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psnet.ahrq.gov/node/49781/psn-pdf
January 01, 2017 - Hazards of Loading Doses
January 1, 2017
Mucksavage JJ, Tesoro EP. Hazards of Loading Doses. PSNet [internet]. 2017.
https://psnet.ahrq.gov/web-mm/hazards-loading-doses
The Case
A 40-year-old woman was recently discharged after a prolonged hospitalization for seizures and a cardiac
arrest. Two days after discharg…
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psnet.ahrq.gov/node/33750/psn-pdf
May 01, 2013 - In Conversation With… Ashish K. Jha, MD, MPH
May 1, 2013
In Conversation With… Ashish K. Jha, MD, MPH. PSNet [internet]. 2013.
https://psnet.ahrq.gov/perspective/conversation-ashish-k-jha-md-mph
Editor's note: Ashish K. Jha, MD, MPH, is professor of health policy and management at the Harvard
School of Public Hea…
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psnet.ahrq.gov/perspective/conversation-carole-stockmeier-about-zero-harm-striving-reduce-preventable-harms-point
September 24, 2024 - However, with the cost of preventable harm estimated to be as high as $19.5 billion per year in the United … States, reducing harm is likely to lead to cost savings. 3 Evidence, such as the Canadian hospital
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psnet.ahrq.gov/node/73899/psn-pdf
September 29, 2021 - post-transition record and
https://psnet.ahrq.gov/issue/cdc-guideline-prescribing-opioids-chronic-pain-united-states … CDC Guideline for Prescribing Opioids for Chronic Pain--United
States, 2016.JAMA. 2016;315(15):1624-
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psnet.ahrq.gov/perspective/conversation-richard-kronick-phd
February 01, 2014 - of the single champion who was charismatic and sold it, but now you're trying to scale it across 50 states
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psnet.ahrq.gov/node/866848/psn-pdf
September 25, 2024 - In Conversation with Eric Thomas about Zero Harm:
Striving to Reduce Preventable Harms – Point,
Counterpoint, and Areas of Agreement
September 25, 2024
Thomas E, Mossburg S, Lee M. In Conversation with Eric Thomas about Zero Harm: Striving to Reduce
Preventable Harms – Point, Counterpoint, and Areas of Agreement. …
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psnet.ahrq.gov/node/33722/psn-pdf
December 01, 2011 - In Conversation With… Ann L. Hendrich, RN, PhD
December 1, 2011
In Conversation With… Ann L. Hendrich, RN, PhD. PSNet [internet]. 2011.
https://psnet.ahrq.gov/perspective/conversation-ann-l-hendrich-rn-phd
Editor's note: Ann L. Hendrich, RN, PhD, is Vice President of Clinical Excellence Operations and
Executive Di…
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psnet.ahrq.gov/node/33873/psn-pdf
February 01, 2019 - The numeric marker that many
residency program directors use is their scores on the USMLE [United States
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psnet.ahrq.gov/node/33863/psn-pdf
August 01, 2018 - so it has perhaps done more in terms of physician-based training than any
other entity within the United … States.
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psnet.ahrq.gov/perspective/communication-during-transitions-care
July 10, 2024 - One study conducted at five home health agencies in the United States found that 70% of observed hospital-to
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psnet.ahrq.gov/node/33771/psn-pdf
August 22, 2014 - hospitalizations per
year are due to preventable adverse events that occur in outpatient settings in the United … States, resulting
in 4829 serious permanent injuries and 2587 deaths.(6) Physicians write approximately
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psnet.ahrq.gov/perspective/diagnostic-errors
December 01, 2013 - in 2014 was the estimation of the frequency of diagnostic errors for the adult population across the United … States by Singh and colleagues . … Investigators reviewed the records of medical patients admitted to the pediatric ward or seen in the ED at a United
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psnet.ahrq.gov/node/50698/psn-pdf
November 27, 2019 - Control and Prevention ranks suicide (intentional self-injury)
the 10th leading cause of death in the United … States.1 Nearly half of those who die by suicide had visited
healthcare settings within 4 weeks2
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psnet.ahrq.gov/node/49642/psn-pdf
December 01, 2011 - Order Interrupted by Text: Multitasking Mishap
December 1, 2011
Halamka J. Order Interrupted by Text: Multitasking Mishap. PSNet [internet]. 2011.
https://psnet.ahrq.gov/web-mm/order-interrupted-text-multitasking-mishap
Case Objectives
State the prevalence of mobile devices among clinicians and their common health…
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psnet.ahrq.gov/node/49755/psn-pdf
February 01, 2016 - Good Night's Sleep Gone Wrong
February 1, 2016
Gillis CM, Degrado J, Anger KE. Good Night's Sleep Gone Wrong. PSNet [internet]. 2016.
https://psnet.ahrq.gov/web-mm/good-nights-sleep-gone-wrong
The Case
A 64-year-old woman came to the emergency department complaining of cough and shortness of breath,
along with an…
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psnet.ahrq.gov/perspective/conversation-john-halamka-md-ms
March 27, 2024 - It is probably unlike any other culture in a United States health care. … be done with situational awareness based on who the patient is, where the patient is, what disease states
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psnet.ahrq.gov/sites/default/files/2021-05/final_psnet_spotlight_inadvertent_bolus_of_norepinephrine_pp.pdf
January 01, 2021 - Spotlight
Spotlight
An Inadvertent Bolus of Norepinephrine
Source and Credits
• This presentation is based on the May 2021 AHRQ WebM&M
Spotlight Case
o See the full article at https://psnet.ahrq.gov/webmm
o CME credit is available
o Commentary by: Sarina Fazio, PhD, RN, Emma Blackmon, PhD,
RN, Amy Doroy, PhD,…
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psnet.ahrq.gov/perspective/risk-management-and-patient-safety
December 01, 2010 - Risk Management and Patient Safety
Barry M. Manuel, MD; Jack L. McCarthy; William Berry, MD, MPH; Kathy Dwyer | December 1, 2010
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Manuel BM, McCarthy JL, Berry WR, et al. Risk Mana…
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psnet.ahrq.gov/node/867986/psn-pdf
March 24, 2025 - In Conversation with Edwin Boudreaux about Suicide
Prevention
March 24, 2025
Boudreaux E, Gale B, Mossburg SE. In Conversation with Edwin Boudreaux about Suicide Prevention.
PSNet [internet]. 2025.
https://psnet.ahrq.gov/perspective/conversation-edwin-boudreaux-about-suicide-prevention
Editor’s note: Edwin Boudre…
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psnet.ahrq.gov/perspective/role-patient-facing-technologies-empower-patients-and-improve-safety
November 01, 2017 - they're getting, how much sleep they're getting—and be able to see correlations in their own disease states … really powerful motivators in making changes to their health and lifestyle to improve their disease states