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441. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49620/psn-pdf
     February 01, 2011 - Silent Pain in the Neck February 1, 2011 Bittner EA. Silent Pain in the Neck. PSNet [internet]. 2011. https://psnet.ahrq.gov/web-mm/silent-pain-neck The Case A 60-year-old man with no significant past medical history underwent an elective anterior cervical discectomy for persistent right arm weakness due to cervi…

442. Josie's Story: A Patient Safety Curriculum. | PSNet
     psnet.ahrq.gov/issue/josies-story-patient-safety-curriculum
     July 24, 2019 - Toolkit Josie's Story: A Patient Safety Curriculum. Citation Text: Josie's Story: A Patient Safety Curriculum. Kaprielian VS, Sullivan DT, eds. Chapel Hill, NC: Josie King Foundation; Duke University School of Medicine; 2013. Copy Citation Save Save to your librar…

443. Design for reliability: barcoded medication administration. | PSNet
     psnet.ahrq.gov/issue/design-reliability-barcoded-medication-administration
     July 21, 2021 - Newspaper/Magazine Article Design for reliability: barcoded medication administration. Citation Text: Design for reliability: barcoded medication administration. Hayden AC; Lanoue ET; Still CJ. Copy Citation Save Save to your library Print Download PDF …

444. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/855057/psn-pdf
     October 31, 2023 - Addressing Workplace Violence and Creating a Safer Workplace October 31, 2023 Jones CB, Sousane Z, Mossburg S. Addressing Workplace Violence and Creating a Safer Workplace. PSNet [internet]. 2023. https://psnet.ahrq.gov/perspective/addressing-workplace-violence-and-creating-safer-workplace While violence in the w…

445. In situ simulation: identification of systems issues. | PSNet
     psnet.ahrq.gov/issue/situ-simulation-identification-systems-issues
     January 31, 2024 - Study In situ simulation: identification of systems issues. Citation Text: Guise J-M, Mladenovic J. In situ simulation: Identification of systems issues. Semin Perinatol. 2013;37(3). doi:10.1053/j.semperi.2013.02.007. Copy Citation Format: DOI Google Scholar BibTeX EndNo…

446. Psn-Pdf (pdf file)
     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…

447. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33602/psn-pdf
     March 15, 2025 - Individual Clinician Performance Issues March 15, 2025 Individual Clinician Performance Issues. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/individual-clinician-performance-issues PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current res…

448. Silent Pain in the Neck | PSNet
     psnet.ahrq.gov/web-mm/silent-pain-neck
     August 19, 2020 - Silent Pain in the Neck Citation Text: Bittner EA. Silent Pain in the Neck. 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 Pu…

449. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49859/psn-pdf
     April 01, 2019 - E-cigarette Explosion in a Patient Room April 1, 2019 Benowitz NL. E-cigarette Explosion in a Patient Room. PSNet [internet]. 2019. https://psnet.ahrq.gov/web-mm/e-cigarette-explosion-patient-room The Case A 49-year-old woman was admitted for an exacerbation of chronic obstructive pulmonary disease (COPD) without…

450. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33697/psn-pdf
     June 01, 2010 - Individual Provider Issues The EP workforce is diverse, and practitioners have varied training and experience

451. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33676/psn-pdf
     November 01, 2008 - hospitals across the United States and found that, depending on the physician's training level, awareness varied

452. Wrong Route for Nutrients | PSNet
     psnet.ahrq.gov/web-mm/wrong-route-nutrients
     September 04, 2010 - difference in medication error rates across RNs, LPNs, and CMTs ( 5,6 ) , perhaps indicating that the varied

453. Navigating risks in breast cancer diagnosis and treatment. | PSNet
     psnet.ahrq.gov/issue/navigating-risks-breast-cancer-diagnosis-and-treatment
     December 19, 2012 - Newspaper/Magazine Article Navigating risks in breast cancer diagnosis and treatment. Citation Text: Navigating risks in breast cancer diagnosis and treatment. Greenberg P, Ranum D, Siegal D. Patient Saf Qual Healthc. October 2015;12:18-20,22-24. Copy Citation Save …

454. The second victim: a review. | PSNet
     psnet.ahrq.gov/issue/second-victim-review
     June 26, 2019 - Review The second victim: a review. Citation Text: Coughlan B, Powell D, Higgins MF. The Second Victim: a Review. Eur J Obstet Gynecol Reprod Biol. 2017;213:11-16. doi:10.1016/j.ejogrb.2017.04.002. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNot…

455. National Patient Safety Agency: combining stories with statistics to minimise harm. | PSNet
     psnet.ahrq.gov/issue/national-patient-safety-agency-combining-stories-statistics-minimise-harm
     November 18, 2020 - Study National Patient Safety Agency: combining stories with statistics to minimise harm. Citation Text: Lamont T, Scarpello J. National Patient Safety Agency: combining stories with statistics to minimise harm. BMJ. 2009;339:b4489. doi:10.1136/bmj.b4489. Copy Citation Format: …

456. Is yours a learning organization? | PSNet
     psnet.ahrq.gov/issue/yours-learning-organization
     March 18, 2019 - Newspaper/Magazine Article Is yours a learning organization? Citation Text: Garvin DA, Edmondson A, Gino F. Is yours a learning organization? Harv Bus Rev. 2008;86(3):109-16, 134. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tag…

457. Medication errors in pediatric inpatients: prevalence and results of a prevention program. | PSNet
     psnet.ahrq.gov/issue/medication-errors-pediatric-inpatients-prevalence-and-results-prevention-program
     May 22, 2019 - Study Medication errors in pediatric inpatients: prevalence and results of a prevention program. Citation Text: Otero P, Leyton A, Mariani G, et al. Medication errors in pediatric inpatients: prevalence and results of a prevention program. Pediatrics. 2008;122(3):e737-43. doi:10.1542/…

458. A piece of my mind. The art of constructive worrying. | PSNet
     psnet.ahrq.gov/issue/piece-my-mind-art-constructive-worrying
     June 10, 2020 - Commentary A piece of my mind. The art of constructive worrying. Citation Text: John CC. The Art of Constructive Worrying. JAMA. 2018;319(22):2273-2274. doi:10.1001/jama.2018.6670. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote t…

459. Teamwork in obstetric critical care. | PSNet
     psnet.ahrq.gov/issue/teamwork-obstetric-critical-care
     January 31, 2024 - Review Teamwork in obstetric critical care. Citation Text: Guise J-M, Segel S. Teamwork in obstetric critical care. Best Pract Res Clin Obstet Gynaecol. 2008;22(5):937-51. doi:10.1016/j.bpobgyn.2008.06.010. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3…

460. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49545/psn-pdf
     September 01, 2007 - Coming Undone: Failure of Closure Device September 1, 2007 Baez-Escudero JL, Levine GN. Coming Undone: Failure of Closure Device. PSNet [internet]. 2007. https://psnet.ahrq.gov/web-mm/coming-undone-failure-closure-device The Case A 65-year-old man underwent coronary angiography because of atypical exertional chest…