-
psnet.ahrq.gov/issue/how-context-affects-electronic-health-record-based-test-result-follow-mixed-methods
April 04, 2011 - Even when a surrogate was assigned to receive alerts during a clinician's absence, there were many problems
-
psnet.ahrq.gov/node/73637/psn-pdf
August 25, 2021 - Failures in Care Coordination and Reviewing a Patient's
Death at the VA Salt Lake City Healthcare System in Utah.
August 25, 2021
Washington, DC: Department of Veterans Affairs, Office of Inspector General. July 29, 2021. Report
No. 21-00657-197.
https://psnet.ahrq.gov/issue/failures-care-coordination-and-re…
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psnet.ahrq.gov/issue/medication-errors-outpatient-setting-classification-and-root-cause-analysis
December 16, 2020 - January 26, 2022
FDA alerts health care professionals to the temporary absence of warning
-
psnet.ahrq.gov/issue/associations-workflow-disruptions-operating-room-surgical-outcomes-systematic-review-and
April 03, 2019 - December 16, 2020
Absence or presence: silent discourse in the operating room and impact
-
psnet.ahrq.gov/issue/its-big-part-being-good-surgeons-surgical-trainees-perceptions-error-recovery-operating-room
August 26, 2020 - May 12, 2021
Absence or presence: silent discourse in the operating room and impact on
-
psnet.ahrq.gov/node/72739/psn-pdf
February 10, 2021 - While none can definitively
determine the presence or absence of PE, they do help estimate risk and … derived from the breakdown of thrombus, is elevated in patients with VTE and should be normal in
the absence … diseases (i.e., low
specificity).20 Because D-dimer levels normally rise with advancing age, even in the absence … patients, a combination of clinical features, ultrasonography, and ECG may
suggest PE even in the absence … In the absence of contraindications, empiric anticoagulation should be administered while awaiting
confirmatory
-
psnet.ahrq.gov/web-mm/multiple-high-risk-events-involving-workflow-wasting-medications-used-anesthesia
August 29, 2021 - In the absence of a physically staffed perioperative pharmacy, the utilization of ADCs may help to enhance … challenging, and while some aspects of the medication-use process are similar to other hospital settings, the absence … Lack ready-to-use or patient-specific medication preparations that require multiple manipulations
Absence
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psnet.ahrq.gov/web-mm/ruptured-heterotopic-pregnancy
August 16, 2023 - Even in the absence of ART, an adnexal mass is not found in the presence of an ectopic pregnancy 15%- … The absence of visualization of an extra-uterine gestational sac earlier in the pregnancy may have falsely
-
psnet.ahrq.gov/node/33880/psn-pdf
May 01, 2019 - The dearth of data and information on patient safety in the EMS
setting is linked to the absence of … Absence and need for fatigue risk management in emergency medical
services.
-
psnet.ahrq.gov/issue/frequency-and-significance-discrepancies-surgical-count
March 02, 2011 - Preventable Patient Harm Due to Retained Surgical Items: The RSI Bundle
May 29, 2024
Absence
-
psnet.ahrq.gov/issue/can-structured-checklist-prevent-problems-laparoscopic-equipment
August 10, 2016 - January 20, 2021
Absence or presence: silent discourse in the operating room and impact
-
psnet.ahrq.gov/issue/effect-bar-code-assisted-medication-administration-medication-error-rates-adult-medical
July 23, 2010 - September 23, 2020
FDA alerts health care professionals to the temporary absence of warning
-
psnet.ahrq.gov/node/33778/psn-pdf
March 01, 2015 - Such
strategies have become the cornerstone of policy initiatives in the rest of patient safety; the absence … Even in the absence of rigorous and standard measures, 2014 provided actionable information about how
-
psnet.ahrq.gov/issue/weekend-effect-hospital-mortality-ischemic-and-hemorrhagic-stroke-us-rural-and-urban
January 19, 2022 - May 12, 2021
Absence or presence: silent discourse in the operating room and impact on
-
psnet.ahrq.gov/node/864868/psn-pdf
March 27, 2024 - Due to the absence of a family member or caregiver, the healthcare team is
unaware that Mr. … physician for the first time, expressing concern about his adverse reaction to diphenhydramine and the
absence
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psnet.ahrq.gov/web-mm/timely-diagnosis-esophageal-perforation
September 27, 2023 - In the absence of such historical characteristics, physicians should strongly consider the diagnosis … Even in the absence of a history suggestive of esophageal perforation (instrumentation, injury, vomiting
-
psnet.ahrq.gov/sites/default/files/2020-11/final_nov_spotlight_case_premature_closing-snycope_11.20.2020-revised.pdf
January 01, 2020 - Absence of complete history from the patient, his family, or medical
record, which would have alerted … constituents, benzyl alcohol, or pork
products
16
High-Risk Medications: Anticoagulation (1)
• In the absence
-
psnet.ahrq.gov/node/50391/psn-pdf
September 25, 2019 - are not mindful of the prevalence and risk
factors for acalculous cholecystitis may be misled by the absence … Because of the absence of stones on the CT, a HIDA was a reasonable next step to rule out acalculous
-
psnet.ahrq.gov/sites/default/files/2022-05/final_cme_reviewed_-_spotlight_missing_a_large_vessel_occlusion_stroke_04.14.2022_-_copy.pdf
January 01, 2022 - The presence of
hypodensities can alert clinicians to the presence of ischemic stroke, but their
absence … The presence of
hypodensities can alert clinicians to the presence of ischemic stroke, but their
absence … Hypodensities can alert clinicians to the
presence of ischemic stroke, but their absence should not
-
psnet.ahrq.gov/node/33653/psn-pdf
June 01, 2007 - In the
absence of open discussion and reporting, leaders and front-line providers ask?