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psnet.ahrq.gov/issue/hard-talk-dealing-disruptive-physician
April 24, 2018 - Review
The hard talk: dealing with the disruptive physician.
Citation Text:
Rossano JW, Berger S, Penny DJ. The hard talk: dealing with the disruptive physician. Prog Pediatr Cardiol. 2020;59:101315. doi:10.1016/j.ppedcard.2020.101315.
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psnet.ahrq.gov/issue/quantifying-and-monitoring-overdiagnosis-cancer-screening-systematic-review-methods
September 15, 2021 - Review
Quantifying and monitoring overdiagnosis in cancer screening: a systematic review of methods.
Citation Text:
Carter JL, Coletti RJ, Harris RP. Quantifying and monitoring overdiagnosis in cancer screening: a systematic review of methods. BMJ. 2015;350:g7773. doi:10.1136/bmj.g7773. …
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psnet.ahrq.gov/issue/promoting-patient-safety-perioperative-hand-communication
April 22, 2011 - Commentary
Promoting patient safety with perioperative hand-off communication.
Citation Text:
Robinson NL. Promoting Patient Safety With Perioperative Hand-off Communication. J Perianesth Nurs. 2016;31(3):245-53. doi:10.1016/j.jopan.2014.08.144.
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psnet.ahrq.gov/issue/evaluation-collaborative-safety-focused-nurse-pharmacist-intervention-improving-accuracy
April 28, 2010 - Study
An evaluation of a collaborative, safety focused, nurse–pharmacist intervention for improving the accuracy of the medication history.
Citation Text:
Henneman EA, Tessier EG, Nathanson BH, et al. An evaluation of a collaborative, safety focused, nurse-pharmacist intervention for imp…
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psnet.ahrq.gov/issue/prevalence-study-errors-opioid-prescribing-large-teaching-hospital
October 19, 2022 - Study
A prevalence study of errors in opioid prescribing in a large teaching hospital.
Citation Text:
Davies D, Schneider F, Childs S, et al. A prevalence study of errors in opioid prescribing in a large teaching hospital. Int J Clin Pract. 2011;65(9):923-9. doi:10.1111/j.1742-1241.201…
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psnet.ahrq.gov/issue/teaching-not-learning-how-medical-residency-programs-handle-errors
December 18, 2008 - Study
Teaching but not learning: how medical residency programs handle errors.
Citation Text:
Hoff T, Pohl H, Bartfield J. Teaching but not learning: how medical residency programs handle errors. J Organ Behav. 2006;27(7). doi:10.1002/job.395.
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psnet.ahrq.gov/web-mm/or
August 22, 2013 - Toxic Tachycardia
October 1, 2007
Risk reduction for adverse … drug events through sequential implementation of patient safety initiatives in a children's hospital
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psnet.ahrq.gov/web-mm/home-medications-contribute-unique-opportunity-error-discharge-hospital
May 16, 2022 - Home Medications Contribute to a Unique Opportunity for Error on Discharge from the Hospital
Citation Text:
Agrawal G, Nguyen DM. Home Medications Contribute to a Unique Opportunity for Error on Discharge from the Hospital.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US De…
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psnet.ahrq.gov/web-mm/premature-closure-was-it-just-syncope
February 10, 2021 - SPOTLIGHT CASE
Premature Closure: Was It Just Syncope?
Citation Text:
Maurier D, Barnes DK. Premature Closure: Was It Just Syncope?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020.
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psnet.ahrq.gov/node/49504/psn-pdf
March 01, 2006 - Liposuction Gone Awry
March 1, 2006
Yates JA. Liposuction Gone Awry. PSNet [internet]. 2006.
https://psnet.ahrq.gov/web-mm/liposuction-gone-awry
The Case
A 54-year-old man with HIV was referred to a plastic surgeon for cosmetic surgery. In the plastic surgeon’s
office, he underwent neck and facial liposuction wit…
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psnet.ahrq.gov/web-mm/next-step-use-pre-operative-checklist-prevent-missteps
April 24, 2018 - The Next Step: Use of a Pre-Operative Checklist to Prevent Missteps
Citation Text:
Sauder C, Kleber KT. The Next Step: Use of a Pre-Operative Checklist to Prevent Missteps. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022.
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psnet.ahrq.gov/perspective/patient-safety-during-hospital-discharge
April 01, 2018 - 2 ) Risks include, but are not limited to, deterioration related to the reason for hospitalization, adverse … drug reactions, hospital-acquired infections, and other problems unrelated to the reason for hospitalization … Effect of an electronic medication reconciliation application and process redesign on potential adverse … drug events: a cluster-randomized trial.
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psnet.ahrq.gov/web-mm/vial-mistakes-involving-heparin
May 11, 2014 - Vial Mistakes Involving Heparin
Citation Text:
Vanderveen T. Vial Mistakes Involving Heparin. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009.
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psnet.ahrq.gov/web-mm/looking-meds-all-wrong-places
June 16, 2021 - Looking for Meds in All the Wrong Places
Citation Text:
Manias E. Looking for Meds in All the Wrong Places. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012.
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psnet.ahrq.gov/web-mm/out-sight-out-mind-out-office-test-result-management
September 01, 2007 - Effect of an electronic medication reconciliation application and process redesign on potential adverse … drug events: a cluster-randomized trial. … May 27, 2011
Medication dispensing errors and potential adverse drug events before and
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psnet.ahrq.gov/perspective/accreditation-and-regulation-can-they-help-improve-patient-safety
April 01, 2009 - Accreditation and Regulation: Can They Help Improve Patient Safety?
Rebecca N. Warburton, PhD | April 1, 2009
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Warburton RN. Accreditation and Regulation: Can They Help Improve Pat…
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psnet.ahrq.gov/issue/computerized-decision-support-medication-dosing-renal-insufficiency-randomized-controlled
September 30, 2009 - Study
Computerized decision support for medication dosing in renal insufficiency: a randomized, controlled trial.
Citation Text:
Terrell KM, Perkins AJ, Hui SL, et al. Computerized decision support for medication dosing in renal insufficiency: a randomized, controlled trial. Ann Emerg …
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psnet.ahrq.gov/issue/medication-prescribing-errors-teaching-hospital
December 23, 2008 - Study
Classic
Medication prescribing errors in a teaching hospital.
Citation Text:
Lesar TS, Briceland LL, Delcoure K, et al. Medication prescribing errors in a teaching hospital. JAMA. 1990;263(17):2329-34.
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psnet.ahrq.gov/issue/accuracy-popular-online-symptom-checker-ophthalmic-diagnoses
March 04, 2011 - Study
Accuracy of a popular online symptom checker for ophthalmic diagnoses.
Citation Text:
Shen C, Nguyen M, Gregor A, et al. Accuracy of a Popular Online Symptom Checker for Ophthalmic Diagnoses. JAMA Ophthalmol. 2019;137(6):690-692. doi:10.1001/jamaophthalmol.2019.0571.
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psnet.ahrq.gov/issue/patients-expectations-benefits-and-harms-treatments-screening-and-tests-systematic-review
September 29, 2017 - Review
Patients' expectations of the benefits and harms of treatments, screening, and tests: a systematic review.
Citation Text:
Hoffmann TC, Del Mar C. Patients' expectations of the benefits and harms of treatments, screening, and tests: a systematic review. JAMA Intern Med. 2015;175(2)…