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psnet.ahrq.gov/node/848108/psn-pdf
April 26, 2023 - 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/issue/incidence-adverse-drug-reactions-hospitalized-patients-meta-analysis-prospective-studies
October 04, 2017 - Study
Classic
Incidence of adverse drug reactions in hospitalized patients: a meta-analysis of prospective studies.
Citation Text:
Lazarou J, Pomeranz BH, Corey PN. Incidence of adverse drug reactions in hospitalized patients: a meta-analysis of prospective st…
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psnet.ahrq.gov/issue/against-silence-development-and-first-results-patient-survey-assess-experiences-safety
March 24, 2021 - Study
"Against the silence": development and first results of a patient survey to assess experiences of safety-related events in hospital.
Citation Text:
Schwappach DLB. "Against the silence": development and first results of a patient survey to assess experiences of safety-related eve…
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psnet.ahrq.gov/issue/incidence-and-causes-critical-incidents-emergency-departments-comparison-and-root-cause
January 18, 2023 - Study
Incidence and causes of critical incidents in emergency departments: a comparison and root cause analysis.
Citation Text:
Thomas M, Mackway-Jones K. Incidence and causes of critical incidents in emergency departments: a comparison and root cause analysis. Emerg Med J. 2008;25(6):…
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psnet.ahrq.gov/issue/reporting-adverse-events-war-zone
February 01, 2023 - Commentary
Reporting adverse events in a war zone.
Citation Text:
Arie S. Reporting adverse events in a war zone. BMJ. 2018;361:k2286. doi:10.1136/bmj.k2286.
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Format:
DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
D…
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psnet.ahrq.gov/issue/snomed-ct-electronic-health-record-enhances-anesthesia-patient-safety
March 14, 2022 - Commentary
SNOMED CT: electronic health record enhances anesthesia patient safety.
Citation Text:
Elevitch FR. SNOMED CT: electronic health record enhances anesthesia patient safety. AANA J. 2005;73(5):361-366.
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Format:
Google Scholar PubMed BibTeX EndNote …
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psnet.ahrq.gov/periodic-issue/periodic-issue-451
August 28, 2024 - August 7, 2024 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,…
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psnet.ahrq.gov/web-mm/sick-and-pregnant
August 25, 2021 - Sick and Pregnant
Citation Text:
El-Ibiary S. Sick and Pregnant. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …
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psnet.ahrq.gov/web-mm/acute-respiratory-arrest-pregnancy
August 15, 2018 - Acute Respiratory Arrest in Pregnancy
Citation Text:
Sibai B. Acute Respiratory Arrest in Pregnancy. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNot…
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psnet.ahrq.gov/node/49869/psn-pdf
July 02, 2019 - Failure to Rescue the Mother
July 2, 2019
Vivero A, Klapper EB, Gregory KD, et al. Failure to Rescue the Mother. PSNet [internet]. 2019.
https://psnet.ahrq.gov/web-mm/failure-rescue-mother
The Case
A 27-year-old woman, G5 P2 A2, was first admitted to the hospital at 25 weeks of pregnancy for vaginal
bleeding. An …
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psnet.ahrq.gov/node/33645/psn-pdf
February 01, 2007 - Diagnostic Errors in Medicine: What Do Doctors and
Umpires Have in Common?
February 1, 2007
Graber ML. Diagnostic Errors in Medicine: What Do Doctors and Umpires Have in Common? PSNet
[internet]. 2007.
https://psnet.ahrq.gov/perspective/diagnostic-errors-medicine-what-do-doctors-and-umpires-have-common
Perspectiv…
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psnet.ahrq.gov/node/33662/psn-pdf
January 01, 2008 - In Conversation with…Jennifer Daley, MD
January 1, 2008
In Conversation with…Jennifer Daley, MD. PSNet [internet]. 2008.
https://psnet.ahrq.gov/perspective/conversation-withjennifer-daley-md
Editor's note: Jennifer Daley, MD, is the Chief Medical Officer of Partners Community Healthcare Inc., the
organization for …
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psnet.ahrq.gov/node/33864/psn-pdf
January 01, 2019 - How Does Health Care Simulation Affect Patient Care?
August 1, 2018
Lopreiato JO. How Does Health Care Simulation Affect Patient Care? PSNet [internet]. 2018.
https://psnet.ahrq.gov/perspective/how-does-health-care-simulation-affect-patient-care
Perspective
Introduction
Health care simulation programs have spread…
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psnet.ahrq.gov/node/49765/psn-pdf
August 21, 2016 - A thoracic surgeon was called to place a chest tube.
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psnet.ahrq.gov/node/837660/psn-pdf
July 08, 2022 - The trauma surgeon then manipulated both TMJs and was finally able to unloose the locked jaw.
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psnet.ahrq.gov/web-mm/weighing-surgical-safety
August 04, 2021 - with diabetes mellitus, hypertension, and obstructive sleep apnea (OSA) was referred to an orthopedic surgeon
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psnet.ahrq.gov/sites/default/files/2022-08/final_spotlight_case_mesenteric_ischemia_08.05.2022.pdf
January 01, 2022 - pursue.
7
Case Details (4)
• On another ED visit, the covering gastroenterologist consulted a
surgeon
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psnet.ahrq.gov/node/49774/psn-pdf
November 01, 2016 - As a surgeon, I understand the subconscious impulse to deny that you may have just
caused a major operative
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psnet.ahrq.gov/periodic-issue/periodic-issue-423
January 04, 2024 - discharge from the ED, the patient was still unable to flex her thumb and was referred to an orthopedic surgeon
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psnet.ahrq.gov/web-mm/sudden-collapse-during-upper-gastrointestinal-endoscopy-expect-unexpected
September 25, 2024 - Related Resources From the Same Author(s)
Peer support to promote surgeon