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psnet.ahrq.gov/issue/using-patient-safetyquality-improvement-model-assess-telehealth-psychiatry-and-behavioral
September 27, 2023 - Commentary
Using a patient safety/quality improvement model to assess telehealth for psychiatry and behavioral health services among special populations during COVID-19 and beyond.
Citation Text:
Using a patient safety/quality improvement model to assess telehealth for psychiatry and beh…
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psnet.ahrq.gov/issue/understanding-missed-opportunities-more-timely-diagnosis-cancer-symptomatic-patients-after
February 17, 2021 - Study
Understanding missed opportunities for more timely diagnosis of cancer in symptomatic patients after presentation.
Citation Text:
Lyratzopoulos G, Vedsted P, Singh H. Understanding missed opportunities for more timely diagnosis of cancer in symptomatic patients after presentation. …
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psnet.ahrq.gov/issue/diagnostic-discrepancies-between-antemortem-clinical-diagnosis-and-autopsy-findings-pediatric
July 28, 2021 - Study
Diagnostic discrepancies between antemortem clinical diagnosis and autopsy findings in pediatric cancer patients.
Citation Text:
Raghuram N, Alodan K, Bartels U, et al. Diagnostic discrepancies between antemortem clinical diagnosis and autopsy findings in pediatric cancer patients.…
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psnet.ahrq.gov/node/33592/psn-pdf
December 15, 2024 - Adverse Events, Near Misses, and Errors
December 15, 2024
Adverse Events, Near Misses, and Errors. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/adverse-events-near-misses-and-errors
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current re…
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psnet.ahrq.gov/web-mm/root-cause-analysis-gone-wrong
August 28, 2024 - Root Cause Analysis Gone Wrong
Citation Text:
Peerally MF, Dixon-Woods M. Root Cause Analysis Gone Wrong. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018.
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Google Scholar BibTeX EndNote X3 XML E…
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psnet.ahrq.gov/web-mm/hospital-acquired-diabetic-ketoacidosis
October 28, 2020 - and possibly miscommunication regarding the timing of prior insulin doses. 1 Patients with chronic kidney … disease (CKD) are in a chronic state of metabolic acidosis, which makes diagnosing DKA challenging.
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psnet.ahrq.gov/issue/situ-simulation-essential-tool-safe-preparedness-covid-19-pandemic
June 02, 2021 - Study
In situ simulation: an essential tool for safe preparedness for the COVID-19 pandemic.
Citation Text:
Sharara-Chami R, Sabouneh R, Zeineddine R, et al. In situ simulation: an essential tool for safe preparedness for the COVID-19 pandemic. Simul Healthc. 2020;15(5):303-309. doi:10.1…
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psnet.ahrq.gov/issue/critical-care-simulation-education-program-during-covid-19-pandemic
June 22, 2022 - Commentary
Critical care simulation education program during the COVID-19 pandemic.
Citation Text:
Leibner ES, Baron EL, Shah RS, et al. Critical care simulation education program during the COVID-19 pandemic. J Patient Saf. 2022;18(4):e810-e815. doi:10.1097/pts.0000000000000928.
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psnet.ahrq.gov/issue/diagnostic-trajectories-primary-care-12-months-observational-cohort-study
December 02, 2020 - Study
Diagnostic trajectories in primary care at 12 months: an observational cohort study.
Citation Text:
Fontil V, Khoong EC, Lyles C, et al. Diagnostic trajectories in primary care at 12 months: an observational cohort study. Jt Comm J Qual Patient Saf. 2022;48(8):395-402. doi:10.1016/…
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psnet.ahrq.gov/issue/pediatric-musculoskeletal-radiographs-anatomy-and-fractures-prone-diagnostic-error-among
March 24, 2021 - Study
Pediatric musculoskeletal radiographs: anatomy and fractures prone to diagnostic error among emergency physicians.
Citation Text:
Li W, Stimec J, Camp M, et al. Pediatric musculoskeletal radiographs: anatomy and fractures prone to diagnostic error among emergency physicians. J Emer…
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psnet.ahrq.gov/node/49730/psn-pdf
April 01, 2015 - with a history of prostate cancer, poorly controlled myotonic dystrophy, hypertension,
and chronic kidney … disease was admitted to the hospital with anuric acute kidney injury in the setting of
angiotensin
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psnet.ahrq.gov/issue/practical-implementation-artificial-intelligence-technologies-medicine
March 24, 2019 - Commentary
The practical implementation of artificial intelligence technologies in medicine.
Citation Text:
He J, Baxter SL, Xu J, et al. The practical implementation of artificial intelligence technologies in medicine. Nat Med. 2019;25(1):30-36. doi:10.1038/s41591-018-0307-0.
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psnet.ahrq.gov/issue/increased-mortality-and-costs-associated-adverse-events-intensive-care-unit-patients
January 16, 2008 - Study
Increased mortality and costs associated with adverse events in intensive care unit patients.
Citation Text:
Cantor N, Durr KM, McNeill K, et al. Increased mortality and costs associated with adverse events in intensive care unit patients. J Intensive Care Med. 2022;37(8):1075-1081…
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psnet.ahrq.gov/issue/difficult-diagnosis-icu-making-right-call-beware-uncertainty-and-bias
May 19, 2021 - Review
Difficult diagnosis in the ICU: making the right call but beware uncertainty and bias.
Citation Text:
Pisciotta W, Arina P, Hofmaenner D, et al. Difficult diagnosis in the ICU: making the right call but beware uncertainty and bias. Anaesthesia. 2023;78(4):501-509. doi:10.1111/anae…
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psnet.ahrq.gov/node/49728/psn-pdf
March 01, 2015 - https://psnet.ahrq.gov/web-mm/medication-mix-bad-worse
The Case
A 69-year-old man with chronic kidney … disease and essential hypertension was admitted to the hospital
with chest pain, headache, and accelerated
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psnet.ahrq.gov/web-mm/diagnostic-delay-emergency-department
September 18, 2024 - SPOTLIGHT CASE
Diagnostic Delay in the Emergency Department
Citation Text:
Marshall K, Singh H. Diagnostic Delay in the Emergency Department. 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/issue/reductions-sepsis-mortality-and-costs-after-design-and-implementation-nurse-based-early
March 09, 2016 - Study
Reductions in sepsis mortality and costs after design and implementation of a nurse-based early recognition and response program.
Citation Text:
Jones SL, Ashton CM, Kiehne L, et al. Reductions in sepsis mortality and costs after design and implementation of a nurse-based early rec…
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psnet.ahrq.gov/issue/natural-language-processing-and-its-implications-future-medication-safety-narrative-review
December 21, 2014 - Review
Emerging Classic
Natural language processing and its implications for the future of medication safety: a narrative review of recent advances and challenges.
Citation Text:
Wong A, Plasek JM, Montecalvo SP, et al. Natural Language Processing and Its Implic…
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psnet.ahrq.gov/issue/emergency-diagnosis-cancer-and-previous-general-practice-consultations-insights-linked
February 17, 2021 - Study
Emergency diagnosis of cancer and previous general practice consultations: insights from linked patient survey data.
Citation Text:
Abel GA, Mendonca SC, McPhail S, et al. Emergency diagnosis of cancer and previous general practice consultations: insights from linked patient survey…
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psnet.ahrq.gov/issue/lessons-learned-national-hospital-antibiotic-stewardship-implementation-project
July 20, 2022 - Study
Lessons learned from a national hospital antibiotic stewardship implementation project.
Citation Text:
Cosgrove SE, Ahn R, Dullabh P, et al. Lessons learned from a national hospital antibiotic stewardship implementation project. Jt Comm J Qual Patient Saf. 2024;50(6):435-441. doi:1…