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psnet.ahrq.gov/sites/default/files/2022-08/final_spotlight_latex_allergies-slides.pdf
January 01, 2022 - of anaphylactic reactions in children with spina bifida during general anesthesia:
epidemiologic features
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psnet.ahrq.gov/node/33680/psn-pdf
March 22, 2009 - Different health
systems can develop them differently, as long as the labels have some standard features
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psnet.ahrq.gov/web-mm/wet-read
October 01, 2017 - difficult to provide this level of review for all cases because home access may be slower and offer fewer features
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psnet.ahrq.gov/node/49753/psn-pdf
February 01, 2016 - physicians complete the da
Vinci online robotic safety training course on set-up, draping, specific safety features
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psnet.ahrq.gov/web-mm/slippery-slide-life
January 21, 2017 - simulator available on the market; all “infant” simulators are just that, designed with a size and features
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psnet.ahrq.gov/node/850450/psn-pdf
June 14, 2023 - recommendations for subsequent care after an episode of self-harm, even adjusting for all
identified features
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psnet.ahrq.gov/node/33803/psn-pdf
January 01, 2015 - developed and validated, and it is clear that we do not have valid measures for many of the most
important features
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psnet.ahrq.gov/node/49723/psn-pdf
January 01, 2015 - The studies have shown that levels of agreement vary greatly depending
on methodology and specific features
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psnet.ahrq.gov/training-catalog
June 01, 2025 - Training Catalog
The AHRQ PSNet Training Catalog is an easy to use resource for healthcare professionals across all settings of care and specialties looking for education opportunities to further their knowledge of patient safety practices and principles. Some training opportunities are available as in-person meeting…
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psnet.ahrq.gov/print/pdf/node/74277
January 01, 2021 - PSNet
Curated Library
AHRQ: Agency for Healthcare Research and Quality
Medication/Drug Errors
Curated Library
Primers
Medication Administration Errors
Paul MacDowell, PharmD, BCPS, Ann Cabri, PharmD, and Michaela Davis, MSN, RN, CNS | March,
12 2021
Medication administration errors are a persistent patient saf…
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psnet.ahrq.gov/web-mm/inadvertent-castration
October 27, 2010 - Inadvertent Castration
Citation Text:
Calland FJ. Inadvertent Castration. 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 PubM…
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psnet.ahrq.gov/perspective/unintended-consequences-florida-medical-liability-legislation
February 01, 2003 - The Unintended Consequences of Florida Medical Liability Legislation
Paul Barach, MD, MPH | December 1, 2005
View more articles from the same authors.
Citation Text:
Barach P. The Unintended Consequences of Florida Medical Liability Legislation. PSNet [internet].…
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psnet.ahrq.gov/node/49518/psn-pdf
August 01, 2006 - It's All in the Syringe
August 1, 2006
Weingart SN. It's All in the Syringe. PSNet [internet]. 2006.
https://psnet.ahrq.gov/web-mm/its-all-syringe
The Case
A 33-year-old man with type 2 diabetes presented to his physician's office to discuss his diabetes
management. The patient admitted not taking his medications…
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psnet.ahrq.gov/periodic-issue/periodic-issue-472
February 26, 2025 - February 26, 2025 Weekly Issue
PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly
Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient
safety literature, news, conferences, repor…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.272_slideshow.ppt
July 01, 2012 - Spotlight Case July 2008
Spotlight Case
Not-So-Therapeutic Tap
*
*
Source and Credits
This presentation is based on the July 2012
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Jeffrey H. Barsuk, MD, MS; Northwestern University Feinberg Scho…
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psnet.ahrq.gov/web-mm/hospital-admission-due-high-dose-methotrexate-drug-interaction
October 01, 2003 - Hospital Admission Due to High-Dose Methotrexate Drug Interaction
Citation Text:
Siegel LC, Gandhi TK. Hospital Admission Due to High-Dose Methotrexate Drug Interaction. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009.
Copy Cit…
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psnet.ahrq.gov/node/49688/psn-pdf
August 21, 2013 - Discharge Instructions in the PACU: Who Remembers?
August 21, 2013
Engel KG. Discharge Instructions in the PACU: Who Remembers? PSNet [internet]. 2013.
https://psnet.ahrq.gov/web-mm/discharge-instructions-pacu-who-remembers
The Case
A 42-year-old woman was diagnosed with a torn anterior cruciate ligament (ACL) in …
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psnet.ahrq.gov/node/37252/psn-pdf
August 06, 2016 - Safety and Ethics in Healthcare: A Guide to Getting it
Right.
August 6, 2016
Runciman B, Merry A, Walton M. London, UK: CRC Press; 2017. ISBN: 9781315607443.
https://psnet.ahrq.gov/issue/safety-and-ethics-healthcare-guide-getting-it-right
This book provides a four-part treatment on improving health care safety, fe…
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psnet.ahrq.gov/node/41874/psn-pdf
November 21, 2012 - Reducing Diagnostic Errors.
November 21, 2012
Boston, MA: National Patient Safety Foundation; 2011.
https://psnet.ahrq.gov/issue/reducing-diagnostic-errors
This online continuing education module will educate participants on diagnostic errors, including
contributing factors and prevention strategies. Dr. Mark Grab…
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psnet.ahrq.gov/node/39279/psn-pdf
February 10, 2010 - "I'm sorry": Why is that so hard for doctors to say?
February 10, 2010
O'Reilly KB.
https://psnet.ahrq.gov/issue/im-sorry-why-so-hard-doctors-say
This feature article emphasizes efforts in health care to formalize disclosure following medical errors.
https://psnet.ahrq.gov/issue/im-sorry-why-so-hard-doctors-say
ht…