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psnet.ahrq.gov/node/45428/psn-pdf
January 25, 2017 - Too many, too few, or too unsafe? Impact of inappropriate
prescribing on mortality, and hospitalization in a cohort of
community-dwelling oldest old.
January 25, 2017
Wauters M, Elseviers M, Vaes B, et al. Too many, too few, or too unsafe? Impact of inappropriate
prescribing on mortality, and hospitalization in a …
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psnet.ahrq.gov/issue/inpatient-notes-human-factors-engineering-and-inpatient-care-new-ways-solve-old-problems
December 27, 2018 - Commentary
Inpatient Notes: human factors engineering and inpatient care—new ways to solve old problems.
Citation Text:
Clack L, Sax H. Web Exclusives. Annals for Hospitalists Inpatient Notes - Human Factors Engineering and Inpatient Care-New Ways to Solve Old Problems. Ann Intern Med. 2…
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psnet.ahrq.gov/issue/opioid-prescribing-and-potential-overdose-errors-among-children-0-36-months-old
March 23, 2016 - Study
Opioid prescribing and potential overdose errors among children 0 to 36 months old.
Citation Text:
Basco WT, Ebeling M, Garner SS, et al. Opioid Prescribing and Potential Overdose Errors Among Children 0 to 36 Months Old. Clin Pediatr (Phila). 2015;54(8):738-44. doi:10.1177/0009922…
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psnet.ahrq.gov/issue/case-34-2010-65-year-old-woman-incorrect-operation-left-hand
March 13, 2013 - Commentary
Case 34-2010: a 65-year-old woman with an incorrect operation on the left hand.
Citation Text:
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. 201…
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psnet.ahrq.gov/issue/effect-work-hours-adverse-events-and-errors-health-care
August 20, 2014 - Study
The effect of work hours on adverse events and errors in health care.
Citation Text:
Olds DM, Clarke S. The effect of work hours on adverse events and errors in health care. J Safety Res. 2010;41(2):153-62. doi:10.1016/j.jsr.2010.02.002.
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psnet.ahrq.gov/issue/special-issue-teamwork
March 23, 2022 - Special or Theme Issue
Special Issue on Teamwork.
Citation Text:
Special Issue on Teamwork. Salas E, Rosen MA, eds. BMJ Qual Saf. 2013;22(5):369-448.
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psnet.ahrq.gov/cme
February 26, 2025 - Misdiagnosis of Small Bowel Obstruction in the Setting of Previous Abdominal Operations A man with a history of prior umbilical hernia repair presented to the emergency department (ED) with abdominal pain and was initially diagnosed with cholelithiasis before being discharged home. However, the next day he returned to …
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psnet.ahrq.gov/web-mm/picture-speaks-1000-words
July 16, 2015 - A Picture Speaks 1000 Words
Citation Text:
Hemphill RR. A Picture Speaks 1000 Words. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013.
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Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote …
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psnet.ahrq.gov/node/49391/psn-pdf
February 01, 2003 - When "Psychiatric" Symptoms Are Not
February 1, 2003
Goldberg RJ. When "Psychiatric" Symptoms Are Not. PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/when-psychiatric-symptoms-are-not
The Case
A 70-year-old man without documented past psychiatric history was placed on an involuntary hold as a
danger to oth…
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psnet.ahrq.gov/issue/what-new-doctor-learned-about-medical-mistakes-her-moms-death
March 03, 2021 - Newspaper/Magazine Article
What a new doctor learned about medical mistakes from her Mom's death.
Citation Text:
What a new doctor learned about medical mistakes from her Mom's death. Allen M. ProPublica. January 9, 2013.
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psnet.ahrq.gov/web-mm/patient-identification-errors-systems-challenge
February 23, 2011 - Patient Identification Errors: A Systems Challenge
Citation Text:
Choudhury LS, Vu CT. Patient Identification Errors: A Systems Challenge. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020.
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psnet.ahrq.gov/webmm-case-studies
March 25, 2025 - WebM&M: Case Studies
WebM&M (Morbidity & Mortality Rounds on the Web) features expert analysis of medical errors reported anonymously by our readers. Spotlight Cases include interactive learning modules available for CME/CPE . Commentaries are written by patient safety experts and published monthly. Have you encou…
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psnet.ahrq.gov/issue/towel-safety-message
October 24, 2012 - Newspaper/Magazine Article
A towel with a safety message.
Citation Text:
A towel with a safety message. Lerner M.
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psnet.ahrq.gov/issue/what-doctor-missed
August 17, 2016 - Newspaper/Magazine Article
What the doctor missed.
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October 6, 2010
View more articles from the same authors.
Reporting how mal…
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psnet.ahrq.gov/web-mm/when-psychiatric-symptoms-are-not
September 20, 2011 - When "Psychiatric" Symptoms Are Not
Citation Text:
Goldberg RJ. When "Psychiatric" Symptoms Are Not. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003.
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psnet.ahrq.gov/node/49482/psn-pdf
May 01, 2005 - Pregnant With Danger
May 1, 2005
Pearlman MD, Desmond JS. Pregnant With Danger. PSNet [internet]. 2005.
https://psnet.ahrq.gov/web-mm/pregnant-danger
The Case
A 35-year-old woman, 38 weeks pregnant, presented to the emergency department (ED) in the middle of
the night complaining of left leg pain. She also had so…
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psnet.ahrq.gov/issue/revealing-their-medical-errors-why-three-doctors-went-public
November 10, 2010 - Newspaper/Magazine Article
Revealing their medical errors: why three doctors went public.
Citation Text:
Revealing their medical errors: why three doctors went public. O'Reilly KB.
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psnet.ahrq.gov/issue/patient-harm-when-attorney-wont-take-your-case
July 22, 2015 - Newspaper/Magazine Article
Patient harm: when an attorney won't take your case.
Citation Text:
Patient harm: when an attorney won't take your case. Allen M; Pierce O.
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psnet.ahrq.gov/issue/walk-inside-have-surgery-it-safe
January 02, 2008 - Newspaper/Magazine Article
Walk inside, have surgery. But is it safe?
Citation Text:
Walk inside, have surgery. But is it safe? Brooks A.
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psnet.ahrq.gov/node/33689/psn-pdf
October 01, 2009 - The Media: An Essential, If Sometimes Arbitrary,
Promoter of Patient Safety
October 1, 2009
Wachter R. The Media: An Essential, If Sometimes Arbitrary, Promoter of Patient Safety. PSNet [internet].
2009.
https://psnet.ahrq.gov/perspective/media-essential-if-sometimes-arbitrary-promoter-patient-safety
Perspective
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