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psnet.ahrq.gov/node/61079/psn-pdf
October 28, 2020 - questioned by the pharmacist, the resident
physician confirmed that thioridazine had been prescribed to treat … pharmacist can serve as a resource to provide physician and nursing education on medications used to
treat
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psnet.ahrq.gov/node/60609/psn-pdf
June 24, 2020 - Even if a nurse is experienced with using a certain
medication to treat the indication in question, … sleep/rest may have resulted in the night nurse having a lower threshold for giving
medication to treat
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psnet.ahrq.gov/issue/pathologists-perspectives-disclosing-harmful-pathology-error
January 22, 2020 - Study
Pathologists' perspectives on disclosing harmful pathology error.
Citation Text:
Dintzis SM, Clennon EK, Prouty CD, et al. Pathologists' Perspectives on Disclosing Harmful Pathology Error. Arch Pathol Lab Med. 2017;141(6):841-845. doi:10.5858/arpa.2016-0136-OA.
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…
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psnet.ahrq.gov/node/49806/psn-pdf
September 01, 2017 - Failed Interpretation of Screening Tool: Delayed
Treatment
September 1, 2017
Cable CA, Murphy DJ, Martin GS. Failed Interpretation of Screening Tool: Delayed Treatment. PSNet
[internet]. 2017.
https://psnet.ahrq.gov/web-mm/failed-interpretation-screening-tool-delayed-treatment
The Case
An 88-year-old man present…
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psnet.ahrq.gov/node/49833/psn-pdf
June 01, 2018 - This directly impacted the practioners' clinical assessment
and decision to treat with thrombolytics … Traditionally, the focus has been on missed
diagnosis that results in failure to treat with IV thrombolytics
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psnet.ahrq.gov/issue/ems-non-conveyance-safe-practice-decrease-ed-crowding-or-threat-patient-safety
January 12, 2022 - Study
EMS non-conveyance: a safe practice to decrease ED crowding or a threat to patient safety?
Citation Text:
Paulin J, Kurola J, Koivisto M, et al. EMS non-conveyance: A safe practice to decrease ED crowding or a threat to patient safety? BMC Emerg Med. 2021;21(1):115. doi:10.1186/s12…
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psnet.ahrq.gov/issue/changes-hospital-adverse-events-and-patient-outcomes-associated-private-equity-acquisition
July 12, 2023 - Study
Changes in hospital adverse events and patient outcomes associated with private equity acquisition.
Citation Text:
Kannan S, Bruch JD, Song Z. Changes in hospital adverse events and patient outcomes associated with private equity acquisition. JAMA. 2023;330(24):2365-2375. doi:10.10…
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psnet.ahrq.gov/web-mm/pains-chronic-opioid-usage
April 04, 2018 - based on evidence or proven safety.( 1,2,5-7,10-12 ) The increased prescribing of opioids to treat … settings.( 18 ) Most of this increased use likely relates to well-meaning efforts by clinicians to treat … professionals discuss naloxone with all patients when prescribing opioid pain relievers or medicines to treat
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psnet.ahrq.gov/web-mm/delayed-diagnosis-kidney-transplant-complications
January 29, 2020 - The renal artery thrombosis occurred most likely as a result of unsuccessful angioplasty to treat the … WebM&M Cases
Incomplete Orders for Hypertonic Saline to Treat
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psnet.ahrq.gov/web-mm/delayed-management-necrotizing-soft-tissue-infection-who-does-patient-belong
March 31, 2021 - Delayed Management of Necrotizing Soft Tissue Infection – Who does the Patient Belong To?
Citation Text:
Rinderknecht T, Utter GH. Delayed Management of Necrotizing Soft Tissue Infection – Who does the Patient Belong To?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Depar…
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psnet.ahrq.gov/sites/default/files/2020-10/final_slides_oct_2020_spotlight_case_inpt_stroke_mngt_in_adolescent_with_type1_diabetes.pdf
January 01, 2020 - Spotlight
Spotlight
Inpatient Stroke Management in a Patient
with Type 1 Diabetes and Home Insulin
Pump
Source and Credits
• This presentation is based on the October 2020 AHRQ WebM&M
Spotlight Case
o See the full article at https://psnet.ahrq.gov/webmm
o CME credit is available
o Commentary by: Berit B…
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psnet.ahrq.gov/web-mm/too-hot-comfort
May 19, 2015 - Too Hot For Comfort
Citation Text:
Cleland H, Wasiak J. Too Hot For Comfort. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2007.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged P…
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psnet.ahrq.gov/issue/adverse-events-following-emergency-department-visit
April 22, 2011 - Study
Adverse events following an emergency department visit.
Citation Text:
Forster AJ, Rose NGW, van Walraven C, et al. Adverse events following an emergency department visit. Qual Saf Health Care. 2007;16(1):17-22.
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Format:
Google Scholar PubMed BibTeX End…
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psnet.ahrq.gov/issue/what-are-safety-risks-patients-undergoing-treatment-multiple-specialties-retrospective
March 18, 2013 - Study
What are the safety risks for patients undergoing treatment by multiple specialties: a retrospective patient record review study.
Citation Text:
Baines RJ, de Bruijne M, Langelaan M, et al. What are the safety risks for patients undergoing treatment by multiple specialties: a retr…
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psnet.ahrq.gov/node/49420/psn-pdf
October 01, 2003 - To LP or Not LP
October 1, 2003
Landrigan CP. To LP or Not LP. PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/lp-or-not-lp
The Case
A 4-month-old male infant was seen in the office setting of a large multisite practice. He presented with
fever and irritability without an obvious source. He was referred to …
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psnet.ahrq.gov/node/49439/psn-pdf
March 01, 2004 - Lethal Cap
March 1, 2004
Schillinger D. Lethal Cap. PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/lethal-cap
The Case
A 9-month-old child was seen by her pediatrician for a fever and decreased appetite. She was found to
have otitis media and was prescribed amoxicillin. The doctor gave the first dose to th…
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psnet.ahrq.gov/node/866964/psn-pdf
October 16, 2024 - Pediatric perioperative medication errors.
October 16, 2024
Lu-Boettcher YE, Koka R. Pediatric perioperative medication errors. APSF Newsletter. 39(3):84-86.
https://psnet.ahrq.gov/issue/pediatric-perioperative-medication-errors
Medication safety is a primary concern during surgery, particularly when treating child…
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psnet.ahrq.gov/node/60754/psn-pdf
August 05, 2020 - COVID blindness.
August 5, 2020
Brown L. COVID blindness. Diagnosis (Berl). 2020;7(2):83-84. doi:10.1515/dx-2020-0042.
https://psnet.ahrq.gov/issue/covid-blindness
This editorial describes one clinician’s experience treating a patient during the early stages of the COVID-
19 pandemic, and the impacts of “COVID bli…
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psnet.ahrq.gov/node/60345/psn-pdf
May 20, 2020 - COVID-19 — a reminder to reason
May 20, 2020
Zagury-Orly I, Schwartzstein RM. COVID-19 — A Reminder to Reason. N Engl J Med. 2020;383(3):e12.
doi:10.1056/nejmp2009405.
https://psnet.ahrq.gov/issue/covid-19-reminder-reason
This article discusses the challenges of clinical decision-making and the influence of cognit…
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psnet.ahrq.gov/node/49554/psn-pdf
January 01, 2008 - DMSO), a free radical scavenger that is applied topically to an
extravasation area, has been used to treat