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psnet.ahrq.gov/web-mm/right-regimen-wrong-cancer-patient-catches-medical-error
August 01, 2006 - SPOTLIGHT CASE
Right Regimen, Wrong Cancer: Patient Catches Medical Error
Citation Text:
Weingart SN, Jacobson J. Right Regimen, Wrong Cancer: Patient Catches Medical Error. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2…
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psnet.ahrq.gov/node/60610/psn-pdf
June 24, 2020 - Endometriosis: A Common and Commonly Missed and
Delayed Diagnosis
June 24, 2020
Mackenzie M, Royce C. Endometriosis: A Common and Commonly Missed and Delayed Diagnosis. PSNet
[internet]. 2020.
https://psnet.ahrq.gov/web-mm/endometriosis-common-and-commonly-missed-and-delayed-diagnosis
The Case
A 15-year-old g…
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psnet.ahrq.gov/perspective/conversation-john-d-birkmeyer-md
January 31, 2024 - In Conversation With… John D. Birkmeyer, MD
May 1, 2015
Citation Text:
In Conversation With… John D. Birkmeyer, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015.
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Fo…
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psnet.ahrq.gov/web-mm/consequences-medical-overuse
May 05, 2021 - SPOTLIGHT CASE
Consequences of Medical Overuse
Citation Text:
Morgan DJ, Foy AJ. Consequences of Medical Overuse. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
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Format:
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psnet.ahrq.gov/node/866578/psn-pdf
August 28, 2024 - Don’t Wait to Collect an Accurate Weight: A Case of
Subtherapeutic Insulin Therapy
August 28, 2024
Newton B, Seitz R. Don’t Wait to Collect an Accurate Weight: A Case of Subtherapeutic Insulin Therapy.
PSNet [internet]. 2024.
https://psnet.ahrq.gov/web-mm/dont-wait-collect-accurate-weight-case-subtherapeutic-insul…
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psnet.ahrq.gov/node/49721/psn-pdf
December 01, 2014 - Ebola: Are We Ready?
December 1, 2014
Barsuk JH, Barnard C. Ebola: Are We Ready? PSNet [internet]. 2014.
https://psnet.ahrq.gov/web-mm/ebola-are-we-ready
The Case
A 28-year-old man, well-appearing but pale, walked into the emergency department (ED) on a Wednesday
afternoon at 3 PM complaining of nausea, vomiting,…
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psnet.ahrq.gov/web-mm/time-death
January 03, 2017 - Time of Death?
Citation Text:
Taekman JM, Wright MC. Time of Death?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId …
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psnet.ahrq.gov/node/39769/psn-pdf
August 18, 2010 - Determining the state of knowledge for implementing the
Universal Protocol recommendations: an integrative
review of the literature.
August 18, 2010
Conrardy JA, Brenek B, Myers S. Determining the State of Knowledge for Implementing the Universal
Protocol Recommendations: An Integrative Review of the Literature. A…
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psnet.ahrq.gov/node/41633/psn-pdf
January 01, 2013 - Determinants of success of quality improvement
collaboratives: what does the literature show?
December 31, 2012
Hulscher M, Schouten LMT, Grol R, et al. Determinants of success of quality improvement collaboratives:
what does the literature show? BMJ Qual Saf. 2013;22(1):19-31. doi:10.1136/bmjqs-2011-000651.
https…
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psnet.ahrq.gov/node/40547/psn-pdf
June 29, 2011 - What context features might be important determinants of
the effectiveness of patient safety practice interventions?
June 29, 2011
Taylor SL, Dy SM, Foy R, et al. What context features might be important determinants of the effectiveness
of patient safety practice interventions? BMJ Qual Saf. 2011;20(7):611-7. doi:…
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psnet.ahrq.gov/node/47154/psn-pdf
May 23, 2018 - Comparison of military and civilian methods for
determining potentially preventable deaths: a systematic
review.
May 23, 2018
Janak JC, Sosnov JA, Bares JM, et al. Comparison of Military and Civilian Methods for Determining
Potentially Preventable Deaths: A Systematic Review. JAMA Surg. 2018;153(4):367-375.
doi:1…
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psnet.ahrq.gov/node/60242/psn-pdf
March 01, 2021 - Enhanced provision of evidence-based care: Data from the EMR and patient reports were
evaluated to determine
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psnet.ahrq.gov/perspective/innovation-and-lean-thinking-mutually-supportive-partners-transformation-health-care
January 01, 2015 - without standardization, baseline performance measurement has so much variation that it is difficult to determine
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psnet.ahrq.gov/perspective/conversation-david-w-bates-about-are-we-safer-today
February 26, 2025 - Sarah Mossburg: I imagine it is challenging, for example, to determine preventability for some of the
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psnet.ahrq.gov/perspective/conversation-mark-graban-ms-mba
January 01, 2015 - without standardization, baseline performance measurement has so much variation that it is difficult to determine
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psnet.ahrq.gov/perspective/role-community-pharmacists-patient-safety
October 24, 2021 - So, when the pharmacist or administrator reviews these documents, they can look at trends and determine
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psnet.ahrq.gov/perspective/patient-safety-events-and-role-patient-safety-organizations-during-covid-19-pandemic
January 12, 2022 - reducing the risk of adverse events during the pandemic, researchers and policymakers will need to determine
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psnet.ahrq.gov/perspective/application-safety-ii-principles
August 28, 2024 - looking at the events retrospectively with root cause analysis (RCA) or apparent cause analysis (ACA) to determine
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psnet.ahrq.gov/perspective/conversation-chalapathy-venkatesan-and-kathy-helak-about-application-safety-ii
August 28, 2024 - looking at the events retrospectively with root cause analysis (RCA) or apparent cause analysis (ACA) to determine
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psnet.ahrq.gov/perspective/are-we-safer-today
February 26, 2025 - Sarah Mossburg: I imagine it is challenging, for example, to determine preventability for some of the