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psnet.ahrq.gov/sites/default/files/2022-05/final_cme_reviewed_-_spotlight_missing_a_large_vessel_occlusion_stroke_04.14.2022_-_copy.pdf
January 01, 2022 - Spotlight
Spotlight
Missing a Large Vessel Occlusion Stroke in
a Patient with a History of Seizures
Source and Credits
• This presentation is based on the May 2022 AHRQ WebM&M
Spotlight Case
o See the full article at https://psnet.ahrq.gov/webmm
o CME credit is available
o Commentary by: Kevin Keenan, MD and D…
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psnet.ahrq.gov/node/837215/psn-pdf
July 08, 2022 - Missing a Large Vessel Occlusion Stroke in a Patient with
a History of Seizures.
July 8, 2022
Keenan KJ, Nishijima DK. Missing a Large Vessel Occlusion Stroke in a Patient with a History of Seizures.
PSNet [internet]. 2022.
https://psnet.ahrq.gov/web-mm/missing-large-vessel-occlusion-stroke-patient-history-seizure…
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psnet.ahrq.gov/print/pdf/node/865308
January 01, 2024 - PSNet
Curated Library
AHRQ: Agency for Healthcare Research and Quality
Organizational Learning
Curated Library
Foundations
Organizational learning: health care leaders need to design structures and processes that enhance
collective learning.
Bohmer RM, Edmondson AC. Health Forum J. 2001;44:32-35.
This comment…
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/ovarian-cancer-screening-2012
September 15, 2012 - Share to Facebook
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Print
archived
Final Recommendation Statement
Ovarian Cancer: Screening
September 15, 2012
Recommendations made by the USPSTF are independent of the U.S. government. They shoul…
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/thMRXgCVQmNUsYo6dmXEc3
May 01, 2004 - Screening for Visual Impairment in Children Younger than Age 5 Years - Recommendation Statement
Summary of
Recommendation
The USPSTF recommends screening to detect
amblyopia, strabismus, and defects in visual acuity
in children younger than age 5 years.
B recommendation.
The USPSTF found no direct evidence that
scr…
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psnet.ahrq.gov/web-mm/missing-large-vessel-occlusion-stroke-patient-history-seizures
August 31, 2022 - SPOTLIGHT CASE
Missing a Large Vessel Occlusion Stroke in a Patient with a History of Seizures.
Citation Text:
Keenan KJ, Nishijima DK. Missing a Large Vessel Occlusion Stroke in a Patient with a History of Seizures.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, U…
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psnet.ahrq.gov/node/73690/psn-pdf
September 08, 2021 - Medicine's Shadowside: Revisiting Clinical Iatrogenesis.
September 8, 2021
Varley E, Varma S, eds. Anthropol Med. 2021;28(2);141-278.
https://psnet.ahrq.gov/issue/medicines-shadowside-revisiting-clinical-iatrogenesis
Implicit biases are rooted in culture and context. This special issue examine…
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psnet.ahrq.gov/node/866284/psn-pdf
February 26, 2025 - AJR Podcast Series on Diagnostic Excellence and Error.
February 26, 2025
Deng F, ed. AJR Am J Roentgenol. July 2024-February 2025.
https://psnet.ahrq.gov/issue/ajr-podcast-series-diagnostic-excellence-and-error
Reducing diagnostic errors relies on a variety of professionals across the spectrum of care. This podcast…
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psnet.ahrq.gov/node/72562/psn-pdf
December 09, 2020 - Missed or Rationed Nursing Care.
December 9, 2020
J Nurs Manag. 2020;28(8): i-iv, 1767-2275.
https://psnet.ahrq.gov/issue/missed-or-rationed-nursing-care
Incomplete nursing care is known to affect care quality and safety. This special issue documents the global
problem of missed or rationed nursing care in a varie…
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psnet.ahrq.gov/node/36264/psn-pdf
October 21, 2010 - The importance of establishing regimen concordance in
preventing medication errors in anticoagulant care.
October 21, 2010
Schillinger D, Wang F, Rodriguez M, et al. The importance of establishing regimen concordance in
preventing medication errors in anticoagulant care. J Health Commun. 2006;11(6):555-67.
https:/…
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psnet.ahrq.gov/node/61031/psn-pdf
October 14, 2020 - Special Section: Event Analysis and Risk Management.
October 14, 2020
Alemi F ed. Qual Manag Health Care. 2020;29(4):232-278.
https://psnet.ahrq.gov/issue/special-section-event-analysis-and-risk-management
Adverse event analysis is core for organizational learning from poor performance. This special section
d…
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psnet.ahrq.gov/node/41956/psn-pdf
December 21, 2014 - Integrating human factors research and surgery: a review.
December 21, 2014
Shouhed D, Gewertz BL, Wiegmann D, et al. Integrating human factors research and surgery: a review.
Arch Surg. 2012;147(12):1141-1146. doi:10.1001/jamasurg.2013.596.
https://psnet.ahrq.gov/issue/integrating-human-factors-research-and-surger…
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psnet.ahrq.gov/node/35680/psn-pdf
March 03, 2011 - Impact of adverse events on prescribing warfarin in
patients with atrial fibrillation: matched pair analysis.
March 3, 2011
Choudhry NK, Anderson G, Laupacis A, et al. Impact of adverse events on prescribing warfarin in patients
with atrial fibrillation: matched pair analysis. BMJ. 2006;332(7534):141-5.
https://ps…
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psnet.ahrq.gov/node/37109/psn-pdf
July 15, 2013 - Putting the sleepy resident issue to bed: federal
legislation is not the answer to excessive medical
resident working hours.
July 15, 2013
Stone JD.
https://psnet.ahrq.gov/issue/putting-sleepy-resident-issue-bed-federal-legislation-not-answer-excessive-
medical-resident
This article examines work-hour reduction …
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psnet.ahrq.gov/node/50759/psn-pdf
December 18, 2019 - The lurking danger in the “business case” for patient
safety
December 18, 2019
Millenson ML. Health Affairs Blog. December 2, 2019.
https://psnet.ahrq.gov/issue/lurking-danger-business-case-patient-safety
The two decades since To Err Is Human was published have raised and addressed a myriad of concerns
affecting …
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psnet.ahrq.gov/node/43597/psn-pdf
November 04, 2014 - The lost art of the history and physical.
November 4, 2014
Natt B, Szerlip HM. The lost art of the history and physical. Am J Med Sci. 2014;348(5):423-5.
doi:10.1097/MAJ.0000000000000326.
https://psnet.ahrq.gov/issue/lost-art-history-and-physical
Highlighting concerns about over-reliance on laboratory tests to for…
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psnet.ahrq.gov/node/39246/psn-pdf
April 11, 2018 - How perioperative nurses define, attribute causes of, and
react to intraoperative nursing errors.
April 11, 2018
Chard R. How perioperative nurses define, attribute causes of, and react to intraoperative nursing errors.
AORN J. 2010;91(1):132-45. doi:10.1016/j.aorn.2009.06.028.
https://psnet.ahrq.gov/issue/how-per…
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psnet.ahrq.gov/node/50874/psn-pdf
February 05, 2020 - Checking In on the Checklist.
February 5, 2020
Buissonniere M. Brooklyn NY: Lifebox and Ariadne Labs; 2020.
https://psnet.ahrq.gov/issue/checking-checklist
Checklists are integrated into error reduction strategies and healthcare team communication efforts
worldwide but implementation and impact of the tool varies …
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psnet.ahrq.gov/node/38586/psn-pdf
April 30, 2014 - Stress and burnout among surgeons: understanding and
managing the syndrome and avoiding the adverse
consequences.
April 30, 2014
Balch CM, Freischlag JA, Shanafelt TD. Stress and burnout among surgeons: understanding and
managing the syndrome and avoiding the adverse consequences. Arch Surg. 2009;144(4):371-6.
do…
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psnet.ahrq.gov/node/61052/psn-pdf
April 01, 2019 - Inadvertent Administration of an Oral Liquid Medicine into
a Vein.
April 1, 2019
Farnborough, UK; Healthcare Safety Investigation Branch: April 2019.
https://psnet.ahrq.gov/issue/inadvertent-administration-oral-liquid-medicine-vein
Wrong route medication administration is a never event. This report examined the co…