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  1. Patient safety laboratories: states pave the way for a national effort. | PSNet

    psnet.ahrq.gov/issue/patient-safety-laboratories-states-pave-way-national-effort
    April 03, 2005 - Newspaper/Magazine Article Patient safety laboratories: states pave the way for a national effort. Citation Text: Patient safety laboratories: states pave the way for a national effort. Finkelstein JB. American Medical News. January 3, 2005. Copy Citation Sav…

  2. When missing a 'zebra' can land you in court. | PSNet

    psnet.ahrq.gov/issue/when-missing-zebra-can-land-you-court
    August 12, 2015 - Newspaper/Magazine Article When missing a 'zebra' can land you in court. Citation Text: When missing a 'zebra' can land you in court. Crane M. Medscape Business of Medicine. February 20, 2018. Copy Citation Save Save to your library Print Download PDF …

  3. Doctor administered fatal dose of calcium to baby, inquest told. | PSNet

    psnet.ahrq.gov/issue/doctor-administered-fatal-dose-calcium-baby-inquest-told
    March 06, 2005 - Newspaper/Magazine Article Doctor administered fatal dose of calcium to baby, inquest told. Citation Text: Doctor administered fatal dose of calcium to baby, inquest told. Morris S. Copy Citation Save Save to your library Print Download PDF …

  4. Why doctors still offer treatments that may not help. | PSNet

    psnet.ahrq.gov/issue/why-doctors-still-offer-treatments-may-not-help
    July 20, 2016 - Newspaper/Magazine Article Why doctors still offer treatments that may not help. Citation Text: Why doctors still offer treatments that may not help. Frakt A. New York Times. August 26, 2019. Copy Citation Save Save to your library Print Download PDF …

  5. The role of information technology in healthcare communications, efficiency, and patient safety: application and results. | PSNet

    psnet.ahrq.gov/issue/role-information-technology-healthcare-communications-efficiency-and-patient-safety
    October 19, 2022 - Commentary The role of information technology in healthcare communications, efficiency, and patient safety: application and results. Citation Text: Prince SB, Herrin DM. The role of information technology in healthcare communications, efficiency, and patient safety: application and res…

  6. RaDonda Vaught says some system practices contributed to fatal mistake. | PSNet

    psnet.ahrq.gov/issue/vaught-says-some-system-practices-contributed-fatal-mistake
    September 29, 2021 - Newspaper/Magazine Article RaDonda Vaught says some system practices contributed to fatal mistake. Citation Text: RaDonda Vaught says some system practices contributed to fatal mistake. Clark C. MedPage Today. March 14, 2024. Copy Citation Save Save to…

  7. Optimizing Health IT for Safe Integration of Behavioral Health and Primary Care. | PSNet

    psnet.ahrq.gov/issue/optimizing-health-it-safe-integration-behavioral-health-and-primary-care
    March 10, 2021 - Book/Report Optimizing Health IT for Safe Integration of Behavioral Health and Primary Care. Citation Text: Optimizing Health IT for Safe Integration of Behavioral Health and Primary Care. Partnership for Health IT Patient Safety. Plymouth Meeting, PA: ECRI Institute; 2021. Copy Cita…

  8. Skin-deep diagnosis: affective bias and zebra retreat complicating the diagnosis of systemic sclerosis. | PSNet

    psnet.ahrq.gov/issue/skin-deep-diagnosis-affective-bias-and-zebra-retreat-complicating-diagnosis-systemic
    July 29, 2020 - Commentary Skin-deep diagnosis: affective bias and zebra retreat complicating the diagnosis of systemic sclerosis. Citation Text: Miller CS. Skin-deep diagnosis: affective bias and zebra retreat complicating the diagnosis of systemic sclerosis. Am J Med Sci. 2013;345(1):53-6. doi:10.1…

  9. Enhanced time out: an improved communication process. | PSNet

    psnet.ahrq.gov/issue/enhanced-time-out-improved-communication-process
    October 19, 2022 - Commentary Enhanced time out: an improved communication process. Citation Text: Nelson PE. Enhanced Time Out: An Improved Communication Process. AORN J. 2017;105(6):564-570. doi:10.1016/j.aorn.2017.03.014. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNo…

  10. Risk of mistaken DNR orders. | PSNet

    psnet.ahrq.gov/issue/risk-mistaken-dnr-orders
    October 19, 2022 - Study Risk of mistaken DNR orders. Citation Text: Rohrer JE, Esler WV, Saeed Q, et al. Risk of mistaken DNR orders. Supportive Care in Cancer. 2006;14(8). doi:10.1007/s00520-006-0023-z. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tag…

  11. Matt's story: learning from heartbreak. | PSNet

    psnet.ahrq.gov/issue/matts-story-learning-heartbreak
    August 07, 2024 - Commentary Matt's story: learning from heartbreak. Citation Text: Miller K, Dastoli A. Matt's story: learning from heartbreak. Int J Qual Health Care. 2018;30(8):654-657. doi:10.1093/intqhc/mzy076. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNot…

  12. The Perruche case and the issue of compensation for the consequences of medical error. | PSNet

    psnet.ahrq.gov/issue/perruche-case-and-issue-compensation-consequences-medical-error
    July 31, 2024 - Commentary The Perruche case and the issue of compensation for the consequences of medical error. Citation Text: Costich JF. The Perruche case and the issue of compensation for the consequences of medical error. Health Policy (New York). 2006;78(1):8-16. Copy Citation Format: …

  13. Is consent required for publication of medical errors? | PSNet

    psnet.ahrq.gov/issue/consent-required-publication-medical-errors
    March 18, 2011 - Commentary Is consent required for publication of medical errors? Citation Text: Weisbaum K, Hyland S, Bernstein M. Is consent required for publication of medical errors? Healthc Q. 2005;8(4):66-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote …

  14. Doctors fear criminalization of medical mistakes. | PSNet

    psnet.ahrq.gov/issue/doctors-fear-criminalization-medical-mistakes
    March 28, 2012 - Newspaper/Magazine Article Doctors fear criminalization of medical mistakes. Citation Text: Doctors fear criminalization of medical mistakes. Sorrel AL. American Medical News. November 27, 2006. Copy Citation Save Save to your library Print Download…

  15. Administrative compensation for medical injuries: lessons from three foreign systems. | PSNet

    psnet.ahrq.gov/issue/administrative-compensation-medical-injuries-lessons-three-foreign-systems
    September 29, 2017 - Newspaper/Magazine Article Administrative compensation for medical injuries: lessons from three foreign systems. Citation Text: Mello MM, Kachalia A, Studdert DM. Administrative compensation for medical injuries: lessons from three foreign systems. Issue brief (Commonwealth Fund). 2011;1…

  16. Cognitive testing of older clinicians prior to recredentialing. | PSNet

    psnet.ahrq.gov/issue/cognitive-testing-older-clinicians-prior-recredentialing
    January 08, 2020 - Commentary Cognitive testing of older clinicians prior to recredentialing. Citation Text: Cooney L, Balcezak T. Cognitive Testing of Older Clinicians Prior to Recredentialing. JAMA. 2020;323(2):179-180. doi:10.1001/jama.2019.18665. Copy Citation Format: DOI Google Scholar B…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49541/psn-pdf
    August 21, 2007 - Mark My Tooth August 21, 2007 Smith RA. Mark My Tooth. PSNet [internet]. 2007. https://psnet.ahrq.gov/web-mm/mark-my-tooth The Case A 45-year-old healthy man was scheduled to have two teeth extracted for progressive dental caries. The patient underwent the extractions, awoke from the anesthesia, and then realized…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49509/psn-pdf
    April 01, 2006 - Insert Omission April 1, 2006 Darney P. Insert Omission. PSNet [internet]. 2006. https://psnet.ahrq.gov/web-mm/insert-omission The Case A multiparous woman presented to the gynecology clinic requesting intrauterine contraceptive (IUC) placement (Figure). She was appropriately counseled on the risks and benefits o…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49421/psn-pdf
    October 01, 2003 - Urine a Tough Position October 1, 2003 Gandhi TK. Urine a Tough Position. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/urine-tough-position The Case A 22-year-old unmarried woman came to her doctor’s office worried that she might be pregnant. Although she did not want to have a baby at that time, she sta…

  20. Comparison of clinical diagnoses and autopsy findings: six-year retrospective study. | PSNet

    psnet.ahrq.gov/issue/comparison-clinical-diagnoses-and-autopsy-findings-six-year-retrospective-study
    March 27, 2024 - Study Comparison of clinical diagnoses and autopsy findings: six-year retrospective study. Citation Text: Marshall HS, Milikowski C. Comparison of clinical diagnoses and autopsy findings: six-year retrospective study. Arch Pathol Lab Med. 2017;141(9):1262-1266. doi:10.5858/arpa.2016-0488…
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