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  1. In Conversation With… Christine Cassel, MD | PSNet

    psnet.ahrq.gov/perspective/conversation-christine-cassel-md
    February 26, 2025 - We had a chance to test this recently with the new information about sepsis. It worked very well.

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33875/psn-pdf
    March 01, 2019 - So suddenly the formulary changes, some biomedical equipment changes, a test or radiology reporting

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33807/psn-pdf
    May 01, 2016 - patient, the context of the provider, time of day, geography, and then making a decision about the test

  4. Overdose on Oxygen? | PSNet

    psnet.ahrq.gov/web-mm/overdose-oxygen
    August 02, 2023 - May 19, 2021 Responses of physicians to an objective safety and quality knowledge test

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60220/psn-pdf
    April 29, 2020 - Implicit Biases, Interprofessional Communication, and Power Dynamics April 29, 2020 Sanchez ES, Tran-Reina M, Ackerman-Barger K, et al. Implicit Biases, Interprofessional Communication, and Power Dynamics. PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/implicit-biases-interprofessional-communication-and-pow…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865419/psn-pdf
    March 27, 2024 - In addition, further evaluation of blood pressure and laboratory test results against the Phoenix Sepsis

  7. Premature Closure: Was It Just Syncope? | PSNet

    psnet.ahrq.gov/web-mm/premature-closure-was-it-just-syncope
    February 10, 2021 - Validation of test performance and clinical time zero for an electronic health record embedded severe

  8. Do Not Miss Sepsis Needles in Viral Haystacks! | PSNet

    psnet.ahrq.gov/web-mm/do-not-miss-sepsis-needles-viral-haystacks
    March 27, 2024 - In addition, further evaluation of blood pressure and laboratory test results against the Phoenix Sepsis

  9. Sleep Deprivation Leads to Medication Error During Spinal Epidural Anesthesia | PSNet

    psnet.ahrq.gov/web-mm/sleep-deprivation-leads-medication-error-during-spinal-epidural-anesthesia
    January 29, 2021 - The intended anesthesia included 5 micrograms of intrathecal sufentanil and an epidural test dose of

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852807/psn-pdf
    August 30, 2023 - The intended anesthesia included 5 micrograms of intrathecal sufentanil and an epidural test dose of

  11. AHRQ PSNet Webinar (pdf file)

    psnet.ahrq.gov/sites/default/files/2025-03/PSNet%20Webinar%20Feb%202025_0.pdf
    January 01, 2025 - AHRQ PSNet Webinar AHRQ PSNet Webinar Making Healthcare Safer (MHS) IV: Rapid Response Systems and Opioid Stewardship February 10, 2025 Agenda 2 • Logistics • Introduction to the Making Healthcare Safer (MHS) IV Reports • Report 1 – Rapid Response Systems ► Discussion ► PSNet Resources • Report 2 – Opioid …

  12. Periodic Issue | PSNet

    psnet.ahrq.gov/periodic-issue/periodic-issue-297
    June 30, 2021 - During an exercise treadmill test, she experienced another “woozy” spell and the ECG showed an elevated

  13. Periodic Issue | PSNet

    psnet.ahrq.gov/periodic-issue/periodic-issue-276
    January 29, 2021 - the patient, most commonly involving inappropriate medication administration or receiving the wrong test

  14. The Duke Pediatric Residency Safety Council | PSNet

    psnet.ahrq.gov/innovation/duke-pediatric-residency-safety-council
    November 16, 2022 - resident-led patient safety council, it is important to establish council leaders, begin data collection, test

  15. Emergent Triage Miss | PSNet

    psnet.ahrq.gov/web-mm/emergent-triage-miss
    March 06, 2015 - WebM&M Cases A Postpartum Woman with an Erroneous SARS-CoV-2 Test

  16. Medication Errors in Retail Pharmacies: Wrong Patient, Wrong Instructions. | PSNet

    psnet.ahrq.gov/web-mm/medication-errors-retail-pharmacies-wrong-patient-wrong-instructions
    March 19, 2019 - March 24, 2019 The delivery of safe and effective test result communication, management

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49684/psn-pdf
    May 01, 2013 - clinicians decided to defer treatment, and failure to specify the blood counts and other laboratory test

  18. Anticoagulation: Held Too Long | PSNet

    psnet.ahrq.gov/web-mm/anticoagulation-held-too-long
    April 01, 2008 - December 7, 2011 Follow-up of outpatient test results: a survey of house-staff practices

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49855/psn-pdf
    March 01, 2019 - Self-check will not help as the provider lacks the understanding of the preferred imaging test.

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49852/psn-pdf
    February 01, 2019 - Laboratory test results showed an elevated lactate and white blood cell count, both concerning for possible
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