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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/node/49601/psn-pdf
April 01, 2010 - Nosy Business
April 1, 2010
Orlandi RR. Nosy Business. PSNet [internet]. 2010.
https://psnet.ahrq.gov/web-mm/nosy-business
The Case
A 59-year-old man with a history of idiopathic thrombocytopenic purpura (ITP) presented to the emergency
department (ED) with epistaxis (a "nose bleed"). He reported no previous h…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.161_slideshow.ppt
October 01, 2007 - Spotlight Case [MONTH] 2003
Spotlight Case October 2007
Do Not Disturb!
Source and Credits
This presentation is based on the October 2007
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available online
Commentary by: F. Daniel Duffy, MD, University of Oklahoma, and…
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psnet.ahrq.gov/web-mm/misleading-complaint
December 01, 2009 - Misleading Complaint
Citation Text:
Soni K, Dhaliwal G. Misleading Complaint. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged …
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psnet.ahrq.gov/node/47312/psn-pdf
October 13, 2018 - Opioid prescribing in the United States before and after
the Centers for Disease Control and Prevention's 2016
opioid guideline.
October 13, 2018
Bohnert ASB, Guy GP, Losby JL. Opioid prescribing in the United States before and after the Centers for
Disease Control and Prevention's 2016 opioid guideline. Ann Inter…
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psnet.ahrq.gov/node/46068/psn-pdf
July 09, 2018 - A national survey assessing the number of records
allowed open in electronic health records at hospitals and
ambulatory sites.
July 9, 2018
Adelman JS, Berger MA, Rai A, et al. A national survey assessing the number of records allowed open in
electronic health records at hospitals and ambulatory sites. J Am Med In…
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psnet.ahrq.gov/node/47605/psn-pdf
January 17, 2019 - Assessment of incorrect surgical procedures within and
outside the operating room. A follow-up study from US
Veterans Health Administration medical centers.
January 17, 2019
Neily J, Soncrant C, Mills PD, et al. Assessment of Incorrect Surgical Procedures Within and Outside the
Operating Room: A Follow-up Study Fr…
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psnet.ahrq.gov/node/48098/psn-pdf
July 10, 2019 - How often do prescribers include indications in drug
orders? Analysis of 4 million outpatient prescriptions.
July 10, 2019
Salazar A, Karmiy SJ, Forsythe KJ, et al. How often do prescribers include indications in drug orders?
Analysis of 4 million outpatient prescriptions. Am J Health Syst Pharm. 2019;76(13):970-97…
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psnet.ahrq.gov/node/43802/psn-pdf
August 02, 2015 - Association of the 2011 ACGME resident duty hour
reforms with mortality and readmissions among
hospitalized Medicare patients.
August 2, 2015
Patel MS, Volpp KG, Small DS, et al. Association of the 2011 ACGME resident duty hour reforms with
mortality and readmissions among hospitalized Medicare patients. JAMA. 201…
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psnet.ahrq.gov/node/37167/psn-pdf
February 03, 2011 - Mortality among patients in VA hospitals in the first 2
years following ACGME resident duty hour reform.
February 3, 2011
Volpp KG, Rosen AK, Rosenbaum PR, et al. Mortality among patients in VA hospitals in the first 2 years
following ACGME resident duty hour reform. JAMA. 2007;298(9):984-92.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/45892/psn-pdf
October 31, 2017 - Relationship between state malpractice environment and
quality of health care in the United States.
October 31, 2017
Bilimoria KY, Chung JW, Minami CA, et al. Relationship Between State Malpractice Environment and
Quality of Health Care in the United States. Jt Comm J Qual Patient Saf. 2017;43(5):241-250.
doi:10.1…
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psnet.ahrq.gov/node/45330/psn-pdf
August 03, 2016 - Association between hospital performance on patient
safety and 30-day mortality and unplanned readmission
for Medicare fee-for-service patients with acute
myocardial infarction.
August 3, 2016
Wang Y, Eldridge N, Metersky ML, et al. Association Between Hospital Performance on Patient Safety and
30?Day Mortality a…
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psnet.ahrq.gov/node/46913/psn-pdf
May 09, 2018 - Factors associated with the use of cognitive aids in
operating room crises: a cross-sectional study of US
hospitals and ambulatory surgical centers.
May 9, 2018
Alidina S, Goldhaber-Fiebert SN, Hannenberg A, et al. Factors associated with the use of cognitive aids in
operating room crises: a cross-sectional study …
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psnet.ahrq.gov/node/44643/psn-pdf
July 21, 2016 - Differing perceptions of safety culture across job roles in
the ambulatory setting: analysis of the AHRQ Medical
Office Survey on Patient Safety Culture.
July 21, 2016
Hickner J, Smith SA, Yount N, et al. Differing perceptions of safety culture across job roles in the
ambulatory setting: analysis of the AHRQ Medic…
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psnet.ahrq.gov/node/43862/psn-pdf
March 20, 2015 - The Iatroref study: medical errors are associated with
symptoms of depression in ICU staff but not burnout or
safety culture.
March 20, 2015
Garrouste-Orgeas M, Perrin M, Soufir L, et al. The Iatroref study: medical errors are associated with
symptoms of depression in ICU staff but not burnout or safety culture. I…
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psnet.ahrq.gov/node/46990/psn-pdf
July 25, 2018 - Analysis of errors in dictated clinical documents assisted
by speech recognition software and professional
transcriptionists.
July 25, 2018
Zhou L, Blackley SV, Kowalski L, et al. Analysis of Errors in Dictated Clinical Documents Assisted by
Speech Recognition Software and Professional Transcriptionists. JAMA Netw…
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psnet.ahrq.gov/node/47948/psn-pdf
May 29, 2019 - Potential consequences of patient complications for
surgeon well-being: a systematic review.
May 29, 2019
Srinivasa S, Gurney J, Koea J. Potential Consequences of Patient Complications for Surgeon Well-being:
A Systematic Review. JAMA Surg. 2019;154(5):451-457. doi:10.1001/jamasurg.2018.5640.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/46805/psn-pdf
September 25, 2018 - Factors associated with hospital admission after
outpatient surgery in the Veterans Health Administration.
September 25, 2018
Mull HJ, Rosen AK, O'Brien WJ, et al. Factors Associated with Hospital Admission after Outpatient Surgery
in the Veterans Health Administration. Health Serv Res. 2018;53(5):3855-3880. doi:10…
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psnet.ahrq.gov/node/44976/psn-pdf
February 14, 2017 - Do patients' disruptive behaviours influence the accuracy
of a doctor's diagnosis? A randomised experiment.
February 14, 2017
Schmidt HG, Van Gog T, Schuit SC, et al. Do patients' disruptive behaviours influence the accuracy of a
doctor's diagnosis? A randomised experiment. BMJ Qual Saf. 2017;26(1):19-23. doi:10.11…
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psnet.ahrq.gov/node/44721/psn-pdf
August 20, 2016 - Tall Man lettering and potential prescription errors: a time
series analysis of 42 children's hospitals in the USA over
9 years.
August 20, 2016
Zhong W, Feinstein JA, Patel NS, et al. Tall Man lettering and potential prescription errors: a time series
analysis of 42 children's hospitals in the USA over 9 years. B…