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psnet.ahrq.gov/issue/missing-cancer-diagnosis
November 12, 2014 - Newspaper/Magazine Article
Missing a cancer diagnosis.
Citation Text:
Missing a cancer diagnosis. Gubar S.
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psnet.ahrq.gov/issue/iom-panel-reviews-lessons-medication-safety
September 30, 2009 - Newspaper/Magazine Article
IOM panel reviews lessons for medication safety.
Citation Text:
IOM panel reviews lessons for medication safety. Young D.
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psnet.ahrq.gov/issue/frederick-mothers-burning-inspires-daughters-activism
June 24, 2020 - Newspaper/Magazine Article
Frederick mother's burning inspires daughter's activism.
Citation Text:
Frederick mother's burning inspires daughter's activism. Levine S.
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psnet.ahrq.gov/issue/tackling-tube-misconnections
August 17, 2016 - Newspaper/Magazine Article
Tackling tube misconnections.
Citation Text:
Tackling tube misconnections. Landro L.
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psnet.ahrq.gov/issue/national-patient-safety-foundation-research-program
November 23, 2016 - Grant Announcement
The National Patient Safety Foundation Research Program.
Citation Text:
The National Patient Safety Foundation Research Program. National Patient Safety Foundation
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psnet.ahrq.gov/issue/why-need-reduce-medical-errors-not-obvious
January 23, 2019 - Commentary
Why the need to reduce medical errors is not obvious.
Citation Text:
Why the need to reduce medical errors is not obvious. Buetow S.
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psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-24
June 16, 2019 - Commentary
ISMP medication error report analysis.
Citation Text:
ISMP medication error report analysis. Cohen MR. Hosp Pharm. 2008;43(4):257-260.
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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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WebM&M Cases … July 8, 2008
WebM&M Cases
DNR in the OR and Afterwards … September 1, 2006
WebM&M Cases
Around the … Block
March 1, 2005
WebM&M Cases
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
WebM&M Cases … June 28, 2023
A multidisciplinary model for reviewing severe maternal morbidity cases … May 29, 2013
WebM&M Cases
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
WebM&M Cases
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
WebM&M Cases
Diagnosing HIV-It Doesn't Take … a Brain Surgeon
May 1, 2008
WebM&M Cases
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
WebM&M Cases
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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WebM&M Cases … Intraoperative Awareness during Rhinoplasty
July 31, 2024
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Sudden Collapse During
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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
WebM&M Cases
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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Privacy Gone Awry
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