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psnet.ahrq.gov/node/49579/psn-pdf
March 21, 2009 - Diagnoses may seem obvious initially, but time is often our best diagnostic tool, and
this simple mental
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psnet.ahrq.gov/web-mm/delayed-management-necrotizing-soft-tissue-infection-who-does-patient-belong
March 31, 2021 - The LRINEC (Laboratory Risk Indicator for Necrotizing Fasciitis) score: a tool for distinguishing necrotizing
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psnet.ahrq.gov/web-mm/physical-diagnosis-lost-art
January 17, 2018 - Unseen Perils of Urinary Catheters
June 1, 2015
Multi-team shared expectations tool
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psnet.ahrq.gov/node/865884/psn-pdf
May 29, 2024 - The Assessment of Reasoning Tool (ART):
structuring the conversation between teachers and learners.
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psnet.ahrq.gov/node/72589/psn-pdf
December 23, 2020 - CRICO breast cancer management algorithm: a decision support tool.
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psnet.ahrq.gov/node/850450/psn-pdf
June 14, 2023 - In our ED, when a patient in triage is screened as high risk for suicide using the C-SSRS tool, an
automated
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psnet.ahrq.gov/web-mm/dissecting-presentation
May 05, 2021 - Sensitivity of the aortic dissection detection risk score, a novel guideline-based tool for identification
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psnet.ahrq.gov/web-mm/anemia-and-delayed-colon-cancer-diagnosis
July 21, 2020 - Colonoscopies are a useful screening tool (with an estimated sensitivity of 75% to 93% for adenomas 6
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psnet.ahrq.gov/web-mm/isolated-clot-real-error
December 01, 2013 - WebM&M Cases
Failed Interpretation of Screening Tool
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psnet.ahrq.gov/web-mm/triple-handoff
March 01, 2004 - example of such a structure is SBAR (Situation-Background-Assessment-Recommendation), a communication tool
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psnet.ahrq.gov/node/49392/psn-pdf
April 01, 2003 - Development and evaluation of an evidence-based risk assessment
tool (STRATIFY) to predict which elderly
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psnet.ahrq.gov/node/866217/psn-pdf
July 10, 2024 - In Conversation With...Amy Helwig about Health Plan
Patient Safety Initiatives
July 10, 2024
Helwig A, Sousane Z, Mossburg S. In Conversation With..Amy Helwig about Health Plan Patient Safety
Initiatives. PSNet [internet]. 2024.
https://psnet.ahrq.gov/perspective/conversation-withamy-helwig-about-health-plan-patie…
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psnet.ahrq.gov/web-mm/double-dose-transfer
November 01, 2012 - Double Dose at Transfer
Citation Text:
Hackman JL. Double Dose at Transfer. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pu…
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psnet.ahrq.gov/node/49868/psn-pdf
July 02, 2019 - Delayed Clozapine Prescription in an Elderly Man With
Dementia
July 2, 2019
Tsourounis C, Ghomeshi KK. Delayed Clozapine Prescription in an Elderly Man With Dementia. PSNet
[internet]. 2019.
https://psnet.ahrq.gov/web-mm/delayed-clozapine-prescription-elderly-man-dementia
The Case
An 86-year-old man with neurode…
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psnet.ahrq.gov/node/49581/psn-pdf
March 21, 2009 - Double Dosing, by the Rules
March 21, 2009
Cohen H. Double Dosing, by the Rules. PSNet [internet]. 2009.
https://psnet.ahrq.gov/web-mm/double-dosing-rules
The Case
A 65-year-old woman with rheumatoid arthritis and chronic obstructive pulmonary disease (COPD) was
admitted to a medical unit during the night with wo…
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psnet.ahrq.gov/node/866847/psn-pdf
September 25, 2024 - In Conversation with Carole Stockmeier about Zero Harm:
Striving to Reduce Preventable Harms – Point,
Counterpoint, and Areas of Agreement
September 25, 2024
Stockmeier CA, Mossburg S, Lee M. In Conversation with Carole Stockmeier about Zero Harm: Striving to
Reduce Preventable Harms – Point, Counterpoint, and Are…
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psnet.ahrq.gov/node/49773/psn-pdf
July 01, 2016 - Near Miss With Neonate
October 1, 2016
Malana J, Lyndon A. Near Miss With Neonate. PSNet [internet]. 2016.
https://psnet.ahrq.gov/web-mm/near-miss-neonate
The Case
A 37-year-old pregnant woman was admitted to the hospital for scheduled induction of labor for postterm
dates. Early the next morning, intravenous oxy…
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psnet.ahrq.gov/node/33778/psn-pdf
March 01, 2015 - Diagnostic Errors
January 1, 2014
Sarkar U, Shojania KG. Diagnostic Errors. PSNet [internet]. 2014.
https://psnet.ahrq.gov/perspective/diagnostic-errors
Annual Perspective 2014
Until very recently, diagnostic errors received relatively little attention in the field of patient safety,
particularly when compared wi…
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psnet.ahrq.gov/node/50697/psn-pdf
November 27, 2019 - Cardiac Arrest in a Woman with UTI: A Case of QT
Prolongation
November 27, 2019
Kulig CE, Ebong IA. Cardiac Arrest in a Woman with UTI: A Case of QT Prolongation. PSNet [internet].
2019.
https://psnet.ahrq.gov/web-mm/cardiac-arrest-woman-uti-case-qt-prolongation
The Case
A 36-year-old woman with a history of dep…
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psnet.ahrq.gov/web-mm/charcoal-lavage-lungs
January 01, 2016 - Charcoal Lavage of the Lungs
Citation Text:
Wigton RS. Charcoal Lavage of the Lungs. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote …