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psnet.ahrq.gov/web-mm/misplaced-nasogastric-tube-resulting-aspiration
August 01, 2009 - She was admitted to the Vascular Neurology service.
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psnet.ahrq.gov/node/73336/psn-pdf
May 26, 2021 - The “Great Pretender” (Syphilis) is Still Stumping
Healthcare Providers
May 26, 2021
Glaser K, Vongspanich-Dray J. The “Great Pretender” (Syphilis) is Still Stumping Healthcare Providers.
PSNet [internet]. 2021.
https://psnet.ahrq.gov/web-mm/great-pretender-syphilis-still-stumping-healthcare-providers
The Case
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psnet.ahrq.gov/web-mm/always-check-muscle-twitch-residual-neuromuscular-block-after-removal-gastric-balloon
January 29, 2021 - staff fail to identify the NMBA as the cause of residual neuromuscular weakness, they may request a neurology … providers should be comfortable with the diagnosis of persistent neuromuscular block in the PACU, but a neurology
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psnet.ahrq.gov/node/49534/psn-pdf
May 01, 2007 - A neurology consult was obtained. … Alldredge, PharmD Professor of Clinical Pharmacy & Neurology Associate Dean, Academic
Affairs, School
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psnet.ahrq.gov/issue/not-just-depression-she-seemed-trapped-downward-mental-health-spiral-real-cause-was-profound
March 03, 2021 - Newspaper/Magazine Article
Not ‘just depression.’ She seemed trapped in a downward mental health spiral. The real cause was a profound shock.
Citation Text:
Not ‘just depression.’ She seemed trapped in a downward mental health spiral. The real cause was a profound shock. Boodman SG. Wash…
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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/node/73999/psn-pdf
October 27, 2021 - She was transported to the recovery room in
stable condition and examinations by the neurology and cardiology
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.2_slideshow.ppt
February 01, 2003 - PowerPoint Presentation
Spotlight Case February 2003
Apnea in a Patient Under General Anesthesia
webmm.ahrq.gov
Source and Credits
This presentation is based on February 2003 Surgery–Anesthesia Spotlight Case
See full case–commentary on webmm.ahrq.gov
CME credit is available online
Commentary by: Paul Barach,…
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psnet.ahrq.gov/issue/eliminating-vincristine-administration-events
February 15, 2023 - Newspaper/Magazine Article
Eliminating vincristine administration events.
Citation Text:
Eliminating vincristine administration events. Quick Safety. October 16, 2017;(37):1-3.
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psnet.ahrq.gov/issue/iv-vincristine-survey-shows-safety-improvements-needed
March 14, 2023 - Newspaper/Magazine Article
IV vincristine survey shows safety improvements needed.
Citation Text:
IV vincristine survey shows safety improvements needed. ISMP Medication Safety Alert! Acute care edition. February 23, 2006.
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psnet.ahrq.gov/issue/fatal-misadministration-iv-vincristine
December 21, 2016 - Newspaper/Magazine Article
Fatal misadministration of IV vincristine.
Citation Text:
Fatal misadministration of IV vincristine. ISMP Medication Safety Alert! Acute care edition. December 1, 2005
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psnet.ahrq.gov/issue/overreaction
November 15, 2023 - Newspaper/Magazine Article
Overreaction.
Citation Text:
Shell ER. Overreaction. Scientific American. 2015;313(5):28-9.
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psnet.ahrq.gov/node/867429/psn-pdf
December 18, 2024 - Neurology. 1960;10:512-521. [
Available at]
29. Hochman MS, Naidich TP, Kobetz SA, et al. … Neurology. 1992;42(8):1628-1630. [Available at]
30. Schumacher HW, Wassmann H, Podlinski C.
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psnet.ahrq.gov/issue/independent-double-checks-undervalued-and-misused
July 12, 2023 - Newspaper/Magazine Article
Independent double checks: undervalued and misused.
Citation Text:
Independent double checks: undervalued and misused. ISMP Medication Safety Alert! Acute care edition. June 13, 2013;18:1-4.
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psnet.ahrq.gov/issue/my-patient-almost-died-mistake-i-made-i-apologized-and-it-changed-my-life
October 23, 2019 - Newspaper/Magazine Article
My patient almost died from a mistake I made. I apologized and it changed my life.
Citation Text:
My patient almost died from a mistake I made. I apologized and it changed my life. McLean K. Huffington Post. October 16, 2019.
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psnet.ahrq.gov/issue/10-ways-guarantee-lawsuit
February 10, 2021 - Newspaper/Magazine Article
10 ways to guarantee a lawsuit.
Citation Text:
Rice B. 10 ways to guarantee a lawsuit. Medical economics. 2005;82(13):66-9.
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Dow…
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psnet.ahrq.gov/issue/quantitative-analysis-adverse-events-neurosurgery
September 25, 2019 - Study
Quantitative analysis of adverse events in neurosurgery.
Citation Text:
Houkin K, Baba T, Minamida Y, et al. Quantitative analysis of adverse events in neurosurgery. Neurosurgery. 2009;65(3):587-94; discussion 594. doi:10.1227/01.NEU.0000350860.59902.68.
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psnet.ahrq.gov/issue/she-was-headed-locked-psych-ward-then-er-doctor-made-startling-discovery
March 03, 2021 - Newspaper/Magazine Article
She was headed to a locked psych ward. Then an ER doctor made a startling discovery.
Citation Text:
She was headed to a locked psych ward. Then an ER doctor made a startling discovery. Boodman SG. Washington Post. February 12, 2022.
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psnet.ahrq.gov/issue/artificial-intelligence-makes-bad-medicine-even-worse
November 25, 2020 - Newspaper/Magazine Article
Artificial intelligence makes bad medicine even worse.
Citation Text:
Artificial intelligence makes bad medicine even worse. Aschwanden C. Wired Magazine. January 10, 2020.
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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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