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psnet.ahrq.gov/sites/default/files/2024-08/spotlight_case_a_fatal_twist_in_pseudohyperkalemia_slides.pptx
January 01, 2024 - The pain was intermittent, began 2-3 weeks prior, lasted several minutes to hours in duration, and radiated
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psnet.ahrq.gov/node/861880/psn-pdf
January 31, 2024 - Funding began 15 years ago, when the
innovator developed the I-PASS Resident Handoff intervention via
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psnet.ahrq.gov/perspective/conversation-jessica-behrhorst-about-evolution-root-cause-analysis
February 26, 2025 - Our team began to think about how we were impacting the organization’s culture and how to build a culture … Ochsner’s Chief Quality Officer learned about RCA 2 during a conference and was so impacted that we soon began
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psnet.ahrq.gov/perspective/evolution-root-cause-analysis
February 26, 2025 - Our team began to think about how we were impacting the organization’s culture and how to build a culture … Ochsner’s Chief Quality Officer learned about RCA 2 during a conference and was so impacted that we soon began
-
psnet.ahrq.gov/perspective/zero-harm-striving-reduce-preventable-harms-point-counterpoint-and-areas-agreement
September 24, 2024 - I live in the eastern part of Virginia, where I began my career with Sentara Healthcare and served as … With knowledge of this evidence-based process bundle, units and organizations began tracking “days since
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psnet.ahrq.gov/web-mm/silent-pain-neck
August 19, 2020 - A few hours later, the patient stood up from bed to use the urinal, began coughing, turned cyanotic,
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psnet.ahrq.gov/web-mm/hyperglycemia-and-switching-subcutaneous-insulin
May 19, 2021 - That evening, the patient began to experience chest pain.
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psnet.ahrq.gov/web-mm/diagnosing-missed-diagnosis
October 26, 2022 - As diabetes insipidus began to manifest itself more obviously, despite improvement in the patient's calcium
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psnet.ahrq.gov/node/850675/psn-pdf
June 14, 2023 - During the pandemic, HEC
built on its efforts that began with the Institute for Patient- and Family-
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psnet.ahrq.gov/sites/default/files/2020-12/final_dec_spotlight_code_status_vs_care_status.pdf
January 01, 2020 - .
— As he began to decline outside the ICU, he should have been offered
information about BIPAP and
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psnet.ahrq.gov/node/33877/psn-pdf
April 01, 2019 - I began looking at all these cases and
wondering why we continue to defend these.
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psnet.ahrq.gov/web-mm/pain-relief-risk-case-suspected-opioid-overdose-pediatric-patient
October 04, 2023 - First responders began cardiopulmonary resuscitation and administered naloxone and two doses of epinephrine
-
psnet.ahrq.gov/node/33875/psn-pdf
March 01, 2019 - That then began to
solidify where the differences were.
-
psnet.ahrq.gov/node/60172/psn-pdf
March 01, 2021 - Implementation
began in the inpatient setting and then transitioned to outpatient facilities, with ambulatory
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psnet.ahrq.gov/web-mm/code-blue-where
March 30, 2020 - The resident and intern began basic life support (CPR with chest compressions) with the bag-valve-mask
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psnet.ahrq.gov/web-mm/missing-suction-tip
January 01, 2006 - The patient’s surgery, scheduled as the second case of the day, began in mid-afternoon.
-
psnet.ahrq.gov/node/49547/psn-pdf
October 01, 2007 - The resident and intern began basic life support (CPR with chest
compressions) with the bag-valve-mask
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psnet.ahrq.gov/web-mm/pathologic-mistake
February 15, 2010 - repeat computed tomography (CT) scans were all consistent with the initial workup, and the specialist began
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psnet.ahrq.gov/web-mm/chemotherapy-extravasation
September 24, 2010 - The patient immediately began complaining of pain at the infusion site.
-
psnet.ahrq.gov/node/49470/psn-pdf
December 01, 2004 - Within days of discharge, the patient
began to feel lethargic and nauseated.