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psnet.ahrq.gov/web-mm/transfusion-overload
September 23, 2020 - WebM&M Cases
Two Pills, Same Drug
June 1, 2005
Prevalence
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psnet.ahrq.gov/innovation/algorithm-based-decision-support-system-guides-trauma-staff-during-initial-treatment
May 31, 2023 - Modifications to medical emergency team activation criteria and implications for patient safety: a point prevalence
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psnet.ahrq.gov/node/33837/psn-pdf
July 01, 2017 - One is that people became much more sensitized to the
prevalence of medical errors.
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psnet.ahrq.gov/perspective/surveillance-monitoring-improve-patient-safety-acute-hospital-care-units
April 26, 2023 - When patients are in the general care setting, the prevalence of people who are deteriorating in a way … So, if you use the condition-specific monitoring approach in the general care setting where the prevalence
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psnet.ahrq.gov/web-mm/e-prescribing-e-error
February 03, 2021 - December 31, 2014
From physician intent to the pharmacy label: prevalence and description
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psnet.ahrq.gov/web-mm/medication-reconciliation-twist-or-dare-we-say-patch
April 03, 2024 - Posthospital medication discrepancies: prevalence and contributing factors.
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psnet.ahrq.gov/web-mm/delayed-diagnosis-and-treatment-systemic-lupus-erythematosus-psychiatric-presentation
September 27, 2023 - Given the high prevalence of primary psychiatric conditions in young adults, it is difficult to estimate
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psnet.ahrq.gov/web-mm/challenging-case-multiple-suicide-attempts-complex-patient-psychiatric-comorbidities
September 27, 2023 - Characterizing the phenomenology of passive suicidal ideation: a systematic review and meta-analysis of its prevalence
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psnet.ahrq.gov/node/49753/psn-pdf
February 01, 2016 - https://psnet.ahrq.gov/web-mm/robotic-surgery-risks-vs-rewards
The Commentary
Background and Prevalence
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psnet.ahrq.gov/node/849679/psn-pdf
June 28, 2023 - A large study of tracheostomy-related deaths
over a 10-year period in the US found a higher prevalence
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psnet.ahrq.gov/node/49843/psn-pdf
October 01, 2018 - Prevalence, clinical characteristics, and mortality among
patients with myocardial infarction presenting
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psnet.ahrq.gov/web-mm/dont-wait-collect-accurate-weight-case-subtherapeutic-insulin-therapy
July 01, 2008 - August 3, 2022
Prevalence, nature, severity and preventability of adverse drug events
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psnet.ahrq.gov/web-mm/dissecting-presentation
May 05, 2021 - October 31, 2017
Prevalence, risk factors, and outcomes of idle intravenous catheters
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psnet.ahrq.gov/web-mm/anemia-and-delayed-colon-cancer-diagnosis
July 21, 2020 - Screening colonoscopy in very elderly patients: prevalence of neoplasia and estimated impact on life
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psnet.ahrq.gov/web-mm/patient-safety-events-involving-opioid-dose-stacking
July 08, 2022 - A Systematic Approach to Improving Patient Safety
The prevalence of opioid use has increased and consequently
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psnet.ahrq.gov/web-mm/triple-handoff
March 01, 2004 - Case Objectives
Appreciate the prevalence of handoffs and sign out related errors.
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psnet.ahrq.gov/web-mm/breakage-picc-line
June 21, 2023 - SPOTLIGHT CASE
Breakage of a PICC Line
Citation Text:
Dimov V. Breakage of a PICC Line. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote …
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psnet.ahrq.gov/node/860050/psn-pdf
January 04, 2024 - Radiology Missed an Intracranial Bleed in a Lethargic
Infant.
January 4, 2024
Yuk J, Magana J. Radiology Missed an Intracranial Bleed in a Lethargic Infant. PSNet [internet]. 2024.
https://psnet.ahrq.gov/web-mm/radiology-missed-intracranial-bleed-lethargic-infant
The Case
A 2-month-old full-term male infant was b…
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psnet.ahrq.gov/node/850675/psn-pdf
June 14, 2023 - Patient and Family Roles in Safety
June 14, 2023
Johnson B, Lee M, Mossburg S. Patient and Family Roles in Safety. PSNet [internet]. 2023.
https://psnet.ahrq.gov/perspective/patient-and-family-roles-safety
Moving From Engagement to Partnership
Involving patients and families in healthcare decisions about patient c…
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psnet.ahrq.gov/web-mm/empty-handoff
August 01, 2017 - Empty Handoff
Citation Text:
Goldman A, Catchpole K. Empty Handoff. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId R…