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psnet.ahrq.gov/issue/national-comparative-audit-blood-transfusion
March 17, 2011 - Government Resource
National Comparative Audit of Blood Transfusion.
Citation Text:
National Comparative Audit of Blood Transfusion. Royal College of Phyisicians; National Blood Service
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psnet.ahrq.gov/issue/hazard-impatient-medicine
June 26, 2013 - Newspaper/Magazine Article
A hazard of impatient medicine.
Citation Text:
A hazard of impatient medicine. Gunderman R, Lynch J, Harrell H. The Atlantic. September 3, 2013.
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psnet.ahrq.gov/issue/living-cancer-not-talking-about-medical-mistakes
January 15, 2014 - Newspaper/Magazine Article
Living with cancer: not talking about medical mistakes.
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Living with cancer: not talking about medical mistakes. Gubar S.
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psnet.ahrq.gov/issue/using-web-or-app-instead-seeing-doctor-caution-advised
December 16, 2015 - Newspaper/Magazine Article
Using the web or an app instead of seeing a doctor? Caution is advised.
Citation Text:
Using the web or an app instead of seeing a doctor? Caution is advised. Frakt A. New York Times. July 11, 2016.
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psnet.ahrq.gov/issue/mgh-death-spurs-review-patient-monitors
October 05, 2011 - Newspaper/Magazine Article
MGH death spurs review of patient monitors.
Citation Text:
MGH death spurs review of patient monitors. Kowalczyk L. Boston Globe. February 21, 2010.
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psnet.ahrq.gov/issue/how-guide-prevent-obstetrical-adverse-events
August 08, 2012 - Book/Report
How-to Guide: Prevent Obstetrical Adverse Events.
Citation Text:
How-to Guide: Prevent Obstetrical Adverse Events. Cambridge, MA: Institute for Healthcare Improvement; 2012.
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psnet.ahrq.gov/issue/er-kicks-habit-opioids-pain
May 27, 2020 - Newspaper/Magazine Article
An E.R. kicks the habit of opioids for pain.
Citation Text:
An E.R. kicks the habit of opioids for pain. Hoffman J. New York Times. June 10, 2016.
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psnet.ahrq.gov/node/33795/psn-pdf
November 01, 2015 - The idea was to post anonymously submitted cases of medical errors
or near misses, with those cases … We
have published 360 cases, which have been widely used in teaching and republished by several other … built links from
PSNet resources into our WebM&M commentaries, and, conversely, often cited WebM&M cases … The cases and commentaries will
continue to be called "WebM&M," which will persist as a section within … journal
articles, websites, conferences, primers, and the like, but also highlight relevant WebM&M cases
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psnet.ahrq.gov/node/44353/psn-pdf
November 03, 2015 - This study used standardized patient cases to examine the accuracy of 23
publicly available services … of instances and
listed the correct diagnosis in the top 20 possible diagnoses in more than half of cases … Certain symptom checkers encouraged users to seek care in cases where self-care
was reasonable.
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psnet.ahrq.gov/issue/handoff-communication-between-hospital-and-outpatient-dialysis-units-patient-discharge
August 20, 2018 - May 27, 2015
WebM&M Cases
Sloppy and Paste
July 1 … , 2012
WebM&M Cases
A Painful Dilemma
June … January 19, 2011
WebM&M Cases
Failure to Reevaluate … December 1, 2010
WebM&M Cases
Dangerous Dialysis
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psnet.ahrq.gov/issue/multitasking-during-patient-handover-recovery-room
October 05, 2011 - March 14, 2022
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DNR in the OR and Afterwards … September 1, 2006
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Around the … Block
March 1, 2005
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Fumbled Handoff
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psnet.ahrq.gov/issue/best-medical-care-world
December 21, 2014 - December 18, 2019
WebM&M Cases
Spotlight: Mistaken Attribution … December 19, 2018
WebM&M Cases
Diagnosing a Missed Diagnosis … August 13, 2014
WebM&M Cases
Dependence vs. … Pain
July 1, 2008
WebM&M Cases
When "Psychiatric
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psnet.ahrq.gov/issue/oxytocin-high-alert-medication-implications-perinatal-patient-safety
September 29, 2010 - December 4, 2019
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WebM&M Cases … Error During Spinal Epidural Anesthesia
August 30, 2023
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A multidisciplinary model for reviewing severe maternal morbidity cases … May 29, 2013
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Failure to Latch
September
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psnet.ahrq.gov/issue/medication-errors-intravenous-drug-preparation-and-administration-multicentre-audit-uk
December 04, 2015 - May 28, 2015
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WebM&M Cases … January 12, 2011
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A Troubling Amine
September … 1, 2006
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It's All in the Syringe … August 1, 2006
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Citrate Mix-Up
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psnet.ahrq.gov/issue/residency-training-handoffs-survey-program-directors-psychiatry
January 01, 2019 - Download Citation
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WebM&M Cases … November 10, 2021
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A Seasonal Care Transition … Failure
July 1, 2011
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July Syndrome … January 28, 2011
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psnet.ahrq.gov/issue/no-shortcuts-safer-opioid-prescribing
March 30, 2016 - May 27, 2020
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Diagnosing HIV-It Doesn't Take … a Brain Surgeon
May 1, 2008
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A … January 29, 2018
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The Empty Bag
December … February 17, 2015
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Poor Prognosis
September
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psnet.ahrq.gov/issue/medication-safety-operating-room-survey-preparation-methods-and-drug-concentration
December 22, 2018 - Perspective: Topics in Medication Safety
March 31, 2022
WebM&M Cases … and Consequences in the Operating Room
October 27, 2021
WebM&M Cases … PCA) Opioid-Induced Respiratory Depression
May 27, 2020
WebM&M Cases … January 2, 2011
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Crossed Coverage
February
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psnet.ahrq.gov/issue/clinical-triggers-and-vital-signs-influencing-crisis-acknowledgment-and-calls-help
June 15, 2012 - September 26, 2016
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psnet.ahrq.gov/issue/implementing-patient-safety-and-quality-program-across-two-merged-pediatric-institutions
June 03, 2013 - December 3, 2018
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Situational (Un)Awareness … September 1, 2011
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Is the Admission … August 1, 2009
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DRESSed for Failure … April 7, 2010
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May
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psnet.ahrq.gov/issue/cognitive-biases-and-moral-characteristics-healthcare-workers-and-their-treatment-approach
March 28, 2018 - Improving Diagnostic Safety and Quality
April 26, 2023
WebM&M Cases … December 22, 2018
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Engaging Seriously Ill … November 23, 2016
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Deciphering the Code … February 1, 2006
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Poor Prognosis