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  1. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2024-03/final_spotlight_case_not_missing_sepsis_needles_in_viral_haystacks_slides_march_date.pdf
    January 01, 2024 - • Laboratory testing showed normal white blood cell count of 8,500, but with 1.6% abnormal metamyelocytes
  2. psnet.ahrq.gov/perspective/conversation-cindy-brach
    December 27, 2019 - studies and videos. [24] The success of TeamSTEPPS is well documented in the literature [25] and field testing
  3. psnet.ahrq.gov/web-mm/under-pressure-tracheostomy-cuff-over-inflation-leading-tissue-necrosis-and-cuff-rupture
    March 15, 2023 - WebM&M Cases Agitated Delirium Contributes to Missed Testing
  4. psnet.ahrq.gov/web-mm/despite-clues-failed-rescue
    August 02, 2015 - technology-focused solutions developed in research environments will require appropriate real-world testing
  5. psnet.ahrq.gov/web-mm/when-patients-and-providers-speak-different-languages
    December 08, 2021 - symptoms concerning for unstable angina and determined that the patient would require additional cardiac testing
  6. psnet.ahrq.gov/web-mm/challenges-diabetes-management-and-medication-reconciliation
    March 15, 2023 - open-ended questions may help team members to obtain important information on affordability and access to testing
  7. psnet.ahrq.gov/web-mm/forgotten-turn
    August 01, 2018 - End Despite End-of-Life Care Planning August 1, 2018 A simulation systems testing
  8. psnet.ahrq.gov/issue/emedication-monitoring
    April 25, 2018 - Multi-use Website eMedication Monitoring. Citation Text: Agency for Healthcare Research and Quality; AHRQ. Copy Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL March 30, 2011 A…
  9. psnet.ahrq.gov/perspectives
    May 01, 2021 - Perspectives on Safety Our Perspectives on Safety section features expert viewpoints on current themes in patient safety, including interviews and written essays published monthly. Annual Perspectives highlight vital and emerging patient safety topics. Pod…
  10. psnet.ahrq.gov/issue/mri-safety-week
    January 29, 2021 - Multi-use Website MRI Safety Week. Citation Text: International Society for Magnetic Resonance in Medicine. Copy Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL June 27, 2007 I…
  11. psnet.ahrq.gov/issue/why-doctors-so-often-get-it-wrong
    October 03, 2007 - Newspaper/Magazine Article Why doctors so often get it wrong. Citation Text: Leonhardt D. Copy Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL March 8, 2006 Leonhardt D. V…
  12. psnet.ahrq.gov/issue/state-nurse-error-caused-death
    May 10, 2006 - Newspaper/Magazine Article State: nurse error caused death. Save Save to your library Print Share Facebook Twitter Linkedin Copy URL August 2, 2006 View more articles from the same authors. This article reports on a fe…
  13. psnet.ahrq.gov/issue/facts-about-patient-safety
    May 30, 2012 - Fact Sheet/FAQs Facts About Patient Safety. Citation Text: The Joint Commission. Copy Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL March 6, 2005 The Joint Commission. …
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49471/psn-pdf
    December 01, 2004 - Carpe Diem (Seize the Day) December 1, 2004 Krumholz A. Carpe Diem (Seize the Day). PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/carpe-diem-seize-day The Case A 53-year-old man presented for a new patient visit at a local medical clinic. He had several chronic medical conditions including hypertension, h…
  15. psnet.ahrq.gov/primer/strategies-and-approaches-tracking-improvements-patient-safety
    June 15, 2024 - Strategies and Approaches for Tracking Improvements in Patient Safety Citation Text: Shaikh U. Strategies and Approaches for Tracking Improvements in Patient Safety . PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2021. Copy Citat…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/612828/psn-pdf
    February 23, 2022 - Delayed Diagnosis of Kidney Transplant Complications February 23, 2022 Kapa N, Morfín JA. Delayed Diagnosis of Kidney Transplant Complications. PSNet [internet]. 2022. https://psnet.ahrq.gov/web-mm/delayed-diagnosis-kidney-transplant-complications Objectives Recognition, early evaluation, and management of kidney …
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49740/psn-pdf
    August 21, 2015 - Baffled by Botulinum Toxin August 21, 2015 Sivaraman-Nair KP. Baffled by Botulinum Toxin. PSNet [internet]. 2015. https://psnet.ahrq.gov/web-mm/baffled-botulinum-toxin The Case A 5-year-old boy with a history of transverse myelitis with resultant spasticity of both lower extremities, gait abnormalities, neurogeni…
  18. psnet.ahrq.gov/web-mm/shake-well
    September 01, 2006 - Shake Well Citation Text: Flynn EA. Shake Well. 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 Downloa…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49532/psn-pdf
    March 15, 2007 - Back to Basics March 1, 2007 Hellman R. Back to Basics. PSNet [internet]. 2007. https://psnet.ahrq.gov/web-mm/back-basics The Case A 48-year-old woman with insulin-dependent diabetes mellitus presents to the emergency department with right upper quadrant pain, fever, and leukocytosis, prompting admission for pres…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33870/psn-pdf
    November 01, 2018 - The Comprehensivist Model of Care: A Hospitalist's View November 1, 2018 Wachter R. The Comprehensivist Model of Care: A Hospitalist's View. PSNet [internet]. 2018. https://psnet.ahrq.gov/perspective/comprehensivist-model-care-hospitalists-view Perspective In this month's PSNet perspective, I interview Dr. David M…

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