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psnet.ahrq.gov/node/50858/psn-pdf
January 31, 2020 - Artificial Intelligence and Diagnostic Errors
January 31, 2020
Hall KK, Fitall E. Artificial Intelligence and Diagnostic Errors. PSNet [internet]. 2020.
https://psnet.ahrq.gov/perspective/artificial-intelligence-and-diagnostic-errors
Definition of Artificial Intelligence
The definition of artificial intelligence (…
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psnet.ahrq.gov/web-mm/emergent-triage-miss
March 06, 2015 - Emergent Triage Miss
Citation Text:
Travers D. Emergent Triage Miss. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010.
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Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId …
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psnet.ahrq.gov/node/861760/psn-pdf
January 31, 2024 - Syringe Swap During Regional Block: A Case of
Medication Error and Recovery
January 31, 2024
Beres K, Gutierrez MC. Syringe Swap During Regional Block: A Case of Medication Error and Recovery.
PSNet [internet]. 2024.
https://psnet.ahrq.gov/web-mm/syringe-swap-during-regional-block-case-medication-error-and-recover…
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psnet.ahrq.gov/periodic-issue/periodic-issue-436
April 10, 2024 - WebM&M Cases
Under Pressure: Delayed Diagnosis of Compartment Syndrome after Lower Leg Fracture
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psnet.ahrq.gov/periodic-issue/periodic-issue-434
April 10, 2024 - WebM&M Cases
Under Pressure: Delayed Diagnosis of Compartment Syndrome after Lower Leg Fracture
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psnet.ahrq.gov/periodic-issue/periodic-issue-437
April 10, 2024 - WebM&M Cases
Under Pressure: Delayed Diagnosis of Compartment Syndrome after Lower Leg Fracture
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psnet.ahrq.gov/node/850450/psn-pdf
June 14, 2023 - The One That Got Away—Elopement of a Suicidal Patient
in the Emergency Department.
June 14, 2023
Bourgeois JA, Xiong G, Barnes DK, et al. The One That Got Away—Elopement of a Suicidal Patient in the
Emergency Department. PSNet [internet]. 2023.
https://psnet.ahrq.gov/web-mm/one-got-away-elopement-suicidal-patient-…
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psnet.ahrq.gov/node/49800/psn-pdf
July 01, 2017 - The Hidden Harms of Hand Sanitizer
July 1, 2017
Stewart S. The Hidden Harms of Hand Sanitizer. PSNet [internet]. 2017.
https://psnet.ahrq.gov/web-mm/hidden-harms-hand-sanitizer
The Case
A 57-year-old woman with a history of alcohol abuse and severe depression was admitted to the hospital
for community-acquired pn…
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psnet.ahrq.gov/periodic-issue/periodic-issue-331
March 31, 2022 - March 2, 2022 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, reports, …
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psnet.ahrq.gov/web-mm/hypoxemia-after-emergency-intubation
March 24, 2019 - Hypoxemia after Emergency Intubation
Citation Text:
Bohringer C, Liu H. Hypoxemia after Emergency Intubation. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024.
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psnet.ahrq.gov/web-mm/distraction-anesthesiologist-and-lack-resuscitation-drugs-resulting-delayed-treatment
January 29, 2021 - Distraction of the Anesthesiologist and Lack of Resuscitation Drugs Resulting in Delayed Treatment of Laryngospasm.
Citation Text:
Bohringer C. Distraction of the Anesthesiologist and Lack of Resuscitation Drugs Resulting in Delayed Treatment of Laryngospasm.. PSNet [internet]. Rockville (MD): Agency for He…
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psnet.ahrq.gov/web-mm/incomplete-anesthesia-history-leads-adverse-outcomes
January 29, 2021 - An Incomplete Anesthesia History Leads to Adverse Outcomes
Citation Text:
Bohringer C. An Incomplete Anesthesia History Leads to Adverse Outcomes. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022.
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…
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psnet.ahrq.gov/issue/fatal-case-iatrogenic-hypercalcemia-after-calcium-channel-blocker-overdose
October 26, 2022 - October 26, 2022
Potentially harmful medication dispenses after a fall or hip fracture
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psnet.ahrq.gov/issue/emerging-ehr-purgatory-moving-process-outcomes
July 22, 2020 - August 18, 2021
Potentially harmful medication dispenses after a fall or hip fracture
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psnet.ahrq.gov/issue/incidence-adverse-drug-reactions-hospitalized-patients-meta-analysis-prospective-studies
October 04, 2017 - February 9, 2011
Potentially harmful medication dispenses after a fall or hip fracture
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psnet.ahrq.gov/issue/interview-jerry-gurwitz
August 11, 2010 - August 18, 2021
Potentially harmful medication dispenses after a fall or hip fracture
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psnet.ahrq.gov/node/49713/psn-pdf
June 01, 2014 - Aside from air embolism formation, CVC removal carries other risks such as bleeding, catheter fracture
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psnet.ahrq.gov/node/49820/psn-pdf
February 01, 2018 - Case
A 72-year-old man was admitted to the hospital after a fall at home resulting in a right humerus fracture
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psnet.ahrq.gov/node/49481/psn-pdf
May 01, 2005 - He was also found to have a proximal humeral fracture, and
the orthopedic consult recommended surgical
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psnet.ahrq.gov/web-mm/high-risk-medications-high-risk-transfers
December 21, 2017 - Cases
Under Pressure: Delayed Diagnosis of Compartment Syndrome after Lower Leg Fracture