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psnet.ahrq.gov/issue/one-intensive-care-nurserys-experience-enhancing-patient-safety
June 21, 2006 - intensification, missed visits, and scheduled follow-up interval with racial or ethnic disparities in blood … pressure control.
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psnet.ahrq.gov/web-mm/cvc-placement-speak-now-or-do-not-use-line
November 01, 2003 - with a history of hypertension, psychiatric illness, and a previous suicide attempt overdosed on her blood … pressure medication (calcium channel blocker). … The ED team thought this was likely due to severe hypotension (her systolic blood pressure was around
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psnet.ahrq.gov/issue/are-evidence-based-practices-associated-effective-prevention-hospital-acquired-pressure
September 23, 2020 - Study
Are evidence-based practices associated with effective prevention of hospital-acquired pressure ulcers in US academic medical centers?
Citation Text:
Padula W, Gibbons RD, Valuck RJ, et al. Are Evidence-based Practices Associated With Effective Prevention of Hospital-acquired Press…
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psnet.ahrq.gov/web-mm/forgotten-line
January 23, 2008 - The Forgotten Line
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Marta L. Render, MD | May 1, 2012
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The Case An 81-year-old man with a history of coronary artery disease, hyp…
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psnet.ahrq.gov/web-mm/emergency-error
June 01, 2018 - Almost immediately, her blood pressure dropped to 60/30 mm Hg. … She ultimately regained a pulse but required high doses of vasopressors to maintain her blood pressure
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psnet.ahrq.gov/issue/radio-frequency-identification-prevention-bedside-errors
September 09, 2020 - Commentary
Radio frequency identification for prevention of bedside errors.
Citation Text:
Dzik S. Radio frequency identification for prevention of bedside errors. Transfusion (Paris). 2007;47(2 Suppl):125S-129S; discussion 130S-131S.
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Format:
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.221_slideshow.ppt
July 01, 2010 - STOP questionnaire is a simple tool:
Snoring
Tiredness during the daytime
Observed apneas
High blood … Pressure
BANG: BMI, Age, Neck circumference, Male Gender
Polysomnography is the gold standard test
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psnet.ahrq.gov/issue/serious-hazards-transfusion-evaluating-dangers-wrong-patient-autologous-salvaged-blood
May 11, 2022 - Commentary
Serious hazards of transfusion: evaluating the dangers of a wrong patient autologous salvaged blood in cardiac surgery.
Citation Text:
Uramatsu M, Maeda H, Mishima S, et al. Serious hazards of transfusion: evaluating the dangers of a wrong patient autologous salvaged blood in …
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psnet.ahrq.gov/web-mm/electrocardiogram-results-read-me
January 24, 2024 - hypertension presented to the emergency department (ED) with new onset chest discomfort and an initial blood … pressure of 210/100 mm/Hg. … Resolution of chest discomfort likely resulted from appropriate control of elevated blood pressure and
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psnet.ahrq.gov/web-mm/breakage-picc-line
November 08, 2023 - SPOTLIGHT CASE
Breakage of a PICC Line
PPT
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Vesselin Dimov, MD | April 1, 2009
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Case Objectives Appreciate the inc…
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psnet.ahrq.gov/issue/challenges-and-opportunities-prevent-transfusion-errors-qualitative-evaluation-safer
March 20, 2019 - Study
Challenges and opportunities to prevent transfusion errors: a Qualitative Evaluation for Safer Transfusion (QUEST).
Citation Text:
Heddle NM, Fung MK, Hervig T, et al. Challenges and opportunities to prevent transfusion errors: a Qualitative Evaluation for Safer Transfusion (QUES…
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psnet.ahrq.gov/issue/wicked-problem-patient-misidentification-how-could-technological-revolution-help-address
March 08, 2023 - Commentary
The wicked problem of patient misidentification: how could the technological revolution help address patient safety?
Citation Text:
Ferguson C, Hickman L, Macbean C, et al. The wicked problem of patient misidentification: How could the technological revolution help address pat…
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psnet.ahrq.gov/web-mm/bandemia-harbinger-stercoral-colitis-and-impending-perforation
November 25, 2020 - Bandemia as a Harbinger of Stercoral Colitis and Impending Perforation.
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Sean Flynn, MD and David K. Barnes, MD, FACEP | July 31, 2023
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psnet.ahrq.gov/issue/changing-patient-safety-mindset-can-safety-cases-help
July 14, 2021 - intensification, missed visits, and scheduled follow-up interval with racial or ethnic disparities in blood … pressure control.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.461_slideshow.ppt
November 01, 2018 - was quite experienced and appropriately administered atropine, with recovery of the heart rate and blood … pressure.
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psnet.ahrq.gov/web-mm/liver-biopsy-proceed-caution
October 26, 2011 - Her blood pressure was noted to be lower than baseline at 88/55 mm Hg, so a call was placed to the covering … In the hour following the procedure, this patient was noted to have low blood pressure, which almost
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psnet.ahrq.gov/issue/barriers-and-facilitators-reporting-medical-device-related-pressure-ulcers-qualitative
December 01, 2021 - Study
Barriers and facilitators to reporting medical device-related pressure ulcers: a qualitative exploration of international practice.
Citation Text:
Crunden EA, Worsley PR, Coleman SB, et al. Barriers and facilitators to reporting medical device-related pressure ulcers: A qualitative…
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psnet.ahrq.gov/issue/patient-harm-cardiovascular-medications
June 22, 2022 - Medications to treat high blood pressure and arrhythmias were the most common cause of medication harm
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psnet.ahrq.gov/web-mm/ventricular-wall-injury-during-diagnostic-cardiac-catheterization
September 01, 2012 - Ventricular Wall Injury during a Diagnostic Cardiac Catheterization
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Tai Huu Pham, MD and Surabhi Atreja, MD
| June 28, 2023
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The…
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psnet.ahrq.gov/issue/learning-during-crisis-impact-covid-19-hospital-acquired-pressure-injury-incidence
August 25, 2021 - Study
Learning during crisis: the impact of COVID-19 on hospital-acquired pressure injury incidence.
Citation Text:
Polancich S, Hall AG, Miltner R, et al. Learning during crisis: the impact of COVID-19 on hospital-acquired pressure injury incidence. J Healthc Qual. 2021;43(3):137-144. d…