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psnet.ahrq.gov/issue/think-good-querying-initial-hypothesis-reduces-diagnostic-error-medical-students
October 19, 2022 - Study
To think is good: querying an initial hypothesis reduces diagnostic error in medical students.
Citation Text:
Coderre S, Wright B, McLaughlin K. To think is good: querying an initial hypothesis reduces diagnostic error in medical students. Acad Med. 2010;85(7):1125-9. doi:10.1097/A…
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psnet.ahrq.gov/issue/fallacy-single-diagnosis
October 05, 2022 - Study
The fallacy of a single diagnosis.
Citation Text:
Redelmeier DA, Shafir E. The fallacy of a single diagnosis. Med Decis Making. 2023;43(2):183-190. doi:10.1177/0272989x221121343.
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DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagg…
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psnet.ahrq.gov/issue/analysis-transdermal-medication-patch-errors-uncovers-patchwork-safety-challenges
March 03, 2021 - Newspaper/Magazine Article
Analysis of transdermal medication patch errors uncovers a “patchwork” of safety challenges.
Citation Text:
Analysis of transdermal medication patch errors uncovers a “patchwork” of safety challenges. ISMP Medication Safety Alert! Acute Care. March 11, 2021;26(…
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psnet.ahrq.gov/node/43688/psn-pdf
November 30, 2016 - AHRQ Nursing Home Survey on Patient Safety Culture:
2014 User Comparative Database Report.
November 30, 2016
Sorra J, Famolaro T, Yount N, Burns W, Liu H, Shyy M. Rockville, MD: Agency for Healthcare Research
and Quality; November 2014. AHRQ Publication No. 15-0004-EF.
https://psnet.ahrq.gov/issue/ahrq-nursing-hom…
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psnet.ahrq.gov/web-mm/dropped-no
October 30, 2019 - The Dropped "No"
Citation Text:
Johnson AJ. The Dropped "No". PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011.
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…
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psnet.ahrq.gov/issue/providing-safe-high-quality-maternity-care-rural-us-hospitals-ihi-innovation-report
November 02, 2016 - Book/Report
Providing Safe, High-Quality Maternity Care in Rural US Hospitals. IHI Innovation Report.
Citation Text:
Providing Safe, High-Quality Maternity Care in Rural US Hospitals. IHI Innovation Report. Laderman M, Renton M. Boston, MA: Institute for Healthcare Improvement; 2020.
…
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psnet.ahrq.gov/issue/mislabeling-event-batched-drugs-unintended-consequences-practice-changes
May 07, 2014 - Newspaper/Magazine Article
A mislabeling event with batched drugs: the unintended consequences of practice changes.
Citation Text:
A mislabeling event with batched drugs: the unintended consequences of practice changes. ISMP Medication Safety Alert! Acute Care Edition. 2014;19:1-3.&nbs…
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psnet.ahrq.gov/issue/do-not-let-depo-medications-be-depot-mistakes
March 15, 2022 - Newspaper/Magazine Article
Do not let "Depo-" medications be a depot for mistakes.
Citation Text:
Do not let "Depo-" medications be a depot for mistakes. ISMP Medication Safety Alert! Acute Care Edition. March 24, 2016;21:1-4.
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psnet.ahrq.gov/node/49637/psn-pdf
October 01, 2011 - The Dropped "No"
October 1, 2011
Johnson AJ. The Dropped "No". PSNet [internet]. 2011.
https://psnet.ahrq.gov/web-mm/dropped-no
The Case
A 62-year-old man with a history of cirrhosis was admitted with increasing abdominal girth and swelling in
his legs. Because the leg swelling was somewhat more pronounced in his…
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psnet.ahrq.gov/web-mm/lethal-vertigo
September 20, 2011 - Lethal Vertigo
Citation Text:
Furman JM. Lethal Vertigo. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004.
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psnet.ahrq.gov/node/49603/psn-pdf
June 01, 2010 - People closest to the mishap often feel responsible and eager to help with
suggestions for improvement
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psnet.ahrq.gov/issue/safety-improvements-urged-mri-facilities
February 02, 2011 - Newspaper/Magazine Article
Safety improvements urged for MRI facilities.
Citation Text:
Mitka M. Safety improvements urged for MRI facilities. JAMA. 2005;294(17):2145-8.
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Format:
Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId …
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psnet.ahrq.gov/issue/recurring-call-action-every-healthcare-organization-needs-medication-safety-officer
March 03, 2021 - Newspaper/Magazine Article
A recurring call to action: every healthcare organization needs a medication safety officer!
Citation Text:
A recurring call to action: every healthcare organization needs a medication safety officer! ISMP Medication Safety Alert! Acute care edition. February…
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psnet.ahrq.gov/issue/safety-nebulized-medications-requires-interdisciplinary-team-approach
December 27, 2018 - Newspaper/Magazine Article
Safety with nebulized medications requires an interdisciplinary team approach.
Citation Text:
Safety with nebulized medications requires an interdisciplinary team approach. ISMP Medication Safety Alert! Acute care edition. February 22, 2018;23(4):1-5.
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psnet.ahrq.gov/periodic-issue/periodic-issue-308
September 29, 2021 - September 8, 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, repor…
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psnet.ahrq.gov/periodic-issue/periodic-issue-315
October 27, 2021 - October 27, 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, report…
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psnet.ahrq.gov/node/36071/psn-pdf
June 16, 2019 - ISMP medication error report analysis.
June 16, 2019
Cohen MR.
https://psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-6
This monthly selection of medication error reports provides examples of nimodipine administration
mishaps, a lithium overdose, and suggested adopted drug names for review.
https://ps…
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psnet.ahrq.gov/perspective/response-getting-root-matter-june-2005
June 01, 2005 - In response to “Getting to the Root of the Matter” (June 2005)
September 1, 2005
View more articles from the same authors.
Citation Text:
Grondin L, Saint S, Flanders S, et al. In response to “Getting to the Root of the Matter” (June 2005). PSNet [internet]. Rockv…
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psnet.ahrq.gov/node/35506/psn-pdf
June 16, 2019 - ISMP medication error report analysis.
June 16, 2019
Cohen MR.
https://psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-1
This monthly selection of medication error reports provides examples of drug misadministration, confusion
with drug names, and administration of chemotherapy to the wrong patient, plu…
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psnet.ahrq.gov/node/49552/psn-pdf
January 01, 2008 - Residents' suggestions for reducing errors in teaching hospitals. N Engl J Med.
2003;348:851-855.