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psnet.ahrq.gov/issue/deficiencies-veterans-crisis-line-response-veteran-caller-who-died
September 30, 2020 - Book/Report
Deficiencies in the Veterans Crisis Line Response to a Veteran Caller Who Died.
Citation Text:
Deficiencies in the Veterans Crisis Line Response to a Veteran Caller Who Died. Washington, DC: Department of Veterans Affairs, Office of Inspector General; November 17, 2020. Repor…
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psnet.ahrq.gov/issue/clinician-directed-performance-improvement-moving-beyond-externally-mandated-metrics
July 10, 2008 - Commentary
Clinician-directed performance improvement: moving beyond externally mandated metrics.
Citation Text:
Goitein L. Clinician-directed performance improvement: moving beyond externally mandated metrics. Health Aff (Millwood). 2020;39(2). doi:10.1377/hlthaff.2019.00505.
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psnet.ahrq.gov/issue/potentially-inappropriate-prescribing-elderly-patients-2-outpatient-settings
November 18, 2009 - Study
Potentially inappropriate prescribing for elderly patients in 2 outpatient settings.
Citation Text:
Maio V, Hartmann CW, Poston S, et al. Potentially inappropriate prescribing for elderly patients in 2 outpatient settings. Am J Med Qual. 2006;21(3):162-8.
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Form…
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psnet.ahrq.gov/issue/reducing-errors-resulting-commonly-missed-chest-radiography-findings
August 20, 2018 - Commentary
Reducing errors resulting from commonly missed chest radiography findings.
Citation Text:
Gefter WB, Hatabu H. Reducing errors resulting from commonly missed chest radiography findings. Chest. 2023;163(3):634-649. doi:10.1016/j.chest.2022.12.003.
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Format:
…
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psnet.ahrq.gov/issue/developing-and-evaluating-clinical-leadership-interventions-frontline-healthcare-providers
May 01, 2024 - Review
Emerging Classic
Developing and evaluating clinical leadership interventions for frontline healthcare providers: a review of the literature.
Citation Text:
Mianda S, Voce A. Developing and evaluating clinical leadership interventions for frontline healthc…
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psnet.ahrq.gov/issue/electronic-health-record-usability-contributions-patient-safety-and-clinician-burnout-path
December 21, 2022 - Commentary
Electronic health record usability contributions to patient safety and clinician burnout: a path forward.
Citation Text:
Schwappach DLB, Ratwani RM. Electronic health record usability contributions to patient safety and clinician burnout: a path forward. J Patient Saf. 2023;19…
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psnet.ahrq.gov/issue/emergency-department-volume-and-delayed-diagnosis-serious-pediatric-conditions
September 13, 2023 - Study
Emergency department volume and delayed diagnosis of serious pediatric conditions.
Citation Text:
Michelson KA, Rees CA, Florin TA, et al. Emergency department volume and delayed diagnosis of serious pediatric conditions. JAMA Pediatr. 2024;178(4):362-368. doi:10.1001/jamapediatric…
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psnet.ahrq.gov/issue/outcomes-missed-diagnosis-pediatric-appendicitis-new-onset-diabetic-ketoacidosis-and-sepsis
September 29, 2021 - Study
Outcomes of missed diagnosis of pediatric appendicitis, new-onset diabetic ketoacidosis, and sepsis in five pediatric hospitals.
Citation Text:
Michelson KA, Bachur RG, Grubenhoff JA, et al. Outcomes of missed diagnosis of pediatric appendicitis, new-onset diabetic ketoacidosis, an…
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psnet.ahrq.gov/issue/disclosure-nonharmful-medical-errors-and-other-events-duty-disclose
January 23, 2017 - Commentary
Disclosure of "nonharmful" medical errors and other events: duty to disclose.
Citation Text:
Chamberlain CJ, Koniaris LG, Wu AW, et al. Disclosure of "nonharmful" medical errors and other events: duty to disclose. Arch Surg. 2012;147(3):282-6. doi:10.1001/archsurg.2011.1005.
…
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psnet.ahrq.gov/issue/disparities-diagnostic-timeliness-and-outcomes-pediatric-appendicitis
September 13, 2023 - Study
Disparities in diagnostic timeliness and outcomes of pediatric appendicitis.
Citation Text:
Michelson KA, Bachur RG, Rangel SJ, et al. Disparities in diagnostic timeliness and outcomes of pediatric appendicitis. JAMA Netw Open. 2024;7(1):e2353667. doi:10.1001/jamanetworkopen.2023.5…
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psnet.ahrq.gov/issue/unconscious-bias-among-health-professionals-scoping-review
December 10, 2008 - Review
Unconscious bias among health professionals: a scoping review.
Citation Text:
Meidert U, Dönnges G, Bucher T, et al. Unconscious bias among health professionals: a scoping review. Int J Environ Res Public Health. 2023;20(16):6569. doi:10.3390/ijerph20166569.
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Fo…
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psnet.ahrq.gov/node/866839/psn-pdf
September 25, 2024 - It is therefore imperative to maintain a high index of suspicion for
foreign material when assessing
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psnet.ahrq.gov/node/72586/psn-pdf
December 23, 2020 - Assessing competence to consent to treatment: A guide for physicians
and other health professionals.
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psnet.ahrq.gov/perspective/conversation-amy-c-edmondson-phd-am
February 01, 2017 - In Conversation With… Amy C. Edmondson, PhD, AM
February 1, 2017
Also Read an Essay
Citation Text:
In Conversation With… Amy C. Edmondson, PhD, AM. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Ser…
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psnet.ahrq.gov/perspective/lesson-vas-team-training-program
November 01, 2011 - Lesson from the VA's Team Training Program
Julia Neily, RN, MS, MPH; Peter D. Mills, PhD, MS; Lisa M. Mazzia, MD; and Douglas E. Paull,MD | November 1, 2011
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Neily J, Mills PD, Pa…
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psnet.ahrq.gov/sites/default/files/2020-03/final_spotlight_case_delays_in_the_ed_powerpoint_for_cme_review_03.09.2020.pdf
January 01, 2020 - Spotlight
Spotlight
Some Patients Can’t Wait:
Improving Timeliness of
Emergency Department Care
Source and Credits
• This presentation is based on the 2020 AHRQ WebM&M Spotlight
Case
○ See the full article at https://psnet.ahrq.gov/webmm
• Commentary by: David K. Barnes, MD, FACEP and Rita Chang, MD
○ Editor…
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psnet.ahrq.gov/sites/default/files/2022-08/final_spotlight_case_mesenteric_ischemia_08.05.2022.pdf
January 01, 2022 - Spotlight
Spotlight
Delayed Diagnosis of Mesenteric Ischemia
Source and Credits
• This presentation is based on the August 2022 AHRQ WebM&M
Spotlight Case
o See the full article at https://psnet.ahrq.gov/webmm
o CME credit is available
o Commentary by: Anamaria Robles, MD, and Garth Utter, MD, MSc
o AHRQ WebM&M…
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psnet.ahrq.gov/node/836885/psn-pdf
May 16, 2022 - Management of Cardiac Arrest in Unconventional
Locations.
May 16, 2022
Agrawal G, Molla M. Management of Cardiac Arrest in Unconventional Locations. PSNet [internet]. 2022.
https://psnet.ahrq.gov/web-mm/management-cardiac-arrest-unconventional-locations
The Case
Case #1: An 80-year-old man with history of Parkins…
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psnet.ahrq.gov/node/865412/psn-pdf
March 27, 2024 - Delayed Diagnosis and Treatment of Systemic Lupus
Erythematosus with a Psychiatric Presentation
March 27, 2024
Bourgeois JA, Xiong G. Delayed Diagnosis and Treatment of Systemic Lupus Erythematosus with a
Psychiatric Presentation. PSNet [internet]. 2024.
https://psnet.ahrq.gov/web-mm/delayed-diagnosis-and-treatmen…
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psnet.ahrq.gov/node/837660/psn-pdf
July 08, 2022 - An Incomplete Anesthesia History Leads to Adverse
Outcomes
July 8, 2022
Bohringer C. An Incomplete Anesthesia History Leads to Adverse Outcomes. PSNet [internet]. 2022.
https://psnet.ahrq.gov/web-mm/incomplete-anesthesia-history-leads-adverse-outcomes
The Cases
Case 1: A 64-year-old man came in for a routine bron…