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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/node/49591/psn-pdf
October 01, 2009 - Difficult Encounters: A CMO and CNO Respond
October 1, 2009
Ring EJ, Hirsch JE. Difficult Encounters: A CMO and CNO Respond. PSNet [internet]. 2009.
https://psnet.ahrq.gov/web-mm/difficult-encounters-cmo-and-cno-respond
Case Objectives
Appreciate the risk of disruptive behavior and understand institutional respons…
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psnet.ahrq.gov/classics
August 01, 2023 - Classics and Emerging Classics
To help our readers navigate the tremendous breadth of the PSNet Collection, AHRQ PSNet editors and advisors have given the designation of “Classic” to review articles, empirical studies, government and stakeholder reports, commentaries, and books of lasting importance to the patient sa…
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psnet.ahrq.gov/node/49871/psn-pdf
August 10, 2019 - Renal Failure Due to Benign Prostatic Hyperplasia
August 10, 2019
Barry MJ, Garnick MB. Renal Failure Due to Benign Prostatic Hyperplasia. PSNet [internet]. 2019.
https://psnet.ahrq.gov/web-mm/renal-failure-due-benign-prostatic-hyperplasia
The Case
A 65-year-old man was referred to urology for a 5-year history of …
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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/857059/psn-pdf
November 29, 2023 - Obesity, adhesive disease from prior surgeries (especially of
the foregut), and atypical location of
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psnet.ahrq.gov/node/50931/psn-pdf
February 26, 2020 - Timely diagnosis of esophageal perforation
February 26, 2020
Utter GH, Cooke DT. Timely diagnosis of esophageal perforation. PSNet [internet]. 2020.
https://psnet.ahrq.gov/web-mm/timely-diagnosis-esophageal-perforation
The Case
A man with mixed connective tissue disease on low-dose prednisone and methotrexate pre…
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psnet.ahrq.gov/node/33579/psn-pdf
September 15, 2024 - Systems Approach
September 15, 2024
Systems Approach. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/systems-approach
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the patient safety field. Last reviewed in …
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psnet.ahrq.gov/web-mm/delay-malignancy-diagnosis-reflects-systemic-failures
September 25, 2019 - Delay in Malignancy Diagnosis Reflects Systemic Failures
Citation Text:
Mieu H, Olson KA. Delay in Malignancy Diagnosis Reflects Systemic Failures. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023.
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Format:
…
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psnet.ahrq.gov/issue/pressure-injury-prevention-hospitals-training-program
May 01, 2017 - Multi-use Website
Pressure Injury Prevention in Hospitals Training Program.
Citation Text:
Pressure Injury Prevention in Hospitals Training Program. Rockville, MD: Agency for Healthcare Research and Quality; September 2017.
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psnet.ahrq.gov/issue/improving-patient-safety-culture-practical-guide
April 23, 2014 - Toolkit
Improving Patient Safety Culture – A Practical Guide.
Citation Text:
Improving Patient Safety Culture – A Practical Guide. London, UK: NHS England; July 2023.
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psnet.ahrq.gov/issue/2014-annual-benchmarking-report-malpractice-risks-diagnostic-process
September 26, 2012 - Book/Report
2014 Annual Benchmarking Report: Malpractice Risks in the Diagnostic Process.
Citation Text:
2014 Annual Benchmarking Report: Malpractice Risks in the Diagnostic Process. Hoffman J, ed. Cambridge, MA: CRICO Strategies; 2014.
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psnet.ahrq.gov/issue/hospital-safety-grade
June 21, 2023 - Multi-use Website
Hospital Safety Grade.
Citation Text:
Hospital Safety Grade. Leapfrog Group
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November 15, 2…