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psnet.ahrq.gov/node/73455/psn-pdf
June 30, 2021 - Paroxysmal Supraventricular Tachycardia Masquerading
as Panic Attacks
June 30, 2021
Martin DT, O’Leary D. Paroxysmal Supraventricular Tachycardia Masquerading as Panic Attacks. PSNet
[internet]. 2021.
https://psnet.ahrq.gov/web-mm/paroxysmal-supraventricular-tachycardia-masquerading-panic-attacks
The Case
At the…
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psnet.ahrq.gov/node/49480/psn-pdf
May 01, 2005 - Diagnosing Diagnostic Mistakes
May 1, 2005
McNutt RA, Abrams RI, Hasler S. Diagnosing Diagnostic Mistakes. PSNet [internet]. 2005.
https://psnet.ahrq.gov/web-mm/diagnosing-diagnostic-mistakes
Learning Objectives
Understand the biases that may contribute to overcalling medical errors
Describe the impact of conside…
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psnet.ahrq.gov/node/33767/psn-pdf
May 01, 2014 - Innovations in Promoting Hand Hygiene Compliance
May 1, 2014
Marra AR, Edmond MB. Innovations in Promoting Hand Hygiene Compliance. PSNet [internet]. 2014.
https://psnet.ahrq.gov/perspective/innovations-promoting-hand-hygiene-compliance
Perspective
One hundred sixty-five years after the publication of Ignaz Semmel…
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psnet.ahrq.gov/perspective/conversation-christine-cassel-md
February 26, 2025 - In Conversation With… Christine Cassel, MD
June 1, 2015
Citation Text:
In Conversation With… Christine Cassel, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015.
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For…
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psnet.ahrq.gov/web-mm/medication-mix-leads-patient-death
July 08, 2022 - Medication Mix-Up Leads to Patient Death
Citation Text:
Sanchez L, Romano PS. Medication Mix-Up Leads to Patient Death. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023.
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Format:
Google Scholar BibTeX En…
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psnet.ahrq.gov/web-mm/july-syndrome
July 01, 2011 - July Syndrome
Citation Text:
Young JQ. July Syndrome. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
D…
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psnet.ahrq.gov/issue/impact-closed-loop-electronic-prescribing-and-administration-system-prescribing-errors
November 13, 2009 - Study
The impact of a closed-loop electronic prescribing and administration system on prescribing errors, administration errors and staff time: a before-and-after study.
Citation Text:
Franklin BD, O'Grady K, Donyai P, et al. The impact of a closed-loop electronic prescribing and admin…
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psnet.ahrq.gov/node/38203/psn-pdf
November 05, 2008 - Addressing prehospital patient safety using the science
of injury prevention and control.
November 5, 2008
Meisel ZF, Hargarten S, Vernick J. Addressing prehospital patient safety using the science of injury
prevention and control. Prehosp Emerg Care. 2008;12(4):411-6. doi:10.1080/10903120802290851.
https://psnet.…
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psnet.ahrq.gov/node/42481/psn-pdf
August 14, 2013 - Drug administration errors in hospital inpatients: a
systematic review.
August 14, 2013
Berdot S, Gillaizeau F, Caruba T, et al. Drug administration errors in hospital inpatients: a systematic
review. PLoS One. 2013;8(6):e68856. doi:10.1371/journal.pone.0068856.
https://psnet.ahrq.gov/issue/drug-administration-err…
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psnet.ahrq.gov/node/36225/psn-pdf
July 10, 2008 - Transfers of patient care between house staff on internal
medicine wards: a national survey.
July 10, 2008
Horwitz LI, Krumholz HM, Green M, et al. Transfers of patient care between house staff on internal
medicine wards: a national survey. Arch Intern Med. 2006;166(11):1173-7.
https://psnet.ahrq.gov/issue/transfe…
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psnet.ahrq.gov/node/43825/psn-pdf
January 28, 2015 - A systematic review of adult admissions to ICUs related
to adverse drug events.
January 28, 2015
Jolivot P-A, Hindlet P, Pichereau C, et al. A systematic review of adult admissions to ICUs related to
adverse drug events. Crit Care. 2014;18(6):643. doi:10.1186/s13054-014-0643-5.
https://psnet.ahrq.gov/issue/systema…
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psnet.ahrq.gov/node/42360/psn-pdf
April 16, 2018 - Wrong-patient medication errors: an analysis of event
reports in Pennsylvania and strategies for prevention.
April 16, 2018
Yang A, Grissinger M. PA-PSRS Patient Saf Advis. June 2013;10:41-49.
https://psnet.ahrq.gov/issue/wrong-patient-medication-errors-analysis-event-reports-pennsylvania-and-
strategies-preventio…
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psnet.ahrq.gov/node/43898/psn-pdf
February 11, 2015 - Special Section on Patient Safety and Quality in
Healthcare.
February 11, 2015
Andersen HB, Lipczak H, Borch-Johnsen K, eds. Cogn Technol Work. 2015;17:1-155.
https://psnet.ahrq.gov/issue/special-section-patient-safety-and-quality-healthcare
Articles in this special issue explore patient safety from a sociotechnic…
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psnet.ahrq.gov/node/40577/psn-pdf
July 06, 2011 - Reducing potentially fatal errors associated with high
doses of insulin: a successful multifaceted
multidisciplinary prevention strategy.
July 6, 2011
Dooley MJ, Wiseman M, McRae A, et al. Reducing potentially fatal errors associated with high doses of
insulin: a successful multifaceted multidisciplinary preventio…
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psnet.ahrq.gov/node/46614/psn-pdf
November 29, 2017 - Interventions to improve hand hygiene compliance in the
ICU: a systematic review.
November 29, 2017
Lydon S, Power M, McSharry J, et al. Interventions to Improve Hand Hygiene Compliance in the ICU. Crit
Care Med. 2017;45(11). doi:10.1097/ccm.0000000000002691.
https://psnet.ahrq.gov/issue/interventions-improve-hand…
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psnet.ahrq.gov/node/34927/psn-pdf
June 23, 2009 - Health Care Quality and Disparities: Lessons from the
First National Reports.
June 23, 2009
Kelley E, Moy E, Dayton E, et al. Med Care. 2005:43(3):I1-I88.
https://psnet.ahrq.gov/issue/health-care-quality-and-disparities-lessons-first-national-reports
Highlights from AHRQ's two inaugural reports, the 2003 National …
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psnet.ahrq.gov/node/35619/psn-pdf
June 24, 2010 - Studying patient safety in health care organizations:
accentuate the qualitative.
June 24, 2010
Hoff TJ, Sutcliffe K. Studying patient safety in health care organizations: accentuate the qualitative. Jt
Comm J Qual Patient Saf. 2006;32(1):5-15.
https://psnet.ahrq.gov/issue/studying-patient-safety-health-care-organ…
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psnet.ahrq.gov/node/41390/psn-pdf
January 31, 2013 - A systematic review of patient tracking systems for use
in the pediatric emergency department.
January 31, 2013
Dobson I, Doan Q, Hung G. A systematic review of patient tracking systems for use in the pediatric
emergency department. J Emerg Med. 2013;44(1):242-8. doi:10.1016/j.jemermed.2012.02.017.
https://psnet.a…
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psnet.ahrq.gov/node/36335/psn-pdf
February 01, 2011 - Rapid response teams—walk, don't run.
February 1, 2011
Winters BD, Pham JC, Pronovost PJ. Rapid Response Teams—Walk, Don't Run. JAMA. 2006;296(13).
doi:10.1001/jama.296.13.1645.
https://psnet.ahrq.gov/issue/rapid-response-teams-walk-dont-run
Rapid response teams (RRTs) have been widely advocated as a means of aver…
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psnet.ahrq.gov/node/35006/psn-pdf
October 25, 2013 - HealthGrades Quality Study: Second Annual Patient
Safety in American Hospitals Study.
October 25, 2013
Health Grades, Inc; 2005.
https://psnet.ahrq.gov/issue/healthgrades-quality-study-second-annual-patient-safety-american-hospitals-
study
The first version of this now annual report on the safety of hospitalized …