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261. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837659/psn-pdf
     July 08, 2022 - Medication Safety Events Related to Diagnostic Imaging July 8, 2022 Sanchez L, Porras H, Lammers C. Medication Safety Events Related to Diagnostic Imaging. PSNet [internet]. 2022. https://psnet.ahrq.gov/web-mm/medication-safety-events-related-diagnostic-imaging The Cases Case #1: A 42-year-old woman admitted with…

262. Coming up for Err: Missed Diagnosis in a Patient with Recurrent Pneumothorax | PSNet
     psnet.ahrq.gov/web-mm/coming-err-missed-diagnosis-patient-recurrent-pneumothorax
     December 14, 2022 - Coming up for Err: Missed Diagnosis in a Patient with Recurrent Pneumothorax Citation Text: Carlile N, El-Chemaly S, Schiff G. Coming up for Err – Missed Diagnosis in a Patient with Recurrent Pneumothorax. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health …

263. Complaints as Safety Surveillance | PSNet
     psnet.ahrq.gov/web-mm/complaints-safety-surveillance
     May 05, 2021 - Complaints as Safety Surveillance Citation Text: Morris JL, Bismark M. Complaints as Safety Surveillance. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML E…

264. Check Twice, Transport Once | PSNet
     psnet.ahrq.gov/web-mm/check-twice-transport-once
     March 15, 2023 - Check Twice, Transport Once Citation Text: DePew A, Rice J, Chou J. Check Twice, Transport Once. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 …

265. Wrong Catheter in the Right Patient | PSNet
     psnet.ahrq.gov/web-mm/wrong-catheter-right-patient
     May 16, 2022 - Wrong Catheter in the Right Patient Citation Text: Chia C, Molla M. Wrong Catheter in the Right Patient. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML En…

266. Engaging Seriously Ill Older Patients in Advance Care Planning | PSNet
     psnet.ahrq.gov/web-mm/engaging-seriously-ill-older-patients-advance-care-planning
     December 22, 2018 - SPOTLIGHT CASE Engaging Seriously Ill Older Patients in Advance Care Planning Citation Text: Heyland DK. Engaging Seriously Ill Older Patients in Advance Care Planning. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. …

267. When Taking an SGLT2 inhibitor, Remember To SSTOP (Stop SGLT2 Inhibitor Three days bef-O-re Procedures)! | PSNet
     psnet.ahrq.gov/web-mm/when-taking-sglt2-inhibitor-remember-sstop-stop-sglt2-inhibitor-three-days-bef-o-re
     February 01, 2023 - When Taking an SGLT2 inhibitor, Remember To SSTOP (Stop SGLT2 Inhibitor Three days bef-O-re Procedures)! Citation Text: Bagley B, Tan CL, Plante D. When Taking an SGLT2 inhibitor, Remember To SSTOP (Stop SGLT2 Inhibitor Three days bef-O-re Procedures)!. PSNet [internet]. Rockville (MD): Agency for Healthcar…

268. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/847934/psn-pdf
     April 26, 2023 - Patient Safety Indicators April 26, 2023 Tokareva I, Romano P. Patient Safety Indicators. PSNet [internet]. 2023. https://psnet.ahrq.gov/primer/patient-safety-indicators Background Over the past 25 years, policymakers and providers, payers, and purchasers of health care have increasingly focused attention on pati…

269. Pocket Syringe Swap | PSNet
     psnet.ahrq.gov/web-mm/pocket-syringe-swap
     July 01, 2006 - Pocket Syringe Swap Citation Text: Kulli JC. Pocket Syringe Swap. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS…

270. Defensive Medicine: "Glowing" with Pain | PSNet
     psnet.ahrq.gov/web-mm/defensive-medicine-glowing-pain
     November 01, 2012 - Defensive Medicine: "Glowing" with Pain Citation Text: Sethi MK. Defensive Medicine: "Glowing" with Pain. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML E…

271. Haste Makes Care Unsafe | PSNet
     psnet.ahrq.gov/web-mm/haste-makes-care-unsafe
     January 07, 2015 - Haste Makes Care Unsafe Citation Text: Eichhorn JH. Haste Makes Care Unsafe. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged P…

272. After-Visit Confusion | PSNet
     psnet.ahrq.gov/web-mm/after-visit-confusion
     August 21, 2007 - After-Visit Confusion Citation Text: Ventres W. After-Visit Confusion. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedI…

273. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49687/psn-pdf
     August 21, 2013 - Emergency Error August 21, 2013 Symons NRA. Emergency Error. PSNet [internet]. 2013. https://psnet.ahrq.gov/web-mm/emergency-error Case Objectives State that emergency surgery is high risk and has high mortality. Appreciate that emergency laparotomy is a particularly high-risk procedure with a high likelihood of …

274. Patient Safety During Hospital Discharge | PSNet
     psnet.ahrq.gov/perspective/patient-safety-during-hospital-discharge
     April 01, 2018 - Risks are varied, spanning from progression of underlying disease to emergence of new problems not present

275. In Conversation with…Gerald B. Hickson, MD | PSNet
     psnet.ahrq.gov/perspective/conversation-withgerald-b-hickson-md
     December 01, 2009 - The scope of the outcome was varied.

276. How to Identify and Manage Problem Behaviors | PSNet
     psnet.ahrq.gov/perspective/how-identify-and-manage-problem-behaviors
     December 01, 2009 - The scope of the outcome was varied.

277. Communication During Transitions of Care | PSNet
     psnet.ahrq.gov/perspective/communication-during-transitions-care
     July 10, 2024 - Annual Perspective Communication During Transitions of Care Ayse P. Gurses; Sarah Mossburg; Zoe Sousane | March 27, 2024  View more articles from the same authors. Citation Text: Gurses AP, Sousane Z, Mossburg S. Communication During Transitions of Care. PS…

278. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/865455/psn-pdf
     March 27, 2024 - Communication During Transitions of Care March 27, 2024 Gurses AP, Sousane Z, Mossburg S. Communication During Transitions of Care. PSNet [internet]. 2024. https://psnet.ahrq.gov/perspective/communication-during-transitions-care Introduction Inaccurate or untimely communication and ineffective teamwork in healthca…

279. Retained Surgical Items: Definition and Epidemiology. | PSNet
     psnet.ahrq.gov/primer/retained-surgical-items-definition-and-epidemiology
     September 15, 2024 - Retained Surgical Items: Definition and Epidemiology. Citation Text: Romano PS, Gibbs VC. Retained Surgical Items: Definition and Epidemiology.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024. Copy Citation Format: …

280. Implementing a Fall Prevention Program | PSNet
     psnet.ahrq.gov/perspective/implementing-fall-prevention-program
     November 29, 2023 - Implementing a Fall Prevention Program Frances Healey, RN, PhD | December 1, 2011  View more articles from the same authors. Citation Text: Healey F. Implementing a Fall Prevention Program. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Qualit…