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psnet.ahrq.gov/issue/routine-failures-process-blood-testing-and-communication-results-patients-primary-care-uk
November 20, 2015 - Study
Routine failures in the process for blood testing and the communication of results to patients in primary care in the UK: a qualitative
exploration of patient and provider perspectives.
Citation Text:
Litchfield I, Bentham L, Hill A, et al. Routine failures in the process for bloo…
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psnet.ahrq.gov/issue/understanding-and-responding-when-things-go-wrong-key-principles-primary-care-educators
January 23, 2017 - Study
Understanding and responding when things go wrong: key principles for primary care educators.
Citation Text:
McNab D, Bowie P, Ross A, et al. Understanding and responding when things go wrong: key principles for primary care educators. Educ Prim Care. 2016;27(4):258-66. doi:10.1080…
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psnet.ahrq.gov/issue/prescription-and-transcription-errors-multidose-dispensed-medications-discharge-hospital
February 15, 2011 - Study
Prescription and transcription errors in multidose-dispensed medications on discharge from hospital: an observational and interventional study.
Citation Text:
Alassaad A, Gillespie U, Bertilsson M, et al. Prescription and transcription errors in multidose-dispensed medications on…
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psnet.ahrq.gov/issue/laboratory-medicine-handoff-gaps-experienced-primary-care-practices-report-shared-networks
September 01, 2012 - Study
Laboratory medicine handoff gaps experienced by primary care practices: a report from the Shared Networks of Collaborative Ambulatory Practices and Partners (SNOCAP).
Citation Text:
West DR, James KA, Fernald DH, et al. Laboratory medicine handoff gaps experienced by primary care p…
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psnet.ahrq.gov/issue/do-we-know-what-foundation-year-doctors-think-about-patient-safety-incident-reporting
April 12, 2017 - Study
Do we know what foundation year doctors think about patient safety incident reporting? Development of a web based tool to assess attitude and knowledge.
Citation Text:
Robson J, de Wet C, McKay J, et al. Do we know what foundation year doctors think about patient safety incident …
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psnet.ahrq.gov/issue/patient-feedback-reporting-tool-opennotes-implications-patient-clinician-safety-and-quality
June 06, 2018 - Study
A patient feedback reporting tool for OpenNotes: implications for patient–clinician safety and quality partnerships.
Citation Text:
Bell SK, Gerard M, Fossa A, et al. A patient feedback reporting tool for OpenNotes: implications for patient-clinician safety and quality partnerships…
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psnet.ahrq.gov/issue/impact-computerized-provider-order-entry-systems-medical-imaging-services-systematic-review
June 14, 2017 - Study
The impact of computerized provider order entry systems on medical-imaging services: a systematic review.
Citation Text:
Georgiou A, Prgomet M, Markewycz A, et al. The impact of computerized provider order entry systems on medical-imaging services: a systematic review. J Am Med I…
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psnet.ahrq.gov/issue/boosting-medical-diagnostics-pooling-independent-judgments
June 21, 2016 - Study
Boosting medical diagnostics by pooling independent judgments.
Citation Text:
Kurvers RHJM, Herzog SM, Hertwig R, et al. Boosting medical diagnostics by pooling independent judgments. Proc Natl Acad Sci U S A. 2016;113(31):8777-8782. doi:10.1073/pnas.1601827113.
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psnet.ahrq.gov/node/49683/psn-pdf
April 01, 2013 - The GI consult declined the patient's request and suggested that changes in the haloperidol dose, as
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psnet.ahrq.gov/node/49586/psn-pdf
May 01, 2009 - Vial Mistakes Involving Heparin
May 1, 2009
Vanderveen T. Vial Mistakes Involving Heparin. PSNet [internet]. 2009.
https://psnet.ahrq.gov/web-mm/vial-mistakes-involving-heparin
The Case
A 65-year-old man was admitted to the hospital for an elective left carotid endarterectomy. During the
procedure, the surgeon re…
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psnet.ahrq.gov/node/49614/psn-pdf
November 01, 2010 - Reconciling Records
November 1, 2010
Singh H, Sittig DF, Layden M. Reconciling Records. PSNet [internet]. 2010.
https://psnet.ahrq.gov/web-mm/reconciling-records
The Cases
Case 1. A patient receiving care at a Veterans Affairs (VA) outpatient clinic was admitted to a local
teaching hospital. When discharged, h…
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psnet.ahrq.gov/node/49746/psn-pdf
October 01, 2015 - An Obstructed View
October 1, 2015
Carter J. An Obstructed View. PSNet [internet]. 2015.
https://psnet.ahrq.gov/web-mm/obstructed-view
The Case
A 66-year-old man with a history of benign prostatic hyperplasia and obstructive sleep apnea presented to
the emergency department (ED) with subacute abdominal pain that …
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psnet.ahrq.gov/node/49494/psn-pdf
January 01, 2006 - One Dose, Fifty Pills
November 1, 2005
Smith L. One Dose, Fifty Pills . PSNet [internet]. 2005.
https://psnet.ahrq.gov/web-mm/one-dose-fifty-pills
The Case
A middle-aged man was admitted to the medical service of a teaching hospital with suspected vasculitis.
When the initial diagnostic studies failed to provide …
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psnet.ahrq.gov/node/867206/psn-pdf
December 18, 2024 - Neurological Red Flags: A Missed Stroke after
Intermittent Episodes of Dizziness and Headache
December 18, 2024
Edlow J. Neurological Red Flags: A Missed Stroke after Intermittent Episodes of Dizziness and Headache.
PSNet [internet]. 2024.
https://psnet.ahrq.gov/web-mm/neurological-red-flags-missed-stroke-after-in…
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psnet.ahrq.gov/web-mm/paroxysmal-supraventricular-tachycardia-masquerading-panic-attacks
September 01, 2017 - Paroxysmal Supraventricular Tachycardia Masquerading as Panic Attacks
Citation Text:
Martin DT, O’Leary D. Paroxysmal Supraventricular Tachycardia Masquerading as Panic Attacks. 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/perspective/interruptions-and-distractions-health-care-improved-safety-mindfulness
February 01, 2014 - Interruptions and Distractions in Health Care: Improved Safety With Mindfulness
Suzanne Beyea, RN, PhD | February 1, 2014
Also Read the Conversations
In Conversation With… Enrico Coiera, MB, BS, PhD
In Conversation With… Richard Kronick, PhD
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