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psnet.ahrq.gov/web-mm/management-cardiac-arrest-unconventional-locations
June 14, 2023 - Case #2: A 74-year-old man with a history of hypertensive end-stage renal disease and significant cardiac
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psnet.ahrq.gov/web-mm/ultrasound-looked-fine-point-care-ultrasound-and-patient-safety
December 01, 2012 - Commentary—Part 1
A 51-year-old man with history of congestive heart failure (ejection fraction 35%–40%), end-stage
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psnet.ahrq.gov/web-mm/patient-safety-events-involving-opioid-dose-stacking
July 08, 2022 - had a past medical history of morbid obesity, hypertension, heart failure, chronic kidney disease (stage
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psnet.ahrq.gov/node/72589/psn-pdf
December 23, 2020 - delayed-breast-cancer-diagnosis-false-sense-security
https://psnet.ahrq.gov//#1
survival, with the majority of patients diagnosed with early-stage
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psnet.ahrq.gov/node/49491/psn-pdf
September 01, 2005 - The five-stage model of adult skill acquisition. Bull Sci Technol Soc. 2004;24:177-181.
5.
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psnet.ahrq.gov/node/846169/psn-pdf
March 15, 2023 - Laryngospasm can occur at any stage of anesthesia,
including the postoperative period.1 It is a potentially
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psnet.ahrq.gov/web-mm/medication-reconciliation-twist-or-dare-we-say-patch
April 03, 2024 - Step 5: Achieve Meaningful Use Stage 1. Medication Reconciliation. [Available at] 27.
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psnet.ahrq.gov/web-mm/isolated-clot-real-error
December 01, 2013 - cancers during follow-up, shorten the time to cancer diagnosis, increase the detection of occult or early-stage
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psnet.ahrq.gov/curated-library/value-and-patient-safety
October 30, 2019 - success in reducing the unneeded intervention: fewer serum creatinine tests ordered in those with end stage
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psnet.ahrq.gov/innovation/e-autopsye-biopsy-systematic-chart-review-increase-safety-and-diagnostic-accuracy
April 01, 2005 - guidelines was an issue identified in the eA for advanced colon cancer. 5 Of patients diagnosed with stage
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psnet.ahrq.gov/web-mm/perils-cross-coverage
September 22, 2010 - As trainees demonstrate competence at this stage, they could be indirectly supervised but have attendings
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psnet.ahrq.gov/periodic-issue/periodic-issue-290
May 26, 2021 - May 5, 2021 Weekly Issue
PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly
Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient
safety literature, news, conferences, reports, an…
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psnet.ahrq.gov/node/837791/psn-pdf
August 05, 2022 - Patient Safety in the Ambulatory Care Setting
August 5, 2022
Schiff G, Mossburg SE, Dowell P, et al. Patient Safety in the Ambulatory Care Setting. PSNet [internet].
2022.
https://psnet.ahrq.gov/perspective/patient-safety-ambulatory-care-setting
Introduction
There is no way to review the year 2021 in quality and …
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psnet.ahrq.gov/innovation/project-boost-increases-patient-understanding-treatment-and-follow-care
February 26, 2025 - Project BOOST Increases Patient Understanding of Treatment and Follow-up Care
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May 26, 2021
Innovation
Contact
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psnet.ahrq.gov/node/49684/psn-pdf
May 01, 2013 - Right Regimen, Wrong Cancer: Patient Catches Medical
Error
May 1, 2013
Weingart SN, Jacobson J. Right Regimen, Wrong Cancer: Patient Catches Medical Error. PSNet [internet].
2013.
https://psnet.ahrq.gov/web-mm/right-regimen-wrong-cancer-patient-catches-medical-error
Case Objectives
Appreciate that chemotherapy a…
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psnet.ahrq.gov/issue/ahrq-safety-program-improving-surgical-care-and-recovery
December 24, 2008 - Multi-use Website
AHRQ Safety Program for Improving Surgical Care and Recovery.
Citation Text:
AHRQ Safety Program for Improving Surgical Care and Recovery. Agency for Healthcare Research and Quality.
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psnet.ahrq.gov/issue/ensuring-medication-reconciliation
December 19, 2012 - Newspaper/Magazine Article
Ensuring medication reconciliation.
Citation Text:
Ensuring medication reconciliation. Georgia K, Kinney K, Pace A, Helton K. Patient Saf Qual Healthc. November / December 2007.
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psnet.ahrq.gov/issue/improving-patient-safety-laboratory-medicine
November 16, 2022 - Special or Theme Issue
Improving Patient Safety in Laboratory Medicine.
Citation Text:
Improving Patient Safety in Laboratory Medicine. Randell E, Schneider W, eds. Clin Biochem. 2013;46:1159-1194.
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psnet.ahrq.gov/issue/prone-error-earliest-steps-find-cancer
March 09, 2011 - Newspaper/Magazine Article
Prone to error: earliest steps to find cancer.
Citation Text:
Prone to error: earliest steps to find cancer. Saul S. New York Times. July 19, 2010;A1.
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psnet.ahrq.gov/perspective/conversation-jack-needleman-phd
September 01, 2012 - The second stage is: "my patients are sicker and you haven't taken that into account." … Then you get to the third stage, which is: "I'm practicing as well as I know how to already, there's