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psnet.ahrq.gov/web-mm/recurrent-hypoglycemia-care-transition-failure
December 23, 2020 - nursing station rounds.( 6 ) Patients with online access may develop enhanced expectations for timely and accurate
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psnet.ahrq.gov/node/33702/psn-pdf
November 01, 2010 - This stream of data has become
more comprehensive and more accurate over the years.
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psnet.ahrq.gov/node/60172/psn-pdf
March 01, 2021 - misidentification, additional results, considerations for sustaining the
innovation, and ensuring accurate
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psnet.ahrq.gov/web-mm/medication-errors-retail-pharmacies-wrong-patient-wrong-instructions
March 19, 2019 - April 12, 2023
Evaluation and accurate diagnoses of pediatric diseases using artificial
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psnet.ahrq.gov/web-mm/missed-diagnosis-addisons-disease-adolescent-presenting-fatigue
October 28, 2020 - Related Resources
WebM&M Cases
Don’t Wait to Collect an Accurate
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psnet.ahrq.gov/web-mm/failure-report
July 01, 2008 - When the work environment is normally reliable, safe, and accurate, it is easy for people to become complacent—a
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psnet.ahrq.gov/innovation/project-boost-increases-patient-understanding-treatment-and-follow-care
February 26, 2025 - expanded description of the innovation, additional planning and development considerations, and ensuring accurate
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psnet.ahrq.gov/web-mm/impatient-inpatient-dosing
June 24, 2020 - nomogram.( 17,18 ) Several publications have shown that computer modeling of warfarin leads to more accurate
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psnet.ahrq.gov/node/49422/psn-pdf
November 01, 2003 - 40 of K
November 1, 2003
Lesar TS. 40 of K. PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/40-k
The Case
An 81-year-old female maintained on warfarin for a history of chronic atrial fibrillation and mitral valve
replacement developed asymptomatic runs of ventricular tachycardia while hospitalized. The unit…
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psnet.ahrq.gov/web-mm/when-psychiatric-symptoms-are-not
September 20, 2011 - When "Psychiatric" Symptoms Are Not
Citation Text:
Goldberg RJ. When "Psychiatric" Symptoms Are Not. 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 EndNot…
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psnet.ahrq.gov/node/33699/psn-pdf
August 01, 2010 - Operationalizing Patient Safety at Academic Medical
Centers
August 1, 2010
Chakraborti C, Kahn MJ, Krane K. Operationalizing Patient Safety at Academic Medical Centers. PSNet
[internet]. 2010.
https://psnet.ahrq.gov/perspective/operationalizing-patient-safety-academic-medical-centers
Perspective
Academic medical…
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psnet.ahrq.gov/web-mm/inadvertent-castration
October 27, 2010 - Inadvertent Castration
Citation Text:
Calland FJ. Inadvertent Castration. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubM…
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psnet.ahrq.gov/node/866839/psn-pdf
September 25, 2024 - Errors in Managing an Open Wound of the Elbow Leading
to Multiple Complications and Operations
September 25, 2024
Barnes DK, Utter GH. Errors in Managing an Open Wound of the Elbow Leading to Multiple Complications
and Operations. PSNet [internet]. 2024.
https://psnet.ahrq.gov/web-mm/errors-managing-open-wound-elb…
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psnet.ahrq.gov/sites/default/files/2024-09/final_spotlight_case_open_wound_of_the_elbow_slides_09.19.2024.pptx
January 01, 2024 - Spotlight
Spotlight
Errors in Managing an Open Wound of the Elbow Leading to Multiple Complications and Operations
1
Source and Credits
This presentation is based on the September 2024 AHRQ WebM&M Spotlight Case
See the full article at https://psnet.ahrq.gov/webmm
CME credit is available
Commentary by: David…
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psnet.ahrq.gov/perspective/identifying-adverse-events-not-present-admission-can-we-do-it
October 01, 2008 - Identifying Adverse Events Not Present on Admission: Can We Do It?
James M. Naessens, ScD | October 1, 2008
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Naessens JM. Identifying Adverse Events Not Present on Admission: Can W…
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psnet.ahrq.gov/node/33635/psn-pdf
July 01, 2006 - Once you understand
that, and the math is pretty accurate when you know how human beings err and they're
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psnet.ahrq.gov/perspective/conversation-susan-mcgrath-phd-and-george-blike-md-about-surveillance-monitoring
April 26, 2023 - well-tolerated physiologic sensors are used to increase the likelihood the monitors are worn and that accurate … Another important element specific to this intervention is reliable and accurate signal technology, such
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psnet.ahrq.gov/perspective/surveillance-monitoring-improve-patient-safety-acute-hospital-care-units
April 26, 2023 - well-tolerated physiologic sensors are used to increase the likelihood the monitors are worn and that accurate … Another important element specific to this intervention is reliable and accurate signal technology, such
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psnet.ahrq.gov/perspective/emergence-application-based-healthcare
August 05, 2022 - available) found the app to be clinically inaccurate despite study participants’ perception that it was accurate … security, and content to make sure that we’re keeping our digital health interventions safe for patients, accurate
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psnet.ahrq.gov/perspective/conversation-francoise-marvel-md
August 05, 2022 - security, and content to make sure that we’re keeping our digital health interventions safe for patients, accurate … available) found the app to be clinically inaccurate despite study participants’ perception that it was accurate