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psnet.ahrq.gov/node/865984/psn-pdf
May 29, 2024 - Stress testing is the modality of choice in determining if a patient’s symptoms are likely secondary
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psnet.ahrq.gov/node/38295/psn-pdf
May 27, 2010 - Narrative review: do state laws make it easier to say "I'm
sorry"?
May 27, 2010
McDonnell WM, Guenther E. Narrative review: do state laws make it easier to say "I'm sorry?". Ann Intern
Med. 2008;149(11):811-816.
https://psnet.ahrq.gov/issue/narrative-review-do-state-laws-make-it-easier-say-im-sorry
Multiple studi…
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psnet.ahrq.gov/node/33591/psn-pdf
March 15, 2025 - Triggers and Trigger Tools
March 15, 2025
Triggers and Trigger Tools. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/triggers-and-trigger-tools
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the patient safet…
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psnet.ahrq.gov/node/45667/psn-pdf
November 16, 2016 - Individual surgeon mortality rates: can outliers be
detected? A national utility analysis.
November 16, 2016
Harrison EM, Drake TM, O'Neill S, et al. Individual surgeon mortality rates: can outliers be detected? A
national utility analysis. BMJ Open. 2016;6(10):e012471. doi:10.1136/bmjopen-2016-012471.
https://psn…
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psnet.ahrq.gov/node/37890/psn-pdf
February 18, 2011 - Are Patient Safety Indicators related to widely used
measures of hospital quality?
February 18, 2011
Isaac T, Jha AK. Are patient safety indicators related to widely used measures of hospital quality? J Gen
Intern Med. 2008;23(9):1373-8. doi:10.1007/s11606-008-0665-2.
https://psnet.ahrq.gov/issue/are-patient-safet…
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psnet.ahrq.gov/node/44847/psn-pdf
May 09, 2017 - Preventability and causes of readmissions in a national
cohort of general medicine patients.
May 9, 2017
Auerbach AD, Kripalani S, Vasilevskis EE, et al. Preventability and Causes of Readmissions in a National
Cohort of General Medicine Patients. JAMA Intern Med. 2016;176(4):484-93.
doi:10.1001/jamainternmed.2015.…
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psnet.ahrq.gov/node/49471/psn-pdf
December 01, 2004 - Carpe Diem (Seize the Day)
December 1, 2004
Krumholz A. Carpe Diem (Seize the Day). PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/carpe-diem-seize-day
The Case
A 53-year-old man presented for a new patient visit at a local medical clinic. He had several chronic
medical conditions including hypertension, h…
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psnet.ahrq.gov/node/37910/psn-pdf
February 28, 2011 - Public reporting of antibiotic timing in patients with
pneumonia: lessons from a flawed performance measure.
February 28, 2011
Wachter R, Flanders S, Fee C, et al. Public reporting of antibiotic timing in patients with pneumonia:
lessons from a flawed performance measure. Ann Intern Med. 2008;149(1):29-32.
https:/…
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psnet.ahrq.gov/node/44112/psn-pdf
November 03, 2015 - Unexpected death within 72 hours of emergency
department visit: were those deaths preventable?
November 3, 2015
Goulet H, Guerand V, Bloom B, et al. Unexpected death within 72 hours of emergency department visit:
were those deaths preventable? Crit Care. 2015;19(1):154. doi:10.1186/s13054-015-0877-x.
https://psnet…
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psnet.ahrq.gov/node/73998/psn-pdf
October 27, 2021 - ultrasound to detect changes in color-flow in proximal veins after injection of saline,
may be useful in determining
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psnet.ahrq.gov/node/60376/psn-pdf
July 30, 2020 - Human factors
and workflow considerations should be applied when determining color(s) and font sizes
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psnet.ahrq.gov/node/60609/psn-pdf
June 24, 2020 - This can create a risk to patient safety because of
the difficulty in monitoring for oversedation; determining
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psnet.ahrq.gov/perspective/health-equity-and-maternal-health
October 06, 2021 - focusing on humanity in healthcare also allows for the opportunity to have patients and clinicians determining
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psnet.ahrq.gov/node/46277/psn-pdf
August 15, 2017 - Randomized trial of reducing ambulatory malpractice and
safety risk: results of the Massachusetts PROMISES
Project.
August 15, 2017
Schiff G, Nieva HR, Griswold P, et al. Randomized Trial of Reducing Ambulatory Malpractice and Safety
Risk: Results of the Massachusetts PROMISES Project. Med Care. 2017;55(8):797-805…
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psnet.ahrq.gov/issue/detecting-adverse-drug-reactions-paediatric-wards-intensified-surveillance-versus
May 10, 2023 - Study
Detecting adverse drug reactions on paediatric wards: intensified surveillance versus computerised screening of laboratory values.
Citation Text:
Haffner S, von Laue N, Wirth S, et al. Detecting adverse drug reactions on paediatric wards: intensified surveillance versus computeri…
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psnet.ahrq.gov/issue/creating-culture-accountability-promotes-safe-medical-care
July 17, 2017 - Newspaper/Magazine Article
Creating a culture of accountability promotes safe medical care.
Citation Text:
Creating a culture of accountability promotes safe medical care. Canadian Medical Protective Association; CMPA.
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psnet.ahrq.gov/node/49480/psn-pdf
May 01, 2005 - Determining medical error. Three case reports. Eff Clin Pract.
2002;5:23-28. [ go to PubMed ]
9.
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psnet.ahrq.gov/web-mm/transfer-or-not-transfer
November 23, 2016 - In considering this question, the first issue is determining whether the patient would have been classified
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psnet.ahrq.gov/node/49602/psn-pdf
April 01, 2010 - clinical scenario is beyond the scope of this
commentary, several key factors must be considered in determining
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psnet.ahrq.gov/web-mm/clostridium-difficile-relapse-secondary-medication-access-issue
October 01, 2015 - and engage discharge planners or the pharmacist actively following individual patients to assist with determining