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psnet.ahrq.gov/node/73650/psn-pdf
August 25, 2021 - Coming up for Err: Missed Diagnosis in a Patient with
Recurrent Pneumothorax
August 25, 2021
Carlile N, El-Chemaly S, Schiff G. Coming up for Err – Missed Diagnosis in a Patient with Recurrent
Pneumothorax. PSNet [internet]. 2021.
https://psnet.ahrq.gov/web-mm/coming-err-missed-diagnosis-patient-recurrent-pneumoth…
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psnet.ahrq.gov/node/38570/psn-pdf
April 22, 2009 - Factors influencing incident reporting in surgical care.
April 22, 2009
Kreckler S, Catchpole K, McCulloch P, et al. Factors influencing incident reporting in surgical care. Qual
Saf Health Care. 2009;18(2):116-20. doi:10.1136/qshc.2008.026534.
https://psnet.ahrq.gov/issue/factors-influencing-incident-reporting-sur…
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psnet.ahrq.gov/issue/developing-guidance-naming-labeling-and-packaging-practices-reduce-medication-errors
April 21, 2010 - Press Release/Announcement
Published April 21, 2010
Developing Guidance on Naming, Labeling, and Packaging Practices to Reduce Medication Errors.
US Food and Drug Administration; FDA.
Topics
Approach to Improving Safety …
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psnet.ahrq.gov/web-mm/coming-err-missed-diagnosis-patient-recurrent-pneumothorax
December 14, 2022 - Coming up for Err: Missed Diagnosis in a Patient with Recurrent Pneumothorax
Citation Text:
Carlile N, El-Chemaly S, Schiff G. Coming up for Err – Missed Diagnosis in a Patient with Recurrent Pneumothorax. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health …
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psnet.ahrq.gov/node/73455/psn-pdf
June 30, 2021 - Paroxysmal Supraventricular Tachycardia Masquerading
as Panic Attacks
June 30, 2021
Martin DT, O’Leary D. Paroxysmal Supraventricular Tachycardia Masquerading as Panic Attacks. PSNet
[internet]. 2021.
https://psnet.ahrq.gov/web-mm/paroxysmal-supraventricular-tachycardia-masquerading-panic-attacks
The Case
At the…
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psnet.ahrq.gov/periodic-issue/periodic-issue-332
March 31, 2022 - Five patient complaints were submitted during this timeframe and overall patient satisfaction remained … Five patient complaints were submitted during this timeframe and overall patient satisfaction remained
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psnet.ahrq.gov/web-mm/multiple-high-risk-events-involving-workflow-wasting-medications-used-anesthesia
August 29, 2021 - The submitted case highlights how a variety of factors and quality gaps may contribute to errors during … with regulatory requirements while also employing the above-mentioned safety strategies. 15 In our submitted
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psnet.ahrq.gov/node/45671/psn-pdf
November 23, 2016 - America's Hospitals: Improving Quality and Safety—The
Joint Commission's Annual Report 2016.
November 23, 2016
Oakbrook Terrace, IL: The Joint Commission; November 2016.
https://psnet.ahrq.gov/issue/americas-hospitals-improving-quality-and-safety-joint-commissions-annual-
report-2016
This Joint Commission annual …
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psnet.ahrq.gov/issue/american-hospital-association-mckesson-quest-quality-prize-1
April 15, 2021 - Award Announcement
American Hospital Association–McKesson Quest for Quality Prize.
Citation Text:
American Hospital Association–McKesson Quest for Quality Prize. American Hospital Association.
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psnet.ahrq.gov/issue/personal-best
September 28, 2017 - Newspaper/Magazine Article
Personal best.
Citation Text:
Personal best. Gawande A. New Yorker. October 3, 2011.
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psnet.ahrq.gov/node/49468/psn-pdf
December 16, 2004 - issued its first Sentinel Event Alert on
wrong-site surgery (1,2), it has amassed over 300 voluntarily submitted
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psnet.ahrq.gov/web-mm/mark-my-limb
February 10, 2015 - issued its first Sentinel Event Alert on wrong-site surgery ( 1,2 ), it has amassed over 300 voluntarily submitted
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psnet.ahrq.gov/node/33714/psn-pdf
July 01, 2011 - The information that is submitted at a
national level into something called the Network of Patient Safety … Databases, by statute and by regulation,
must be de-identified very completely before it is submitted
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psnet.ahrq.gov/issue/anesthesia-patient-safety-foundation-apsf-grant-program
April 22, 2020 - Award Recipient
Anesthesia Patient Safety Foundation (APSF) Grant Program.
Citation Text:
Anesthesia Patient Safety Foundation (APSF) Grant Program. Anesthesia Patient Safety Foundation.
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psnet.ahrq.gov/issue/canadian-anesthesia-incident-reporting-system
December 04, 2019 - Multi-use Website
Canadian Anesthesia Incident Reporting System.
Citation Text:
Canadian Anesthesia Incident Reporting System. Canadian Anaesthesiologists Society.
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psnet.ahrq.gov/issue/ismp-survey-iv-push-medication-practices
January 26, 2023 - Press Release/Announcement
ISMP Survey on IV Push Medication Practices.
Citation Text:
ISMP Survey on IV Push Medication Practices. Institute for Safe Medication Practices; ISMP.
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psnet.ahrq.gov/web-mm/strongyloides-hidden-traveler-and-potentially-lethal-missed-diagnosis
August 25, 2021 - SPOTLIGHT CASE
Strongyloides: A Hidden Traveler and Potentially Lethal Missed Diagnosis.
Citation Text:
Carlile N, Smith CL, Maguire JH, et al. Strongyloides: A Hidden Traveler and Potentially Lethal Missed Diagnosis.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, …
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psnet.ahrq.gov/issue/medicare-proposes-new-hospital-value-based-purchasing-program
June 29, 2016 - Government Resource
Medicare proposes new hospital value-based purchasing program.
Citation Text:
Baltimore, MD: Centers for Medicare & Medicaid Services (CMS) Office of Public Affairs; January 07, 2011.
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psnet.ahrq.gov/issue/advancement-toward-high-reliability-healthcare-awards
June 08, 2011 - Government Resource
Advancement toward High Reliability in Healthcare Awards.
Citation Text:
Advancement toward High Reliability in Healthcare Awards. Department of Defense Patient Safety Program; DoD PSP; DoD
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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.
…