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psnet.ahrq.gov/node/49627/psn-pdf
June 01, 2011 - The ECG Is Not Normal
June 1, 2011
Zuger A. The ECG Is Not Normal. PSNet [internet]. 2011.
https://psnet.ahrq.gov/web-mm/ecg-not-normal
Case Objectives
State how frequently physicians care for family or relatives.
Describe the risks associated with caring for family members or relatives.
Appreciate some of the s…
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psnet.ahrq.gov/web-mm/no-bp-during-nibp
March 01, 2011 - No BP During NIBP
Citation Text:
Görges M, Ansermino MJ. No BP During NIBP. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pu…
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psnet.ahrq.gov/node/49806/psn-pdf
September 01, 2017 - Failed Interpretation of Screening Tool: Delayed
Treatment
September 1, 2017
Cable CA, Murphy DJ, Martin GS. Failed Interpretation of Screening Tool: Delayed Treatment. PSNet
[internet]. 2017.
https://psnet.ahrq.gov/web-mm/failed-interpretation-screening-tool-delayed-treatment
The Case
An 88-year-old man present…
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psnet.ahrq.gov/node/49446/psn-pdf
August 30, 2021 - Too Tight Control
May 1, 2004
Rubin HR, Fajtova VT. Too Tight Control. PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/too-tight-control
Case Objectives
Appreciate the advantages and potential complications of intensive insulin therapy in the hospitalized
patient
List hospital-based safeguards available to…
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psnet.ahrq.gov/node/33758/psn-pdf
December 01, 2013 - In Conversation With… Hardeep Singh, MD, MPH
December 1, 2013
In Conversation With… Hardeep Singh, MD, MPH. PSNet [internet]. 2013.
https://psnet.ahrq.gov/perspective/conversation-hardeep-singh-md-mph
Editor's note: Hardeep Singh, MD, MPH, is Chief of the Health Policy, Quality and Informatics Program at
the Hous…
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psnet.ahrq.gov/node/33768/psn-pdf
June 01, 2014 - In Conversation With… Dave deBronkart
June 1, 2014
In Conversation With… Dave deBronkart. PSNet [internet]. 2014.
https://psnet.ahrq.gov/perspective/conversation-dave-debronkart
Editor's note: A co-founder and co-chair of the Society for Participatory Medicine, Dave deBronkart, also
known as e-Patient Dave, is a …
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psnet.ahrq.gov/node/49497/psn-pdf
December 01, 2005 - Slippery Slide Into Life
December 1, 2005
Halamek LP. Slippery Slide Into Life. PSNet [internet]. 2005.
https://psnet.ahrq.gov/web-mm/slippery-slide-life
The Case
A 25-year-old woman presented to the hospital in labor and at full gestation after receiving uncomplicated
prenatal care. A third-year obstetrics and g…
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psnet.ahrq.gov/web-mm/discharge-against-medical-advice
July 01, 2017 - Discharge Against Medical Advice
Citation Text:
Hwang SW. Discharge Against Medical Advice. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005.
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psnet.ahrq.gov/web-mm/two-wrongs-dont-make-right-kidney
April 01, 2010 - SPOTLIGHT CASE
Two Wrongs Don't Make a Right (Kidney)
Citation Text:
DeVine JG. Two Wrongs Don't Make a Right (Kidney). PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015.
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psnet.ahrq.gov/web-mm/wrongful-resuscitation
October 12, 2012 - The Wrongful Resuscitation
Citation Text:
Teno JM. The Wrongful Resuscitation. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008.
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psnet.ahrq.gov/web-mm/right-patient-wrong-sample
June 01, 2004 - Mistakes in a stat laboratory: types and frequency. Clin Chem. 1997;43:1348–1351.
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psnet.ahrq.gov/web-mm/tough-call-addressing-errors-previous-providers
July 17, 2024 - Emergency Departments
Physicians
Internal Medicine
Diagnostic Errors
Cognitive Errors ("Mistakes
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psnet.ahrq.gov/web-mm/ultrasound-looked-fine-point-care-ultrasound-and-patient-safety
December 01, 2012 - Emergency Departments
Physicians
Cardiology
Radiograph Interpretation Error
Cognitive Errors ("Mistakes
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psnet.ahrq.gov/web-mm/steroids-and-safety-preventing-medication-adverse-events-during-transitions-care
September 09, 2013 - Physicians
Medical Oncology
Discontinuities, Gaps, and Hand-Off Problems
Cognitive Errors ("Mistakes
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psnet.ahrq.gov/perspective/unfinished-patient-safety-agenda
August 01, 2005 - practice behind the idea of systems, but we must recognize that systems play a huge role in preventing mistakes
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psnet.ahrq.gov/node/49546/psn-pdf
October 17, 2007 - made concrete through acts of undeserved kindness and trust, and
honest admission and correction of mistakes
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psnet.ahrq.gov/node/33770/psn-pdf
August 01, 2014 - RW: What are the major sources of harm and mistakes in the outpatient arena?
US: Several things.
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psnet.ahrq.gov/web-mm/chest-pain-rural-hospital
June 02, 2021 - Hospitals
Physicians
Cardiology
Discontinuities, Gaps, and Hand-Off Problems
Cognitive Errors ("Mistakes
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psnet.ahrq.gov/classics
August 01, 2023 - Error Types
Active Errors
(171)
Cognitive Errors ("Mistakes
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psnet.ahrq.gov/web-mm/do-not-disturb
February 03, 2011 - made concrete through acts of undeserved kindness and trust, and honest admission and correction of mistakes