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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/issue/future-nhs-patient-safety-investigation
April 18, 2018 - Book/Report
The Future of NHS Patient Safety Investigation.
Citation Text:
The Future of NHS Patient Safety Investigation. NHS Improvement. London, UK: National Health Service; 2018.
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psnet.ahrq.gov/issue/four-patients-say-cedars-sinai-did-not-tell-them-they-had-received-radiation-overdose
November 11, 2015 - Newspaper/Magazine Article
Four patients say Cedars-Sinai did not tell them they had received a radiation overdose.
Citation Text:
Four patients say Cedars-Sinai did not tell them they had received a radiation overdose. Zarembo A.
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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/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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psnet.ahrq.gov/issue/good-you-good-us-good-everybody
October 20, 2021 - Book/Report
Good for You, Good for Us, Good for Everybody.
Citation Text:
Good for You, Good for Us, Good for Everybody. Ridge K. London, England: Crown Copyright; 2021. September 22, 2021.
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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/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.
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psnet.ahrq.gov/issue/department-defense-health-care-quality
February 11, 2025 - Book/Report
Department of Defense Health Care Quality.
Citation Text:
Department of Defense Health Care Quality. Washington DC: Office of the Assistant Secretary of Defense; Tricare Management Activity: 2011.
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psnet.ahrq.gov/issue/patient-safety-ed
August 11, 2010 - Newspaper/Magazine Article
Patient safety in the ED.
Citation Text:
Patient safety in the ED. Hospitals & health networks. 2006;80(5):6 p. following 48, 2.
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psnet.ahrq.gov/issue/risk-medication-errors-hospital-discharge-and-barriers-problem-resolution
November 03, 2015 - Study
Risk of medication errors at hospital discharge and barriers to problem resolution.
Citation Text:
Risk of medication errors at hospital discharge and barriers to problem resolution. Enguidanos SM; Brumley RD.
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psnet.ahrq.gov/issue/some-troops-powerful-drug-cocktails-have-deadly-results
August 13, 2008 - Newspaper/Magazine Article
For some troops, powerful drug cocktails have deadly results.
Citation Text:
For some troops, powerful drug cocktails have deadly results. Dao J; Carey B; Frosch D.
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psnet.ahrq.gov/issue/gosport-war-memorial-hospital-report-gosport-independent-panel
July 25, 2018 - Government Resource
Gosport War Memorial Hospital. The Report of the Gosport Independent Panel.
Citation Text:
Gosport War Memorial Hospital. The Report of the Gosport Independent Panel. Gosport Independent Panel. London, England: Crown Copyright; 2018. ISBN: 9781528604062.
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psnet.ahrq.gov/issue/he-thought-what-he-was-doing-was-good-people-why-it-so-difficult-prevent-unnecessary-medical
September 02, 2020 - Newspaper/Magazine Article
‘He thought what he was doing was good for people.’ Why is it so difficult to prevent unnecessary medical procedures in the U.S. health-care system?
Citation Text:
‘He thought what he was doing was good for people.’ Why is it so difficult to prevent unnecessa…
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psnet.ahrq.gov/issue/artificial-intelligence-will-improve-medical-treatments
February 06, 2019 - Newspaper/Magazine Article
Artificial intelligence will improve medical treatments.
Citation Text:
Artificial intelligence will improve medical treatments. The Economist. June 7, 2018.
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psnet.ahrq.gov/issue/mounting-drug-shortages-delay-treatments-patients-bladder-cancer
December 05, 2018 - Newspaper/Magazine Article
Mounting drug shortages delay treatments for patients with bladder cancer
Citation Text:
Mounting drug shortages delay treatments for patients with bladder cancer Tirrell M, Taylor H. CNBC. November 27, 2019.
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psnet.ahrq.gov/issue/nhs-safety-thermometer-report-patient-harms-and-harm-free-care-november-2014-november-2015
July 08, 2021 - Book/Report
NHS Safety Thermometer Reports.
Citation Text:
NHS Safety Thermometer Reports. Leeds, UK: Clinical Support Audit Unit, Health and Social Care Information Centre. 2012-2017.
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psnet.ahrq.gov/issue/premature-closure-not-so-fast
September 28, 2022 - Commentary
Premature closure? Not so fast.
Citation Text:
Dhaliwal G. Premature closure? Not so fast. BMJ Qual Saf. 2017;26(2):87-89. doi:10.1136/bmjqs-2016-005267.
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