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psnet.ahrq.gov/node/49455/psn-pdf
July 01, 2004 - The Worst Headache
July 1, 2004
Edlow JA. The Worst Headache. PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/worst-headache
The Case
A 48-year-old woman with a history of migraine headaches and hypertension presented to her outpatient
clinic with a 4-day history of headache. While shopping 4 days earlier, …
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psnet.ahrq.gov/sites/default/files/2024-03/uterine_artery_injury.pdf
January 01, 2024 - Microsoft PowerPoint - Spotlight Case_Uterine Artery Injury during Cesarean Delivery - FINAL.pptx
Spotlight
Uterine Artery Injury during Cesarean Delivery Leads to
Cardiac Arrests and Emergency Hysterectomy
Source and Credits
• This presentation is based on the March 2024 AHRQ WebM&M
Spotlight Case
o See the ful…
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psnet.ahrq.gov/sites/default/files/2024-03/delayed_diagnosis_and_treatment_of_sle.pdf
January 01, 2024 - Microsoft PowerPoint - Spotlight Case_Delayed Diagnosis and Treatment of Lupus_SLIDES - FINAL.pptx
Spotlight
Delayed Diagnosis and Treatment of Systemic Lupus
Erythematosus with a Psychiatric Presentation
Source and Credits
• This presentation is based on the March 2024 AHRQ WebM&M
Spotlight Case
o See the full …
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psnet.ahrq.gov/node/49584/psn-pdf
April 01, 2009 - EMR Entry Error: Not So Benign
April 1, 2009
Koppel R. EMR Entry Error: Not So Benign. PSNet [internet]. 2009.
https://psnet.ahrq.gov/web-mm/emr-entry-error-not-so-benign
The Case
A 47-year-old man with advanced AIDS was admitted to an academic medical center with a chief complaint
of shortness of breath. He was …
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psnet.ahrq.gov/node/60745/psn-pdf
October 01, 2020 - Multiple High-Risk Events Involving Workflow for Wasting
of Medications Used by Anesthesia
July 29, 2020
Nguyen DD, Harper TA, Cello R. Multiple High-Risk Events Involving Workflow for Wasting of Medications
Used by Anesthesia. PSNet [internet]. 2020.
https://psnet.ahrq.gov/web-mm/multiple-high-risk-events-involvi…
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psnet.ahrq.gov/web-mm/medication-mix-leads-patient-death
July 08, 2022 - Medication Mix-Up Leads to Patient Death
Citation Text:
Sanchez L, Romano PS. Medication Mix-Up Leads to Patient Death. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023.
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Format:
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psnet.ahrq.gov/curated-library/diagnostic-error
August 10, 2025 - Breadcrumb
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Diagnostic Error
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Created By: Karen Cosby, AHRQ
Date Created: May 8, …
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psnet.ahrq.gov/web-mm/worst-headache
July 01, 2016 - The Worst Headache
Citation Text:
Edlow JA. The Worst Headache. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
…
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psnet.ahrq.gov/web-mm/or
August 22, 2013 - taking shortcuts and doing "adaptive work" to provide the best care, then the care process needs to be examined
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psnet.ahrq.gov/node/33703/psn-pdf
November 01, 2010 - criterion validity (i.e., their agreement with a standard such
as medical record data) is still being examined
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psnet.ahrq.gov/web-mm/double-trouble
August 01, 2012 - role in preventing medication errors in elderly patients may be helpful but has not been adequately examined
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psnet.ahrq.gov/web-mm/missing-suction-tip
January 01, 2006 - manage medical errors such as retained foreign bodies.( 13,14,15 ) Unfortunately, only one study has examined
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psnet.ahrq.gov/web-mm/patient-identification-errors-systems-challenge
February 23, 2011 - member, coupled with numerous distractions, for more than 80% of the wrong-patient electronic orders examined
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psnet.ahrq.gov/perspective/conversation-kathleen-sutcliffe-mn-phd
April 26, 2023 - He said that when he examined her in the room he noticed that there were some IV antibiotics at the bedside
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psnet.ahrq.gov/web-mm/fire-hole-or-fire
August 03, 2017 - Once it was extinguished and the monitor setup examined, the culprit was identified: the leaking bag
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psnet.ahrq.gov/web-mm/new-patient-mistakenly-checked-another
October 01, 2013 - The physician examined the patient and advised that given his age and family history, he should have
-
psnet.ahrq.gov/node/60543/psn-pdf
May 27, 2020 - that stem from the use of verbal orders, the context as well as the content of the
order should be examined
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psnet.ahrq.gov/node/33743/psn-pdf
December 01, 2012 - Such factors have been shown to be important in non-ICU
settings (20) but have only recently been examined
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psnet.ahrq.gov/web-mm/bowel-injury-after-laparoscopic-surgery
January 19, 2016 - been handled by the surgeon during procedures associated with the lysis of adhesions should always be examined
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psnet.ahrq.gov/web-mm/wandering-floors-safety-and-security-risks-patient-wandering
August 21, 2007 - He was examined and the physician found evidence of diffuse bruising of his right arm.