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psnet.ahrq.gov/node/49689/psn-pdf
August 21, 2013 - Anesthesia: A Weighty Issue
August 21, 2013
Sinha AC. Anesthesia: A Weighty Issue. PSNet [internet]. 2013.
https://psnet.ahrq.gov/web-mm/anesthesia-weighty-issue
The Case
A 77-year-old woman was evaluated preoperatively in anticipation of an elective left hip arthroplasty. She
reported having a history of hyperte…
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psnet.ahrq.gov/web-mm/obstructed-view
August 07, 2019 - An Obstructed View
Citation Text:
Carter J. An Obstructed View. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015.
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psnet.ahrq.gov/web-mm/forgotten-radiographic-read
June 07, 2016 - The Forgotten Radiographic Read
Citation Text:
Coil CJ, Witt MD. The Forgotten Radiographic Read. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
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psnet.ahrq.gov/node/47530/psn-pdf
June 19, 2019 - Two decades since To Err Is Human: an assessment of
progress and emerging priorities in patient safety.
June 19, 2019
Bates DW, Singh H. Two Decades Since To Err Is Human: An Assessment Of Progress And Emerging
Priorities In Patient Safety. Health Aff (Millwood). 2018;37(11):1736-1743. doi:10.1377/hlthaff.2018.0738…
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psnet.ahrq.gov/issue/talkingquality
December 24, 2008 - Multi-use Website
TalkingQuality.
Citation Text:
TalkingQuality. Agency for Healthcare Research and Quality.
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psnet.ahrq.gov/web-mm/crossed-coverage
September 01, 2015 - She had already undergone multiple surgeries, including aortic valve replacement for which she was on
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psnet.ahrq.gov/node/49693/psn-pdf
October 01, 2013 - In
general, transgender persons who have not undergone gender-affirmative surgeries or used hormonal
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psnet.ahrq.gov/perspective/methicillin-resistant-staphylococcus-aureus
June 24, 2010 - Due to its virulence, patients are clearly impacted, as illustrated by Connie's multiple surgeries and
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psnet.ahrq.gov/node/33703/psn-pdf
November 01, 2010 - preventable events that compromise patient safety in the
acute-care setting, such as complications after surgeries
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psnet.ahrq.gov/web-mm/too-tight-control
March 20, 2013 - , 2015
Ethical considerations and patient safety concerns for cancelling non-urgent surgeries
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psnet.ahrq.gov/web-mm/dilute-or-not-dilute-drug-errors-and-consequences-operating-room
July 28, 2021 - April 15, 2020
5 cataract surgeries, 5 people blinded: what went wrong?
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psnet.ahrq.gov/node/33611/psn-pdf
July 01, 2005 - They
would be shocked that surgeries are being performed and intensive care is routinely delivered by
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psnet.ahrq.gov/node/33639/psn-pdf
September 01, 2006 - That enabled us, for instance,
to learn that 44% of incorrect surgeries were right-left mix-ups, versus
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psnet.ahrq.gov/node/33700/psn-pdf
October 01, 2010 - What we found is—I think it's no different than why we see that wrong-site surgeries haven't gone
down
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psnet.ahrq.gov/web-mm/difficult-encounters-cmo-and-cno-respond
March 01, 2018 - SPOTLIGHT CASE
Difficult Encounters: A CMO and CNO Respond
Citation Text:
Ring EJ, Hirsch JE. Difficult Encounters: A CMO and CNO Respond. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009.
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psnet.ahrq.gov/issue/so-much-care-it-hurts-unneeded-scans-therapy-surgery-only-add-patients-ills
January 15, 2020 - psnet
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psnet.ahrq.gov/web-mm/misidentifying-unidentified-john-doe-and-ehr
September 27, 2017 - Misidentifying the Unidentified – John Doe and the EHR
Citation Text:
Janowak CF, Janowak LM. Misidentifying the Unidentified – John Doe and the EHR. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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psnet.ahrq.gov/node/49746/psn-pdf
October 01, 2015 - An Obstructed View
October 1, 2015
Carter J. An Obstructed View. PSNet [internet]. 2015.
https://psnet.ahrq.gov/web-mm/obstructed-view
The Case
A 66-year-old man with a history of benign prostatic hyperplasia and obstructive sleep apnea presented to
the emergency department (ED) with subacute abdominal pain that …
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psnet.ahrq.gov/innovation/rescue-improvement-conference-innovation-summary
September 23, 2024 - Rescue Improvement Conference Innovation Summary
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July 23, 2024
View more articles from the same authors.
Innovation
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psnet.ahrq.gov/curated-library/rapid-response-systems
September 15, 2024 - Breadcrumb
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Created By: AHRQ
Date Created: January 24, 20…