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psnet.ahrq.gov/node/50391/psn-pdf
September 25, 2019 - Think Like a Surgeon
September 25, 2019
Cooper Z. Think Like a Surgeon. PSNet [internet]. 2019.
https://psnet.ahrq.gov/web-mm/think-surgeon
The Case
A patient with a history of T6 paraplegia due to a motor vehicle accident was brought to the emergency
department due to delirium. He was found to be hypotensive and…
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psnet.ahrq.gov/web-mm/not-all-headaches-are-due-migraine-red-flags-dont-miss-diagnoses-and-diagnostic-pitfalls
February 17, 2021 - Not All Headaches are Due to Migraine: Red Flags, Don’t Miss Diagnoses, and Diagnostic Pitfalls
Citation Text:
Olson APJ. Not All Headaches are Due to Migraine: Red Flags, Don’t Miss Diagnoses, and Diagnostic Pitfalls. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Departme…
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psnet.ahrq.gov/web-mm/febrile-neutropenia-and-almost-fatal-medication-error
February 01, 2012 - Febrile Neutropenia and an Almost Fatal Medication Error
Citation Text:
Faig J, Zerillo JA. Febrile Neutropenia and an Almost Fatal Medication Error. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018.
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psnet.ahrq.gov/web-mm/suicidal-man-gun
May 01, 2005 - Suicide: What is in the clinician’s mind?
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psnet.ahrq.gov/node/49638/psn-pdf
January 01, 2012 - be argued, is even still not being approached correctly.(5) The "big picture"
must coalesce in the mind
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psnet.ahrq.gov/web-mm/surgical-personality-threat-patient-safety
February 24, 2021 - Collective mind in organizations: heedful interrelating on flight decks.
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psnet.ahrq.gov/web-mm/deciphering-code
November 16, 2022 - March 4, 2019
Mind the overlap: how system problems contribute to cognitive failure and
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psnet.ahrq.gov/node/33649/psn-pdf
May 01, 2007 - We need to address a number of challenges; first, we haven't
made our mind up on the element of reporting
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psnet.ahrq.gov/node/33722/psn-pdf
December 01, 2011 - characteristics of an adverse event that should be subsumed under that umbrella,
which at least to my mind
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psnet.ahrq.gov/issue/center-drug-safety-effectiveness
August 31, 2005 - Multi-use Website
Center for Drug Safety & Effectiveness.
Citation Text:
Center for Drug Safety & Effectiveness. Johns Hopkins Bloomberg School of Public Health; JHSPH.
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psnet.ahrq.gov/node/49670/psn-pdf
November 01, 2012 - Missed Pneumonia
November 1, 2012
Rohde JM, Flanders S. Missed Pneumonia. PSNet [internet]. 2012.
https://psnet.ahrq.gov/web-mm/missed-pneumonia
The Case
A 32-year-old man presented to the emergency department (ED) with 3 days of fever and right pleuritic
chest pain. Review of systems was negative for cough or dy…
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psnet.ahrq.gov/node/49436/psn-pdf
February 26, 2004 - Transfusion "Slip"
February 1, 2004
Kaplan HS. Transfusion "Slip". PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/transfusion-slip
The Case
A married couple, Mr. and Mrs. M, was brought to the emergency department (ED) of a Level 1 trauma
center after a half-ton truck that had skidded out of control struck…
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psnet.ahrq.gov/node/49863/psn-pdf
May 01, 2019 - Good Catch in the Operating Room
May 1, 2019
Day J, Paige JT. Good Catch in the Operating Room. PSNet [internet]. 2019.
https://psnet.ahrq.gov/web-mm/good-catch-operating-room
The Case
A 46-year-old woman with extensive history of back pain from lumbar stenosis was scheduled for an
elective laminectomy and spinal…
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psnet.ahrq.gov/issue/patient-safety-through-teamwork-and-communication-toolkit
October 25, 2013 - Toolkit
Patient Safety Through Teamwork and Communication Toolkit.
Citation Text:
Patient Safety Through Teamwork and Communication Toolkit. Denver Health.
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psnet.ahrq.gov/issue/medical-malpractice-fear-factor
November 11, 2015 - Newspaper/Magazine Article
Medical malpractice: the fear factor.
Citation Text:
Medical malpractice: the fear factor. Robeznieks A. Modern Physician. September 13, 2010.
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psnet.ahrq.gov/issue/patient-safety-battles-put-your-armor
July 14, 2010 - Commentary
The patient safety battles—put on your armor.
Citation Text:
The patient safety battles—put on your armor. Denham CR.
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psnet.ahrq.gov/issue/war-error-common-diagnostic-errors
April 13, 2016 - Slideset
The War on Error: Common Diagnostic Errors.
Citation Text:
The War on Error: Common Diagnostic Errors. Medscape. 2016–2017.
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psnet.ahrq.gov/web-mm/transfusion-slip
June 14, 2011 - Transfusion "Slip"
Citation Text:
Kaplan HS. Transfusion "Slip". PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004.
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psnet.ahrq.gov/issue/building-case-medication-reconciliation
June 10, 2018 - Newspaper/Magazine Article
Building a case for medication reconciliation.
Citation Text:
Building a case for medication reconciliation. ISMP Medication Safety Alert! Acute care edition. April 21, 2005.
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psnet.ahrq.gov/issue/how-has-current-economy-affected-patient-safety
May 07, 2018 - Newspaper/Magazine Article
How has the current economy affected patient safety?
Citation Text:
How has the current economy affected patient safety? ISMP Medication Safety Alert! Acute Care Edition. September 10, 2009;14:1-2.
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