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21. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/36373/psn-pdf
    October 27, 2010 - Drug-induced hypoglycaemia--new insight into an old problem. October 27, 2010 Ching CK, Lai CK, Poon WT, et al. Drug-induced hypoglycaemia--new insight into an old problem. Hong Kong Med J. 2006;12(5):334-8. https://psnet.ahrq.gov/issue/drug-induced-hypoglycaemia-new-insight-old-problem The investigators retrospe…

22. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/37614/psn-pdf
    March 21, 2011 - How hepatitis probe led to clinic: old-fashioned legwork yielded clues that came together. March 21, 2011 Allen M. Las Vegas Sun. March 2, 2008. https://psnet.ahrq.gov/issue/how-hepatitis-probe-led-clinic-old-fashioned-legwork-yielded-clues-came- together This article describes how investigators determined the ro…

23. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/74063/psn-pdf
    April 10, 2019 - Structural racism--a 60-year-old black woman with breast cancer. April 10, 2019 Pallok K, De Maio F, Ansell DA. Structural racism--a 60-year-old black woman with breast cancer. N Engl J Med. 2019;380(16):1489-1493. doi:10.1056/nejmp1811499. https://psnet.ahrq.gov/issue/structural-racism-60-year-old-black-woman-bre…

24. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/40909/psn-pdf
    November 09, 2011 - Handing over patient care: is it just the old broken telephone game? November 9, 2011 Zendejas B, Ali SM, Huebner M, et al. Handing over patient care: is it just the old broken telephone game? J Surg Educ. 2011;68(6):465-71. doi:10.1016/j.jsurg.2011.05.011. https://psnet.ahrq.gov/issue/handing-over-patient-care-it…

25. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/34979/psn-pdf
    June 22, 2009 - The WHO World Alliance for Patient Safety: a new challenge or an old one neglected? June 22, 2009 Edwards R. The WHO World Alliance for Patient Safety: a new challenge or an old one neglected? Drug Saf. 2005;28(5):379-86. https://psnet.ahrq.gov/issue/who-world-alliance-patient-safety-new-challenge-or-old-one-negle…

26. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/37111/psn-pdf
    January 01, 2023 - Patient Safety: An Old and New Issue. August 22, 2007 Bagnara S; Tartaglia R, eds. Theor Issues Ergon Sci. 2023;8(5):365-507. https://psnet.ahrq.gov/issue/patient-safety-old-and-new-issue This special issue contains articles focusing on ergonomic research areas that intersect with patient safety, such as team mana…

27. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/44895/psn-pdf
    March 09, 2016 - On patient safety: when are we too old to operate? March 9, 2016 Lee MJ. On Patient Safety: When Are We Too Old to Operate? Clin Orthop Relat Res. 2016;474(4):895-8. doi:10.1007/s11999-016-4722-6. https://psnet.ahrq.gov/issue/patient-safety-when-are-we-too-old-operate High-risk industries often have mandatory requ…

28. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/844776/psn-pdf
    September 18, 2019 - When is a doctor too old for the job? September 18, 2019 https://psnet.ahrq.gov/issue/when-doctor-too-old-job Potential deterioration of an aging surgeon's technical abilities is an emerging patient safety concern. This magazine article discusses how implementing policies and activities to assess the ability of sur…

29. A 60-year-old man with delayed care for a renal mass. | PSNet
    psnet.ahrq.gov/issue/60-year-old-man-delayed-care-renal-mass
    January 31, 2024 - Commentary A 60-year-old man with delayed care for a renal mass. Citation Text: Schiff G. Medical error: a 60-year-old man with delayed care for a renal mass. JAMA. 2011;305(18):1890-8. doi:10.1001/jama.2011.496. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNo…

30. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/47352/psn-pdf
    February 13, 2019 - When is the surgeon too old to operate? February 13, 2019 Span P. New York Times. February 1, 2019. https://psnet.ahrq.gov/issue/when-surgeon-too-old-operate Cognitive and functional decline can occur as individuals age. Concerns have been raised regarding the need to assess skills of aging physicians. This newspa…

31. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/74045/psn-pdf
    November 03, 2021 - ‘They treat me like I’m old and stupid’: seniors decry health providers’ age bias. November 3, 2021 Graham J. Kaiser Health News. October 20, 2021. https://psnet.ahrq.gov/issue/they-treat-me-im-old-and-stupid-seniors-decry-health-providers-age-bias Implicit biases permeate decision making and can impede safe and e…

32. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/40020/psn-pdf
    September 20, 2011 - Case 34-2010: a 65-year-old woman with an incorrect operation on the left hand. September 20, 2011 Ring DC, Herndon JH, Meyer GS. Case records of The Massachusetts General Hospital: Case 34-2010: a 65-year-old woman with an incorrect operation on the left hand. N Engl J Med. 2010;363(20):1950-7. doi:10.1056/NEJMcp…

33. PSNet Curated Library (pdf file)
    psnet.ahrq.gov/print/pdf/node/867659
    July 10, 2024 - PSNet Curated Library AHRQ: Agency for Healthcare Research and Quality Rapid Response Systems Curated Library Primers Rapid Response Systems UC Davis PSNet Editorial Team | September, 15 2024 Rapid response teams represent an intuitively simple concept: when a patient demonstrates signs of imminent clinical de…

34. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/838141/psn-pdf
    September 21, 2022 - New Covid boosters look a lot like the old ones. Doctors worry that could lead to errors. September 21, 2022 Lovelace Jr, B. NBC News. September 7, 2022. https://psnet.ahrq.gov/issue/new-covid-boosters-look-lot-old-ones-doctors-worry-could-lead-errors Look-alike sound-alike packaging is a known risk factor in medi…

35. An Avoidable Death of a Three-year-old Child from Sepsis. | PSNet
    psnet.ahrq.gov/issue/avoidable-death-three-year-old-child-sepsis
    August 31, 2016 - Book/Report An Avoidable Death of a Three-year-old Child from Sepsis. Citation Text: An Avoidable Death of a Three-year-old Child from Sepsis. London, UK: Parliamentary and Health Service Ombudsman; June 2014. Copy Citation Save Save to your library Print …

36. Clues to better health care from old malpractice lawsuits. | PSNet
    psnet.ahrq.gov/issue/clues-better-health-care-old-malpractice-lawsuits
    August 17, 2016 - Newspaper/Magazine Article Clues to better health care from old malpractice lawsuits. Citation Text: Clues to better health care from old malpractice lawsuits. Landro L. Copy Citation Save Save to your library Print Download PDF Share Faceboo…

37. Structural iatrogenesis—a 43-year-old man with "opioid misuse." | PSNet
    psnet.ahrq.gov/issue/structural-iatrogenesis-43-year-old-man-opioid-misuse
    September 04, 2016 - Commentary Structural iatrogenesis—a 43-year-old man with "opioid misuse." Citation Text: Stonington S, Coffa D. Structural Iatrogenesis - A 43-Year-Old Man with "Opioid Misuse". N Engl J Med. 2019;380(8):701-704. doi:10.1056/NEJMp1811473. Copy Citation Format: DOI Google S…

38. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/45160/psn-pdf
    May 18, 2016 - Clues to better health care from old malpractice lawsuits. May 18, 2016 Landro L. https://psnet.ahrq.gov/issue/clues-better-health-care-old-malpractice-lawsuits Closed claims have been considered a source for adverse event data for years, and recently such data has been utilized to inform safety improvement work. …

39. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/43361/psn-pdf
    July 16, 2014 - An Avoidable Death of a Three-year-old Child from Sepsis. July 16, 2014 London, UK: Parliamentary and Health Service Ombudsman; June 2014. https://psnet.ahrq.gov/issue/avoidable-death-three-year-old-child-sepsis This investigation outlines how inadequate care contributed to the death of a child who developed sepsi…

40. Rapid Response Systems | PSNet
    psnet.ahrq.gov/curated-library/rapid-response-systems
    September 15, 2024 - Breadcrumb Home The PSNet Collection Curated Libraries Subscribed Rapid Response Systems  Download  Share Facebook Twitter Linkedin Copy URL Subscribe Created By: AHRQ Date Created: January 24, 20…