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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.88_slideshow.ppt
March 01, 2005 - Spotlight Case [MONTH] 2003
Spotlight Case March 2005
The Hidden Mystery
Source and Credits
This presentation is based on the March 2005
AHRQ WebM&M Spotlight Case in Hospital Medicine
See the full article at http://webmm.ahrq.gov
CME credit is available through the Web site
Commentary by: Douglas D. Br…
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psnet.ahrq.gov/node/49731/psn-pdf
April 01, 2015 - Fire in the Hole!—An OR Fire
April 1, 2015
Mehta SP, Domino KM. Fire in the Hole!—An OR Fire. PSNet [internet]. 2015.
https://psnet.ahrq.gov/web-mm/fire-hole-or-fire
The Case
A patient was taken to the operating room (OR) to undergo a planned laparoscopic subtotal colon resection
for a biopsy-proven adenocarcinom…
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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/node/49815/psn-pdf
December 01, 2017 - Over-the-Counter Oversight
December 1, 2017
Janamanchi V, Modha K, Whinney C. Over-the-Counter Oversight. PSNet [internet]. 2017.
https://psnet.ahrq.gov/web-mm/over-counter-oversight
The Case
A 56-year-old man was evaluated in the burn clinic for a second-degree burn on his chest. Although
portions of his skin we…
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psnet.ahrq.gov/perspective/reducing-safety-hazards-monitor-alert-and-alarm-fatigue
May 01, 2016 - Reducing the Safety Hazards of Monitor Alert and Alarm Fatigue
Samantha Jacques, PhD, and Eric Williams, MD, MS, MMM | May 1, 2016
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Jacques S, Williams E. Reducing the Safety Hazar…
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psnet.ahrq.gov/perspective/conversation-karl-bilimoria-md-ms-0
December 01, 2017 - Birkmeyer's landmark 2013 study, which showed that patient outcomes were tightly correlated with surgical technique
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psnet.ahrq.gov/sites/default/files/2025-03/PSNet%20Webinar%20Feb%202025_0.pdf
January 01, 2025 - • TEP used a modified Delphi technique to obtain consensus about
PSPs meriting highest priority for
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psnet.ahrq.gov/perspective/conversation-withbrent-c-james-md-mstat
February 26, 2025 - teaching at a university where you basically have a tabula rasa, no background, you use a very different technique
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psnet.ahrq.gov/web-mm/sleep-deprivation-leads-medication-error-during-spinal-epidural-anesthesia
January 29, 2021 - Great care needs to be taken to maintain sterile technique to avoid inadvertently injecting microorganisms
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psnet.ahrq.gov/perspective/conversation-carole-stockmeier-about-zero-harm-striving-reduce-preventable-harms-point
September 24, 2024 - Patient Safety Innovations
Combined Proactive Risk Assessment (CPRA) – 4-Step Technique
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psnet.ahrq.gov/perspective/conversation-withamy-helwig-about-health-plan-patient-safety-initiatives
July 10, 2024 - Patient Safety Innovations
Combined Proactive Risk Assessment (CPRA) – 4-Step Technique
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psnet.ahrq.gov/perspective/health-plan-patient-safety-initiatives
July 10, 2024 - Patient Safety Innovations
Combined Proactive Risk Assessment (CPRA) – 4-Step Technique
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psnet.ahrq.gov/node/867805/psn-pdf
February 26, 2025 - unpreventable, but it is possible that with new
approaches or the use of a different type of surgical technique
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psnet.ahrq.gov/perspective/conversation-j-bryan-sexton-phd-ma
February 26, 2025 - Patient Safety Innovations
Combined Proactive Risk Assessment (CPRA) – 4-Step Technique
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psnet.ahrq.gov/node/852807/psn-pdf
August 30, 2023 - Great care
needs to be taken to maintain sterile technique to avoid inadvertently injecting microorganisms
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psnet.ahrq.gov/issue/risky-business-navigating-shifting-health-care-landscape
December 22, 2021 - Meeting/Conference Proceedings
Risky Business: Navigating a Shifting Health Care Landscape.
Citation Text:
Boston Children’s Hospital. April 15, 2021.
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psnet.ahrq.gov/issue/another-look-medical-error
November 16, 2022 - Commentary
Another look at medical error.
Citation Text:
Deskin WC, Hoye RE. Another look at medical error. J Surg Oncol. 2004;88(3):122-9.
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psnet.ahrq.gov/issue/how-does-law-recognize-and-deal-medical-errors
March 17, 2021 - Commentary
How does the law recognize and deal with medical errors?
Citation Text:
Merry A. How does the law recognize and deal with medical errors? J R Soc Med. 2009;102(7):265-71. doi:10.1258/jrsm.2009.09k029.
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psnet.ahrq.gov/issue/are-long-physician-working-hours-harmful-patient-safety
June 24, 2020 - Review
Are long physician working hours harmful to patient safety?
Citation Text:
Ehara A. Pediatr Int. 2008;50:175-178.
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psnet.ahrq.gov/issue/communication-medical-product-risk-how-effective-effective-enough
January 17, 2007 - Review
Communication of medical product risk: how effective is effective enough?
Citation Text:
Goldman SA. Communication of medical product risk: how effective is effective enough? Drug Saf. 2004;27(8):519-34.
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