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psnet.ahrq.gov/web-mm/when-vomit-gets-way-aspiration-resulting-death-during-endoscopy
March 18, 2020 - When Vomit Gets in the Way: Aspiration Resulting in Death During Endoscopy
Citation Text:
Do T, Scott FJ. When Vomit Gets in the Way: Aspiration Resulting in Death During Endoscopy. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024…
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psnet.ahrq.gov/node/33579/psn-pdf
September 15, 2024 - Mistakes, by contrast, reflect incorrect choices, and more often reflect lack of experience,
insufficient
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psnet.ahrq.gov/node/867980/psn-pdf
March 25, 2025 - and patients can use a combination of expertise and shared decision making to make
safer diagnostic choices
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psnet.ahrq.gov/primer/systems-approach
June 15, 2024 - Mistakes, by contrast, reflect incorrect choices, and more often reflect lack of experience, insufficient
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psnet.ahrq.gov/web-mm/wrongful-resuscitation
October 12, 2012 - Increasingly, decisions regarding medical care for frail, older persons involve making choices that involve
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psnet.ahrq.gov/perspective/evolution-patient-safety-surgery
August 01, 2017 - Such data will prompt improvement and help patients make more informed choices about which surgeon to … None of these changes are easy, but we will need to make these kinds of choices to take surgical safety
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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/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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Google Scholar BibTeX EndNote X3 XML EndNote 7 XML End…
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psnet.ahrq.gov/issue/improving-safety-and-security-veterans-act-2020
March 25, 2020 - Legislation/Case Law
Improving Safety and Security for Veterans Act of 2020.
Citation Text:
Improving Safety and Security for Veterans Act of 2020. HB 5616, 116th Congress: 2020.
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psnet.ahrq.gov/web-mm/residual-anesthesia-tepid-burn
February 10, 2010 - Residual Anesthesia: Tepid Burn
Citation Text:
Kurrek MM, Twersky RS. Residual Anesthesia: Tepid Burn. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012.
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psnet.ahrq.gov/web-mm/dont-push
March 02, 2011 - Don't Push
Citation Text:
Meltzer HY. Don't Push. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003.
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Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
Downl…
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psnet.ahrq.gov/issue/eliminate-bias-some-seek-out-doctors-their-own-race-or-ethnicity
December 11, 2019 - Newspaper/Magazine Article
To eliminate bias, some seek out doctors of their own race or ethnicity.
Citation Text:
To eliminate bias, some seek out doctors of their own race or ethnicity. Glicksman E. Washington Post. December 11, 2021.
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psnet.ahrq.gov/web-mm/framework-assessing-reasoning-about-controversial-end-life-clinical-decisions
November 30, 2023 - just such a case: even though reasons held in good faith are presumed to have been the basis for the choices … should always be proactive and explicit in communicating their reasons for making different clinical choices
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psnet.ahrq.gov/issue/optimizing-business-case-safe-health-care-integrated-approach-safety-and-finance
January 23, 2019 - Toolkit
Optimizing a Business Case for Safe Health Care: An Integrated Approach to Safety and Finance.
Citation Text:
Optimizing a Business Case for Safe Health Care: An Integrated Approach to Safety and Finance. Institute for Healthcare Improvement, National Patient Safety Foundation. C…
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psnet.ahrq.gov/issue/josie-king-act-2004
May 22, 2009 - Legislation/Case Law
Josie King Act of 2004.
Citation Text:
Josie King Act of 2004. Kennedy P. 108 Congress (2003-2004): H.R.4880.
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psnet.ahrq.gov/primer/inpatient-transitions-care-challenges-and-safety-practices
June 15, 2024 - levels evolve with experience in navigating various health circumstances and making life-related health choices
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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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Dow…
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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/issue/21st-century-health-information-act-2005
March 27, 2005 - Legislation/Case Law
21st Century Health Information Act of 2005.
Citation Text:
21st Century Health Information Act of 2005. Murphy T; Kennedy P.
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psnet.ahrq.gov/issue/improving-diagnosis-medicine-act-2020
September 10, 2009 - Legislation/Case Law
Improving Diagnosis in Medicine Act of 2020.
Citation Text:
Improving Diagnosis in Medicine Act of 2020. 116th Congress 2d session. December 10, 2020.
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