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psnet.ahrq.gov/node/860050/psn-pdf
January 04, 2024 - Radiology Missed an Intracranial Bleed in a Lethargic
Infant.
January 4, 2024
Yuk J, Magana J. Radiology Missed an Intracranial Bleed in a Lethargic Infant. PSNet [internet]. 2024.
https://psnet.ahrq.gov/web-mm/radiology-missed-intracranial-bleed-lethargic-infant
The Case
A 2-month-old full-term male infant was b…
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psnet.ahrq.gov/web-mm/duty-disclose-someone-elses-error
June 01, 2004 - SPOTLIGHT CASE
Duty to Disclose Someone Else's Error?
Citation Text:
Gallagher TH. Duty to Disclose Someone Else's Error?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011.
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psnet.ahrq.gov/web-mm/cognitive-and-communication-blind-spot-contributes-permanent-paralysis
January 13, 2010 - However, the trauma surgery team’s progress notes described the neurological exam as “moves all extremities
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psnet.ahrq.gov/node/47430/psn-pdf
September 26, 2018 - Association of clinical specialty with symptoms of
burnout and career choice regret among US resident
physicians.
September 26, 2018
Dyrbye LN, Burke SE, Hardeman RR, et al. Association of Clinical Specialty With Symptoms of Burnout
and Career Choice Regret Among US Resident Physicians. JAMA. 2018;320(11):1114-113…
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psnet.ahrq.gov/web-mm/forgotten-drip
April 01, 2014 - The Forgotten Drip
Citation Text:
Josephson AS. The Forgotten Drip. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008.
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Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId R…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.149_slideshow.ppt
May 01, 2007 - By report, neurological exam revealed only confusion and diminished deep tendon reflexes.
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psnet.ahrq.gov/sites/default/files/2024-05/spotlight_case_hindsight_is_2020_slides_final_revised_05.03.2024.pdf
January 01, 2024 - Spotlight
Hindsight is 20/20: Thrombolytics for Alcohol
Intoxication
Source and Credits
• This presentation is based on the April 2024 AHRQ WebM&M
Spotlight Case
o See the full article at https://psnet.ahrq.gov/webmm
o CME credit is available
o Commentary by: Eric Signoff, MD, Noelle Boctor, MD, and David K.
B…
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psnet.ahrq.gov/web-mm/misleading-complaint
December 01, 2009 - Misleading Complaint
Citation Text:
Soni K, Dhaliwal G. Misleading Complaint. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012.
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Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged …
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psnet.ahrq.gov/node/49388/psn-pdf
February 01, 2003 - patients receiving neuromuscular
blockade, aminoglycosides, or intravenous magnesium; and patients with neurological … benzodiazepines,
anticholinergics
Send blood samples for ABG and serum electrolyte levels
Conduct a neurological
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psnet.ahrq.gov/web-mm/radiology-missed-intracranial-bleed-lethargic-infant
August 21, 2016 - Radiology Missed an Intracranial Bleed in a Lethargic Infant.
Citation Text:
Yuk J, Magana J. Radiology Missed an Intracranial Bleed in a Lethargic Infant.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024.
Copy Citation
For…
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psnet.ahrq.gov/issue/men-its-parkinsons-women-its-hysteria
March 03, 2021 - Newspaper/Magazine Article
In men, it's Parkinson's. In women, it's hysteria.
Citation Text:
In men, it's Parkinson's. In women, it's hysteria. Armstrong D. ProPublica. August 23, 2019.
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S…
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psnet.ahrq.gov/issue/high-quality-care-all-nhs-next-stage-review-final-report
October 20, 2021 - Government Resource
High Quality Care for All: NHS Next Stage Review Final Report.
Citation Text:
High Quality Care for All: NHS Next Stage Review Final Report. Darzi A. National Health Service. London, England: Crown Publishing; June 2008. ISBN: 9780101743228.
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…
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psnet.ahrq.gov/node/73999/psn-pdf
October 27, 2021 - A neurological exam confirmed that the pupils were equal and reactive, albeit pinpoint.
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psnet.ahrq.gov/node/867429/psn-pdf
December 18, 2024 - Jose A Castillo Jr, MD
Department of Neurological Surgery
UC Davis Health
jcastillo@ucdavis.edu
Richard … Price, MD, PhD
Assistant Professor
Department of Neurological Surgery
UC Davis Health
riprice@ucdavis.edu … Progressive neurological dysfunction secondary to postoperative cervical
pseudomeningocele in a C-4
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psnet.ahrq.gov/web-mm/antiseizure-medication-disorder
April 01, 2006 - By report, neurological exam revealed only confusion and diminished deep tendon reflexes.
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psnet.ahrq.gov/issue/national-patient-safety-board-act-2022
July 20, 2022 - Legislation/Regulation
National Patient Safety Board Act of 2022.
Citation Text:
National Patient Safety Board Act of 2022. HR 9377, 117th Cong, 2d Sess (2022).
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psnet.ahrq.gov/issue/government-response-investigation-death-elizabeth-dixon
February 19, 2020 - Book/Report
Government Response to the Investigation into the Death of Elizabeth Dixon.
Citation Text:
Government Response to the Investigation into the Death of Elizabeth Dixon. Department of Health and Social Care. London, England: Crown Copyright; 2023
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psnet.ahrq.gov/issue/investigation-detection-retained-vaginal-swabs-and-tampons-following-childbirth
April 01, 2019 - Book/Report
Investigation into Detection of Retained Vaginal Swabs and Tampons Following Childbirth.
Citation Text:
Investigation into Detection of Retained Vaginal Swabs and Tampons Following Childbirth. Farnborough, UK; Healthcare Safety Investigation Branch; December 18, 2019.
Co…
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psnet.ahrq.gov/issue/reading-signals-maternity-and-neonatal-services-east-kent-report-independent-investigation
February 19, 2020 - Book/Report
'Reading the Signals' : Maternity and Neonatal Services in East Kent – the Report of the Independent Investigation.
Citation Text:
'Reading the Signals' : Maternity and Neonatal Services in East Kent – the Report of the Independent Investigation. Kirkup B. Department of Healt…
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psnet.ahrq.gov/issue/diagnosis-ectopic-pregnancy
April 26, 2023 - Book/Report
The Diagnosis of Ectopic Pregnancy.
Citation Text:
The Diagnosis of Ectopic Pregnancy. Farnborough, UK: Healthcare Safety Investigation Branch; March 2020.
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