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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.116_slideshow.ppt
February 01, 2006 - Spotlight Case [MONTH] 2003
Spotlight Case February 2006
Lost in Transition
Source and Credits
This presentation is based on the February 2006 AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available through the Web site
Commentary by: Christopher Beach, MD; Northwe…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.164_slideshow.ppt
December 01, 2007 - Spotlight Case [MONTH] 2003
Spotlight Case December 2007
Elopement
Source and Credits
This presentation is based on the December 2007 AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Debra Gerardi, RN, MPH, JD
Creighton University School of Law
Ed…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.221_slideshow.ppt
July 01, 2010 - Spotlight Case [MONTH] 2003
Spotlight Case
Weighing in on Surgical Safety
*
*
Source and Credits
This presentation is based on the July 2010
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Jay B. Brodsky, MD, Stanford University Medical Cente…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.146_slideshow.ppt
March 01, 2007 - Spotlight Case [MONTH] 2003
Spotlight Case March 2007
Failure to Report
Source and Credits
This presentation is based on the March 2007
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available through the Web site
Commentary by: Patrice L. Spath, BA, RHIT, Brown-Sp…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.137_slideshow.ppt
November 01, 2006 - Spotlight Case [MONTH] 2003
Spotlight Case November 2006
Getting a Good Report Card: Unintended Consequences of the Public Reporting of Hospital Quality
Source and Credits
This presentation is based on the November 2006
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.98_slideshow.ppt
June 01, 2005 - Spotlight Case [MONTH] 2003
Spotlight Case June 2005
Getting to the Root of the Matter
Source and Credits
This presentation is based on the June 2005
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available through the Web site
Commentary by: Scott Flanders, MD; Sa…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.158_slideshow.ppt
September 01, 2007 - Spotlight Case [MONTH] 2003
Spotlight Case September 2007
Medication Reconciliation: Whose Job Is It?
Source and Credits
This presentation is based on the September 2007
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Eric G. Poon, MD, MPH, Ha…
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psnet.ahrq.gov/issue/undiagnosed-cancer-cases-us-during-first-10-months-covid-19-pandemic
September 01, 2016 - Study
Undiagnosed cancer cases in the US during the first 10 months of the COVID- … Undiagnosed cancer cases in the US during the first 10 months of the COVID-19 pandemic. … Diagnoses of included cancers were 6% lower than would be expected, even 10 months after the start of … Undiagnosed cancer cases in the US during the first 10 months of the COVID-19 pandemic.
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psnet.ahrq.gov/node/842766/psn-pdf
January 18, 2023 - Effect of prescriber notifications of patient’s fatal
overdose on opioid prescribing at 4 to 12 months … Effect of prescriber notifications of patient’s fatal overdose on opioid
prescribing at 4 to 12 months … psnet.ahrq.gov/issue/effect-prescriber-notifications-patients-fatal-overdose-opioid-prescribing-4-12-
months … This article reports on the same cohort’s prescribing behavior at 4-12 months. … psnet.ahrq.gov/issue/effect-prescriber-notifications-patients-fatal-overdose-opioid-prescribing-4-12-months
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psnet.ahrq.gov/issue/hospital-bosses-ignored-months-doctors-warnings-about-lucy-letby
September 01, 2010 - Newspaper/Magazine Article
Hospital bosses ignored months of doctors' warnings about … Citation Text:
Hospital bosses ignored months of doctors' warnings about Lucy Letby. … Cite
Citation
Citation Text:
Hospital bosses ignored months … Related Resources
Top Penn State Health surgeon warned leaders about transplant problems months
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psnet.ahrq.gov/node/837418/psn-pdf
June 15, 2022 - Diagnostic trajectories in primary care at 12 months: an
observational cohort study. … Diagnostic trajectories in primary care at 12 months: an observational
cohort study. … https://psnet.ahrq.gov/issue/diagnostic-trajectories-primary-care-12-months-observational-cohort-study … prospective study followed adults presenting to primary care with new or unresolved symptoms for 12
months … https://psnet.ahrq.gov/issue/diagnostic-trajectories-primary-care-12-months-observational-cohort-study
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psnet.ahrq.gov/node/837805/psn-pdf
August 10, 2022 - Adverse events in infants less than 6 months of age after
ambulatory surgery and diagnostic imaging … Adverse events in infants less than 6 months of age after ambulatory
surgery and diagnostic imaging … https://psnet.ahrq.gov/issue/adverse-events-infants-less-6-months-age-after-ambulatory-surgery-and- … This retrospective study of
infants less than 6 months of age admitted for ambulatory surgery found … https://psnet.ahrq.gov/issue/adverse-events-infants-less-6-months-age-after-ambulatory-surgery-and-diagnostic-imaging
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psnet.ahrq.gov/node/865923/psn-pdf
May 22, 2024 - Undiagnosed cancer cases in the US during the first 10
months of the COVID-19 pandemic. … Undiagnosed cancer cases in the US during the first 10 months of the
COVID-19 pandemic. … https://psnet.ahrq.gov/issue/undiagnosed-cancer-cases-us-during-first-10-months-covid-19-pandemic
Many … Diagnoses of
included cancers were 6% lower than would be expected, even 10 months after the start of … https://psnet.ahrq.gov/issue/undiagnosed-cancer-cases-us-during-first-10-months-covid-19-pandemic
https
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psnet.ahrq.gov/node/60650/psn-pdf
July 01, 2020 - COVID-19 can last for several months. … COVID-19 can last for several months. … https://psnet.ahrq.gov/issue/covid-19-can-last-several-months-diseases-long-haulers-have-endured-
relentless-waves … https://psnet.ahrq.gov/issue/covid-19-can-last-several-months-diseases-long-haulers-have-endured-relentless-waves … https://psnet.ahrq.gov/issue/covid-19-can-last-several-months-diseases-long-haulers-have-endured-relentless-waves
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psnet.ahrq.gov/node/866254/psn-pdf
July 10, 2024 - Top Penn State Health surgeon warned leaders about
transplant problems months before shutdown. … https://psnet.ahrq.gov/issue/top-penn-state-health-surgeon-warned-leaders-about-transplant-problems-
months-shutdown-then … https://psnet.ahrq.gov/issue/top-penn-state-health-surgeon-warned-leaders-about-transplant-problems-months-shutdown-then … https://psnet.ahrq.gov/issue/top-penn-state-health-surgeon-warned-leaders-about-transplant-problems-months-shutdown-then
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psnet.ahrq.gov/node/73253/psn-pdf
May 12, 2021 - Any new process poses a risk for errors: learning from 4
months of Coronavirus disease 2019 (COVID-19 … https://psnet.ahrq.gov/issue/any-new-process-poses-risk-errors-learning-4-months-coronavirus-disease- … https://psnet.ahrq.gov/issue/any-new-process-poses-risk-errors-learning-4-months-coronavirus-disease- … 2019-covid-19
https://psnet.ahrq.gov/issue/any-new-process-poses-risk-errors-learning-4-months-coronavirus-disease
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psnet.ahrq.gov/issue/tenfold-therapeutic-dosing-errors-young-children-reported-us-poison-control-centers
July 10, 2024 - Most of the dosing errors occurred at home and in children younger than 12 months. … July 10, 2024
COVID-19 can last for several months. … February 10, 2021
US poison control center calls for infants 6 months of age and younger
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psnet.ahrq.gov/issue/long-term-risk-overdose-or-mental-health-crisis-after-opioid-dose-tapering
August 25, 2021 - results indicate that opioid tapering is associated with increased risk of adverse events up to 24 months … Effect of prescriber notifications of patient’s fatal overdose on opioid prescribing at 4 to 12 months … Effect of prescriber notifications of patient’s fatal overdose on opioid prescribing at 4 to 12 months
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psnet.ahrq.gov/node/44823/psn-pdf
February 15, 2017 - US poison control center calls for infants 6 months of age
and younger. … US Poison Control Center Calls for Infants 6 Months of Age and Younger. … https://psnet.ahrq.gov/issue/us-poison-control-center-calls-infants-6-months-age-and-younger
Pediatricians … retrospective study reviewed 10 years of calls to poison control centers for
infants younger than 6 months … https://psnet.ahrq.gov/issue/us-poison-control-center-calls-infants-6-months-age-and-younger
https://
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psnet.ahrq.gov/node/44173/psn-pdf
July 16, 2015 - Opioid prescribing and potential overdose errors among
children 0 to 36 months old. … Opioid Prescribing and Potential Overdose Errors Among Children
0 to 36 Months Old. … https://psnet.ahrq.gov/issue/opioid-prescribing-and-potential-overdose-errors-among-children-0-36-months … https://psnet.ahrq.gov/issue/opioid-prescribing-and-potential-overdose-errors-among-children-0-36-months-old … https://psnet.ahrq.gov/issue/opioid-prescribing-and-potential-overdose-errors-among-children-0-36-months-old