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psnet.ahrq.gov/web-mm/delayed-diagnosis-and-treatment-occult-hemothorax-following-complicated-central-line
April 01, 2008 - Delayed Diagnosis and Treatment of an Occult Hemothorax Following Complicated Central Line Insertion Leads to Cardiac Arrest
Citation Text:
Raff G, Goudy B. Delayed Diagnosis and Treatment of an Occult Hemothorax Following Complicated Central Line Insertion Leads to Cardiac Arrest. PSNet [internet]. Rockvil…
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psnet.ahrq.gov/web-mm/prolonged-dka-pregnancy-case-communication-breakdown
June 28, 2023 - SPOTLIGHT CASE
Prolonged DKA in Pregnancy: A Case of Communication Breakdown.
Citation Text:
Marshall S, Boe NM. Prolonged DKA in Pregnancy: A Case of Communication Breakdown.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services…
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psnet.ahrq.gov/web-mm/near-miss-bedside-medications
February 01, 2006 - SPOTLIGHT CASE
Near Miss with Bedside Medications
Citation Text:
Wu AW. Near Miss with Bedside Medications. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011.
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psnet.ahrq.gov/perspective/conversation-amy-j-starmer-md-mph
May 31, 2023 - In Conversation With… Amy J. Starmer, MD, MPH
April 1, 2016
Citation Text:
In Conversation With… Amy J. Starmer, MD, MPH. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016.
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psnet.ahrq.gov/web-mm/false-assumptions-result-missed-pneumothorax-after-bronchoscopy-transbronchial-biopsy
March 15, 2023 - SPOTLIGHT CASE
False Assumptions Result in a Missed Pneumothorax after Bronchoscopy with Transbronchial Biopsy.
Citation Text:
Kuhn BT, Chau-Etchepare F. False Assumptions Result in a Missed Pneumothorax after Bronchoscopy with Transbronchial Biopsy.. PSNet [internet]. Rockville (MD): Agency for …
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psnet.ahrq.gov/web-mm/perioperative-anaphylaxis-after-insertion-latex-drain-patient-known-latex-allergy
July 08, 2022 - The patient developed generalized urticaria, bronchospasm requiring high airway pressures to achieve
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psnet.ahrq.gov/perspective/conversation-richard-kronick-phd
February 01, 2014 - And if not, then we make changes to the tool if that is what's needed to try achieve the desired outcomes
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psnet.ahrq.gov/node/850673/psn-pdf
June 14, 2023 - It is through partnership with patients
and families that we will achieve the best outcomes and the
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psnet.ahrq.gov/perspective/conversation-withrobert-m-wachter-md
October 01, 2008 - Now that doesn't mean that we can achieve them all.
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psnet.ahrq.gov/perspective/conversation-ellen-deutsch-md-ms-facs-faap-fssh-cpps
December 14, 2022 - acknowledges that the circumstances of healthcare delivery can impact providers’ and patients’ ability to achieve
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psnet.ahrq.gov/perspective/conversation-beverley-h-johnson
February 01, 2013 - With authentic patient and family partnerships, we will eventually save dollars, prevent errors, and achieve
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psnet.ahrq.gov/perspective/conversation-susan-haas-md-msc
March 01, 2019 - Fair and just culture, team behavior, and leadership engagement: the tools to achieve high reliability
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psnet.ahrq.gov/node/73902/psn-pdf
September 29, 2021 - many hours in the ED.39
Take-Home Points
Early diagnosis and timely intervention are necessary to achieve
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psnet.ahrq.gov/perspective/conversation-withthomas-h-gallagher-md
January 01, 2009 - Health care experts advocate that greater disclosure is necessary to achieve complete transparency and
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psnet.ahrq.gov/perspective/disclosure-medical-error
January 01, 2009 - Health care experts advocate that greater disclosure is necessary to achieve complete transparency and
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psnet.ahrq.gov/perspective/patient-safety-office-based-care-settings
January 31, 2024 - coupled with high attrition and low data reporting rates made it difficult to collect enough data to achieve
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psnet.ahrq.gov/perspective/conversation-witheric-coleman-md-mph
December 01, 2007 - In other words, they both were able to achieve statistically significant reductions in readmission rates
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psnet.ahrq.gov/perspective/resilient-healthcare-and-safety-i-and-safety-ii-frameworks
December 14, 2022 - acknowledges that the circumstances of healthcare delivery can impact providers’ and patients’ ability to achieve
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psnet.ahrq.gov/perspective/building-safety-program-vast-health-care-network
March 01, 2019 - Fair and just culture, team behavior, and leadership engagement: the tools to achieve high reliability
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psnet.ahrq.gov/web-mm/dangers-missing-epidural-abscess-multiple-visits-and-delayed-diagnosis-severely-negative
April 27, 2022 - many hours in the ED. 39 Take-Home Points Early diagnosis and timely intervention are necessary to achieve