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psnet.ahrq.gov/node/73202/psn-pdf
April 28, 2021 - A Postpartum Woman with an Erroneous SARS-CoV-2
Test
April 28, 2021
Martin SA, Kanjilal S, Schiff G. A Postpartum Woman with an Erroneous SARS-CoV-2 Test. PSNet
[internet]. 2021.
https://psnet.ahrq.gov/web-mm/postpartum-woman-erroneous-sars-cov-2-test
The Case
A full-term pregnant patient was admitted in March 2…
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psnet.ahrq.gov/web-mm/intubation-mishap
April 26, 2023 - SPOTLIGHT CASE
Intubation Mishap
Citation Text:
Weinger MB, Blike G. Intubation Mishap. 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/perspective/conversation-edward-tenner-phd
June 01, 2011 - Reporting systems abound but lack data collection standards and robust evaluation processes that might
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psnet.ahrq.gov/node/50614/psn-pdf
October 30, 2019 - In Conversation With… Vineet Chopra, MD, MSc
October 30, 2019
In Conversation With… Vineet Chopra, MD, MSc. PSNet [internet]. 2019.
https://psnet.ahrq.gov/perspective/conversation-vineet-chopra-md-msc
Editor's note: Dr. Chopra is Chief of the Division of Hospital Medicine and Associate Professor of
Medicine at the…
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psnet.ahrq.gov/node/33866/psn-pdf
September 01, 2018 - specific issues around errors and the malpractice system and how in some ways it promotes silence and a
lack
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psnet.ahrq.gov/primer/retained-surgical-items-causation-and-prevention
January 04, 2024 - Radiologists Information exchange protocols and call back systems are ineffective Lack of knowledge about
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psnet.ahrq.gov/perspective/conversation-edwin-loftin-dnp-mba-rn-nea-bc-fache
August 31, 2020 - I've been very fortunate to, for lack of a better term, raise five CNOs throughout my career and I'm
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psnet.ahrq.gov/perspective/conversation-sigall-k-bell-md
February 26, 2025 - specific issues around errors and the malpractice system and how in some ways it promotes silence and a lack
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psnet.ahrq.gov/perspective/safety-across-board
August 31, 2020 - I've been very fortunate to, for lack of a better term, raise five CNOs throughout my career and I'm
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psnet.ahrq.gov/node/865419/psn-pdf
March 27, 2024 - While these
definitions have been widely adopted, their limitations include poor specificity, lack of
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psnet.ahrq.gov/perspective/safety-medical-devices
June 01, 2011 - Reporting systems abound but lack data collection standards and robust evaluation processes that might
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psnet.ahrq.gov/node/841467/psn-pdf
December 14, 2022 - Lack of understanding of the
care plan on the part of an essential member of a clinical team, for example
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psnet.ahrq.gov/node/60066/psn-pdf
March 25, 2020 - crowding experts identify ED boarding, the process of keeping
admitted patients in the ED because of lack
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psnet.ahrq.gov/web-mm/do-not-miss-sepsis-needles-viral-haystacks
March 27, 2024 - While these definitions have been widely adopted, their limitations include poor specificity, lack of
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psnet.ahrq.gov/node/74120/psn-pdf
November 30, 2021 - Anxiety
Depression
Fear
Isolation
Denial
Poor social support
Strained relationships
Structural
Lack
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psnet.ahrq.gov/web-mm/failure-adhere-dietary-restrictions-leading-complications-and-poor-follow
September 27, 2023 - patients detained on a psychiatric commitment order (which was not the case here) do not necessarily lack
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psnet.ahrq.gov/perspective/conversation-alison-holmes-md-mph
March 01, 2014 - Here we have a variety of challenges related to IT and lack of electronic prescribing.
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psnet.ahrq.gov/perspective/conversation-withpeter-j-pronovost-md-phd-0
October 01, 2010 - Lack of task possession resulted in the flight attendant taking the wrong action, and the fire destroyed
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psnet.ahrq.gov/perspective/what-makes-good-checklist
October 01, 2010 - Lack of task possession resulted in the flight attendant taking the wrong action, and the fire destroyed
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psnet.ahrq.gov/sites/default/files/2024-03/final_spotlight_case_not_missing_sepsis_needles_in_viral_haystacks_slides_march_date.pdf
January 01, 2024 - • While these definitions have been widely adopted, limitations include poor
specificity, lack of