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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37190/psn-pdf
    October 07, 2011 - Medical errors arising from outsourcing laboratory and radiology services. October 7, 2011 Chasin BS, Elliott SP, Klotz SA. Medical errors arising from outsourcing laboratory and radiology services. Am J Med. 2007;120(9):819.e9-11. https://psnet.ahrq.gov/issue/medical-errors-arising-outsourcing-laboratory-and-radi…
  2. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.95_slideshow.ppt
    May 01, 2005 - presentations Failure to consider the consequences of competing diagnoses Case: “Doctor Don’t Treat
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38277/psn-pdf
    December 10, 2008 - Time for a change in injury and trauma care delivery: a trauma death review analysis. December 10, 2008 Sugrue M, Caldwell E, D'Amours S, et al. Time for a change in injury and trauma care delivery: a trauma death review analysis. ANZ J Surg. 2008;78(11):949-954. doi:10.1111/j.1445-2197.2008.04711.x. https://psnet…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47658/psn-pdf
    December 12, 2018 - Heartbroken. December 12, 2018 McGrory K, Bedi N. Tampa Bay Times. November 28, 2018. https://psnet.ahrq.gov/issue/heartbroken Pediatric cardiac surgery is a high-risk practice. This news investigation reports on a series of serious patient safety incidents at a health care institute dedicated to treating heart pr…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39488/psn-pdf
    September 29, 2017 - CMS changes in reimbursement for HAIs: setting a research agenda. September 29, 2017 Stone PW, Glied SA, McNair PD, et al. CMS changes in reimbursement for HAIs: setting a research agenda. Med Care. 2010;48(5):433-9. doi:10.1097/MLR.0b013e3181d5fb3f. https://psnet.ahrq.gov/issue/cms-changes-reimbursement-hais-sett…
  6. psnet.ahrq.gov/web-mm/lp-or-not-lp
    February 01, 2018 - To LP or Not LP Citation Text: Landrigan CP. To LP or Not LP. 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. psnet.ahrq.gov/web-mm/double-trouble
    August 01, 2012 - SPOTLIGHT CASE Double Trouble Citation Text: Gurwitz JH. Double Trouble. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote t…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45307/psn-pdf
    September 07, 2016 - End Sepsis. September 7, 2016 1212 Avenue of the Americas, 5th Floor, New York, NY 10036. 212-244- 6294 contact@endsepsis.org https://psnet.ahrq.gov/issue/rory-staunton-foundation-sepsis-prevention Sepsis is a serious condition that can be rapidly fatal if it is not promptly diagnosed and treated. T…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37774/psn-pdf
    June 11, 2008 - Frequency of medication errors with intravenous acetylcysteine for acetaminophen overdose. June 11, 2008 Hayes BD, Klein-Schwartz W, Doyon S. Frequency of medication errors with intravenous acetylcysteine for acetaminophen overdose. Ann Pharmacother. 2008;42(6):766-70. doi:10.1345/aph.1K685. https://psnet.ahrq.gov…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49720/psn-pdf
    December 01, 2014 - associated with rtPA use, the majority of medicolegal outcomes related to rtPA are for failure to treat
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45938/psn-pdf
    September 29, 2017 - Is excessive resource utilization an adverse event? September 29, 2017 Zapata JA, Lai AR, Moriates C. Is Excessive Resource Utilization an Adverse Event? JAMA. 2017;317(8):849-850. doi:10.1001/jama.2017.0698. https://psnet.ahrq.gov/issue/excessive-resource-utilization-adverse-event Overuse of therapies, medication…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43700/psn-pdf
    November 19, 2014 - Appropriate use of medical interpreters. November 19, 2014 Juckett G, Unger K. Appropriate use of medical interpreters. Am Fam Physician. 2014;90(7):476-80. https://psnet.ahrq.gov/issue/appropriate-use-medical-interpreters Language barriers between patients and providers can contribute to misunderstandings and lead…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41953/psn-pdf
    June 19, 2013 - Potentially inappropriate medications in a large cohort of patients in geriatric units: association with clinical and functional characteristics. June 19, 2013 Fromm MF, Maas R, Tümena T, et al. Potentially inappropriate medications in a large cohort of patients in geriatric units: association with clinical and fu…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38559/psn-pdf
    June 16, 2009 - Regional surveillance of emergency-department visits for outpatient adverse drug events. June 16, 2009 Capuano A, Irpino A, Gallo M, et al. Regional surveillance of emergency-department visits for outpatient adverse drug events. Eur J Clin Pharmacol. 2009;65(7):721-8. doi:10.1007/s00228-009-0641-8. https://psnet.a…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34915/psn-pdf
    February 27, 2009 - Emergency department visits for outpatient adverse drug events: demonstration for a national surveillance system. February 27, 2009 Budnitz DS, Pollock DA, Mendelsohn AB, et al. Emergency department visits for outpatient adverse drug events: demonstration for a national surveillance system. Ann Emerg Med. 2005;45(2…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37347/psn-pdf
    March 28, 2012 - Recognition and management of potential drug-drug interactions in patients on internal medicine wards. March 28, 2012 Vonbach P, Dubied A, Beer JH, et al. Recognition and management of potential drug-drug interactions in patients on internal medicine wards. Eur J Clin Pharmacol. 2007;63(11):1075-83. https://psnet.…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44913/psn-pdf
    September 27, 2017 - Nursing staff's perceptions of patient safety in psychiatric inpatient care. September 27, 2017 Kanerva A, Lammintakanen J, Kivinen T. Nursing Staff's Perceptions of Patient Safety in Psychiatric Inpatient Care. Perspect Psych Care. 2016;52(1):25-31. doi:10.1111/ppc.12098. https://psnet.ahrq.gov/issue/nursing-staf…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36335/psn-pdf
    February 01, 2011 - Rapid response teams—walk, don't run. February 1, 2011 Winters BD, Pham JC, Pronovost PJ. Rapid Response Teams—Walk, Don't Run. JAMA. 2006;296(13). doi:10.1001/jama.296.13.1645. https://psnet.ahrq.gov/issue/rapid-response-teams-walk-dont-run Rapid response teams (RRTs) have been widely advocated as a means of aver…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34935/psn-pdf
    June 23, 2009 - Improving patient care. The cognitive psychology of missed diagnoses. June 23, 2009 Redelmeier DA. Improving patient care. The cognitive psychology of missed diagnoses. Ann Intern Med. 2005;142(2):115-120. https://psnet.ahrq.gov/issue/improving-patient-care-cognitive-psychology-missed-diagnoses This case study de…
  20. psnet.ahrq.gov/web-mm/nonsustained-ventricular-tachycardia-after-acute-coronary-syndromes-recognizing-high-risk
    September 20, 2011 - March 1, 2005 WebM&M Cases Doctor, Don't Treat

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