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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/web-mm/steroids-and-safety-preventing-medication-adverse-events-during-transitions-care
September 09, 2013 - SPOTLIGHT CASE
Steroids and Safety: Preventing Medication Adverse Events During Transitions of Care
Citation Text:
Lucier DJ, Greenwald JL. Steroids and Safety: Preventing Medication Adverse Events During Transitions of Care. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Qu…
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psnet.ahrq.gov/issue/telehealth
January 27, 2019 - Commentary
Telehealth.
Citation Text:
Tuckson R, Edmunds M, Hodgkins ML. Telehealth. N Engl J Med. 2017;377(16):1585-1592. doi:10.1056/NEJMsr1503323.
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psnet.ahrq.gov/issue/frequency-type-and-clinical-importance-medication-history-errors-admission-hospital
September 23, 2020 - Review
Frequency, type and clinical importance of medication history errors at admission to hospital: a systematic review.
Citation Text:
Tam VC. Frequency, type and clinical importance of medication history errors at admission to hospital: a systematic review. Can Med Assoc J. 2005;17…
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psnet.ahrq.gov/issue/teaching-medical-error-disclosure-residents-using-patient-centered-simulation-training
October 19, 2022 - Study
Teaching medical error disclosure to residents using patient-centered simulation training.
Citation Text:
Sukalich S, Elliott JO, Ruffner G. Teaching medical error disclosure to residents using patient-centered simulation training. Acad Med. 2014;89(1):136-43. doi:10.1097/ACM.000…
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psnet.ahrq.gov/issue/high-fidelity-simulation-research-tool
February 19, 2020 - Review
High fidelity simulation as a research tool.
Citation Text:
Littlewood KE. High fidelity simulation as a research tool. Best Pract Res Clin Anaesthesiol. 2011;25(4):473-87. doi:10.1016/j.bpa.2011.08.001.
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DOI Google Scholar PubMed BibTeX EndNot…
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psnet.ahrq.gov/issue/accountability-nursing-practice-why-it-important-patient-safety
April 07, 2021 - Commentary
Accountability in nursing practice: why it is important for patient safety.
Citation Text:
Battié R, Steelman VM. Accountability in nursing practice: why it is important for patient safety. AORN J. 2014;100(5):537-541. doi:10.1016/j.aorn.2014.08.008.
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psnet.ahrq.gov/issue/interruptions-clinical-nursing-practice
September 26, 2018 - Study
Interruptions in clinical nursing practice.
Citation Text:
Sørensen EE, Brahe L. Interruptions in clinical nursing practice. J Clin Nurs. 2014;23(9-10):1274-82. doi:10.1111/jocn.12329.
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psnet.ahrq.gov/issue/innovative-collaborative-model-care-undiagnosed-complex-medical-conditions
November 21, 2021 - Commentary
An innovative collaborative model of care for undiagnosed complex medical conditions.
Citation Text:
Nageswaran S, Donoghue N, Mitchell A, et al. An Innovative Collaborative Model of Care for Undiagnosed Complex Medical Conditions. Pediatrics. 2017;139(5):e20163373. doi:10.154…
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psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-terminology
August 18, 2021 - Review
Patient safety and quality improvement: terminology.
Citation Text:
Pereira-Argenziano L, Levy FH. Patient Safety and Quality Improvement: Terminology. Pediatr Rev. 2015;36(9):403-11; quiz 412-3. doi:10.1542/pir.36-9-403.
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psnet.ahrq.gov/issue/nomenclature-nomenclature-sources-terminologic-uncertainty-and-confusion-and-value
August 04, 2021 - Commentary
A nomenclature of nomenclature: the sources of terminologic uncertainty and confusion and the value of communication.
Citation Text:
Cunningham SC, Klein R, Kavic SM. A nomenclature of nomenclature: the sources of terminologic uncertainty and confusion and the value of commu…
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psnet.ahrq.gov/issue/can-your-nurses-stop-surgeon
September 02, 2020 - Newspaper/Magazine Article
Can your nurses stop a surgeon?
Citation Text:
Weinstock M. Can your nurses stop a surgeon? Hosp Health Netw. 2007;81(9):38-42.
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Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
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psnet.ahrq.gov/issue/systems-approach-and-systems-engineering-applied-health-care-improving-patient-safety-and
August 12, 2020 - Commentary
Systems approach and systems engineering applied to health care: improving patient safety and health care delivery.
Citation Text:
Systems approach and systems engineering applied to health care: improving patient safety and health care delivery. Ravitz AD, Sapirstein A, Pha…
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psnet.ahrq.gov/issue/dispensing-errors
December 02, 2020 - Newspaper/Magazine Article
Dispensing Errors.
Citation Text:
Dispensing Errors. Phipps D, Ashour A, Riste L, et al. The Pharmaceutical Journal. 2020;305(7943, 7944). November 10, December 1, 2020.
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psnet.ahrq.gov/issue/support-methods-healthcare-professionals-who-are-second-victims-integrative-review
April 27, 2022 - Review
Support methods for healthcare professionals who are second victims: an integrative review.
Citation Text:
Support methods for healthcare professionals who are second victims: an integrative review. Neft MW, Sekula K, Zoucha R, et al. AANA J. 2022;90(3):189-196.
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psnet.ahrq.gov/issue/role-information-technology-healthcare-communications-efficiency-and-patient-safety
October 19, 2022 - Commentary
The role of information technology in healthcare communications, efficiency, and patient safety: application and results.
Citation Text:
Prince SB, Herrin DM. The role of information technology in healthcare communications, efficiency, and patient safety: application and res…
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psnet.ahrq.gov/issue/hidden-flaws-behind-expert-level-accuracy-multimodal-gpt-4-vision-medicine
March 24, 2019 - Study
Hidden flaws behind expert-level accuracy of multimodal GPT-4 vision in medicine.
Citation Text:
Jin Q, Chen F, Zhou Y, et al. Hidden flaws behind expert-level accuracy of multimodal GPT-4 vision in medicine. NPJ Dig Med. 2024;7(1):190. doi:10.1038/s41746-024-01185-7.
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psnet.ahrq.gov/issue/impact-adverse-events-clinicians-whats-name
March 25, 2020 - Review
The impact of adverse events on clinicians: what's in a name?
Citation Text:
Wu AW, Shapiro J, Harrison R, et al. The Impact of Adverse Events on Clinicians: What's in a Name? J Patient Saf. 2020;16(1):65-72. doi:10.1097/PTS.0000000000000256.
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psnet.ahrq.gov/web-mm/stroke-error
February 01, 2016 - SPOTLIGHT CASE
A Stroke of Error
Citation Text:
Barrett KM. A Stroke of Error. 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/issue/mixed-blessings-smart-infusion-devices-and-health-care-it
March 13, 2024 - Study
The mixed blessings of smart infusion devices and health care IT.
Citation Text:
Nemeth CP, Brown J, Crandall B, et al. The mixed blessings of smart infusion devices and health care IT. Mil Med. 2014;179(8 Suppl):4-10. doi:10.7205/MILMED-D-13-00505.
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