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1001. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-335
      April 27, 2022 - medication errors in the emergency department, such as the frequent use of verbal orders and the need for  weight-based

1002. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-404
      August 30, 2023 - year-old woman presented to the emergency department (ED) with shaking, weakness, poor oral intake and weight

1003. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-403
      August 30, 2023 - year-old woman presented to the emergency department (ED) with shaking, weakness, poor oral intake and weight

1004. No News May Not Be Good News | PSNet
      psnet.ahrq.gov/web-mm/no-news-may-not-be-good-news
      December 07, 2009 - a history of asthma was brought by her mother (a nurse) to see a pediatrician because of a 15-pound weight

1005. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49478/psn-pdf
      April 01, 2005 - moderate) chronic kidney disease by the National Kidney Foundation guidelines.(2) However, since her weight

1006. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/863308/psn-pdf
      February 28, 2024 - when-vomit-gets-way-aspiration-resulting-death-during-endoscopy The Case A 32-year-old woman with weight

1007. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49811/psn-pdf
      November 01, 2017 - the precipitating factors for myxedema coma in Case #2.(1,4) Amiodarone contains 37.25% iodine by weight

1008. False Assumptions Result in a Missed Pneumothorax after Bronchoscopy with Transbronchial Biopsy. | PSNet
      psnet.ahrq.gov/web-mm/false-assumptions-result-missed-pneumothorax-after-bronchoscopy-transbronchial-biopsy
      March 15, 2023 - navigational bronchoscopy with transbronchial biopsy for evaluation of lymphadenopathy, cough, and weight

1009. Strongyloides: A Hidden Traveler and Potentially Lethal Missed Diagnosis. | PSNet
      psnet.ahrq.gov/web-mm/strongyloides-hidden-traveler-and-potentially-lethal-missed-diagnosis
      August 25, 2021 - to consider the diagnosis of a parasitic infection, failure to order indicated tests, and too much weight

1010. Near Miss with Bedside Medications | PSNet
      psnet.ahrq.gov/web-mm/near-miss-bedside-medications
      February 01, 2006 - with decreasing his beta-blocker dose, the plan included having him inject himself with low-molecular-weight

1011. Crossing the Line | PSNet
      psnet.ahrq.gov/web-mm/crossing-line
      December 01, 2012 - Patient factors include extremes of weight, prior surgery in the area of the site, prior catheterization

1012. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866995/psn-pdf
      October 30, 2024 - orthopedic injuries and was relatively immobile for several days.12 Anticoagulation with low molecular weight

1013. Multiple High-Risk Events Involving Workflow for Wasting of Medications Used by Anesthesia | PSNet
      psnet.ahrq.gov/web-mm/multiple-high-risk-events-involving-workflow-wasting-medications-used-anesthesia
      August 29, 2021 - waste may also act as additional safety measures. 12,13 Utilizing standardized dosing based on age or weight

1014. Compare and Contrast | PSNet
      psnet.ahrq.gov/web-mm/compare-and-contrast
      July 16, 2019 - moderate) chronic kidney disease by the National Kidney Foundation guidelines.( 2 ) However, since her weight

1015. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837499/psn-pdf
      June 22, 2022 - Relationships between pediatric safety indicators across a national sample of pediatric hospitals: dispelling the myth of the "safest" hospital. June 22, 2022 Milliren CE, Bailey G, Graham DA, et al. Relationships between pediatric safety indicators across a national sample of pediatric hospitals: dispelling the m…

1016. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-292
      May 26, 2021 - Unfortunately, norepinephrine was incorrectly programmed into the infusion pump for a weight-based dose

1017. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-318
      November 30, 2021 - include updating the Standard Operating Procedures (SOPs), implementing a bar code system, and using a weight-based

1018. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/857259/psn-pdf
      November 30, 2023 - Medication Mix-Up Leads to Patient Death November 30, 2023 Sanchez L, Romano PS. Medication Mix-Up Leads to Patient Death. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/medication-mix-leads-patient-death The Case  An 81-year-old man was transferred from an outside hospital and admitted to the intensive car…

1019. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/860050/psn-pdf
      January 04, 2024 - Radiology Missed an Intracranial Bleed in a Lethargic Infant. January 4, 2024 Yuk J, Magana J. Radiology Missed an Intracranial Bleed in a Lethargic Infant. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/radiology-missed-intracranial-bleed-lethargic-infant The Case A 2-month-old full-term male infant was b…

1020. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42652/psn-pdf
      October 31, 2014 - Safety in numbers: the development of Leapfrog's composite patient safety score for US hospitals. October 31, 2014 Austin M, D'Andrea G, Birkmeyer JD, et al. Safety in numbers: the development of Leapfrog's composite patient safety score for U.S. hospitals. J Patient Saf. 2014;10(1):64-71. doi:10.1097/PTS.0b013e31…