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psnet.ahrq.gov/web-mm/missed-bowel-perforation-importance-diagnostic-reasoning
January 29, 2021 - Formulate differential diagnoses for an acute abdomen. … The acute care surgery team was contacted, but given the patient’s instability and grave prognosis, she … a “brewing” abdominal infection at admission that was missed because physicians focused on another acute … process (i.e., acute decompensated heart failure). … Gastrointestinal perforation and the acute abdomen.
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psnet.ahrq.gov/issue/multicenter-collaborative-approach-reducing-pediatric-codes-outside-icu
August 13, 2014 - This study leveraged a multicenter collaborative approach to address the complex process of managing acute … July 19, 2023
Operational failures detected by frontline acute care nurses.
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psnet.ahrq.gov/issue/quality-safety-time-coronavirus-design-better-learn-faster
March 29, 2017 - This article discusses the importance of leveraging quality improvement and patient safety science in acute … August 4, 2021
Effectiveness of acute care remote triage systems: a systematic review
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psnet.ahrq.gov/issue/errors-surgery-case-control-study
May 01, 2024 - preventable harm in first-line health care: a case-control study
March 11, 2020
Missed acute … July 20, 2022
Healthcare-associated infections in Veterans Affairs acute-care and long-term … December 21, 2014
Strategies to prevent central line-associated bloodstream infections in acute-care
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psnet.ahrq.gov/web-mm/forgotten-radiographic-read
June 07, 2016 - Although the patient was uncomfortable, her vital signs were stable, and the intern did not observe an acute … She immediately recognized portal venous gas—a sign of acute mesenteric ischemia. … of two hospitalists, two senior residents, and one intern, but the intern was "first call" for all acute … The weekend effect has been observed in a variety of clinical settings, from acute myocardial infarction
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psnet.ahrq.gov/issue/five-rights-destination-without-map
September 14, 2016 - Acute care edition. January 25, 2007. … Acute care edition. January 25, 2007. … Acute care edition. January 25, 2007. … Perspective
Surveillance Monitoring to Improve Patient Safety in Acute
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psnet.ahrq.gov/issue/patient-safety-trends-2021-analysis-288882-serious-events-and-incidents-nations-largest-event
May 19, 2021 - Acute care facilities in Pennsylvania are required to report all Incidents and Serious Events to the
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psnet.ahrq.gov/perspective/conversation-dr-neal-sikka-and-dr-colton-hood-about-remote-patient-monitoring
March 15, 2023 - Are there differences in managing acute versus chronic diseases? … One of the first acute scenarios in which we used RPM was COVID-19. … Historically, these are acute problems that arise where there is illness or injury. … That is one of the challenges with an acute vital sign like pulse oximetry. … Does remote patient monitoring reduce acute care use? A systematic review.
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psnet.ahrq.gov/issue/drawn-curtains-muted-alarms-and-diverted-attention-lead-tragedy-postanesthesia-care-unit
June 10, 2018 - Acute Care Edition. March 21, 2013;18:1-3. … Acute Care Edition . March 21, 2013;18:1-3. … Acute Care Edition. March 21, 2013;18:1-3. … Perspective
Surveillance Monitoring to Improve Patient Safety in Acute
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psnet.ahrq.gov/web-mm/dont-use-port-insert-picc
December 22, 2018 - A computed tomography scan in the emergency department revealed acute appendicitis and surgery was recommended … The next day, she developed severe arm pain and swelling and was found to have an acute deep venous thrombosis … risk of infection.( 6,7 ) There are no data comparing the incidence of ICVP-related infection during acute … Take-Home Points Accessing an existing implantable central venous port is safe during an acute hospital
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psnet.ahrq.gov/issue/patients-low-health-literacy-make-more-errors-interpreting-instructions-and-warnings
May 03, 2023 - Acute Care. 2023;28(24):1-3. … Acute Care. 2023;28(24):1-3. … Acute Care. 2023;28(24):1-3.
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psnet.ahrq.gov/issue/medical-abbreviations-have-contradictory-or-ambiguous-meanings
November 18, 2020 - Acute care edition! January 30, 2020;25(2):1-5. … Acute care edition! January 30, 2020;25(2):1-5. … Acute care edition! January 30, 2020;25(2):1-5.
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psnet.ahrq.gov/web-mm/transfusion-overload
September 23, 2020 - The clinicians caring for her believed that the patient developed hypoxic respiratory failure from acute … effects of transfusion are transfusion-associated circulatory overload (TACO) and transfusion-related acute … The rates of in-hospital death or acute coronary syndrome were also not statistically significant between … The transfusion threshold in patients with the acute coronary syndrome is unknown. … Transfusion related acute lung injury: incidence and risk factors. Blood. 2012;119:1757-1767.
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psnet.ahrq.gov/issue/guidelines-prevention-intravascular-catheter-related-infections
January 22, 2014 - September 23, 2020
Strategies to prevent central line-associated bloodstream infections in acute-care … View More
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Compendium of Strategies to Prevent HAIs in Acute … September 11, 2023
Strategies to prevent central line-associated bloodstream infections in acute-care … December 30, 2014
Compendium of Strategies to Prevent HAIs in Acute Care Hospitals 2014
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psnet.ahrq.gov/issue/2020-pennsylvania-patient-safety-reporting-analysis-serious-events-and-incidents-nations
July 06, 2022 - Acute healthcare facilities in Pennsylvania are required to report all events of harm or potential
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psnet.ahrq.gov/issue/nurse-staffing-nursing-assistants-and-hospital-mortality-retrospective-longitudinal-cohort
July 11, 2018 - The results underscore the importance of adequate nursing to ensure safe acute care. … December 19, 2018
Description and factors associated with missed nursing care in an acute
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psnet.ahrq.gov/issue/do-not-let-depo-medications-be-depot-mistakes
March 15, 2022 - Acute Care Edition. March 24, 2016;21:1-4. … Acute Care Edition. March 24, 2016;21:1-4. … Acute Care Edition. March 24, 2016;21:1-4.
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psnet.ahrq.gov/issue/criminalization-human-error-and-guilty-verdict-travesty-justice-threatens-patient-safety
September 07, 2022 - Acute care edition. April 7, 2022; 27(2):1-6. … Acute care edition . April 7, 2022; 27(2):1-6. … Acute care edition. April 7, 2022; 27(2):1-6.
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psnet.ahrq.gov/issue/ismp-survey-provides-insights-preparation-and-admixture-practices-outside-pharmacy
December 02, 2020 - Acute care edition. November 5, 2020;25(22)1-5. … Acute care edition. November 5, 2020;25(22)1-5. … Acute care edition. November 5, 2020;25(22)1-5.
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psnet.ahrq.gov/issue/three-new-best-practices-2022-2023-targeted-medication-safety-best-practices-hospitals
March 15, 2022 - Acute care edition. February 10, 2022:27(3):1-6. … Acute care edition. February 10, 2022:27(3):1-6. … Acute care edition. February 10, 2022:27(3):1-6.