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psnet.ahrq.gov/web-mm/local-anesthesia-induced-coma-during-total-knee-arthroplasty
October 27, 2021 - Local Anesthesia-Induced Coma During Total Knee Arthroplasty.
Citation Text:
Aldwinckle R. Local Anesthesia-Induced Coma During Total Knee Arthroplasty.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2021.
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psnet.ahrq.gov/web-mm/diagnostic-overshadowing-dangers
February 12, 2020 - Diagnostic Overshadowing Dangers
Citation Text:
Raven MC. Diagnostic Overshadowing Dangers. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
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psnet.ahrq.gov/node/40897/psn-pdf
November 02, 2011 - Infrequent physician use of implantable cardioverter-
defibrillators risks patient safety.
November 2, 2011
Lyman S, Sedrakyan A, Do H, et al. Infrequent physician use of implantable cardioverter-defibrillators risks
patient safety. Heart. 2011;97(20):1655-60. doi:10.1136/hrt.2011.226282.
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psnet.ahrq.gov/node/35186/psn-pdf
July 13, 2005 - Saving lives: hospitals have signed on to a six-part plan
to avoid a multitude of unnecessary deaths.
July 13, 2005
Comarow A. US News & World Report. July 2005
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This article, accompanying the widely r…
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psnet.ahrq.gov/node/46081/psn-pdf
April 19, 2017 - Why are medical errors still a leading cause of death?
April 19, 2017
Headley M.
https://psnet.ahrq.gov/issue/why-are-medical-errors-still-leading-cause-death
This magazine article explores the need for robust research and effective reporting to better understand the
prevalence of medical errors and how to prevent…
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psnet.ahrq.gov/node/50866/psn-pdf
February 05, 2020 - Effectiveness of acute care remote triage systems: a
systematic review.
February 5, 2020
Boggan JC, Shoup JP, Whited JD, et al. Effectiveness of acute care remote triage systems: a systematic
review. J Gen Intern Med. 2020;35(7):2136-2145. doi:10.1007/s11606-019-05585-4.
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psnet.ahrq.gov/node/73283/psn-pdf
May 19, 2021 - Assessment of overuse of medical tests and treatments at
US hospitals using Medicare claims.
May 19, 2021
Chalmers K, Smith P, Garber J, et al. Assessment of overuse of medical tests and treatments at US
hospitals using Medicare claims. JAMA Netw Open. 2021;4(4):e218075.
doi:10.1001/jamanetworkopen.2021.8075.
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psnet.ahrq.gov/node/73155/psn-pdf
April 22, 2021 - Identifying errors and safety considerations in patients
undergoing thrombolysis for acute ischemic stroke.
April 22, 2021
Dancsecs KA, Nestor M, Bailey A, et al. Identifying errors and safety considerations in patients undergoing
thrombolysis for acute ischemic stroke. Am J Emerg Med. 2021;47:90-94. doi:10.1016/j.…
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psnet.ahrq.gov/node/853433/psn-pdf
September 13, 2023 - Outcomes of missed diagnosis of pediatric appendicitis,
new-onset diabetic ketoacidosis, and sepsis in five
pediatric hospitals.
September 13, 2023
Michelson KA, Bachur RG, Grubenhoff JA, et al. Outcomes of missed diagnosis of pediatric appendicitis,
new-onset diabetic ketoacidosis, and sepsis in five pediatric ho…
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May 11, 2011 - Use of briefings and debriefings as a tool in improving
team work, efficiency, and communication in the
operating theatre.
May 11, 2011
Bethune R, Sasirekha G, Sahu A, et al. Use of briefings and debriefings as a tool in improving team work,
efficiency, and communication in the operating theatre. Postgrad Med J. 2…
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psnet.ahrq.gov/node/38904/psn-pdf
September 02, 2009 - Litigation related to inadequate anaesthesia: an analysis
of claims against the NHS in England 1995-2007.
September 2, 2009
Mihai R, Scott SD, Cook TM. Litigation related to inadequate anaesthesia: an analysis of claims against the
NHS in England 1995-2007. Anaesthesia. 2009;64(8):829-35. doi:10.1111/j.1365-2044.20…
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psnet.ahrq.gov/node/42751/psn-pdf
November 20, 2013 - What makes maternity teams effective and safe? Lessons
from a series of research on teamwork, leadership and
team training.
November 20, 2013
Siassakos D, Fox R, Bristowe K, et al. What makes maternity teams effective and safe? Lessons from a
series of research on teamwork, leadership and team training. Acta Obste…
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psnet.ahrq.gov/node/42961/psn-pdf
February 19, 2014 - Healthcare-associated infections: a national patient safety
problem and the coordinated response.
February 19, 2014
Jeeva RR, Wright D. Healthcare-associated infections: a national patient safety problem and the
coordinated response. Med Care. 2014;52(2 Suppl 1):S4-8. doi:10.1097/MLR.0b013e3182a54581.
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psnet.ahrq.gov/node/49476/psn-pdf
March 02, 2005 - Around the Block
March 1, 2005
Minichiello T. Around the Block. PSNet [internet]. 2005.
https://psnet.ahrq.gov/web-mm/around-block
The Case
A 77-year-old woman with multiple medical problems was admitted to the hospital for an elective knee
replacement. The orthopedic surgeon, recognizing the risk of deep vein th…
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psnet.ahrq.gov/node/37597/psn-pdf
February 15, 2010 - Accuracy of send-out test ordering: a College of
American Pathologists Q-Probes study of ordering
accuracy in 97 clinical laboratories.
February 15, 2010
Valenstein PN, Walsh MK, Stankovic AK. Accuracy of send-out test ordering: a College of American
Pathologists Q-Probes study of ordering accuracy in 97 clinical …
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January 04, 2017 - John M. Eisenberg Patient Safety Awards. The Leapfrog
Group for Patient Safety: rewarding higher standards.
January 4, 2017
Eikel C, Delbanco S. John M. Eisenberg Patient Safety Awards. The Leapfrog Group for Patient Safety:
rewarding higher standards. Jt Comm J Qual Saf. 2003;29(12):634-9.
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psnet.ahrq.gov/node/44547/psn-pdf
November 25, 2015 - Monitoring patient safety in primary care: an exploratory
study using in-depth semistructured interviews.
November 25, 2015
Samra R, Bottle A, Aylin PP. Monitoring patient safety in primary care: an exploratory study using in-depth
semistructured interviews. BMJ Open. 2015;5(9):e008128. doi:10.1136/bmjopen-2015-008…
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psnet.ahrq.gov/node/42671/psn-pdf
October 23, 2013 - Safety during night shifts: a cross-sectional survey of
junior doctors' preparation and practice.
October 23, 2013
Jackson EJ, Moreton A. Safety during night shifts: a cross-sectional survey of junior doctors' preparation
and practice. BMJ Open. 2013;3(9):e003567. doi:10.1136/bmjopen-2013-003567.
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psnet.ahrq.gov/node/73120/psn-pdf
April 07, 2021 - Medication reconciliation during hospitalization and in
hospital-home interface: an observational retrospective
study.
April 7, 2021
Volpi E, Giannelli A, Toccafondi G, et al. Medication reconciliation during hospitalization and in hospital-
home interface: an observational retrospective study. J Patient Saf. 2021…
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psnet.ahrq.gov/node/842417/psn-pdf
January 11, 2023 - Scaling-up a pharmacist-led information technology
intervention (PINCER) to reduce hazardous prescribing in
general practices: multiple interrupted time series study.
January 11, 2023
Rodgers S, Taylor AC, Roberts SA, et al. Scaling-up a pharmacist-led information technology intervention
(PINCER) to reduce hazardo…