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psnet.ahrq.gov/node/49595/psn-pdf
December 01, 2009 - "Superficial" Report Leads to "Deep" Problem
December 1, 2009
Dhaliwal G. "Superficial" Report Leads to "Deep" Problem. PSNet [internet]. 2009.
https://psnet.ahrq.gov/web-mm/superficial-report-leads-deep-problem
The Case
A 35-year-old woman presented to the emergency department (ED) complaining of left foot and an…
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psnet.ahrq.gov/node/49626/psn-pdf
May 01, 2011 - Outbreak
May 1, 2011
Rothman R, Stapleton S. Outbreak. PSNet [internet]. 2011.
https://psnet.ahrq.gov/web-mm/outbreak
The Case
A 36-year-old healthy man developed an acute febrile illness associated with a vesicular rash. He
presented to an urgent care clinic where he was diagnosed with varicella infection ("chic…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.173_slideshow.ppt
April 01, 2008 - Spotlight Case [MONTH] 2003
Spotlight Case April 2008
Antibiotics for URI/Sinusitis: A Simple Decision Gone Bad
Source and Credits
This presentation is based on the April 2008
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Sumant Ranji, MD,…
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psnet.ahrq.gov/node/49659/psn-pdf
July 01, 2012 - Sloppy and Paste
July 1, 2012
Hirschtick RE. Sloppy and Paste. PSNet [internet]. 2012.
https://psnet.ahrq.gov/web-mm/sloppy-and-paste
The Case
A 78-year-old man with hypertension and diabetes presented to an emergency department (ED) with new
onset chest pain. The ED physician reviewed the patient's electronic me…
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psnet.ahrq.gov/node/33659/psn-pdf
October 01, 2007 - Making Just Culture a Reality: One Organization's
Approach
October 1, 2007
Page AH. Making Just Culture a Reality: One Organization's Approach. PSNet [internet]. 2007.
https://psnet.ahrq.gov/perspective/making-just-culture-reality-one-organizations-approach
Perspective
We've all been there...something goes wrong,…
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psnet.ahrq.gov/node/50389/psn-pdf
September 25, 2019 - Finally, distorted probability
estimates lead clinicians to overestimate or underestimate the prevalence
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psnet.ahrq.gov/node/33649/psn-pdf
May 01, 2007 - One of the tasks of the Alliance's research program is to do prevalence studies
of medical error and
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psnet.ahrq.gov/web-mm/suicidal-man-gun
May 01, 2005 - Prevalence of and risk factors for lifetime suicide attempts in the National Comorbidity Survey.
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psnet.ahrq.gov/web-mm/surgical-personality-threat-patient-safety
February 24, 2021 - the surgical personality came with the publication of the Institute of Medicine (IOM) report on the prevalence
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psnet.ahrq.gov/node/33691/psn-pdf
December 01, 2009 - Now that we understand the prevalence of disruptive behaviors and their impact on safety and the
workforce
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psnet.ahrq.gov/web-mm/chest-tube-complications
September 27, 2023 - May 19, 2021
Prevalence and predictability of low-yield inpatient laboratory diagnostic
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psnet.ahrq.gov/web-mm/risks-malpositioned-gastrostomy-tube-and-poor-communication
August 01, 2012 - July 15, 2020
Economic analysis of the prevalence and clinical and economic burden of … July 1, 2020
Prevalence of inappropriate antibiotic prescriptions among US ambulatory
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psnet.ahrq.gov/perspective/patient-safety-office-based-care-settings
January 31, 2024 - Prevalence, contributing factors, and interventions to reduce medication errors in outpatient and ambulatory
-
psnet.ahrq.gov/node/49806/psn-pdf
September 01, 2017 - response to
infection.(1) The mortality of sepsis is approximately 20% to 40%, and the incidence and prevalence
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psnet.ahrq.gov/node/33729/psn-pdf
May 01, 2012 - Prevalence of adverse events in pediatric intensive care units in
the United States.
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psnet.ahrq.gov/web-mm/wandering-floors-safety-and-security-risks-patient-wandering
August 21, 2007 - Frequency and motivation for patients to wander There is little evidence documenting the prevalence
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psnet.ahrq.gov/web-mm/new-oral-anticoagulants
July 01, 2011 - January 23, 2017
A multi-hospital before–after observational study using a point-prevalence
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psnet.ahrq.gov/primer/long-term-care-and-patient-safety
February 24, 2022 - (A PSNet primer summarized the prevalence and challenges that resulted in the enormous number of COVID
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psnet.ahrq.gov/perspective/updates-role-health-it-patient-safety
January 31, 2020 - Perspective
Pharmacist Role in Patient Safety
February 21, 2020
Prevalence
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psnet.ahrq.gov/web-mm/real-heartache
October 01, 2018 - Given this prevalence, the risk to patients, and the medicolegal risk to clinicians of missing an AMI