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psnet.ahrq.gov/node/49534/psn-pdf
May 01, 2007 - Antiseizure Medication Disorder
May 1, 2007
Alldredge BK. Antiseizure Medication Disorder. PSNet [internet]. 2007.
https://psnet.ahrq.gov/web-mm/antiseizure-medication-disorder
Case Objectives
Appreciate the challenges of safe use of antiepileptic medications.
Identify phenytoin toxicity.
Understand the pharmaco…
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psnet.ahrq.gov/print/pdf/node/865308
January 01, 2024 - PSNet
Curated Library
AHRQ: Agency for Healthcare Research and Quality
Organizational Learning
Curated Library
Foundations
Organizational learning: health care leaders need to design structures and processes that enhance
collective learning.
Bohmer RM, Edmondson AC. Health Forum J. 2001;44:32-35.
This comment…
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psnet.ahrq.gov/web-mm/getting-good-report-card-unintended-consequences-public-reporting-hospital-quality
October 01, 2004 - SPOTLIGHT CASE
Getting a Good Report Card: Unintended Consequences of the Public Reporting of Hospital Quality
Citation Text:
Lindenauer PK. Getting a Good Report Card: Unintended Consequences of the Public Reporting of Hospital Quality. PSNet [internet]. Rockville (MD): Agency for Healthcare Res…
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psnet.ahrq.gov/perspective/weekend-effect-cardiology-it-real-if-so-can-it-be-fixed
June 01, 2017 - Foster Unit.
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psnet.ahrq.gov/web-mm/triple-handoff
March 01, 2004 - The patient was sent to the recovery unit for overnight monitoring.
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psnet.ahrq.gov/node/33730/psn-pdf
June 01, 2012 - Director of the Imperial Centre for Patient Safety and Service Quality and the
Clinical Safety Research Unit
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psnet.ahrq.gov/web-mm/misdiagnosis-small-bowel-obstruction-setting-previous-abdominal-operations
September 27, 2023 - questionable diagnosis and unresolved pain, the clinician could have placed the patient in an observation unit
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psnet.ahrq.gov/node/836941/psn-pdf
April 27, 2022 - post-acute-transitional-services-safety-home-based-care-programs
Background
Transition of care is the period of time when patients move between one health care unit
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psnet.ahrq.gov/perspective/what-do-we-know-about-emergency-department-safety
June 01, 2010 - August 19, 2009
Nighttime cross-coverage is associated with decreased intensive care unit
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psnet.ahrq.gov/perspective/doctors-multiple-malpractice-claims-disciplinary-actions-and-complaints-what-do-we-know
July 01, 2017 - Doctors With Multiple Malpractice Claims, Disciplinary Actions, and Complaints: What Do We Know?
David Studdert, LLB, ScD | July 1, 2017
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Studdert DM. Doctors With Multiple Malprac…
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psnet.ahrq.gov/primer/coronavirus-disease-2019-covid-19-and-diagnostic-error
July 30, 2020 - Coronavirus Disease 2019 (COVID-19) and Diagnostic Error
Citation Text:
Desai AN, Romano PS. Coronavirus Disease 2019 (COVID-19) and Diagnostic Error. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022.
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Format:
…
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psnet.ahrq.gov/web-mm/engaging-seriously-ill-older-patients-advance-care-planning
December 22, 2018 - Organizational and safety culture in Canadian intensive care units: relationship to size of intensive care unit
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psnet.ahrq.gov/node/49654/psn-pdf
June 01, 2012 - each year worldwide (2), as many as 1 in 20 critically ill patients admitted to an intensive
care unit
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psnet.ahrq.gov/issue/supporting-second-victims
February 15, 2023 - Newspaper/Magazine Article
Supporting second victims.
Citation Text:
Supporting second victims. Quick Safety. January 22, 2018;(39):1-3.
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psnet.ahrq.gov/issue/case-shook-medicine
October 24, 2012 - Newspaper/Magazine Article
A case that shook medicine.
Citation Text:
A case that shook medicine. Lerner BH.
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psnet.ahrq.gov/issue/engaging-patients-improving-ambulatory-care
January 17, 2024 - Book/Report
Engaging Patients in Improving Ambulatory Care.
Citation Text:
Engaging Patients in Improving Ambulatory Care. Aligning Forces for Quality. Princeton, NJ: Robert Wood Johnson Foundation; 2013.
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psnet.ahrq.gov/issue/weight-based-medication-errors-children
March 16, 2022 - Book/Report
Weight-based Medication Errors in Children.
Citation Text:
Weight-based Medication Errors in Children. Farnborough, UK: Healthcare Safety Investigation Branch; February 2022.
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psnet.ahrq.gov/issue/good-bad-and-ugly-patient-experiences-crps
February 28, 2024 - Webinar
The Good, The Bad, and The Ugly: Patient Experiences with CRPs.
Citation Text:
The Good, The Bad, and The Ugly: Patient Experiences with CRPs. Collaborative for Accountability and Improvement. October 21, 2021.
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psnet.ahrq.gov/issue/medical-disrespect
September 27, 2023 - Newspaper/Magazine Article
Medical disrespect.
Citation Text:
Medical disrespect. Yurkiewicz I. Aeon Magazine. January 29, 2014.
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psnet.ahrq.gov/issue/small-patients-big-consequences-medical-errors
February 09, 2011 - Newspaper/Magazine Article
Small patients, big consequences in medical errors.
Citation Text:
Small patients, big consequences in medical errors. Tarkan L. New York Times. September 14, 2008;Health section:7.
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