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psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-18
December 30, 2014 - Commentary
ISMP medication error report analysis.
Citation Text:
ISMP medication error report analysis. Cohen MR; Smetzer JL. Hosp Pharm. 2007;42(10):884-887.
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psnet.ahrq.gov/node/49673/psn-pdf
December 01, 2012 - A Real Heartache
December 1, 2012
Polevoi SK. A Real Heartache. PSNet [internet]. 2012.
https://psnet.ahrq.gov/web-mm/real-heartache
The Case
A 60-year-old man presented to the emergency department (ED) with 2 hours of burning chest pain. The
pain began at rest, and it radiated to his back and left axilla. He had…
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psnet.ahrq.gov/perspective/acgmes-2017-revision-common-program-requirements
January 31, 2018 - ACGME's 2017 Revision of Common Program Requirements
Kathy Malloy; Timothy P. Brigham, PhD; Thomas J. Nasca, MD | August 1, 2017
View more articles from the same authors.
Citation Text:
Malloy K, Brigham TP, Nasca TJ. ACGME's 2017 Revision of Common Program Requir…
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psnet.ahrq.gov/node/49734/psn-pdf
May 01, 2015 - Departure From Central Line Ritual
May 1, 2015
Ballard DW, Vinson DR, Mark DG. Departure From Central Line Ritual. PSNet [internet]. 2015.
https://psnet.ahrq.gov/web-mm/departure-central-line-ritual
The Case
A 55-year-old man with a history of poorly controlled diabetes mellitus, pancreatic insufficiency, and alco…
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psnet.ahrq.gov/node/49835/psn-pdf
January 01, 2020 - Don't Pick the PICC
July 1, 2018
McGill RL. Don't Pick the PICC. PSNet [internet]. 2018.
https://psnet.ahrq.gov/web-mm/dont-pick-picc
The Case
A 63-year-old man with diabetes mellitus complicated by retinopathy, neuropathy, and nephropathy;
glaucoma; and stage IV chronic kidney disease was admitted to the hospita…
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psnet.ahrq.gov/web-mm/dependence-vs-pain
October 30, 2019 - SPOTLIGHT CASE
Dependence vs. Pain
Citation Text:
Gordon AJ. Dependence vs. Pain . PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008.
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psnet.ahrq.gov/web-mm/spotlight-mistaken-attribution-diagnostic-misstep
July 01, 2011 - SPOTLIGHT CASE
Spotlight: Mistaken Attribution, Diagnostic Misstep
Citation Text:
Kreider TR, Young JQ. Spotlight: Mistaken Attribution, Diagnostic Misstep. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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psnet.ahrq.gov/web-mm/perioperative-anaphylaxis-after-insertion-latex-drain-patient-known-latex-allergy
July 08, 2022 - SPOTLIGHT CASE
Perioperative Anaphylaxis After Insertion of a Latex Drain in a Patient with Known Latex Allergy
Citation Text:
Kelly KJ. Perioperative Anaphylaxis After Insertion of a Latex Drain in a Patient with Known Latex Allergy. PSNet [internet]. Rockville (MD): Agency for Healthcare Resear…
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psnet.ahrq.gov/issue/ismp-survey-tall-man-mixed-case-lettering-reduce-drug-name-confusion
January 26, 2023 - Press Release/Announcement
ISMP survey on tall man (mixed case) lettering to reduce drug name confusion.
Citation Text:
ISMP survey on tall man (mixed case) lettering to reduce drug name confusion. Institute for Safe Medication Practices.
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psnet.ahrq.gov/issue/fallible-medicine-responding-errors-emergency-care
July 01, 2015 - Newspaper/Magazine Article
Fallible medicine: responding to errors in emergency care.
Citation Text:
Fallible medicine: responding to errors in emergency care. Whitehead S.
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psnet.ahrq.gov/issue/future-nhs-patient-safety-investigation
April 18, 2018 - Book/Report
The Future of NHS Patient Safety Investigation.
Citation Text:
The Future of NHS Patient Safety Investigation. NHS Improvement. London, UK: National Health Service; 2018.
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psnet.ahrq.gov/issue/prevention-perioperative-medication-errors
March 22, 2023 - Review
Prevention of perioperative medication errors.
Citation Text:
Prevention of perioperative medication errors. Nanji K. UpToDate. March 7, 2023.
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psnet.ahrq.gov/issue/patient-safety-or-0
October 23, 2024 - Newspaper/Magazine Article
Patient safety in the OR.
Citation Text:
Stempniak M. Patient safety in the OR. Hospitals & health networks. 2012;86(10):8 p following 40.
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psnet.ahrq.gov/issue/mind-power-gap-how-hierarchical-leadership-healthcare-risk-patient-safety
February 26, 2025 - Commentary
Mind the power gap: how hierarchical leadership in healthcare is a risk to patient safety.
Citation Text:
Kanaris C. Mind the power gap: how hierarchical leadership in healthcare is a risk to patient safety. J Child Health Care. 2023;27(3):319-322. doi:10.1177/1367493523119619…
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psnet.ahrq.gov/issue/diagnostic-excellence-video-series
May 30, 2008 - Audiovisual Presentation
Diagnostic Excellence Video Series
Citation Text:
Diagnostic Excellence Video Series Oakland, CA: Kaiser Permanente; 2020.
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psnet.ahrq.gov/issue/patient-safety-18
June 26, 2013 - Special or Theme Issue
Patient Safety.
Citation Text:
Patient Safety. Halamek LP, ed. Semin Perinatol. 2019;43(8):151172-151182.
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psnet.ahrq.gov/issue/journal-patient-safety
December 31, 2018 - Newsletter/Journal
Journal of Patient Safety.
Citation Text:
Journal of Patient Safety. Bates DW, ed. Philadelphia, PA: Lippincott Williams and Wilkins. ISSN: 1549-8417.
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psnet.ahrq.gov/issue/hazard-impatient-medicine
June 26, 2013 - Newspaper/Magazine Article
A hazard of impatient medicine.
Citation Text:
A hazard of impatient medicine. Gunderman R, Lynch J, Harrell H. The Atlantic. September 3, 2013.
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psnet.ahrq.gov/issue/misdiagnosis-inevitable
June 16, 2011 - Newspaper/Magazine Article
Is misdiagnosis inevitable?
Citation Text:
Is misdiagnosis inevitable? Page L. Medscape Business of Medicine. March 28, 2016.
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psnet.ahrq.gov/issue/doctors-fear-work-caps-residents-may-be-bad-medicine
May 27, 2011 - Newspaper/Magazine Article
Doctors fear work caps for residents may be bad medicine.
Citation Text:
Doctors fear work caps for residents may be bad medicine. Shapira I.
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