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psnet.ahrq.gov/issue/underdiagnosis-hypertension-using-electronic-health-records
November 16, 2022 - Study
Underdiagnosis of hypertension using electronic health records.
Citation Text:
Banerjee D, Chung S, Wong EC, et al. Underdiagnosis of hypertension using electronic health records. Am J Hypertens. 2012;25(1):97-102. doi:10.1038/ajh.2011.179.
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psnet.ahrq.gov/issue/doctor-gave-me-inept-diagnosis-neurological-problem-i-should-know-im-neurologist
April 27, 2022 - Newspaper/Magazine Article
A doctor gave me an inept diagnosis for a neurological problem. I should know: I’m a neurologist.
Citation Text:
A doctor gave me an inept diagnosis for a neurological problem. I should know: I’m a neurologist. Horowitz SH. Washington Post. October 4, 2020…
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psnet.ahrq.gov/web-mm/listen-family
April 15, 2015 - Listen to the Family
Citation Text:
Campbell D. Listen to the Family. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004.
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psnet.ahrq.gov/web-mm/benefits-vs-risks-intraosseous-vascular-access
September 01, 2005 - Benefits vs. Risks of Intraosseous Vascular Access
Citation Text:
Fowler RL, Lippmann MJ. Benefits vs. Risks of Intraosseous Vascular Access. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014.
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psnet.ahrq.gov/node/844773/psn-pdf
September 11, 2019 - How Veterans Affairs failed to stop a pathologist who
misdiagnosed 3,000 cases.
September 11, 2019
Rein L. Washington Post. August 30, 2019.
https://psnet.ahrq.gov/issue/how-veterans-affairs-failed-stop-pathologist-who-misdiagnosed-3000-cases
Clinicians are often reluctant to report impaired or incompetent colleag…
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psnet.ahrq.gov/web-mm/missed-compartment-syndrome-after-steep-lithotomy-position-laparoscopic-gynecological
January 29, 2021 - Missed Compartment Syndrome after Steep Lithotomy Position for Laparoscopic Gynecological Surgery
Citation Text:
Bohringer C, Chavez G. Missed Compartment Syndrome after Steep Lithotomy Position for Laparoscopic Gynecological Surgery. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Qual…
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psnet.ahrq.gov/issue/radiologists-responses-inadequate-referrals
December 07, 2011 - Study
Radiologists' responses to inadequate referrals.
Citation Text:
Lysdahl KB, Hofmann BM, Espeland A. Radiologists' responses to inadequate referrals. Eur Radiol. 2010;20(5):1227-33. doi:10.1007/s00330-009-1640-y.
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psnet.ahrq.gov/web-mm/acute-care-admission-behavioral-health-patient
July 19, 2023 - Acute Care Admission of the Behavioral Health Patient
Citation Text:
Weiss AP, Rosenbaum JF. Acute Care Admission of the Behavioral Health Patient. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013.
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psnet.ahrq.gov/web-mm/premature-or-overdue
December 23, 2020 - Premature or Overdue?
Citation Text:
Thomas J, Hannah M. Premature or Overdue?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003.
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psnet.ahrq.gov/web-mm/infused-not-ingested
February 01, 2017 - Infused, Not Ingested
Citation Text:
Foley M. Infused, Not Ingested. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005.
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psnet.ahrq.gov/web-mm/management-cardiac-arrest-unconventional-locations
June 14, 2023 - Management of Cardiac Arrest in Unconventional Locations.
Citation Text:
Agrawal G, Molla M. Management of Cardiac Arrest in Unconventional Locations.. 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/web-mm/pca-overdose
April 01, 2017 - PCA Overdose
Citation Text:
Doyle JD. PCA Overdose. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005.
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Dow…
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psnet.ahrq.gov/web-mm/shake-well
September 01, 2006 - Shake Well
Citation Text:
Flynn EA. Shake Well. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003.
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Downloa…
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psnet.ahrq.gov/Webmm/submit-case-info
Selection Criteria and Honorarium Information
How it works
Health care professionals may submit de-identified cases that highlight medical errors or other patient
safety/quality
issues. Note that you can choose to submit cases either …
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psnet.ahrq.gov/issue/patients-should-know-whos-operating-surgeons-say
May 15, 2024 - Newspaper/Magazine Article
Patients should know who's operating, surgeons say.
Citation Text:
Patients should know who's operating, surgeons say. Laber-Warren E. MedPage Today. April 5, 2022.
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psnet.ahrq.gov/issue/development-and-psychometric-analysis-patient-reported-measure-diagnostic-excellence
January 10, 2024 - Study
Development and psychometric analysis of a patient-reported measure of diagnostic excellence for emergency and urgent care settings.
Citation Text:
Gleason KT, Dukhanin V, Peterson SK, et al. Development and psychometric analysis of a patient-reported measure of diagnostic excellen…
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psnet.ahrq.gov/web-mm/unhappy-patient-leaves-against-medical-advice
January 31, 2024 - The Unhappy Patient Leaves Against Medical Advice.
Citation Text:
Nichols A. The Unhappy Patient Leaves Against Medical Advice.. 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/node/865967/psn-pdf
May 29, 2024 - Impact of diagnostic management team on patient time to
diagnosis and percent of accurate and clinically
actionable diagnoses.
May 29, 2024
Brashear J, Mize R, Laposata M, et al. Impact of diagnostic management team on patient time to diagnosis
and percent of accurate and clinically actionable diagnoses. Diagnosis…
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psnet.ahrq.gov/node/866589/psn-pdf
August 28, 2024 - Developing a process to measure actual harm from
medication errors in paediatric inpatients: from design to
implementation.
August 28, 2024
Mumford V, Raban MZ, Li L, et al. Developing a process to measure actual harm from medication errors in
paediatric inpatients: from design to implementation. Br J Clin Pharmac…
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/syphilis-infection-in-pregnancy-screening
May 13, 2025 - Share to Facebook
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Final Recommendation Statement
Syphilis Infection During Pregnancy: Screening
May 13, 2025
Recommendations made by the USPSTF are independent of the U.S. government. …