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psnet.ahrq.gov/web-mm/diagnostic-overshadowing-dangers
February 12, 2020 - Diagnostic Overshadowing Dangers
Citation Text:
Raven MC. Diagnostic Overshadowing Dangers. 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/web-mm/communication-failure-whos-charge
April 01, 2018 - not multi-system, and because of this, as well as the belief that the attending ICU physician was in-house
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psnet.ahrq.gov/web-mm/code-status-confusion
September 01, 2006 - Thus, hospitalists and house officers often need to discuss advance directives with patients whom they
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psnet.ahrq.gov/web-mm/techno-trip
May 01, 2005 - The White House Web site. April 27, 2004. Available at: [ go to related site ].
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psnet.ahrq.gov/web-mm/check-wristband
August 03, 2009 - Stark DP, House A. Anxiety in cancer patients. Br J Cancer. 2000;83:1261-7.[ go to PubMed ] 13.
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psnet.ahrq.gov/web-mm/tacit-handover-overt-mishap
August 01, 2006 - Transfers of patient care between house staff on internal medicine wards: a national survey.
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psnet.ahrq.gov/web-mm/liver-biopsy-proceed-caution
March 07, 2012 - pressure was noted to be lower than baseline at 88/55 mm Hg, so a call was placed to the covering in-house
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psnet.ahrq.gov/web-mm/wrong-shot-error-disclosure
May 01, 2011 - Do house officers learn from their mistakes? JAMA. 1991;265:2089-94.[ go to PubMed ]
10.
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psnet.ahrq.gov/node/33769/psn-pdf
June 01, 2014 - Subcommittee
on Oversight and Investigations of the Committee of Interstate and Foreign Commerce, House
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psnet.ahrq.gov/web-mm/empty-handoff
August 01, 2017 - Handoffs causing patient harm: a survey of medical and surgical house staff.
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psnet.ahrq.gov/perspective/what-have-we-learned-about-safe-inpatient-handovers
March 01, 2011 - Handoffs causing patient harm: a survey of medical and surgical house staff. … Transfers of patient care between house staff on internal medicine wards: a national survey.
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psnet.ahrq.gov/perspective/quality-and-safety-challenges-critical-care-preventing-and-treating-delirium-intensive
December 01, 2012 - I showed him this, and he said, "You need to give a lecture to the house staff on prudent use of meds … When you instruct your house staff or your students about how to approach such patients, what do you
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psnet.ahrq.gov/web-mm/anemia-and-delayed-colon-cancer-diagnosis
July 21, 2020 - Cumberland House: 2009;9:96-103. ISBN: 9781581826920.
22. Lin JS, Piper MA, Perdue LA, et al.
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psnet.ahrq.gov/primer/long-term-care-and-patient-safety
February 24, 2022 - Long-term Care and Patient Safety
Citation Text:
Bakerjian D. Long-term Care and Patient Safety. 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/sites/default/files/2019-11/webmm_spotlight_suicide_risk_assessment.pdf
January 01, 2019 - Spotlight
Missed Opportunities for Suicide
Risk Assessment
Source and Credits
• This presentation is based on the November 2019 AHRQ WebM&M
Spotlight Case
○ See the full article at https://psnet.ahrq.gov/webmm
○ CME credit is available
• Commentary by: Glen Xiong, MD & Debra Kahn, MD
○ Editors in Chief, AHRQ We…
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psnet.ahrq.gov/sites/default/files/2021-04/final_psnet_spotlight_retained_vaginal_packing_04.08.2021.pdf
January 01, 2021 - Spotlight
Spotlight
Two Cases of Retained Vaginal Packing:
When Writing an Order is Not Enough
Source and Credits
• This presentation is based on the April 2021 AHRQ WebM&M
Spotlight Case
o See the full article at https://psnet.ahrq.gov/webmm
o CME credit is available
o Commentary by: Verna Gibbs, MD
o AHRQ W…
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psnet.ahrq.gov/node/866992/psn-pdf
May 29, 2024 - Harm Reduction Strategies to Improve Safety for People
Who Use Substances
October 30, 2024
Salisbury-Afshar E, Gale B, Mossburg S. Harm Reduction Strategies to Improve Safety for People Who
Use Substances . PSNet [internet]. 2024.
https://psnet.ahrq.gov/perspective/harm-reduction-strategies-improve-safety-people-w…
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psnet.ahrq.gov/web-mm/missing-abscess-radiology-reads-digital-era
January 01, 2009 - Ten years after the IOM report: engaging residents in quality and patient safety by creating a house
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psnet.ahrq.gov/web-mm/unseen-perils-urinary-catheters
January 31, 2024 - The patient's wife filed a complaint with the facility, which prompted an in-house investigation.
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psnet.ahrq.gov/perspective/conversation-withbrent-c-james-md-mstat
February 26, 2025 - The key point here is the idea that this should have started in the House of Medicine.