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psnet.ahrq.gov/innovation/clinical-pharmacy-specialists-provide-transitional-care-and-improve-medication-safety
April 24, 2024 - Clinical Pharmacy Specialists Provide Transitional Care and Improve Medication Safety After Discharge at Memphis Veterans Affairs Medical Center
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May 16, 2022
Innovation …
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psnet.ahrq.gov/web-mm/dissecting-presentation
July 01, 2017 - SPOTLIGHT CASE
Dissecting the Presentation
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Shirley Beng Suat Ooi, MBBS (S'pore) | April 1, 2015
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psnet.ahrq.gov/perspective/count-and-be-counted-preparing-future-pharmacists-promote-culture-safety
April 01, 2006 - Count and Be Counted: Preparing Future Pharmacists to Promote a Culture of Safety
Brian K. Alldredge, PharmD; Mary Anne Koda-Kimble, PharmD | April 1, 2006
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psnet.ahrq.gov/web-mm/wrong-channel
November 01, 2006 - The Wrong Channel
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John Gosbee, MD, MS | September 1, 2005
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The Case A 28-year-old woman in labor began receiving treatment wi…
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psnet.ahrq.gov/web-mm/liposuction-gone-awry
March 29, 2023 - Liposuction Gone Awry
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James A. Yates, MD | March 1, 2006
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The Case A 54-year-old man with HIV was referred to a plastic surgeon …
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psnet.ahrq.gov/web-mm/impatient-inpatient-dosing
November 16, 2022 - SPOTLIGHT CASE
Impatient Inpatient Dosing
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Richard H. White, MD | August 21, 2005
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Case Objectives Appreciate…
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psnet.ahrq.gov/perspective/conversation-brian-jarman-phd
March 01, 2015 - In Conversation With… Brian Jarman, PhD
March 1, 2015
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Editor's note: Sir Brian Jarman is an emeritus profess…
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psnet.ahrq.gov/web-mm/missed-appendicitis
February 27, 2008 - SPOTLIGHT CASE
Missed Appendicitis
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James G. Adams, MD | June 1, 2003
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Appreciate the variable…
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psnet.ahrq.gov/web-mm/delayed-diagnosis-setting-virtual-care-remembering-physical-examination
August 31, 2022 - Delayed Diagnosis in the Setting of Virtual Care: Remembering the Physical Examination
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Wesley Valdes, DO and Garth Utter, MD, MSc
| March 31, 2021
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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
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Peter Lindenauer, MD, MSc | November 1, 2006
Vi…
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psnet.ahrq.gov/web-mm/reflexive-diagnosis-primary-care
April 01, 2008 - SPOTLIGHT CASE
A "Reflexive" Diagnosis in Primary Care
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John Betjemann, MD, and S. Andrew Josephson, MD | April 1, 2014
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psnet.ahrq.gov/web-mm/sleep-deprivation-leads-medication-error-during-spinal-epidural-anesthesia
March 29, 2023 - Sleep Deprivation Leads to Medication Error During Spinal Epidural Anesthesia.
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By Christian Bohringer, MBBS, and Ryan Osborne, MD | August 30, 2023
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psnet.ahrq.gov/Issues
June 23, 2021 - Issues
PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly Updates, WebM&M, and Perspectives on Safety. Current Issue highlights what's new this week in patient safety literature, news, conferences, reports, a…
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psnet.ahrq.gov/issues
June 23, 2021 - Issues
PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly Updates, WebM&M, and Perspectives on Safety. Current Issue highlights what's new this week in patient safety literature, news, conferences, reports, a…
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psnet.ahrq.gov/web-mm/anemia-and-delayed-colon-cancer-diagnosis
October 01, 2008 - SPOTLIGHT CASE
Anemia and Delayed Colon Cancer Diagnosis
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Mythili P. Pathipati, MD, and James M. Richter, MD | August 10, 2019
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psnet.ahrq.gov/web-mm/duty-disclose-someone-elses-error
June 01, 2004 - SPOTLIGHT CASE
Duty to Disclose Someone Else's Error?
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Thomas H. Gallagher, MD | May 1, 2011
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psnet.ahrq.gov/perspective/where-does-risk-adjusted-mortality-fit-safety-measurement-program
March 01, 2015 - Where Does Risk-Adjusted Mortality Fit Into a Safety Measurement Program?
Ian Scott, MBBS, MHA, MEd | March 1, 2015
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psnet.ahrq.gov/web-mm/beeline-spine
March 01, 2014 - SPOTLIGHT CASE
Beeline to Spine
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Gerald W. Smetana, MD | June 1, 2007
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Case Objectives Understand the elements…
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psnet.ahrq.gov/perspective/conversation-withjoseph-britto-md
February 01, 2007 - In Conversation with...Joseph Britto, MD
February 1, 2007
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Editor's Note: Joseph Britto, MD, is CEO and Co-fou…
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psnet.ahrq.gov/web-mm/intraosseous-line-extravasation-pediatric-trauma-patient
September 29, 2021 - SPOTLIGHT CASE
CE/MOC
Intraosseous Line Extravasation in a Pediatric Trauma Patient
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David Barnes, MD and Joseph Yoon, MD
| April 27, 202…