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psnet.ahrq.gov/innovation/behavioral-health-vital-signs-initiative-increases-patient-education-and-disclosure
February 26, 2025 - “Behavioral Health Vital Signs” Initiative Increases Patient Education and Disclosure about Interpersonal Violence (IPV)
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June 30, 2021
Innovat…
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psnet.ahrq.gov/node/33739/psn-pdf
October 01, 2012 - The Physical Environment: An Often Unconsidered
Patient Safety Tool
October 1, 2012
Joseph A, Malone EB. The Physical Environment: An Often Unconsidered Patient Safety Tool. PSNet
[internet]. 2012.
https://psnet.ahrq.gov/perspective/physical-environment-often-unconsidered-patient-safety-tool
Perspective
Now that…
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psnet.ahrq.gov/node/33611/psn-pdf
July 01, 2005 - In Conversation with…Christopher P. Landrigan, MD
April 1, 2005
In Conversation with…Christopher P. Landrigan, MD. PSNet [internet]. 2005.
https://psnet.ahrq.gov/perspective/conversation-withchristopher-p-landrigan-md
Editor's Note: In October 2004, in what immediately became a landmark paper in patient safety, Dr.…
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psnet.ahrq.gov/node/33832/psn-pdf
April 01, 2017 - In Conversation With… Kathleen Sutcliffe, MN, PhD
April 1, 2017
In Conversation With… Kathleen Sutcliffe, MN, PhD. PSNet [internet]. 2017.
https://psnet.ahrq.gov/perspective/conversation-kathleen-sutcliffe-mn-phd
Editor's note: Professor Sutcliffe is a Bloomberg Distinguished Professor of Business and Medicine at
…
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psnet.ahrq.gov/node/33847/psn-pdf
August 01, 2017 - In Conversation With… Karl Bilimoria, MD, MS
August 1, 2017
In Conversation With… Karl Bilimoria, MD, MS. PSNet [internet]. 2017.
https://psnet.ahrq.gov/perspective/conversation-karl-bilimoria-md-ms-0
Editor's note: Dr. Bilimoria is the Director of the Surgical Outcomes and Quality Improvement Center of
Northwest…
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psnet.ahrq.gov/sites/default/files/2023-07/spotlight_a_complicated_course.pdf
January 01, 2023 - Microsoft PowerPoint - FINAL Spotlight Case_A Complicated Course-Severe Alcohol Withdrawal - SLIDES.pptx
Spotlight
A Complicated Course: Severe Alcohol Withdrawal with
Dexmedetomidine Infusion
Source and Credits
• This presentation is based on the July 2023 AHRQ WebM&M
Spotlight Case
o See the full article at ht…
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psnet.ahrq.gov/issue/origin-and-uses-primum-non-nocere-above-all-do-no-harm
January 09, 2019 - Commentary
Origin and uses of primum non nocere—above all, do no harm!
Citation Text:
Smith CM. Origin and uses of primum non nocere--above all, do no harm!. J Clin Pharmacol. 2005;45(4):371-7.
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psnet.ahrq.gov/issue/risky-business-navigating-shifting-health-care-landscape
December 22, 2021 - Meeting/Conference Proceedings
Risky Business: Navigating a Shifting Health Care Landscape.
Citation Text:
Boston Children’s Hospital. April 15, 2021.
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psnet.ahrq.gov/issue/trauma-when-theres-no-time-count
April 20, 2016 - Commentary
Trauma: when there's no time to count.
Citation Text:
Murdock DB. Trauma: When There's No Time to Count. AORN J. 2008;87(2). doi:10.1016/j.aorn.2007.07.008.
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DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS…
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psnet.ahrq.gov/issue/resistance-patient-safety-initiatives
November 26, 2014 - Newspaper/Magazine Article
Resistance to patient safety initiatives.
Citation Text:
O'Connor EJ, Fiol M. Resistance to patient safety initiatives. Physician executive. 2005;31(6):64-7.
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psnet.ahrq.gov/issue/salutary-tale-mistaken-identity-testicular-cancer
June 01, 2022 - Study
A salutary tale of mistaken identity in testicular cancer.
Citation Text:
Waterston A, Seywright M, White J. A salutary tale of mistaken identity in testicular cancer. Urol Oncol. 2006;24(5):407-9.
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psnet.ahrq.gov/issue/communication-medical-product-risk-how-effective-effective-enough
January 17, 2007 - Review
Communication of medical product risk: how effective is effective enough?
Citation Text:
Goldman SA. Communication of medical product risk: how effective is effective enough? Drug Saf. 2004;27(8):519-34.
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psnet.ahrq.gov/issue/good-medical-care-can-suffer-late-day
December 16, 2020 - Newspaper/Magazine Article
Good medical care can suffer late in the day.
Citation Text:
Gordon M. Good medical care can suffer late in the day. National Public Radio. 2020.
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psnet.ahrq.gov/issue/safety-issues-and-concerns-neurological-patient-emergency-department
March 19, 2014 - Review
Safety issues and concerns for the neurological patient in the emergency department.
Citation Text:
Manno EM. Safety issues and concerns for the neurological patient in the emergency department. Neurocrit Care. 2008;9(2):259-64. doi:10.1007/s12028-008-9111-x.
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psnet.ahrq.gov/issue/quality-improvement-study-medication-error-leading-thyrotoxicosis-and-death
September 13, 2017 - Study
A quality improvement study: medication error leading to thyrotoxicosis and death.
Citation Text:
Levine JM. A quality improvement study: medication error leading to thyrotoxicosis and death. J Am Med Dir Assoc. 2004;5(6):410-3.
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psnet.ahrq.gov/issue/adenocarcinoma-situ-uterine-cervix-screening-and-diagnostic-errors-papanicolaou-smears
July 06, 2011 - Study
Adenocarcinoma in situ of the uterine cervix: screening and diagnostic errors in Papanicolaou smears.
Citation Text:
Ruba S, Schoolland M, Allpress S, et al. Adenocarcinoma in situ of the uterine cervix: screening and diagnostic errors in Papanicolaou smears. Cancer. 2004;102(5):…
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psnet.ahrq.gov/issue/inadvertent-administration-magnesium-sulfate-through-epidural-catheter-report-and-analysis
March 06, 2019 - Study
Inadvertent administration of magnesium sulfate through the epidural catheter: report and analysis of a drug error.
Citation Text:
Goodman EJ, Haas AJ, Kantor GS. Inadvertent administration of magnesium sulfate through the epidural catheter: report and analysis of a drug error. I…
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psnet.ahrq.gov/periodic-issue/periodic-issue-452
August 28, 2024 - August 14, 2024 Weekly Issue
PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly
Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient
safety literature, news, conferences, reports…
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psnet.ahrq.gov/periodic-issue/periodic-issue-434
April 10, 2024 - April 3, 2024 Weekly Issue
PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly
Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient
safety literature, news, conferences, reports, …
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.458_slideshow.ppt
October 01, 2018 - Spotlight
Spotlight
Overdiagnosis and Delay: Challenges in Sepsis Diagnosis
1
Source and Credits
This presentation is based on the October 2018
AHRQ WebM&M Spotlight Case
See the full article at https://psnet.ahrq.gov/webmm
CME credit is available
Commentary by: Ifedayo Kuye, MD, MBA, and Chanu Rhee, MD, MPH, …