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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/web-mm/other-side
May 01, 2007 - SPOTLIGHT CASE
The Other Side
Citation Text:
Vincent CA. The Other Side. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote t…
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psnet.ahrq.gov/node/49619/psn-pdf
February 01, 2011 - Paradoxical Pulse
February 1, 2011
Roy CL. Paradoxical Pulse. PSNet [internet]. 2011.
https://psnet.ahrq.gov/web-mm/paradoxical-pulse
The Case
An 80-year-old man with paroxysmal atrial fibrillation and symptomatic bradycardia underwent successful
pacemaker placement as an outpatient. The patient was restarted on …
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psnet.ahrq.gov/node/33735/psn-pdf
August 01, 2012 - Medication Safety in Nursing Homes: What's Wrong and
How to Fix It
August 1, 2012
Gurwitz JH. Medication Safety in Nursing Homes: What's Wrong and How to Fix It. PSNet [internet]. 2012.
https://psnet.ahrq.gov/perspective/medication-safety-nursing-homes-whats-wrong-and-how-fix-it
Perspective
At any point in time, …
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/hp/Adult_Med_Eng_HP51_2152a.pdf
October 01, 2020 - CAHPS Health Plan Survey Adult Medicaid Survey 5.1
CAHPS Health Plan Survey
Version: Adult Medicaid Survey 5.1
Language: English
Notes
• Release of 5.1 version: The CAHPS team updated this survey in the fall of 2020. To
reflect the fact that patients are receiving health care in person, by phone, and by vide…
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psnet.ahrq.gov/web-mm/liver-failure-after-chemotherapy-did-we-forget-something
May 01, 2019 - Liver Failure After Chemotherapy: Did We Forget Something?
Citation Text:
Lubel J. Liver Failure After Chemotherapy: Did We Forget Something?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011.
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Format:
G…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/cancer/drug-eng-cancer-552a.pdf
October 07, 2016 - CAHPS Cancer Care Survey: Drug Therapy
CAHPS® Cancer Care Survey
Version: Drug Therapy
Language: English
Notes
• Supplemental items: Survey users may add questions to this survey. Supplemental items
approved by the CAHPS Consortium for use with this survey are available on the Agency
for Heal…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/cancer/surg-eng-cancer-553a.pdf
October 07, 2016 - CAHPS Cancer Care Survey: Cancer Surgery
CAHPS® Cancer Care Survey
Version: Cancer Surgery
Language: English
Notes
• Supplemental items: Survey users may add questions to this survey. Supplemental items
approved by the CAHPS Consortium for use with this survey are available on the Agency
for …
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/cancer/rad-eng-cancer-551a.pdf
October 07, 2016 - CAHPS Cancer Care Survey: Radiation Therapy
CAHPS® Cancer Care Survey
Version: Radiation Therapy
Language: English
Notes
• Supplemental items: Survey users may add questions to this survey. Supplemental items
approved by the CAHPS Consortium for use with this survey are available on the Agency
for Healthcar…
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psnet.ahrq.gov/web-mm/add-case-and-missing-checklist
September 01, 2012 - Add-on Case and the Missing Checklist
Citation Text:
Catchpole K. Add-on Case and the Missing Checklist. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
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psnet.ahrq.gov/perspective/emerging-safety-issues-artificial-intelligence
February 20, 2019 - Emerging Safety Issues in Artificial Intelligence
Robert Challen, MA, MBBS | July 1, 2019
View more articles from the same authors.
Citation Text:
Challen R. Emerging Safety Issues in Artificial Intelligence. PSNet [internet]. Rockville (MD): Agency for Healthcare…
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psnet.ahrq.gov/node/49687/psn-pdf
August 21, 2013 - Emergency Error
August 21, 2013
Symons NRA. Emergency Error. PSNet [internet]. 2013.
https://psnet.ahrq.gov/web-mm/emergency-error
Case Objectives
State that emergency surgery is high risk and has high mortality.
Appreciate that emergency laparotomy is a particularly high-risk procedure with a high likelihood of
…
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psnet.ahrq.gov/web-mm/anemia-and-delayed-colon-cancer-diagnosis
July 21, 2020 - SPOTLIGHT CASE
Anemia and Delayed Colon Cancer Diagnosis
Citation Text:
Pathipati MP, Richter JM. Anemia and Delayed Colon Cancer Diagnosis. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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Format: …
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psnet.ahrq.gov/web-mm/isolated-clot-real-error
December 01, 2013 - SPOTLIGHT CASE
Isolated Clot, Real Error
Citation Text:
Parks A, Fang MC. Isolated Clot, Real Error. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018.
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Format:
Google Scholar BibTeX EndNote X3…
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psnet.ahrq.gov/web-mm/contaminated-or-not-guidelines-interpretation-positive-blood-cultures
November 16, 2022 - Contaminated or Not? Guidelines for Interpretation of Positive Blood Cultures
Citation Text:
Weinstein MP. Contaminated or Not? Guidelines for Interpretation of Positive Blood Cultures. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. …
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psnet.ahrq.gov/issue/effectiveness-do-not-interrupt-vest-intervention-reduce-medication-errors-during-medication
December 21, 2017 - September 26, 2016
Going blank: factors contributing to interruptions to nurses' work
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psnet.ahrq.gov/issue/nursing-care-quality-and-adverse-events-us-hospitals
November 04, 2009 - September 26, 2016
Going blank: factors contributing to interruptions to nurses' work
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psnet.ahrq.gov/issue/us-emergency-department-visits-outpatient-adverse-drug-events-2013-2014
February 23, 2018 - October 19, 2022
Group urges going metric to head off dosing mistakes.
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psnet.ahrq.gov/issue/diagnostic-accuracy-large-language-model-pediatric-case-studies
May 25, 2016 - June 19, 2024
What's going well: a qualitative analysis of positive patient and family
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www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/file/supporting_documents/hormone-therapy-postmenopause-final-rec-bulletin.pdf
November 01, 2022 - recommendation is only for people who are considering hormone therapy to prevent chronic
conditions after going