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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49512/psn-pdf
    May 01, 2006 - Right? Left? Neither! May 1, 2006 Chassin MR, Howell EA. Right? Left? Neither!. PSNet [internet]. 2006. https://psnet.ahrq.gov/web-mm/right-left-neither Case Objectives Appreciate the role of Reason's Swiss Cheese Model in medical errors Understand the process of analyzing a single error Provide suggestions for …

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49458/psn-pdf
    September 01, 2004 - Poor Prognosis September 1, 2004 Lamont EB. Poor Prognosis. PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/poor-prognosis Case Objectives Understand the current limitations of physicians' ability to provide prognoses. List the variables that can be used to guide treatment decisions and prognostication in e…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61079/psn-pdf
    October 28, 2020 - When Looks Aren’t All They Appear to Be: A Medication Error in an Uncommon Indication October 28, 2020 Ton K. When Looks Aren’t All They Appear to Be: A Medication Error in an Uncommon Indication . PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/when-looks-arent-all-they-appear-be-medication-error-uncommon- …

  4. Mistaken Identity | PSNet

    psnet.ahrq.gov/web-mm/mistaken-identity
    December 18, 2014 - Mistaken Identity Citation Text: Hall LW. Mistaken Identity. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49398/psn-pdf
    May 01, 2003 - Bloody BP Cuff May 1, 2003 Madan AK. Bloody BP Cuff. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/bloody-bp-cuff The Case Patient #1, a 28-year-old male, was a trauma patient following a motor vehicle collision into a cement pillar. Patient #1 was in the trauma bay with massive injuries and profuse bleed…

  6. Waiting Too Long | PSNet

    psnet.ahrq.gov/web-mm/waiting-too-long
    February 01, 2013 - Waiting Too Long Citation Text: Rosen MA. Waiting Too Long. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49611/psn-pdf
    October 01, 2010 - The Deadly Duo October 1, 2010 Maldonado JR. The Deadly Duo. PSNet [internet]. 2010. https://psnet.ahrq.gov/web-mm/deadly-duo The Case A 29-year-old man with a history of depression and possible psychosis was found unconscious and unresponsive at home and was brought to the emergency department. He was tachycardi…

  8. Triple Handoff | PSNet

    psnet.ahrq.gov/web-mm/triple-handoff
    March 01, 2004 - SPOTLIGHT CASE Triple Handoff Citation Text: Vidyarthi A. Triple Handoff. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote …

  9. Microsoft PowerPoint - FINAL Feb 2021 Spotlight_Delay in Appropriate DX.pptx - Read-Only (pdf file)

    psnet.ahrq.gov/sites/default/files/2021-02/final_feb_2021_spotlight_delay_in_appropriate_dx.pdf
    January 01, 2021 - Microsoft PowerPoint - FINAL Feb 2021 Spotlight_Delay in Appropriate DX.pptx - Read-Only Spotlight Delay in Appropriate Diagnosis and Treatment Leading to Death from Pulmonary Embolism Source and Credits • This presentation is based on the February 2021 AHRQ WebM&M Spotlight Case o See the full article at ht…

  10. Medication safety issue brief. Counterfeit drug prevention and identification. | PSNet

    psnet.ahrq.gov/issue/medication-safety-issue-brief-counterfeit-drug-prevention-and-identification
    June 17, 2014 - Fact Sheet/FAQs Medication safety issue brief. Counterfeit drug prevention and identification. Citation Text: Medication safety issue brief. Counterfeit drug prevention and identification. American Hospital Association, American Society of Health-System Pharmacists. Hosp Health Netw. 200…

  11. Doing the "right" things to correct wrong-site surgery. | PSNet

    psnet.ahrq.gov/issue/doing-right-things-correct-wrong-site-surgery
    October 21, 2020 - Newspaper/Magazine Article Doing the "right" things to correct wrong-site surgery. Citation Text: Doing the "right" things to correct wrong-site surgery. Patient Safety Advisory Copy Citation Save Save to your library Print Download PDF Share…

  12. Technical patient safety solutions for medicines reconciliation on admission of adults to hospital. | PSNet

    psnet.ahrq.gov/issue/technical-patient-safety-solutions-medicines-reconciliation-admission-adults-hospital
    October 27, 2021 - Organizational Policy/Guidelines Technical patient safety solutions for medicines reconciliation on admission of adults to hospital. Citation Text: Technical patient safety solutions for medicines reconciliation on admission of adults to hospital. Manchester, UK: National Institute…

  13. Council recommendation on patient safety, including the prevention and control of healthcare associated infections. | PSNet

    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…

  14. Improving Diagnosis in Medicine Change Package. | PSNet

    psnet.ahrq.gov/issue/improving-diagnosis-medicine-change-package
    May 06, 2015 - Toolkit Improving Diagnosis in Medicine Change Package. Citation Text: Improving Diagnosis in Medicine Change Package. Chicago, IL: Health Research & Educational Trust; 2018. Copy Citation Save Save to your library Print Download PDF Share Fa…

  15. Improvement of Pennsylvania healthcare consumers' awareness of patient safety. | PSNet

    psnet.ahrq.gov/issue/improvement-pennsylvania-healthcare-consumers-awareness-patient-safety
    March 30, 2016 - Newspaper/Magazine Article Improvement of Pennsylvania healthcare consumers' awareness of patient safety. Citation Text: Improvement of Pennsylvania healthcare consumers' awareness of patient safety. Munn J. PA-PSRS Patient Saf Advis. March 2014;11:23-29. Copy Citation …

  16. Patients put at risk by NHS computer fault. | PSNet

    psnet.ahrq.gov/issue/patients-put-risk-nhs-computer-fault
    November 04, 2012 - Newspaper/Magazine Article Patients put at risk by NHS computer fault. Citation Text: Patients put at risk by NHS computer fault. Gray R. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linked…

  17. LINNEAUS Collaboration on Patient Safety in Primary Care. | PSNet

    psnet.ahrq.gov/issue/linneaus-collaboration-patient-safety-primary-care
    February 10, 2010 - Special or Theme Issue LINNEAUS Collaboration on Patient Safety in Primary Care. Citation Text: LINNEAUS Collaboration on Patient Safety in Primary Care. Eur J Gen Pract. 2015;(suppl 21):1-77. Copy Citation Save Save to your library Print Download PDF …

  18. Strategies for Ensuring the Safe Use of Insulin Pens in the Hospital. | PSNet

    psnet.ahrq.gov/issue/strategies-ensuring-safe-use-insulin-pens-hospital
    June 17, 2014 - Multi-use Website Strategies for Ensuring the Safe Use of Insulin Pens in the Hospital. Citation Text: Strategies for Ensuring the Safe Use of Insulin Pens in the Hospital. American Society of Health-System Pharmacists Copy Citation Save Save to your library …

  19. Right tech dose helps medicine go down. | PSNet

    psnet.ahrq.gov/issue/right-tech-dose-helps-medicine-go-down
    October 28, 2020 - Newspaper/Magazine Article Right tech dose helps medicine go down. Citation Text: Right tech dose helps medicine go down. Patton S. CIO Magazine. July 12, 2006. Copy Citation Save Save to your library Print Download PDF Share Faceb…

  20. Ambulatory surgery facilities: a comprehensive review of medication error reports in Pennsylvania. | PSNet

    psnet.ahrq.gov/issue/ambulatory-surgery-facilities-comprehensive-review-medication-error-reports-pennsylvania
    April 17, 2017 - Newspaper/Magazine Article Ambulatory surgery facilities: a comprehensive review of medication error reports in Pennsylvania. Citation Text: Ambulatory surgery facilities: a comprehensive review of medication error reports in Pennsylvania.   Grissinger M, Dabliz R. Pa Patient S…
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