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psnet.ahrq.gov/issue/feasibility-patient-reported-diagnostic-errors-following-emergency-department-discharge-pilot
August 19, 2020 - Study
Feasibility of patient-reported diagnostic errors following emergency department discharge: a pilot study.
Citation Text:
Gleason KT, Peterson SM, Dennison Himmelfarb CR, et al. Feasibility of patient-reported diagnostic errors following emergency department discharge: a pilot stud…
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psnet.ahrq.gov/node/50646/psn-pdf
November 06, 2019 - My patient almost died from a mistake I made. I
apologized and it changed my life.
November 6, 2019
McLean K. Huffington Post. October 16, 2019.
https://psnet.ahrq.gov/issue/my-patient-almost-died-mistake-i-made-i-apologized-and-it-changed-my-life
Medical mistakes cause stress for both patients and their clinician…
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psnet.ahrq.gov/node/60062/psn-pdf
March 18, 2020 - I thought Daniel was safe with the NHS. He wasn't.
March 18, 2020
Calvert J, Arbuthnott G. The Sunday Times (UK). March 1, 2020.
https://psnet.ahrq.gov/issue/i-thought-daniel-was-safe-nhs-he-wasnt
Front line staff concerns which are not treated with respect can undermine improvement efforts and patient
safety. Thi…
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psnet.ahrq.gov/issue/implantable-infusion-pumps-magnetic-resonance-mr-environment-fda-safety-communication
February 07, 2018 - Press Release/Announcement
Implantable infusion pumps in the magnetic resonance (MR) environment: FDA safety communication—important safety precautions.
Citation Text:
Implantable infusion pumps in the magnetic resonance (MR) environment: FDA safety communication—important safety precaut…
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psnet.ahrq.gov/node/47779/psn-pdf
June 12, 2019 - Medication accuracy in electronic health records for
microbial keratitis.
June 12, 2019
Ashfaq HA, Lester CA, Ballouz D, et al. Medication Accuracy in Electronic Health Records for Microbial
Keratitis. JAMA Ophthalmal. 2019;137(8):929-931. doi:10.1001/jamaophthalmol.2019.1444.
https://psnet.ahrq.gov/issue/medicati…
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psnet.ahrq.gov/node/43337/psn-pdf
July 09, 2014 - My Medicines.
July 9, 2014
Silver Spring, MD: US Food and Drug Administration. Office of Women's Health and National Association
of Chain Drug Stores.
https://psnet.ahrq.gov/issue/my-medicines
This toolkit offers tips for patients to prevent adverse drug events and provides a way to record important
medication in…
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psnet.ahrq.gov/node/74209/psn-pdf
December 22, 2021 - Aligning patient safety and stewardship: a harm reduction
strategy for children.
December 22, 2021
Schefft M, Noda A, Godbout E. Aligning patient safety and stewardship: a harm reduction strategy for
children. Curr Treat Options Pediatr. 2021;7(3):138-151. doi:10.1007/s40746-021-00227-6.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/73631/psn-pdf
August 25, 2021 - Patient harm from cardiovascular medications.
August 25, 2021
Paradissis C, Cottrell N, Coombes ID, et al. Patient harm from cardiovascular medications. Ther Adv Drug
Saf. 2021;12:204209862110274. doi:10.1177/20420986211027451.
https://psnet.ahrq.gov/issue/patient-harm-cardiovascular-medications
Adverse drug event…
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psnet.ahrq.gov/node/848090/psn-pdf
April 26, 2023 - Cancer drug shortages are creating dire circumstances
for some patients.
April 26, 2023
Lovelace B, Jr, Kopf M. NBC. April 11, 2023.
https://psnet.ahrq.gov/issue/cancer-drug-shortages-are-creating-dire-circumstances-some-patients
Shortages of life-saving cancer drugs have been a problem for many years and were exa…
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psnet.ahrq.gov/web-mm/preventable-rash
October 01, 2012 - Preventable Rash
Citation Text:
McLean C. Preventable Rash. 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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…
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psnet.ahrq.gov/node/49594/psn-pdf
December 01, 2009 - Standard Deviations
December 1, 2009
Sabin JE. Standard Deviations. PSNet [internet]. 2009.
https://psnet.ahrq.gov/web-mm/standard-deviations
Case Objectives
Understand the safety risks associated with patients being discharged against medical advice
(AMA).
Recognize safety risks associated with being part of a …
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psnet.ahrq.gov/node/38370/psn-pdf
August 22, 2009 - Monitoring for medication errors in outpatient settings.
August 22, 2009
Balkrishnan R, Foss CE, Pawaskar M, et al. Monitoring for medication errors in outpatient settings. J
Dermatolog Treat. 2009;20(4):229-32. doi:10.1080/09546630802607487.
https://psnet.ahrq.gov/issue/monitoring-medication-errors-outpatient-sett…
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psnet.ahrq.gov/node/42769/psn-pdf
November 27, 2013 - Sepsis: recognizing the next event.
November 27, 2013
Kilburn FL, Bailey P, Price D. Sepsis: recognizing the next event. Nursing (Brux). 2013;43(10):14-6.
doi:10.1097/01.NURSE.0000434320.25397.53.
https://psnet.ahrq.gov/issue/sepsis-recognizing-next-event
This commentary describes the development and implementatio…
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psnet.ahrq.gov/web-mm/result-stopped-here
December 01, 2006 - On the other hand, hospital infection control usually has no responsibility to contact a treating physician
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psnet.ahrq.gov/node/49702/psn-pdf
March 01, 2014 - clinicians in these situations should consider the following questions: If you were the previously
treating
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psnet.ahrq.gov/web-mm/missed-tb
March 03, 2010 - The treating physicians considered bronchoscopy, but felt the patient was too ill to tolerate the procedure
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psnet.ahrq.gov/node/49655/psn-pdf
June 01, 2012 - Physicians who are uncomfortable treating chronic pain in dialysis patients should seek
out appropriate
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psnet.ahrq.gov/node/36316/psn-pdf
October 26, 2010 - Improving self-reporting of adverse drug events in a West
Virginia hospital.
October 26, 2010
Schade CP, Hannah K, Ruddick P, et al. Improving self-reporting of adverse drug events in a West Virginia
hospital. Am J Med Qual. 2006;21(5):335-41.
https://psnet.ahrq.gov/issue/improving-self-reporting-adverse-drug-even…
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psnet.ahrq.gov/node/38277/psn-pdf
December 10, 2008 - Time for a change in injury and trauma care delivery: a
trauma death review analysis.
December 10, 2008
Sugrue M, Caldwell E, D'Amours S, et al. Time for a change in injury and trauma care delivery: a trauma
death review analysis. ANZ J Surg. 2008;78(11):949-954. doi:10.1111/j.1445-2197.2008.04711.x.
https://psnet…
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psnet.ahrq.gov/web-mm/lp-or-not-lp
February 01, 2018 - To LP or Not LP
Citation Text:
Landrigan CP. To LP or Not LP. 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 tagged PubMedId RIS
…