A Painful Medication Reconciliation Mishap
January 1, 2018
Chou R. A Painful Medication Reconciliation Mishap. PSNet [internet]. 2018.
https://psnet.ahrq.gov/web-mm/painful-medication-reconciliation-mishap
Case Objectives
Recognize that substance use disorders are common in patients with acute pain.
Understand th…
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psnet.ahrq.gov/node/73456/psn-pdf
June 30, 2021 - Inadequate Anesthesia Preparation Leading to Difficult
Intubation and Severe Hypoxemia
June 30, 2021
Bohringer C. Inadequate Anesthesia Preparation Leading to Difficult Intubation and Severe Hypoxemia.
PSNet [internet]. 2021.
https://psnet.ahrq.gov/web-mm/inadequate-anesthesia-preparation-leading-difficult-intubat…
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psnet.ahrq.gov/node/43362/psn-pdf
November 23, 2014 - A systematic review of teamwork in the intensive care
unit: what do we know about teamwork, team tasks, and
improvement strategies?
November 23, 2014
Dietz AS, Pronovost P, Mendez-Tellez PA, et al. A systematic review of teamwork in the intensive care
unit: what do we know about teamwork, team tasks, and improveme…
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psnet.ahrq.gov/issue/safemedicationcom
July 10, 2019 - Database/Directory
SafeMedication.com.
Citation Text:
SafeMedication.com. American Society of Health-system Pharmacists; ASHP
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psnet.ahrq.gov/node/41451/psn-pdf
October 19, 2012 - Challenges of making a diagnosis in the outpatient
setting: a multi-site survey of primary care physicians.
October 19, 2012
Sarkar U, Bonacum D, Strull W, et al. Challenges of making a diagnosis in the outpatient setting: a multi-
site survey of primary care physicians. BMJ Qual Saf. 2012;21(8):641-648. doi:10.113…
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psnet.ahrq.gov/node/39084/psn-pdf
March 05, 2010 - The impact of Rapid Response System on delayed
emergency team activation patient characteristics and
outcomes—a follow-up study.
March 5, 2010
Calzavacca P, Licari E, Tee A, et al. The impact of Rapid Response System on delayed emergency team
activation patient characteristics and outcomes--a follow-up study. Resu…
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psnet.ahrq.gov/node/41187/psn-pdf
October 16, 2012 - A pharmacist-led information technology intervention for
medication errors (PINCER): a multicentre, cluster
randomised, controlled trial and cost-effectiveness
analysis.
October 16, 2012
Avery A, Rodgers S, Cantrill JA, et al. A pharmacist-led information technology intervention for medication
errors (PINCER): a …
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psnet.ahrq.gov/node/43161/psn-pdf
December 12, 2014 - Burnout in the NICU setting and its relation to safety
culture.
December 12, 2014
Profit J, Sharek PJ, Amspoker AB, et al. Burnout in the NICU setting and its relation to safety culture. BMJ
Qual Saf. 2014;23(10):806-813. doi:10.1136/bmjqs-2014-002831.
https://psnet.ahrq.gov/issue/burnout-nicu-setting-and-its-rela…
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psnet.ahrq.gov/node/43802/psn-pdf
August 02, 2015 - Association of the 2011 ACGME resident duty hour
reforms with mortality and readmissions among
hospitalized Medicare patients.
August 2, 2015
Patel MS, Volpp KG, Small DS, et al. Association of the 2011 ACGME resident duty hour reforms with
mortality and readmissions among hospitalized Medicare patients. JAMA. 201…
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psnet.ahrq.gov/node/45615/psn-pdf
October 26, 2016 - Mandatory provider review and pain clinic laws reduce
the amounts of opioids prescribed and overdose death
rates.
October 26, 2016
Dowell D, Zhang K, Noonan RK, et al. Mandatory Provider Review And Pain Clinic Laws Reduce The
Amounts Of Opioids Prescribed And Overdose Death Rates. Health Aff (Millwood). 2016;35(10…
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psnet.ahrq.gov/node/41223/psn-pdf
March 21, 2012 - High-profile investigations into hospital safety problems
in England did not prompt patients to switch providers.
March 21, 2012
Laverty AA, Smith PC, Pape UJ, et al. High-profile investigations into hospital safety problems in England
did not prompt patients to switch providers. Health Aff (Millwood). 2012;31(3):5…
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psnet.ahrq.gov/node/46068/psn-pdf
July 09, 2018 - A national survey assessing the number of records
allowed open in electronic health records at hospitals and
ambulatory sites.
July 9, 2018
Adelman JS, Berger MA, Rai A, et al. A national survey assessing the number of records allowed open in
electronic health records at hospitals and ambulatory sites. J Am Med In…
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psnet.ahrq.gov/node/44268/psn-pdf
November 23, 2016 - A patient-initiated voluntary online survey of adverse
medical events: the perspective of 696 injured patients
and families.
November 23, 2016
Southwick FS, Cranley NM, Hallisy JA. A patient-initiated voluntary online survey of adverse medical
events: the perspective of 696 injured patients and families. BMJ Qual …
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psnet.ahrq.gov/node/45033/psn-pdf
July 16, 2019 - A cross-sectional observational study of high override
rates of drug allergy alerts in inpatient and outpatient
settings, and opportunities for improvement.
July 16, 2019
Slight SP, Beeler PE, Seger DL, et al. A cross-sectional observational study of high override rates of drug
allergy alerts in inpatient and outp…
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psnet.ahrq.gov/node/45751/psn-pdf
January 01, 2019 - Doing well by doing good: evaluating the influence of
patient safety performance on hospital financial
outcomes.
December 21, 2018
Beauvais B, Richter J, Kim FS. Doing well by doing good: Evaluating the influence of patient safety
performance on hospital financial outcomes. Health Care Manage Rev. 2019;44(1):2-9.
…
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psnet.ahrq.gov/node/46027/psn-pdf
July 02, 2019 - Dissecting Leapfrog: how well do Leapfrog Safe Practices
Scores correlate with Hospital Compare ratings and
penalties, and how much do they matter?
July 2, 2019
Smith SN, Reichert HA, Ameling JM, et al. Dissecting Leapfrog: How Well Do Leapfrog Safe Practices
Scores Correlate With Hospital Compare Ratings and Pena…
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psnet.ahrq.gov/node/48060/psn-pdf
June 19, 2019 - Strategies to identify patient risks of prescription opioid
addiction when initiating opioids for pain: a systematic
review.
June 19, 2019
Klimas J, Gorfinkel L, Fairbairn N, et al. Strategies to Identify Patient Risks of Prescription Opioid Addiction
When Initiating Opioids for Pain: A Systematic Review. JAMA Net…
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psnet.ahrq.gov/node/48084/psn-pdf
August 14, 2019 - Electronic health records, communication, and data
sharing: challenges and opportunities for improving the
diagnostic process.
August 14, 2019
Quinn M, Forman J, Harrod M, et al. Electronic health records, communication, and data sharing:
challenges and opportunities for improving the diagnostic process. Diagnosis…