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41. Older patients' engagement in hospital medication safety behaviours. | PSNet
    psnet.ahrq.gov/issue/older-patients-engagement-hospital-medication-safety-behaviours
    November 17, 2021 - Study Older patients' engagement in hospital medication safety behaviours. Citation Text: Tobiano G, Chaboyer W, Dornan G, et al. Older patients’ engagement in hospital medication safety behaviours. Aging Clin Exp Res. 2021;33(12):3353-3361. doi:10.1007/s40520-021-01866-3. Copy Citatio…

42. Structural racism--a 60-year-old black woman with breast cancer. | PSNet
    psnet.ahrq.gov/issue/structural-racism-60-year-old-black-woman-breast-cancer
    December 17, 2020 - Commentary Emerging Classic Structural racism--a 60-year-old black woman with breast cancer. Citation Text: 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/nejmp18…

43. PSNet Curated Library (pdf file)
    psnet.ahrq.gov/print/pdf/node/842920
    December 14, 2022 - PSNet Curated Library AHRQ: Agency for Healthcare Research and Quality Diagnostic Errors Case Studies Curated Library Web M&Ms A Postpartum Woman with an Erroneous SARS-CoV-2 Test Stephen A. Martin, MD, EdM, Gordon D. Schiff, MD, and Sanjat Kanjilal, MD, MPH | April 28, 2021 A pregnant patient was admitted for…

44. Get the Medications Right Institute. | PSNet
    psnet.ahrq.gov/issue/get-medications-right-institute
    March 12, 2016 - Multi-use Website Get the Medications Right Institute. Citation Text: Get the Medications Right Institute. 8230 Old Courthouse Road, Suite 420, Tysons Corner, VA. Copy Citation Save Save to your library Print Download PDF Share Facebook …

45. A 62-year-old woman with skin cancer who experienced wrong-site surgery. | PSNet
    psnet.ahrq.gov/issue/62-year-old-woman-skin-cancer-who-experienced-wrong-site-surgery
    December 01, 2021 - Commentary Classic A 62-year-old woman with skin cancer who experienced wrong-site surgery. Citation Text: Gallagher TH. A 62-year-old woman with skin cancer who experienced wrong-site surgery: review of medical error. JAMA. 2009;302(6):669-77. doi:10.1001/jam…

46. New Covid boosters look a lot like the old ones. Doctors worry that could lead to errors. | PSNet
    psnet.ahrq.gov/issue/new-covid-boosters-look-lot-old-ones-doctors-worry-could-lead-errors
    April 26, 2023 - Newspaper/Magazine Article New Covid boosters look a lot like the old ones. Doctors worry that could lead to errors. Citation Text: New Covid boosters look a lot like the old ones. Doctors worry that could lead to errors. Lovelace Jr, B. NBC News. September 7, 2022. Copy Citation …

47. A 25-year-old teacher died after waiting hours at the ER. She's not the only one who saw delays. | PSNet
    psnet.ahrq.gov/issue/25-year-old-teacher-died-after-waiting-hours-er-shes-not-only-one-who-saw-delays
    September 09, 2020 - Newspaper/Magazine Article A 25-year-old teacher died after waiting hours at the ER. She's not the only one who saw delays. Citation Text: A 25-year-old teacher died after waiting hours at the ER. She's not the only one who saw delays. Linnane R, Diedrich J. Milwaukee Journal Sentinel. F…

48. An observational study of medication administration errors in old-age psychiatric inpatients. | PSNet
    psnet.ahrq.gov/issue/observational-study-medication-administration-errors-old-age-psychiatric-inpatients
    September 27, 2017 - Study An observational study of medication administration errors in old-age psychiatric inpatients. Citation Text: Haw C, Stubbs J, Dickens G. An observational study of medication administration errors in old-age psychiatric inpatients. Int J Qual Health Care. 2007;19(4):210-6. Copy Ci…

49. Handing over patient care: is it just the old broken telephone game? | PSNet
    psnet.ahrq.gov/issue/handing-over-patient-care-it-just-old-broken-telephone-game
    March 01, 2017 - Study Handing over patient care: is it just the old broken telephone game? Citation Text: 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. Copy Citation Form…

50. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/841146/psn-pdf
    December 07, 2022 - Exploring the intersection of structural racism and ageism in healthcare. December 7, 2022 Farrell TW, Hung WW, Unroe KT, et al. Exploring the intersection of structural racism and ageism in healthcare. J Am Geriatr Soc. 2022;70(12):3366-3377. doi:10.1111/jgs.18105. https://psnet.ahrq.gov/issue/exploring-intersect…

51. The WHO World Alliance for Patient Safety: a new challenge or an old one neglected? | PSNet
    psnet.ahrq.gov/issue/who-world-alliance-patient-safety-new-challenge-or-old-one-neglected
    February 14, 2024 - Commentary The WHO World Alliance for Patient Safety: a new challenge or an old one neglected? Citation Text: Edwards R. The WHO World Alliance for Patient Safety: a new challenge or an old one neglected? Drug Saf. 2005;28(5):379-86. Copy Citation Format: Google Scholar P…

52. How hepatitis probe led to clinic: old-fashioned legwork yielded clues that came together. | PSNet
    psnet.ahrq.gov/issue/how-hepatitis-probe-led-clinic-old-fashioned-legwork-yielded-clues-came-together
    September 01, 2011 - Newspaper/Magazine Article How hepatitis probe led to clinic: old-fashioned legwork yielded clues that came together. Citation Text: How hepatitis probe led to clinic: old-fashioned legwork yielded clues that came together. Allen M. Las Vegas Sun. March 2, 2008. Copy Citation …

53. Diagnostic Errors Case Studies | PSNet
    psnet.ahrq.gov/curated-library/diagnostic-errors-case-studies
    August 10, 2025 - Breadcrumb Home The PSNet Collection Curated Libraries Subscribed Diagnostic Errors Case Studies  Download  Share Facebook Twitter Linkedin Copy URL Subscribe Created By: Maria Mirica, PRIDE Group …

54. Learning From Mistakes. | PSNet
    psnet.ahrq.gov/issue/learning-mistakes
    March 28, 2018 - Book/Report Learning From Mistakes. Citation Text: Learning From Mistakes. London, UK: Parliamentary and Health Service Ombudsman; July 18, 2016. ISBN: 9781474135764. Copy Citation Save Save to your library Print Download PDF Share Facebook…

55. ‘They treat me like I’m old and stupid’: seniors decry health providers’ age bias. | PSNet
    psnet.ahrq.gov/issue/they-treat-me-im-old-and-stupid-seniors-decry-health-providers-age-bias
    December 05, 2018 - Newspaper/Magazine Article ‘They treat me like I’m old and stupid’: seniors decry health providers’ age bias. Citation Text: ‘They treat me like I’m old and stupid’: seniors decry health providers’ age bias. Graham J. Kaiser Health News. October 20, 2021. Copy Citation …

56. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49692/psn-pdf
    September 01, 2013 - A Picture Speaks 1000 Words September 1, 2013 Hemphill RR. A Picture Speaks 1000 Words. PSNet [internet]. 2013. https://psnet.ahrq.gov/web-mm/picture-speaks-1000-words The Case A 62-year-old man with a past medical history of hypertension, hyperlipidemia, and type A aortic dissection repair presented with chest p…

57. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/50842/psn-pdf
    January 29, 2020 - Patient Identification Errors: A Systems Challenge January 29, 2020 Choudhury LS, Vu CT. Patient Identification Errors: A Systems Challenge. PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/patient-identification-errors-systems-challenge The Cases The following four events involving five patients all involved…

58. Implicit bias in stroke care: a recurring old problem in the rising incidence of young stroke. | PSNet
    psnet.ahrq.gov/issue/implicit-bias-stroke-care-recurring-old-problem-rising-incidence-young-stroke
    June 08, 2010 - Review Implicit bias in stroke care: a recurring old problem in the rising incidence of young stroke. Citation Text: Bhat A, Mahajan V, Wolfe N. Implicit bias in stroke care: A recurring old problem in the rising incidence of young stroke. J Clin Neurosci. 2021;85(Mar):27-35. doi:10.1016…

59. Too many, too few, or too unsafe? Impact of inappropriate prescribing on mortality, and hospitalization in a cohort of community-dwelling oldest old. | PSNet
    psnet.ahrq.gov/issue/too-many-too-few-or-too-unsafe-impact-inappropriate-prescribing-mortality-and-hospitalization
    December 02, 2020 - Study Too many, too few, or too unsafe? Impact of inappropriate prescribing on mortality, and hospitalization in a cohort of community-dwelling oldest old. Citation Text: Wauters M, Elseviers M, Vaes B, et al. Too many, too few, or too unsafe? Impact of inappropriate prescribing on morta…

60. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/45662/psn-pdf
    January 23, 2017 - National trends in hospitalizations for opioid poisonings among children and adolescents, 1997 to 2012. January 23, 2017 Gaither JR, Leventhal JM, Ryan SA, et al. National Trends in Hospitalizations for Opioid Poisonings Among Children and Adolescents, 1997 to 2012. JAMA Peds. 2016;170(12):1195-1201. doi:10.1001/j…