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psnet.ahrq.gov/web-mm/communication-error-closed-icu
July 01, 2016 - Communication Error in a Closed ICU
Citation Text:
Haas B, Conn LG. Communication Error in a Closed ICU. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
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psnet.ahrq.gov/web-mm/mechanical-prosthetic-valve-thrombosis-thromboembolism
August 21, 2005 - Mechanical Prosthetic Valve Thrombosis with Thromboembolism.
Citation Text:
Hedayati N, White RO. Mechanical Prosthetic Valve Thrombosis with Thromboembolism.. 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/delay-initiating-antibiotics-results-fatal-error
August 02, 2015 - SPOTLIGHT CASE
Delay in Initiating Antibiotics Results in Fatal Error
Citation Text:
Bellini LM. Delay in Initiating Antibiotics Results in Fatal Error. 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/result-stopped-here
December 01, 2006 - The Result Stopped Here
Citation Text:
Astion ML. The Result Stopped Here. 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/standard-deviations
January 01, 2006 - SPOTLIGHT CASE
Standard Deviations
Citation Text:
Sabin JE. Standard Deviations. 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/elopement
July 14, 2010 - SPOTLIGHT CASE
Elopement
Citation Text:
Gerardi D. Elopement. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2007.
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hcup-us.ahrq.gov/reports/statbriefs/sb33.pdf
June 01, 2007 - Statistical Brief #33: Reasons for Being Admitted to the Hospital through the Emergency Department for Children and Adolescents, 2004
HEALTHCARE COST AND
UTILIZATION PROJECT
Agen
Res
June 2007
Reasons for Being Admitted to the
Hospital through the Emergency
Department for Children and
…
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psnet.ahrq.gov/web-mm/empiric-steroids-good-bad-and-ugly
June 01, 2015 - SPOTLIGHT CASE
Empiric Steroids: the Good, the Bad, and the Ugly
Citation Text:
Harris ED. Empiric Steroids: the Good, the Bad, and the Ugly. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008.
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psnet.ahrq.gov/innovation/e-autopsye-biopsy-systematic-chart-review-increase-safety-and-diagnostic-accuracy
April 01, 2005 - The e-Autopsy/e-Biopsy: A Systematic Chart Review to Increase Safety and Diagnostic Accuracy Innovation
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August 30, 2023
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psnet.ahrq.gov/issue/discussion-medical-errors-morbidity-and-mortality-conferences
August 04, 2015 - Study
Classic
Discussion of medical errors in morbidity and mortality conferences.
Citation Text:
Pierluissi E, Fischer M, Campbell AR, et al. Discussion of medical errors in morbidity and mortality conferences. JAMA. 2003;290(21):2838-2842.
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psnet.ahrq.gov/issue/missed-diagnosis-stroke-emergency-department-cross-sectional-analysis-large-population-based
April 08, 2018 - Study
Missed diagnosis of stroke in the emergency department: a cross-sectional analysis of a large population-based sample.
Citation Text:
Newman-Toker DE, Moy E, Valente E, et al. Missed diagnosis of stroke in the emergency department: a cross-sectional analysis of a large population-b…
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hcup-us.ahrq.gov/reports/statbriefs/sb50.pdf
April 01, 2008 - Clostridium Difficile-Associated Disease in U.S. Hospitals, 1993-2005
HEALTHCARE COST AND
UTILIZATION PROJECT Agen
Res
April 2008
Highli
The number o
discharges wi
than doubled
2005, a trend
considerably s
prior 8-year pe
which the num
increased by 7
CDAD primari
elderly patient
thi…
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www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-summary94/syphilis-infection-in-pregnancy-screening-2009
May 15, 2009 - Share to Facebook
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archived
Final Evidence Summary
Syphilis Infection in Pregnancy: Screening
May 15, 2009
Recommendations made by the USPSTF are independent of the U.S. government. They …
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psnet.ahrq.gov/node/35405/psn-pdf
December 14, 2007 - Use of administrative data to find substandard care:
validation of the complications screening program.
December 14, 2007
Weingart SN, Iezzoni LI, Davis RB, et al. Use of Administrative Data to Find Substandard Care. Med Care.
2003;38(8):796-806. doi:10.1097/00005650-200008000-00004.
https://psnet.ahrq.gov/issue/u…
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psnet.ahrq.gov/node/34863/psn-pdf
June 12, 2007 - Internal Bleeding: The Truth Behind America's Terrifying
Epidemic of Medical Mistakes. Updated edition.
June 12, 2007
Wachter R, Shojania K. New York: Rugged Land; 2005. ISBN: 9781590710739.
https://psnet.ahrq.gov/issue/internal-bleeding-truth-behind-americas-terrifying-epidemic-medical-mistakes-
updated-edition
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psnet.ahrq.gov/web-mm/mark-my-limb
February 10, 2015 - Mark My Limb
Citation Text:
Jacott WE, O'Leary D. Mark My Limb. 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/issue/ehrs-er-doctors-adapt-concerns-emerge-about-medical-errors
September 01, 2016 - Newspaper/Magazine Article
EHRs in the ER: as doctors adapt, concerns emerge about medical errors.
Citation Text:
EHRs in the ER: as doctors adapt, concerns emerge about medical errors. Luthra S.
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psnet.ahrq.gov/issue/risk-management-obstetrics-and-gynaecology
June 15, 2011 - Special or Theme Issue
Risk Management in Obstetrics and Gynaecology.
Citation Text:
Risk Management in Obstetrics and Gynaecology. Edozien LC, ed. Best Pract Res Clin Obstet Gynaecol. 2013;27:A1-A14,479-640.
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psnet.ahrq.gov/issue/when-things-go-wrong-responding-adverse-events
November 19, 2014 - Book/Report
Classic
When Things Go Wrong: Responding to Adverse Events.
Citation Text:
When Things Go Wrong: Responding to Adverse Events. Boston, MA: Massachusetts Coalition for the Prevention of Medical Errors; 2006.
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