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psnet.ahrq.gov/issue/prevalence-and-impact-potentially-inappropriate-prescribing-among-older-persons-primary-care
July 24, 2019 - Review
Emerging Classic
The prevalence and impact of potentially inappropriate prescribing among older persons in primary care settings: multilevel meta-analysis.
Citation Text:
Liew TM, Lee CS, Goh SKL, et al. The prevalence and impact of potentially inappropri…
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psnet.ahrq.gov/issue/weight-and-size-descriptors-drug-dosing-too-many-options-and-too-many-errors
April 06, 2022 - Commentary
Weight and size descriptors for drug dosing: too many options and too many errors.
Citation Text:
Erstad BL, Romero AV, Barletta JF. Weight and size descriptors for drug dosing: Too many options and too many errors. Am J Health Syst Pharm. 2023;80(2):87-91. doi:10.1093/ajhp/zx…
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psnet.ahrq.gov/issue/prevalence-severity-and-nature-preventable-patient-harm-across-medical-care-settings
February 17, 2021 - Study
Classic
Prevalence, severity, and nature of preventable patient harm across medical care settings: systematic review and meta-analysis.
Citation Text:
Panagioti M, Khan K, Keers RN, et al. Prevalence, severity, and nature of preventable patient harm across…
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psnet.ahrq.gov/issue/strategies-reduce-diagnostic-errors-systematic-review
February 02, 2022 - Review
Strategies to reduce diagnostic errors: a systematic review
Citation Text:
Abimanyi-Ochom J, Mudiyanselage SB, Catchpool M, et al. Strategies to reduce diagnostic errors: a systematic review. BMC Med Inform Decis Mak. 2019;19(1):174. doi:10.1186/s12911-019-0901-1.
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psnet.ahrq.gov/web-mm/anticoagulation-held-too-long
April 01, 2008 - Anticoagulation: Held Too Long
Citation Text:
Dunn AS. Anticoagulation: Held Too Long. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010.
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psnet.ahrq.gov/issue/broselow-tape-effective-medication-dosing-instrument-review-literature
April 09, 2009 - Review
The Broselow tape as an effective medication dosing instrument: a review of the literature.
Citation Text:
Meguerdichian MJ, Clapper TC. The Broselow tape as an effective medication dosing instrument: a review of the literature. J Pediatr Nurs. 2012;27(4):416-420. doi:10.1016/j.…
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psnet.ahrq.gov/issue/excess-mortality-caused-medical-injury
June 29, 2011 - Study
Excess mortality caused by medical injury.
Citation Text:
Meurer LN, Yang H, Guse CE, et al. Excess mortality caused by medical injury. Ann Fam Med. 2006;4(5):410-6.
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Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMe…
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psnet.ahrq.gov/issue/toolkit-reducing-cauti-hospitals
June 21, 2016 - Toolkit
Toolkit for Reducing CAUTI in Hospitals.
Citation Text:
Toolkit for Reducing CAUTI in Hospitals. Rockville, MD: Agency for Healthcare Research and Quality; October 2015.
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psnet.ahrq.gov/node/49648/psn-pdf
March 01, 2012 - In
estimating the time for a follow-up phone call program, it is important to include the time pharmacists
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psnet.ahrq.gov/web-mm/compare-and-contrast
July 16, 2019 - SPOTLIGHT CASE
Compare and Contrast
Citation Text:
Cho KC, Chertow GM. Compare and Contrast. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005.
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psnet.ahrq.gov/issue/emergency-hospitalizations-unsupervised-prescription-medication-ingestions-young-children
April 22, 2020 - Study
Emergency hospitalizations for unsupervised prescription medication ingestions by young children.
Citation Text:
Lovegrove MC, Mathew J, Hampp C, et al. Emergency hospitalizations for unsupervised prescription medication ingestions by young children. Pediatrics. 2014;134(4):e1009-1…
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psnet.ahrq.gov/node/49566/psn-pdf
July 01, 2008 - What Was in Those Platelets?
July 1, 2008
Yomtovian R. What Was in Those Platelets? . PSNet [internet]. 2008.
https://psnet.ahrq.gov/web-mm/what-was-those-platelets
The Case
A 47-year-old woman was admitted to the hospital for complex spinal surgery. The surgery went well
without complications, and postoperativel…
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psnet.ahrq.gov/node/33804/psn-pdf
March 03, 2016 - In Conversation With… Paul McGann, MD
March 1, 2016
In Conversation With… Paul McGann, MD. PSNet [internet]. 2016.
https://psnet.ahrq.gov/perspective/conversation-paul-mcgann-md
Editor's note: Dr. McGann is the Chief Medical Officer for Quality Improvement at the Centers for
Medicare & Medicaid Services (CMS). He…
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psnet.ahrq.gov/curated-library/diagnostic-error
August 10, 2025 - Breadcrumb
Home
The PSNet Collection
Curated Libraries
Subscribed
Diagnostic Error
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Created By: Karen Cosby, AHRQ
Date Created: May 8, …
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psnet.ahrq.gov/web-mm/uterine-artery-injury-during-cesarean-delivery-leads-cardiac-arrests-and-emergency
September 30, 2020 - Utilizing EHR-derived data, such as estimating how often appropriate actions are taken when a BPA is
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psnet.ahrq.gov/node/867145/psn-pdf
November 13, 2024 - Technology, Education and Safety.
November 13, 2024
Technology, Education and Safety. Harbell MW, ed. Curr Opin Anaesthesiol. 2024;37(6):666-742.
https://psnet.ahrq.gov/issue/technology-education-and-safety-3
Despite consummate efforts to improve safety, errors still occur in anesthesiology. This special collection…
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psnet.ahrq.gov/issue/national-cost-adverse-drug-events-resulting-inappropriate-medication-related-alert-overrides
July 02, 2019 - Study
The national cost of adverse drug events resulting from inappropriate medication-related alert overrides in the United States.
Citation Text:
Slight SP, Seger DL, Franz C, et al. The national cost of adverse drug events resulting from inappropriate medication-related alert override…
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psnet.ahrq.gov/issue/comparison-focused-family-cancer-history-questionnaire-family-history-documentation
June 23, 2021 - Study
Comparison of a focused family cancer history questionnaire to family history documentation in the electronic medical record.
Citation Text:
Clift K, Macklin-Mantia S, Barnhorst M, et al. Comparison of a focused family cancer history questionnaire to family history documentation in…
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psnet.ahrq.gov/issue/emergency-hospitalizations-adverse-drug-events-older-americans
October 20, 2021 - Study
Classic
Emergency hospitalizations for adverse drug events in older Americans.
Citation Text:
Budnitz DS, Lovegrove MC, Shehab N, et al. Emergency hospitalizations for adverse drug events in older Americans. New Engl J Med. 2011;365(21):2002-2012. doi:10…
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psnet.ahrq.gov/issue/171-billion-problem-annual-cost-measurable-medical-errors
May 26, 2021 - Study
Classic
The $17.1 billion problem: the annual cost of measurable medical errors.
Citation Text:
Van Den Bos J, Rustagi K, Gray T, et al. The $17.1 Billion Problem: The Annual Cost Of Measurable Medical Errors. Health Aff. 2011;30(4):596-603. doi:10.1377/hl…