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psnet.ahrq.gov/issue/scariest-hospital-risks
September 29, 2017 - Image/Poster
Scariest hospital risks.
Citation Text:
Scariest hospital risks. Herper M; Lindner M.
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Jul…
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psnet.ahrq.gov/issue/medication-related-harm
August 14, 2024 - Book/Report
Medication Related Harm.
Citation Text:
Medication Related Harm. Health Services Safety Investigations Body. 2024-2025
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psnet.ahrq.gov/issue/patients-families-take-cause-hospital-safety
August 17, 2016 - Newspaper/Magazine Article
Patients, families take up the cause of hospital safety.
Citation Text:
Patients, families take up the cause of hospital safety. Landro L.
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psnet.ahrq.gov/issue/indiana-medical-error-reporting-system
October 03, 2017 - Government Resource
Indiana Medical Error Reporting System.
Citation Text:
Indiana Medical Error Reporting System. Indiana State Department of Health.
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psnet.ahrq.gov/issue/medical-errors-overcoming-challenges
September 29, 2017 - Commentary
Medical errors: overcoming the challenges.
Citation Text:
Kalra J. Medical errors: overcoming the challenges. Clin Biochem. 2004;37(12):1063-71.
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psnet.ahrq.gov/issue/bringing-surgeons-down-earth
August 17, 2016 - Newspaper/Magazine Article
Bringing surgeons down to earth.
Citation Text:
Bringing surgeons down to earth. Landro L.
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psnet.ahrq.gov/web-mm/weighing-surgical-safety
August 04, 2021 - Mild to moderate OSA may be asymptomatic and of minor importance, but severe and long-term OSA is associated
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psnet.ahrq.gov/web-mm/slippery-slide-life
January 21, 2017 - October 30, 2019
A multidisciplinary model for reviewing severe maternal morbidity cases
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psnet.ahrq.gov/node/49738/psn-pdf
August 21, 2015 - the brain MRI had the
same initials as another patient on the same unit who also happened to have severe
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psnet.ahrq.gov/perspective/conversation-anna-legreid-dopp-pharm-d
June 29, 2020 - for more of that community outpatient management of COVID patients who are less acute and have less severe
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psnet.ahrq.gov/node/49418/psn-pdf
October 01, 2003 - Charcoal Lavage of the Lungs
October 1, 2003
Wigton RS. Charcoal Lavage of the Lungs. PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/charcoal-lavage-lungs
The Case
A 47-year-old man presented to an emergency department (ED) with altered mental status, and was
believed to have a probable overdose. He receiv…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.95_slideshow.ppt
May 01, 2005 - Spotlight Case [MONTH] 2003
Spotlight Case May 2005
Diagnosing Diagnostic Mistakes
Source and Credits
This presentation is based on the May 2005 AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available through the Web site
Commentary by: Robert McNutt, MD; Richard A…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.221_slideshow.ppt
July 01, 2010 - Spotlight Case [MONTH] 2003
Spotlight Case
Weighing in on Surgical Safety
*
*
Source and Credits
This presentation is based on the July 2010
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Jay B. Brodsky, MD, Stanford University Medical Cente…
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psnet.ahrq.gov/primer/adverse-events-near-misses-and-errors
March 30, 2022 - Adverse Events, Near Misses, and Errors
Citation Text:
Adverse Events, Near Misses, and Errors. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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psnet.ahrq.gov/node/836812/psn-pdf
March 30, 2022 - Strategies and Approaches for Investigating Patient
Safety Events
March 30, 2022
Shaikh U. Strategies and Approaches for Investigating Patient Safety Events. PSNet [internet]. 2022.
https://psnet.ahrq.gov/primer/strategies-and-approaches-investigating-patient-safety-events
Background
This primer provides a broad …
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psnet.ahrq.gov/primer/diagnostic-errors
June 15, 2024 - Diagnostic Errors
Citation Text:
Diagnostic Errors. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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Dow…
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psnet.ahrq.gov/node/33570/psn-pdf
June 15, 2024 - Diagnostic Errors
June 15, 2024
Diagnostic Errors. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/diagnostic-errors
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the patient safety field. Last reviewed in 20…
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psnet.ahrq.gov/node/33587/psn-pdf
June 15, 2024 - Missed Nursing Care
June 15, 2024
Missed Nursing Care. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/missed-nursing-care
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the patient safety field. Last reviewed…
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psnet.ahrq.gov/node/49744/psn-pdf
October 01, 2015 - This severe life-threatening allergic reaction was
not known to any providers in the current hospital
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psnet.ahrq.gov/node/867986/psn-pdf
March 24, 2025 - Only the most imminent and the most severe people should be sent directly to the
emergency department