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psnet.ahrq.gov/web-mm/dont-use-port-insert-picc
December 22, 2018 - Don't Use That Port: Insert a PICC
Citation Text:
Ilan R. Don't Use That Port: Insert a PICC. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013.
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psnet.ahrq.gov/web-mm/check-wristband
August 03, 2009 - A national sample of 712 hospitals in 1991 estimated error rates for conventional patient identification
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psnet.ahrq.gov/web-mm/result-stopped-here
December 01, 2006 - the Same Author(s)
WebM&M Cases
Right Patient, Wrong Sample
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psnet.ahrq.gov/web-mm/speaking-patient-safety-what-they-dont-tell-you-training-about-feedback-and-burnout
January 22, 2020 - team and mentioned that he found a very small effusion on the right side, which he could attempt to sample
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psnet.ahrq.gov/web-mm/crossing-line
December 01, 2012 - Sending a venous blood sample for gas analysis is another option.
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psnet.ahrq.gov/node/49673/psn-pdf
December 01, 2012 - A Real Heartache
December 1, 2012
Polevoi SK. A Real Heartache. PSNet [internet]. 2012.
https://psnet.ahrq.gov/web-mm/real-heartache
The Case
A 60-year-old man presented to the emergency department (ED) with 2 hours of burning chest pain. The
pain began at rest, and it radiated to his back and left axilla. He had…
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psnet.ahrq.gov/web-mm/admission-drug-dose-too-low
September 01, 2011 - Is the Admission Drug Dose Too Low?
Citation Text:
Kaushal R, Abramson EL. Is the Admission Drug Dose Too Low?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009.
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psnet.ahrq.gov/web-mm/e-prescribing-e-error
February 03, 2021 - with outpatient computer-generated prescriptions.( 18 ) Of 3850 prescriptions reviewed in the final sample
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psnet.ahrq.gov/web-mm/paroxysmal-supraventricular-tachycardia-masquerading-panic-attacks
September 01, 2017 - Disparities in Total Joint Arthroplasty Patients and Financial Outcomes from the National Inpatient Sample
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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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psnet.ahrq.gov/web-mm/managing-complexity-diagnosis-life-threatening-complications-after-gastric-bypass-surgery
September 25, 2019 - Implicit and explicit anti-fat bias among a large sample of medical doctors by BMI, race/ethnicity and
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psnet.ahrq.gov/web-mm/anchoring-bias-critical-implications
June 15, 2022 - Prevalence of foot and ankle conditions in a multiethnic community sample of older adults.
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psnet.ahrq.gov/perspective/equity-patient-safety
September 24, 2024 - Another study using the National Inpatient Sample from the Healthcare Cost and Utilization Project
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psnet.ahrq.gov/web-mm/respiratory-distress-after-neck-surgery-two-cases-postoperative-cervical-hematoma
August 14, 2024 - for neck hematoma after thyroid or parathyroid surgery: ten-year analysis of the nationwide inpatient sample
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psnet.ahrq.gov/web-mm/one-got-away-elopement-suicidal-patient-emergency-department
September 27, 2023 - However, a recent survey of a probability sample of ED nursing directors reported no meaningful differences
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psnet.ahrq.gov/perspective/ensuring-patient-and-workforce-safety-culture-healthcare
March 27, 2024 - safety or communication, but it should be noted that there was no control group in that study and the sample
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psnet.ahrq.gov/node/867850/psn-pdf
February 26, 2025 - Large sample high reliability surveys are another area where patient safety could be advanced.
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psnet.ahrq.gov/perspective/conversation-jennifer-schulz-moore-llb-ma-phd
February 26, 2025 - We didn't have a big sample, there are only three, but they were quite interesting.
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psnet.ahrq.gov/web-mm/real-heartache
October 01, 2018 - A Real Heartache
Citation Text:
Polevoi SK. A Real Heartache. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012.
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Format:
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…
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psnet.ahrq.gov/innovation/e-autopsye-biopsy-systematic-chart-review-increase-safety-and-diagnostic-accuracy
April 01, 2005 - October 6, 2016
WebM&M Cases
Right Patient, Wrong Sample