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psnet.ahrq.gov/node/60543/psn-pdf
May 27, 2020 - Diagnostic and radiologic test results, as well as any
required blood products, implants, devices, and
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psnet.ahrq.gov/web-mm/hold-order
December 19, 2018 - WebM&M Cases
A Postpartum Woman with an Erroneous SARS-CoV-2 Test
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psnet.ahrq.gov/web-mm/one-dose-fifty-pills
January 13, 2021 - WebM&M Cases
A Postpartum Woman with an Erroneous SARS-CoV-2 Test
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psnet.ahrq.gov/web-mm/hard-swallow
April 26, 2023 - reduces the possibility of aspiration from the time of the physician's order to the time the diagnostic test
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psnet.ahrq.gov/node/857260/psn-pdf
November 30, 2023 - All chemistry test results are shown in the table below (bold
indicates abnormal values).
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psnet.ahrq.gov/web-mm/infused-not-ingested
February 01, 2017 - WebM&M Cases
A Postpartum Woman with an Erroneous SARS-CoV-2 Test
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psnet.ahrq.gov/web-mm/dont-pick-picc
December 01, 2011 - Pill Organizing Plight
September 1, 2016
The delivery of safe and effective test
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psnet.ahrq.gov/web-mm/wandering-floors-safety-and-security-risks-patient-wandering
August 21, 2007 - One Dose, Fifty Pills
November 1, 2005
Variation in electronic test
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psnet.ahrq.gov/web-mm/dilute-or-not-dilute-drug-errors-and-consequences-operating-room
July 28, 2021 - Another sudy 11 found that both anesthesiology residents and faculty erred frequently on a computational test
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psnet.ahrq.gov/perspective/patient-engagement-and-patient-safety
February 01, 2013 - safety-oriented practices like checking the accuracy of a prescription from the pharmacy or following up on test … Electronic portals offer patients access to medication lists, allergy information, and test results that
-
psnet.ahrq.gov/periodic-issue/periodic-issue-277
February 10, 2021 - avoiding anchoring bias, effective communication between care team members, and reviewing all available test
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psnet.ahrq.gov/Topics
February 26, 2021 - Pumps Prostheses and Implants Restraints Diagnostic Errors Clinical Misdiagnosis Diagnostic Test
-
psnet.ahrq.gov/topics
March 17, 2021 - Pumps Prostheses and Implants Restraints Diagnostic Errors Clinical Misdiagnosis Diagnostic Test
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psnet.ahrq.gov/issue/empowering-patients-hospital-new-approach-reducing-burden-health-care-associated-infections
May 25, 2022 - March 13, 2024
Laboratory test ordering and results management systems: a qualitative
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psnet.ahrq.gov/web-mm/continuity-errors-resident-clinic
October 02, 2019 - WebM&M Cases
Out of Sight, Out of Mind: Out-of-Office Test
-
psnet.ahrq.gov/node/49829/psn-pdf
May 01, 2018 - factors engineering, needed to
achieve deep understanding of an incident and to identify, select, and test
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psnet.ahrq.gov/sites/default/files/2020-04/final_april-spotlight-implicit_biases_04.02.2020.pdf
January 01, 2020 - Spotlight
Spotlight
Implicit Biases, Interprofessional
Communication, and Power
Dynamics
Source and Credits
• This presentation is based on the April 2020 AHRQ
WebM&M Spotlight Case
o See the full article at https://psnet.ahrq.gov/webmm
• Commentary by: Erin Stephany Sanchez, MD, Melody Tran-
Reina, MD, Kupi…
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psnet.ahrq.gov/web-mm/fecal-contamination-peritoneum-laparoscopic-trocar-injury-routine-operation-goes-wrong
March 03, 2021 - A second method is the saline drop test, in which saline is placed into the needle hub and the abdomen
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psnet.ahrq.gov/web-mm/antiseizure-medication-disorder
April 01, 2006 - SPOTLIGHT CASE
Antiseizure Medication Disorder
Citation Text:
Alldredge BK. Antiseizure Medication Disorder. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2007.
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Format:
Google Scholar BibTeX En…
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psnet.ahrq.gov/perspective/conversation-maureen-bisognano
February 26, 2025 - They create technical briefs and theoretical hypotheses that we test in the field.