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psnet.ahrq.gov/node/49442/psn-pdf
May 01, 2004 - Lung Infections
Requiring More Than
Just Antibiotics
Infections Not Covered by Initial
Antibiotic Choices
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psnet.ahrq.gov/node/49522/psn-pdf
November 01, 2006 - in mind.(1) Ideally, public reporting improves transparency and can empower patients to make better
choices … Finally, patients and payers may misinterpret quality
performance information and make poor choices
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psnet.ahrq.gov/web-mm/getting-good-report-card-unintended-consequences-public-reporting-hospital-quality
October 01, 2004 - mind.( 1 ) Ideally, public reporting improves transparency and can empower patients to make better choices … Finally, patients and payers may misinterpret quality performance information and make poor choices about
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psnet.ahrq.gov/node/49720/psn-pdf
December 01, 2014 - A Stroke of Error
December 1, 2014
Barrett KM. A Stroke of Error. PSNet [internet]. 2014.
https://psnet.ahrq.gov/web-mm/stroke-error
Case Objectives
State the key clinical factors to assess in a patient with suspected stroke.
Appreciate the relationship between elevated blood pressure and stroke in the acute sett…
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psnet.ahrq.gov/issue/error-reporting-organizations
May 24, 2006 - Commentary
Error reporting in organizations.
Citation Text:
Error reporting in organizations. Zhao B; Olivera F. Acad Manag Rev. 2006;31(4):1012-1030.
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psnet.ahrq.gov/issue/understanding-communication-during-hospitalist-service-changes-mixed-methods-study
December 14, 2022 - Study
Understanding communication during hospitalist service changes: a mixed methods study.
Citation Text:
doi:10.1002/jhm.523.
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psnet.ahrq.gov/issue/when-misdiagnosis-child-abuse
June 09, 2021 - Newspaper/Magazine Article
When the misdiagnosis is child abuse.
Citation Text:
Clifford S. When the misdiagnosis is child abuse. The Atlantic. 2020;August 20.
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psnet.ahrq.gov/issue/whose-responsibility-it-address-bullying-health-care
February 22, 2023 - Commentary
Whose responsibility is it to address bullying in health care?
Citation Text:
Whose responsibility is it to address bullying in health care? AMA J Ethics. 2022;23(12):E931-936. doi:10.1001/amajethics.2021.931.
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psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-act-2005
March 29, 2023 - Legislation/Case Law
Classic
Patient Safety and Quality Improvement Act of 2005.
Citation Text:
Patient Safety and Quality Improvement Act of 2005. Pub L No. 109-41.
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psnet.ahrq.gov/web-mm/case-mistaken-capacity-why-thorough-psychosocial-history-can-improve-care
July 08, 2022 - information applies to one’s situation
Reasoning: The ability to compare and infer consequences of choices
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psnet.ahrq.gov/issue/knowledge-based-errors-anesthesia-paired-controlled-trial-learning-and-retention
December 06, 2023 - Study
Knowledge-based errors in anesthesia: a paired, controlled trial of learning and retention.
Citation Text:
Goldhaber-Fiebert SN, Goldhaber-Fiebert JD, Rosow CE. Knowledge-based errors in anesthesia: a paired, controlled trial of learning and retention. Can J Anaesth. 2009;56(1):3…
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psnet.ahrq.gov/issue/bearing-witness-ethics-practice-storying-physicians-medical-mistake-narratives
July 17, 2024 - Study
Bearing witness to the ethics of practice: storying physicians' medical mistake narratives.
Citation Text:
Carmack HJ. Bearing witness to the ethics of practice: storying physicians' medical mistake narratives. Health Commun. 2010;25(5):449-58. doi:10.1080/10410236.2010.484876.
…
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psnet.ahrq.gov/issue/piece-my-mind-patient-you-least-want-see
August 14, 2024 - Commentary
A piece of my mind. The patient you least want to see.
Citation Text:
Chen JH. A PIECE OF MY MIND. The Patient You Least Want to See. JAMA. 2016;315(16):1701-2. doi:10.1001/jama.2016.0221.
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psnet.ahrq.gov/issue/enacting-washington-state-patient-safety-act-requiring-hospital-staffing-plans-nursing
May 04, 2015 - Legislation/Case Law
Enacting the Washington state patient safety act requiring hospital staffing plans for nursing services and establishing recordkeeping and reporting requirements.
Citation Text:
Enacting the Washington state patient safety act requiring hospital staffing plans for n…
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psnet.ahrq.gov/issue/selection-incorrect-medication-pump-leads-chemotherapy-overdose
September 09, 2015 - Newspaper/Magazine Article
Selection of incorrect medication pump leads to chemotherapy overdose.
Citation Text:
Selection of incorrect medication pump leads to chemotherapy overdose. ISMP Canada. August 26, 2015;15:1-4.
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psnet.ahrq.gov/issue/national-medical-error-disclosure-and-compensation-medic-act
December 06, 2011 - Legislation/Case Law
The National Medical Error Disclosure and Compensation (MEDiC) Act.
Citation Text:
The National Medical Error Disclosure and Compensation (MEDiC) Act. Rodham-Clinton H; Obama B. 109th Congress. 1st Session. S. 1784. September 28, 2005.
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psnet.ahrq.gov/issue/soaring-numbers-111-callers-forced-wait-call-back
September 21, 2016 - Newspaper/Magazine Article
Soaring numbers of 111 callers forced to wait for a call back.
Citation Text:
Soaring numbers of 111 callers forced to wait for a call back. Donnelly L. The Telegraph. January 31, 2016.
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psnet.ahrq.gov/node/49426/psn-pdf
November 01, 2003 - Don't Push
November 1, 2003
Meltzer HY. Don't Push. PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/dont-push
The Case
A 37-year-old HIV-positive woman was brought to the emergency room by her family because she had
exhibited altered mentation for 3 days. The patient had been diagnosed with HIV infection 3 …
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psnet.ahrq.gov/issue/public-reporting-surgical-outcomes-surgeons-hospitals-or-both
April 05, 2013 - Commentary
Public reporting of surgical outcomes: surgeons, hospitals, or both?
Citation Text:
Jha AK. Public Reporting of Surgical Outcomes: Surgeons, Hospitals, or Both? JAMA. 2017;318(15):1429-1430. doi:10.1001/jama.2017.13815.
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psnet.ahrq.gov/issue/internal-bleeding-truth-behind-americas-terrifying-epidemic-medical-mistakes-updated-edition
March 27, 2005 - Book/Report
Classic
Internal Bleeding: The Truth Behind America's Terrifying Epidemic of Medical Mistakes. Updated edition.
Citation Text:
Internal Bleeding: The Truth Behind America's Terrifying Epidemic of Medical Mistakes. Updated edition. Wachter R, Shojan…