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psnet.ahrq.gov/node/33700/psn-pdf
October 01, 2010 - In Conversation with...Peter J. Pronovost, MD, PhD
October 1, 2010
In Conversation with..Peter J. Pronovost, MD, PhD. PSNet [internet]. 2010.
https://psnet.ahrq.gov/perspective/conversation-withpeter-j-pronovost-md-phd-0
Editor's note: Peter J. Pronovost, MD, PhD, is a Professor of Anesthesia, Critical Care, and He…
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psnet.ahrq.gov/node/49680/psn-pdf
March 01, 2013 - pathologist–clinician communication to facilitate
inclusion of all important data elements and reduce ambiguity
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psnet.ahrq.gov/node/33689/psn-pdf
October 01, 2009 - chemotherapy overdose
Dana-Farber
Cancer Institute
1994
New focus on medication errors, role of
ambiguity
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psnet.ahrq.gov/node/49629/psn-pdf
June 01, 2011 - sound-alike letters or words, when numbers or letters
might be missed or reversed, or when there is ambiguity
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psnet.ahrq.gov/perspective/health-care-worker-presenteeism-challenge-patient-safety
November 03, 2015 - Health care workers also report that there is some ambiguity about what symptoms truly justify sick leave—that
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psnet.ahrq.gov/web-mm/say-it-again
January 31, 2020 - sound-alike letters or words, when numbers or letters might be missed or reversed, or when there is ambiguity
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psnet.ahrq.gov/web-mm/miscommunication-or-leads-anticoagulation-mishap
May 08, 2019 - intraoperatively in 30% of cases.( 3 ) Contributing factors included steep hierarchy, conflicting roles and role ambiguity
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psnet.ahrq.gov/node/49491/psn-pdf
September 01, 2005 - to stop resuscitation after a patient has been in asystole for
10 minutes or longer.(1) Given this ambiguity
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psnet.ahrq.gov/issue/evaluation-healthcare-safety-climate-measurement-tool
August 08, 2018 - Ethical leadership supports safety voice by increasing risk perception and reducing ethical ambiguity
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psnet.ahrq.gov/web-mm/turn-other-cheek
October 26, 2010 - was the one referred to as "left inferior orbit" rather than "left cheek"—an error that resulted from ambiguity
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psnet.ahrq.gov/node/49458/psn-pdf
September 01, 2004 - Since the science of prognosis is anchored in disease diagnosis and
extent, this patient's diagnostic ambiguity
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psnet.ahrq.gov/web-mm/time-death
January 03, 2017 - to stop resuscitation after a patient has been in asystole for 10 minutes or longer.( 1 ) Given this ambiguity
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.37_slideshow.ppt
November 01, 2003 - Spotlight Case [MONTH] 2003
Spotlight Case November 2003
The Missing Suction Tip
Source and Credits
This presentation is based on the Nov. 2003
AHRQ WebM&M Spotlight Case in Surgery
See the full article at http://webmm.ahrq.gov
CME credit is available through the Web site
Commentary by: Eric J. Thomas, MD,…
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psnet.ahrq.gov/web-mm/poor-prognosis
March 15, 2016 - Since the science of prognosis is anchored in disease diagnosis and extent, this patient's diagnostic ambiguity
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psnet.ahrq.gov/node/49612/psn-pdf
November 01, 2010 - At discharge, however, there is an ambiguity over who owns the care of the patient between discharge
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psnet.ahrq.gov/web-mm/dont-pick-picc
December 01, 2011 - Nephrology consultation may be useful in cases in which there is ambiguity about the risk of needing
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psnet.ahrq.gov/web-mm/pathologic-mistake
February 15, 2010 - pathologist–clinician communication to facilitate inclusion of all important data elements and reduce ambiguity
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psnet.ahrq.gov/web-mm/treatment-challenges-after-discharge
January 03, 2017 - At discharge, however, there is an ambiguity over who owns the care of the patient between discharge
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psnet.ahrq.gov/periodic-issue/periodic-issue-282
March 15, 2021 - The primary barriers to care coordination identified were role ambiguity, breakdowns in care, and electronic
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psnet.ahrq.gov/node/49541/psn-pdf
August 21, 2007 - Mark My Tooth
August 21, 2007
Smith RA. Mark My Tooth. PSNet [internet]. 2007.
https://psnet.ahrq.gov/web-mm/mark-my-tooth
The Case
A 45-year-old healthy man was scheduled to have two teeth extracted for progressive dental caries. The
patient underwent the extractions, awoke from the anesthesia, and then realized…