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psnet.ahrq.gov/web-mm/delayed-diagnosis-and-treatment-occult-hemothorax-following-complicated-central-line
April 01, 2008 - judgment and errors in technique occurred, and the attending surgeon was ultimately responsible for the outcome … Approach to Improving Patient Safety
Errors in both judgement and technique led to this adverse outcome … understandings about the allowable number and location of cannulation attempts, could also have improved the outcome … Following these best practices could have resulted in a much better outcome for the patient in this case
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psnet.ahrq.gov/web-mm/pregnant-danger
January 12, 2011 - e.g., CT scan) might have detected the aortic dissection before the discharge and subsequent tragic outcome … The mother and fetus in this case suffered a tragic outcome at a hospital that appeared to lack a structured … It is unclear whether the outcome would have been different elsewhere. … Aortic dissection in pregnancy: analysis of risk factors and outcome.
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psnet.ahrq.gov/node/49546/psn-pdf
October 17, 2007 - https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
Luckily, this case has a good outcome … student or practicing team level through critical incident root cause analysis and
http://www.acgme.org/outcome … Available at:
http://www.acgme.org/outcome/. Accessed September 27, 2007.
13. … cmd=retrieve&db=pubmed&dopt=abstract&list_uids=9032162
http://www.acgme.org/outcome/
http://www.ama-assn.org
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psnet.ahrq.gov/Issues
June 23, 2021 - Issues
PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly Updates, WebM&M, and Perspectives on Safety. Current Issue highlights what's new this week in patient safety literature, news, conferences, reports, a…
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psnet.ahrq.gov/issues
June 23, 2021 - Issues
PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly Updates, WebM&M, and Perspectives on Safety. Current Issue highlights what's new this week in patient safety literature, news, conferences, reports, a…
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psnet.ahrq.gov/perspective/conversation-rebecca-smith-bindman-md
October 01, 2013 - In Conversation With… Rebecca Smith-Bindman, MD
October 1, 2013
Also Read an Essay
Citation Text:
In Conversation With… Rebecca Smith-Bindman, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Serv…
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psnet.ahrq.gov/perspective/safety-radiology
October 01, 2013 - Safety in Radiology
Antonio Pinto, MD, PhD | October 1, 2013
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Pinto A. Safety in Radiology. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Departm…
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psnet.ahrq.gov/issue/top-10-patient-safety-concerns-2022
February 08, 2023 - Book/Report
Top 10 Patient Safety Concerns 2022.
Citation Text:
ECRI. Plymouth Meeting, PA. March 2022.
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April 13, 2022
ECR…
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psnet.ahrq.gov/issue/9th-international-patient-safety-conference-2023
April 13, 2023 - International Meeting/Conference
9th International Patient Safety Conference 2023.
Citation Text:
Indraprastha Apollo Hospitals. The Taj Palace, New Delhi, India. February 13-14, 2023.
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psnet.ahrq.gov/issue/hand-bundle-implementation-associated-decreased-medical-errors-and-preventable-adverse-events
December 12, 2021 - Study
Hand-off bundle implementation associated with decreased medical errors and preventable adverse events on an academic family medicine in-patient unit: A pre-post study.
Citation Text:
Dewar ZE, Yurkonis T, Attia M. Hand-off bundle implementation associated with decreased medical er…
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psnet.ahrq.gov/issue/appropriateness-chatgpt-resource-medication-related-questions
March 15, 2023 - Study
Appropriateness of ChatGPT as a resource for medication-related questions.
Citation Text:
Grossman S, Zerilli T, Nathan JP. Appropriateness of ChatGPT as a resource for medication‐related questions. Brit J Clinical Pharma. 2024;90(10):2691-2695. doi:10.1111/bcp.16212.
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psnet.ahrq.gov/issue/do-quality-and-safe-care-champions-community-nursing-teams-positively-impact-patients
October 19, 2022 - Study
Do quality and safe care champions in community nursing teams positively impact on patients?
Citation Text:
Coope SA, Augustin S. Do quality and safe care champions in community nursing teams positively impact on patients? Br J Community Nurs. 2023;28(12):604-610. doi:10.12968/bjcn…
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psnet.ahrq.gov/issue/global-regional-and-national-time-trends-incidence-adverse-effects-medical-treatment-1990
September 27, 2017 - Study
Global, regional and national time trends in incidence of adverse effects of medical treatment, 1990–2019: an age–period–cohort analysis from the Global Burden of Disease 2019 study.
Citation Text:
Lin L. Global, regional and national time trends in incidence of adverse effects of …
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psnet.ahrq.gov/issue/its-probably-sti-because-youre-gay-qualitative-study-diagnostic-error-experiences-sexual-and
November 02, 2022 - Study
"It's probably an STI because you're gay": a qualitative study of diagnostic error experiences in sexual and gender minority individuals.
Citation Text:
Wiegand AA, Sheikh T, Zannath F, et al. “It’s probably an STI because you’re gay”: a qualitative study of diagnostic error experi…
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psnet.ahrq.gov/issue/diagnostic-excellence-context-climate-change-review
January 22, 2025 - Review
Diagnostic excellence in the context of climate change: a review.
Citation Text:
Ali KJ, Ehsan S, Tran A, et al. Diagnostic excellence in the context of climate change: a review. Am J Med. 2024;137(11):1035-1041. doi:10.1016/j.amjmed.2024.06.010.
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psnet.ahrq.gov/issue/putting-knowledge-practice-does-information-adverse-drug-interactions-influence-peoples
June 14, 2023 - Study
Putting knowledge into practice: does information on adverse drug interactions influence people's dosing behaviour?
Citation Text:
Dohle S, Dawson IGJ. Putting knowledge into practice: Does information on adverse drug interactions influence people's dosing behaviour? Br J Health Ps…
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psnet.ahrq.gov/issue/can-standard-configuration-cardiac-monitor-lead-medical-errors-under-stress-induction
May 19, 2021 - Study
Can the standard configuration of a cardiac monitor lead to medical errors under a stress induction?
Citation Text:
Dzisko M, Lewandowska A, Wudarska B. Can the standard configuration of a cardiac monitor lead to medical errors under a stress induction? Sensors (Basel). 2022;22(9):…
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psnet.ahrq.gov/issue/impact-multidisciplinary-chart-reviews-opioid-dose-reduction-and-monitoring-practices
October 11, 2023 - Study
Impact of multidisciplinary chart reviews on opioid dose reduction and monitoring practices.
Citation Text:
Rivich J, McCauliff J, Schroeder A. Impact of multidisciplinary chart reviews on opioid dose reduction and monitoring practices. Addict Behav. 2018;86:40-43. doi:10.1016/j.ad…
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psnet.ahrq.gov/issue/investigating-influence-selected-leadership-styles-patient-safety-and-quality-care-systematic
October 07, 2020 - Review
Investigating the influence of selected leadership styles on patient safety and quality of care: a systematic review and meta-analysis.
Citation Text:
Singh A, Yeravdekar R, Jadhav S. Investigating the influence of selected leadership styles on patient safety and quality of care: …
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psnet.ahrq.gov/issue/relationship-between-patient-safety-climate-and-standard-precaution-adherence-systematic
February 13, 2019 - Review
Relationship between patient safety climate and standard precaution adherence: a systematic review of the literature.
Citation Text:
Hessels AJ, Larson EL. Relationship between patient safety climate and standard precaution adherence: a systematic review of the literature. J Hosp …