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psnet.ahrq.gov/node/42871/psn-pdf
September 13, 2016 - Diagnosis.
September 13, 2016
Graber ML, Plebani M, eds. Berlin, Germany: Society to Improve Diagnosis in Medicine and DeGruyter.
ISSN: 2194-802X.
https://psnet.ahrq.gov/issue/diagnosis
This journal offers multidisciplinary research and commentary covering such topics as diagnostic error,
clinical reasoning, and …
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psnet.ahrq.gov/node/42148/psn-pdf
March 27, 2013 - Healing the hospital hierarchy.
March 27, 2013
Brown T. New York Times. March 17, 2013:SR5.
https://psnet.ahrq.gov/issue/healing-hospital-hierarchy
This newspaper article relates a nursing perspective on how authority gradients and disruptive behavior
can influence health care delivery and patient safety.
https:/…
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psnet.ahrq.gov/node/37435/psn-pdf
December 18, 2017 - Patient safety in the pediatric emergency care setting.
December 18, 2017
Medicine AMERICANACADEMYOFPEDIATRICSC on PE, Krug SE, Frush K. Patient safety in the pediatric
emergency care setting. Pediatrics. 2007;120(6):1367-1375.
https://psnet.ahrq.gov/issue/patient-safety-pediatric-emergency-care-setting
This polic…
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psnet.ahrq.gov/node/39343/psn-pdf
March 03, 2010 - Maalox Total Relief and Maalox Liquid Products:
Medication Use Errors.
March 3, 2010
MedWatch Safety Alert. Rockville, MD: US Food and Drug Administration; February 17, 2010.
https://psnet.ahrq.gov/issue/maalox-total-relief-and-maalox-liquid-products-medication-use-errors
This announcement alerts consumers and hea…
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psnet.ahrq.gov/node/37766/psn-pdf
October 22, 2013 - Diagnostic Error: Is Overconfidence the Problem.
October 22, 2013
Graber ML, Berner ES, eds. Amer J Med. 2008;121(5 Suppl):S1-S46.
https://psnet.ahrq.gov/issue/diagnostic-error-overconfidence-problem
This issue supplement focuses on diagnostic errors and diagnostic decision making, how physician
over…
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psnet.ahrq.gov/node/838220/psn-pdf
September 27, 2019 - Primary Care and Patient Safety: Opportunities at the
Interface
September 28, 2022
O’Malley P, McNellis B, Chew E, et al. Primary Care and Patient Safety: Opportunities at the Interface.
PSNet [internet]. 2022.
https://psnet.ahrq.gov/perspective/primary-care-and-patient-safety-opportunities-interface
Editor’s Not…
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psnet.ahrq.gov/perspective/safety-and-medical-education
December 01, 2013 - Annual Perspective
Safety and Medical Education
Sumant Ranji, MD | January 1, 2014
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Ranji SR. Safety and Medical Education. PSNet [internet]. Rockville (MD): Agency for Healt…
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psnet.ahrq.gov/node/841469/psn-pdf
December 14, 2022 - Strongyloides: A Hidden Traveler and Potentially Lethal
Missed Diagnosis.
December 14, 2022
Carlile N, Smith CL, Maguire JH, et al. Strongyloides: A Hidden Traveler and Potentially Lethal Missed
Diagnosis. PSNet [internet]. 2022.
https://psnet.ahrq.gov/web-mm/strongyloides-hidden-traveler-and-potentially-lethal-mi…
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psnet.ahrq.gov/web-mm/caution-interrupted
October 01, 2016 - Caution, Interrupted
Citation Text:
Wears RL. Caution, Interrupted. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId R…
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psnet.ahrq.gov/web-mm/departure-central-line-ritual
October 13, 2018 - Departure From Central Line Ritual
Citation Text:
Ballard DW, Vinson DR, Mark DG. Departure From Central Line Ritual. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015.
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Format:
Google Scholar BibTeX EndN…
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psnet.ahrq.gov/node/33743/psn-pdf
December 01, 2012 - Quality and Safety Challenges in Critical Care: Preventing
and Treating Delirium in the Intensive Care Unit
December 1, 2012
Vasilevskis EE, Ely WE, Dittus RS. Quality and Safety Challenges in Critical Care: Preventing and Treating
Delirium in the Intensive Care Unit. PSNet [internet]. 2012.
https://psnet.ahrq.gov…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.269_slideshow.ppt
June 01, 2012 - Spotlight Case July 2008
Spotlight Case
Transfer Troubles
1
2
Source and Credits
This presentation is based on the June 2012
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Isla M. Hains, PhD; Centre for Health Systems and Safety Research, Australia…
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psnet.ahrq.gov/node/33864/psn-pdf
January 01, 2019 - How Does Health Care Simulation Affect Patient Care?
August 1, 2018
Lopreiato JO. How Does Health Care Simulation Affect Patient Care? PSNet [internet]. 2018.
https://psnet.ahrq.gov/perspective/how-does-health-care-simulation-affect-patient-care
Perspective
Introduction
Health care simulation programs have spread…
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psnet.ahrq.gov/node/60044/psn-pdf
March 16, 2020 - Patient Safety in Medical, Nursing, and Other Clinical
Education
March 16, 2020
Howley LD, Hall KK, Fitall E. Patient Safety in Medical, Nursing, and Other Clinical Education . PSNet
[internet]. 2020.
https://psnet.ahrq.gov/perspective/patient-safety-medical-nursing-and-other-clinical-education
Background
Despit…
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psnet.ahrq.gov/node/49643/psn-pdf
December 01, 2011 - More Treatment—Better Care?
December 1, 2011
Redberg R. More Treatment—Better Care? PSNet [internet]. 2011.
https://psnet.ahrq.gov/web-mm/more-treatment-better-care
The Case
The patient is a 27-year-old female who presented to a 250-bed community hospital with numbness and
tingling of her hands and feet. She was …
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psnet.ahrq.gov/web-mm/are-you-mrs-issue-identification-over-telephone
January 01, 2016 - Are You Mrs. A? An Issue of Identification Over Telephone
Citation Text:
Adelman JS. Are You Mrs. A? An Issue of Identification Over Telephone. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013.
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…
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psnet.ahrq.gov/web-mm/preventable-transfer-hospital
March 31, 2022 - Preventable Transfer to the Hospital
Citation Text:
Agrawal G, Kashkouli P, Bakerjian D. Preventable Transfer to the Hospital. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022.
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psnet.ahrq.gov/issue/quality-initiative-system-wide-reduction-serious-medication-events-through-targeted
April 10, 2024 - Study
A quality initiative: a system-wide reduction in serious medication events through targeted simulation training.
Citation Text:
Hebbar KB, Colman N, Williams L, et al. A Quality Initiative: A System-Wide Reduction in Serious Medication Events Through Targeted Simulation Training. S…
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psnet.ahrq.gov/issue/adverse-drug-events-resulting-patient-errors-older-adults
March 11, 2011 - Study
Adverse drug events resulting from patient errors in older adults.
Citation Text:
Field TS, Mazor KM, Briesacher BA, et al. Adverse Drug Events Resulting from Patient Errors in Older Adults. J Am Geriatr Soc. 2007;55(2):271-276. doi:10.1111/j.1532-5415.2007.01047.x.
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psnet.ahrq.gov/issue/when-order-sets-do-not-align-clinician-workflow-assessing-practice-patterns-electronic-health
March 24, 2019 - Study
When order sets do not align with clinician workflow: assessing practice patterns in the electronic health record.
Citation Text:
Li RC, Wang JK, Sharp C, et al. When order sets do not align with clinician workflow: assessing practice patterns in the electronic health record. BMJ Q…