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psnet.ahrq.gov/node/50614/psn-pdf
October 30, 2019 - In Conversation With… Vineet Chopra, MD, MSc
October 30, 2019
In Conversation With… Vineet Chopra, MD, MSc. PSNet [internet]. 2019.
https://psnet.ahrq.gov/perspective/conversation-vineet-chopra-md-msc
Editor's note: Dr. Chopra is Chief of the Division of Hospital Medicine and Associate Professor of
Medicine at the…
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psnet.ahrq.gov/perspective/conversation-carole-stockmeier-about-zero-harm-striving-reduce-preventable-harms-point
September 24, 2024 - initiatives and other areas of healthcare, could be a significant downside to pursuing zero harm, argues surgeon
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psnet.ahrq.gov/node/49574/psn-pdf
November 01, 2008 - A Mid-Summer Fog
November 1, 2008
Braddock CH. A Mid-Summer Fog. PSNet [internet]. 2008.
https://psnet.ahrq.gov/web-mm/mid-summer-fog
The Case
A 33-year-old woman with type I diabetes mellitus was admitted for symptoms of left flank pain, dysuria,
and emesis, concerning for pyelonephritis. The patient was taking …
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psnet.ahrq.gov/node/49413/psn-pdf
September 01, 2003 - Did We Forget Something?
September 1, 2003
Gibbs VC. Did We Forget Something? PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/did-we-forget-something
The Case
A 76-year-old-man underwent right aorto-iliac aneurysm repair. He developed postoperative fever, initially
attributed to ventilator-associated pneumo…
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psnet.ahrq.gov/node/49770/psn-pdf
September 01, 2016 - Wrong-Time Error With High-Alert Medication
September 1, 2016
Yang A, Nelson LS. Wrong-Time Error With High-Alert Medication. PSNet [internet]. 2016.
https://psnet.ahrq.gov/web-mm/wrong-time-error-high-alert-medication
The Case
A 60-year-old man was admitted to the hospital for a total knee arthroplasty. During th…
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psnet.ahrq.gov/web-mm/electrocardiogram-results-read-me
May 01, 2019 - Electrocardiogram Results: ***READ ME***
Citation Text:
Alpert JS. Electrocardiogram Results: ***READ ME***. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XM…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.461_slideshow.ppt
November 01, 2018 - Spotlight
Spotlight
Supervision and Entrustment in Clinical Training: Protecting Patients, Protecting Trainees
*
Source and Credits
This presentation is based on the November 2018 AHRQ WebM&M Spotlight Case
See the full article at https://psnet.ahrq.gov/webmm
CME credit is available
Commentary by: Olle ten C…
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psnet.ahrq.gov/web-mm/communication-consultants
October 01, 2018 - Communication With Consultants
Citation Text:
Cohn SL. Communication With Consultants. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnot…
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psnet.ahrq.gov/web-mm/fatal-error-neonate-does-just-culture-provide-answer
June 24, 2020 - SPOTLIGHT CASE
Fatal Error in Neonate: Does "Just Culture" Provide an Answer?
Citation Text:
Dekker SWA. Fatal Error in Neonate: Does "Just Culture" Provide an Answer?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010. …
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psnet.ahrq.gov/perspective/conversation-david-meltzer-md-phd
November 01, 2018 - the hospital—patients rarely know their emergency medicine physician, their anesthesiologist, their surgeon … Under the Obama Administration, Medicare's top physician leader and the Surgeon General were both hospitalists
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psnet.ahrq.gov/perspective/comprehensivist-model-care-hospitalists-view
November 01, 2018 - the hospital—patients rarely know their emergency medicine physician, their anesthesiologist, their surgeon … Under the Obama Administration, Medicare's top physician leader and the Surgeon General were both hospitalists
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psnet.ahrq.gov/perspective/opioid-overdose-patient-safety-problem
May 01, 2017 - November 8, 2017
Surgeon-reported conflict with intensivists about postoperative goals … July 3, 2014
The role of surgeon error in withdrawal of postoperative life support.
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psnet.ahrq.gov/web-mm/dose-makes-poison-medication-error-during-procedural-sedation-pediatric-emergency-department
January 23, 2017 - An orthopedic surgeon was consulted and recommended closed reduction of the left hip in the ED. … The orthopedic surgeon performed the hip reduction successfully.
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psnet.ahrq.gov/perspective/conversation-vineet-chopra-md-msc
February 28, 2024 - In Conversation With… Vineet Chopra, MD, MSc
October 30, 2019
Citation Text:
In Conversation With… Vineet Chopra, MD, MSc. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
Copy Citation…
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psnet.ahrq.gov/node/867656/psn-pdf
February 26, 2025 - In Conversation with Lucy Savitz about Learning Health
Systems for Patient Safety
February 26, 2025
Savitz LA, Sousane Z, Mossburg SE. In Conversation with Lucy Savitz about Learning Health Systems for
Patient Safety. PSNet [internet]. 2025.
https://psnet.ahrq.gov/perspective/conversation-lucy-savitz-about-learnin…
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psnet.ahrq.gov/perspective/errors-and-near-misses-what-health-care-could-learn-aviation
September 01, 2006 - The surgeon had already destroyed two of these devices, and there was only one left in the whole OR suite
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psnet.ahrq.gov/web-mm/check-wristband
August 03, 2009 - don't know just how far this mistake would have gone, because the patient is frequently asleep when the surgeon
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psnet.ahrq.gov/node/49408/psn-pdf
July 01, 2003 - know just how far this mistake would have gone, because the patient is frequently asleep when the
surgeon
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psnet.ahrq.gov/node/49606/psn-pdf
August 01, 2010 - with diabetes mellitus, hypertension, and obstructive sleep apnea (OSA) was referred to
an orthopedic surgeon
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psnet.ahrq.gov/web-mm/spinal-epidural-abscess
November 13, 2019 - The orthopedic surgeon agreed with the emergency department evaluation and made no further changes.