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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/49610/psn-pdf
October 01, 2010 - "Recurrent" Appendicitis
October 1, 2010
Greenberg CC. "Recurrent" Appendicitis. PSNet [internet]. 2010.
https://psnet.ahrq.gov/web-mm/recurrent-appendicitis
The Case
An 85-year-old man presented to the emergency department (ED) with right lower quadrant pain. On
physical examination, the patient showed rebound t…
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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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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XM…
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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/867651/psn-pdf
February 26, 2025 - Safety I, Safety II, and the New Views of Safety
February 26, 2025
Scanlon M, Jacobson N. Safety I, Safety II, and the New Views of Safety. PSNet [internet]. 2025.
https://psnet.ahrq.gov/primer/safety-i-safety-ii-and-new-views-safety
Background and Context
Safety I and Safety II (Safety I/II) are not safety method…
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psnet.ahrq.gov/primer/safety-i-safety-ii-and-new-views-safety
October 02, 2024 - Safety I, Safety II, and the New Views of Safety
Citation Text:
Scanlon M, Jacobson N. Safety I, Safety II, and the New Views of Safety. PSNet [internet]. Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2025.
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Format:
Google Scholar BibTeX E…
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psnet.ahrq.gov/web-mm/multiple-high-risk-events-involving-workflow-wasting-medications-used-anesthesia
August 29, 2021 - Pharmacy may also play a major role by examining different strategies for dispensing medications that
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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/web-mm/compare-and-contrast
July 16, 2019 - Examining providers' overrides of computerized drug–drug interaction alerts in primary care.
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psnet.ahrq.gov/perspective/advancing-patient-safety-through-state-reporting-systems
June 01, 2007 - Resilient Healthcare and the Safety-I and Safety-II Frameworks
December 14, 2022
Examining
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psnet.ahrq.gov/web-mm/no-news-may-not-be-good-news
December 07, 2009 - Point-of-care Mixup: 1 Shot Turns Into 3
August 1, 2017
Examining
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psnet.ahrq.gov/web-mm/customer-always-right
January 22, 2014 - After examining the ankle, the provider determines that the findings are consistent with a sprain and
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psnet.ahrq.gov/node/33580/psn-pdf
April 01, 2022 - include staffing levels, work environment, and teamwork.12,13 Several conclusions can be drawn
from examining
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psnet.ahrq.gov/node/33678/psn-pdf
January 01, 2009 - Gallagher's
current research covers the disclosure of medical errors, examining patients' and doctors
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psnet.ahrq.gov/node/72811/psn-pdf
September 01, 2022 - ‘ICT-Enabled Time-Critical
Clinical Practices: Examining the Affordances of an Information Processing
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psnet.ahrq.gov/node/33822/psn-pdf
January 01, 2017 - I set out to understand that better by examining organizations that were substantially
better at workplace
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psnet.ahrq.gov/web-mm/peripheral-iv-too-long
September 15, 2011 - complications.( 3,7,17 ) However, the two clinical trials reviewed were statistically underpowered for examining
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psnet.ahrq.gov/primer/retained-surgical-items-definition-and-epidemiology
September 15, 2024 - RSI and RFO/RFB will identify different elements of causation and different preventive strategies in examining
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psnet.ahrq.gov/primer/nursing-and-patient-safety
September 15, 2024 - include staffing levels, work environment, and teamwork. 12,13 Several conclusions can be drawn from examining
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psnet.ahrq.gov/innovation/project-boost-increases-patient-understanding-treatment-and-follow-care
February 26, 2025 - Based on findings from the evaluation, the team should continue to improve the discharge process by examining