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psnet.ahrq.gov/node/33792/psn-pdf
September 01, 2015 - Certainly this is not about treating oneself. … That unwillingness to accept that—"this is all iDoctor stuff"—and it is more of the same of
treating
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psnet.ahrq.gov/web-mm/double-trouble
August 01, 2012 - SPOTLIGHT CASE
Double Trouble
Citation Text:
Gurwitz JH. Double Trouble. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005.
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Format:
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psnet.ahrq.gov/web-mm/standard-deviations
January 01, 2006 - SPOTLIGHT CASE
Standard Deviations
Citation Text:
Sabin JE. Standard Deviations. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML E…
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psnet.ahrq.gov/node/45307/psn-pdf
September 07, 2016 - End Sepsis.
September 7, 2016
1212 Avenue of the Americas, 5th Floor, New York, NY 10036. 212-244-
6294 contact@endsepsis.org
https://psnet.ahrq.gov/issue/rory-staunton-foundation-sepsis-prevention
Sepsis is a serious condition that can be rapidly fatal if it is not promptly diagnosed and treated. T…
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psnet.ahrq.gov/node/37774/psn-pdf
June 11, 2008 - Frequency of medication errors with intravenous
acetylcysteine for acetaminophen overdose.
June 11, 2008
Hayes BD, Klein-Schwartz W, Doyon S. Frequency of medication errors with intravenous acetylcysteine for
acetaminophen overdose. Ann Pharmacother. 2008;42(6):766-70. doi:10.1345/aph.1K685.
https://psnet.ahrq.gov…
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psnet.ahrq.gov/node/34785/psn-pdf
February 18, 2011 - Diseases of medical progress.
February 18, 2011
MOSER RH. Diseases of medical progress. N Engl J Med. 1956;255(13):606-14.
https://psnet.ahrq.gov/issue/diseases-medical-progress
This review shares a perspective that the history of medicine provides numerous examples of how
emerging illnesses develop from sound the…
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psnet.ahrq.gov/node/49682/psn-pdf
April 01, 2013 - communication failure—the pathologist's diagnostic uncertainty was not adequately conveyed to the
treating … team, and the treating team's uncertainty was not propagated forward during treatment and follow-
up
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psnet.ahrq.gov/node/49720/psn-pdf
December 01, 2014 - A Stroke of Error
December 1, 2014
Barrett KM. A Stroke of Error. PSNet [internet]. 2014.
https://psnet.ahrq.gov/web-mm/stroke-error
Case Objectives
State the key clinical factors to assess in a patient with suspected stroke.
Appreciate the relationship between elevated blood pressure and stroke in the acute sett…
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psnet.ahrq.gov/node/35053/psn-pdf
November 18, 2015 - Measured response to identified suicide risk and
violence: what you need to know about psychiatric
patient safety.
November 18, 2015
Yeager KR, Saveanu R, Roberts AR, et al. Brief Treat Crisis Intervent. 2005;5(2):121-141
https://psnet.ahrq.gov/issue/measured-response-identified-suicide-risk-and-violence-what-you-…
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psnet.ahrq.gov/perspective/relationships-between-physician-professional-satisfaction-and-patient-safety
September 29, 2017 - April 12, 2019
Detecting and treating suicide ideation in all settings.
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psnet.ahrq.gov/node/33848/psn-pdf
December 01, 2017 - .…
I'm now going to turn to the errors we made in treating this man.
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psnet.ahrq.gov/web-mm/infection-after-carpal-tunnel-surgery
May 28, 2014 - Implement a quality improvement program to monitor outcomes and identify opportunities for improvement in treating
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psnet.ahrq.gov/node/41953/psn-pdf
June 19, 2013 - Potentially inappropriate medications in a large cohort of
patients in geriatric units: association with clinical and
functional characteristics.
June 19, 2013
Fromm MF, Maas R, Tümena T, et al. Potentially inappropriate medications in a large cohort of patients in
geriatric units: association with clinical and fu…
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psnet.ahrq.gov/node/34915/psn-pdf
February 27, 2009 - Emergency department visits for outpatient adverse drug
events: demonstration for a national surveillance system.
February 27, 2009
Budnitz DS, Pollock DA, Mendelsohn AB, et al. Emergency department visits for outpatient adverse drug
events: demonstration for a national surveillance system. Ann Emerg Med. 2005;45(2…
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psnet.ahrq.gov/node/37464/psn-pdf
January 16, 2008 - Variation in medication information for elderly patients
during initial interventions by emergency department
physicians.
January 16, 2008
Cohen V, Jellinek SP, Likourezos A, et al. Variation in medication information for elderly patients during
initial interventions by emergency department physicians. Am J Health…
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psnet.ahrq.gov/node/39051/psn-pdf
November 04, 2009 - On the prospects for a blame-free medical culture.
November 4, 2009
Collins ME, Block SD, Arnold RM, et al. On the prospects for a blame-free medical culture. Soc Sci Med.
2009;69(9):1287-90. doi:10.1016/j.socscimed.2009.08.033.
https://psnet.ahrq.gov/issue/prospects-blame-free-medical-culture
This study found tha…
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psnet.ahrq.gov/node/34935/psn-pdf
June 23, 2009 - Improving patient care. The cognitive psychology of
missed diagnoses.
June 23, 2009
Redelmeier DA. Improving patient care. The cognitive psychology of missed diagnoses. Ann Intern Med.
2005;142(2):115-120.
https://psnet.ahrq.gov/issue/improving-patient-care-cognitive-psychology-missed-diagnoses
This case study de…
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psnet.ahrq.gov/web-mm/nonsustained-ventricular-tachycardia-after-acute-coronary-syndromes-recognizing-high-risk
September 20, 2011 - Nonsustained Ventricular Tachycardia After Acute Coronary Syndromes: Recognizing High-Risk Patients
Citation Text:
Piccini JP, Newby KL, Califf R. Nonsustained Ventricular Tachycardia After Acute Coronary Syndromes: Recognizing High-Risk Patients. PSNet [internet]. Rockville (MD): Agency for Healthcare Rese…
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psnet.ahrq.gov/node/49769/psn-pdf
September 01, 2016 - Complaints as Safety Surveillance
September 1, 2016
Morris JL, Bismark M. Complaints as Safety Surveillance. PSNet [internet]. 2016.
https://psnet.ahrq.gov/web-mm/complaints-safety-surveillance
The Case
A 42-year-old woman presented to the emergency department with abdominal pain. She said the pain
came on sudden…
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psnet.ahrq.gov/node/49472/psn-pdf
March 01, 2005 - Preventable Rash
March 1, 2005
McLean C. Preventable Rash. PSNet [internet]. 2005.
https://psnet.ahrq.gov/web-mm/preventable-rash
The Case
A 35-year-old man with HIV was being followed in an outpatient internal medicine clinic. At a routine visit,
screening laboratories were checked. The clinic never contacted th…