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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/node/49636/psn-pdf
October 01, 2011 - airway device integrity
Patient distress as noted by non-verbal cues, gestures, or combativeness (13)
Neurological
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psnet.ahrq.gov/issue/crisis-within-crisis
May 05, 2021 - Newspaper/Magazine Article
A crisis within a crisis.
Citation Text:
A crisis within a crisis. Ellis NT, Broaddus A. CNN. August 25, 2021.
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psnet.ahrq.gov/issue/educational-agenda-diagnostic-error-reduction
February 27, 2019 - Review
Educational agenda for diagnostic error reduction.
Citation Text:
Trowbridge RL, Dhaliwal G, Cosby K. Educational agenda for diagnostic error reduction. BMJ Qual Saf. 2013;22 Suppl 2:ii28-ii32. doi:10.1136/bmjqs-2012-001622.
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psnet.ahrq.gov/issue/agency-information-collection-activities-nursing-home-survey-patient-safety-culture-database
June 16, 2021 - Press Release/Announcement
Agency information collection activities: Nursing Home Survey on Patient Safety Culture Database; comment request.
Citation Text:
Agency information collection activities: Nursing Home Survey on Patient Safety Culture Database; comment request. Agency for Healt…
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psnet.ahrq.gov/issue/inpatient-notes-diagnostic-excellence-starts-incessant-watch
August 31, 2022 - Commentary
Inpatient notes: diagnostic excellence starts with an incessant watch.
Citation Text:
Dhaliwal G. Annals for Hospitalists Inpatient Notes - Diagnostic Excellence Starts With an Incessant Watch. Ann Intern Med. 2017;167(8):HO2-HO3. doi:10.7326/m17-2447.
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psnet.ahrq.gov/node/49783/psn-pdf
February 01, 2017 - The Hazards of Distraction: Ticking All the EHR Boxes
February 1, 2017
Easty AC. The Hazards of Distraction: Ticking All the EHR Boxes. PSNet [internet]. 2017.
https://psnet.ahrq.gov/web-mm/hazards-distraction-ticking-all-ehr-boxes
Case Objectives
List the goals of having order sets in the electronic health record…
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psnet.ahrq.gov/web-mm/dilute-or-not-dilute-drug-errors-and-consequences-operating-room
July 28, 2021 - A neurological exam confirmed that the pupils were equal and reactive, albeit pinpoint.
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psnet.ahrq.gov/issue/investigating-clinical-incidents-nhs
February 04, 2015 - Book/Report
Investigating Clinical Incidents in the NHS.
Citation Text:
Investigating Clinical Incidents in the NHS. Sixth Report of Session 2014–15. House of Commons Public Administration Select Committee. London, England: The Stationery Office; March 27, 2015. Publication HC 886.
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psnet.ahrq.gov/issue/culture-change-nhs-applying-lessons-francis-inquiries
September 09, 2015 - Book/Report
Culture Change in the NHS: Applying the Lessons of the Francis Inquiries.
Citation Text:
Culture Change in the NHS: Applying the Lessons of the Francis Inquiries. Department of Health. London, England: Crown Publishing; February 2015. ISBN: 9781474112116.
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psnet.ahrq.gov/issue/nimodipine-capsules-marketed-nimotop
September 29, 2010 - Press Release/Announcement
Nimodipine Capsules (marketed as Nimotop).
Citation Text:
Nimodipine Capsules (marketed as Nimotop). MedWatch Safety Alert. Rockville, MD: US Food and Drug Administration; January 1, 2006.
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psnet.ahrq.gov/issue/peoples-experiences-diagnosis
June 17, 2014 - Book/Report
People’s Experiences of Diagnosis.
Citation Text:
People’s Experiences Of Diagnosis. London, England: National Voices; June 2024.
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Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
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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/node/49658/psn-pdf
July 01, 2012 - Misleading Complaint
July 1, 2012
Soni K, Dhaliwal G. Misleading Complaint. PSNet [internet]. 2012.
https://psnet.ahrq.gov/web-mm/misleading-complaint
The Case
A 54-year-old homeless man with a history of alcoholism presented to the emergency department (ED) with
complaints of knee problems. The triage nurse docu…
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psnet.ahrq.gov/issue/missed-diagnosis-critical-congenital-heart-disease
September 09, 2020 - Study
Missed diagnosis of critical congenital heart disease.
Citation Text:
Chang R-KR, Gurvitz M, Rodriguez S. Missed diagnosis of critical congenital heart disease. Arch Pediatr Adolesc Med. 2008;162(10):969-74. doi:10.1001/archpedi.162.10.969.
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psnet.ahrq.gov/issue/leveraging-electronic-health-record-improve-quality-and-safety-rheumatology
June 12, 2019 - Review
Leveraging the electronic health record to improve quality and safety in rheumatology.
Citation Text:
Schmajuk G, Yazdany J. Leveraging the electronic health record to improve quality and safety in rheumatology. Rheumatol Int. 2017;37(10):1603-1610. doi:10.1007/s00296-017-3804-4. …
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psnet.ahrq.gov/issue/failure-notify-reportable-test-results-significance-medical-malpractice
April 29, 2020 - Study
Failure to notify reportable test results: significance in medical malpractice.
Citation Text:
Gale BD, Bissett-Siegel DP, Davidson SJ, et al. Failure to notify reportable test results: significance in medical malpractice. J Am Coll Radiol. 2011;8(11):776-9. doi:10.1016/j.jacr.20…
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psnet.ahrq.gov/issue/adverse-event-protocol-interventional-pain-medicine-importance-organized-response
January 12, 2022 - Study
Adverse event protocol for interventional pain medicine: the importance of an organized response.
Citation Text:
Sitzman BT. Adverse Event Protocol for Interventional Pain Medicine: The Importance of an Organized Response. Pain Medicine. 2008;9(suppl 1). doi:10.1111/j.1526-4637.2…
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psnet.ahrq.gov/issue/effects-implementation-preventive-interventions-program-reduction-medication-errors
March 09, 2022 - Study
Effects of the implementation of a preventive interventions program on the reduction of medication errors in critically ill adult patients.
Citation Text:
Romero CM, Salazar N, Rojas L, et al. Effects of the implementation of a preventive interventions program on the reduction o…
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psnet.ahrq.gov/issue/learning-bristol-report-public-inquiry-childrens-heart-surgery-bristol-royal-infirmary-1984
October 20, 2021 - Book/Report
Classic
Learning from Bristol: The Report of the Public Inquiry into Children's Heart Surgery at the Bristol Royal Infirmary 1984--1995.
Citation Text:
Learning from Bristol: The Report of the Public Inquiry into Children's Heart Surgery at the Brist…