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psnet.ahrq.gov/node/49772/psn-pdf
October 01, 2016 - Upon further evaluation, she was noted to have a rapid heart rate
and low blood pressure. … Several
hours later, the patient was noted to be lethargic with a low blood pressure. … While the inpatient care team discussed possible causes for her low blood pressure, the microbiology
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psnet.ahrq.gov/issue/preventing-maternal-death
April 26, 2023 - This recently retired alert targets prevention of maternal death and highlights the need to manage blood … pressure, pay attention to vital signs following cesarean delivery , and hemorrhage.
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psnet.ahrq.gov/node/60616/psn-pdf
June 24, 2020 - Nurse-reported bullying and documented adverse patient
events: an exploratory study in a US Hospital.
June 24, 2020
Arnetz JE, Neufcourt L, Sudan S, et al. Nurse-reported bullying and documented adverse patient events:
an exploratory study in a US Hospital. J Nurs Care Qual. 2020;35(3):206-212.
doi:10.1097/ncq.000…
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psnet.ahrq.gov/node/864867/psn-pdf
April 10, 2024 - His
https://psnet.ahrq.gov/web-mm/hindsight-2020-thrombolytics-alcohol-intoxication
blood pressure … findings, consent to treatment, absent bleeding diathesis (laboratory results), TNKase checklist, and blood … pressure. … Systolic blood pressure < 150 mmHg at presentation (B)
5. History of seizures (S)
6.
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psnet.ahrq.gov/sites/default/files/2024-12/spotlight_case_csf_leak_after_elective_spine_surgery_slides_-_final.pptx
January 01, 2024 - Spotlight
Spotlight
Management of CSF Leaks After Elective Spine Surgery: Routine Laminectomy Leads to Fatal Discitis and Sepsis
1
Source and Credits
This presentation is based on the December 2024 AHRQ WebM&M Spotlight Case
See the full article at https://psnet.ahrq.gov/webmm
CME credit is available
Comment…
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psnet.ahrq.gov/sites/default/files/2024-05/spotlight_case_hindsight_is_2020_slides_final_revised_05.03.2024.pdf
January 01, 2024 - • His blood pressure was elevated at 156/96, but other vital signs were normal,
with heart rate 71 … findings, consent to treatment, absent bleeding diathesis (laboratory results),
TNKase checklist, and blood … pressure … Systolic blood pressure < 150 mmHg at presentation (B)
5. History of seizures (S)
6.
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psnet.ahrq.gov/node/49689/psn-pdf
August 21, 2013 - validated screening tools is STOP BANG, which stands for Snoring, daytime Tiredness, Observed
apnea, high blood … Pressure, high BMI, advanced Age, Neck circumference, and male Gender.(3,4) Three
or more "positives … In this case, an obese patient with a positive STOP BANG screen (one point each for high blood pressure
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.383_slideshow.ppt
September 01, 2016 - system, including empty slots for upcoming days as well as slots that contained a higher number of blood … pressure medications than the patient was supposed to take. … The resident also discovered that an old blood pressure medication (a beta-blocker), which had been stopped … pressure pills when she was only supposed to be taking two. … pressure medications.
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psnet.ahrq.gov/issue/reducing-diagnostic-errors-primary-care-pediatrics-project-redde-toolkit
May 28, 2014 - enhance how practices recognize, track, and follow up on adolescent depression, pediatric elevated blood … pressure, and actionable laboratory results.
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psnet.ahrq.gov/node/43664/psn-pdf
September 01, 2016 - retrospective review examined all alarm data regarding physiologic monitoring, including
electrocardiogram, blood … pressure, and oxygenation, from five intensive care units in a medical center.
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psnet.ahrq.gov/web-mm/lapse-antibiotics-leads-sepsis
November 21, 2021 - Upon further evaluation, she was noted to have a rapid heart rate and low blood pressure. … Several hours later, the patient was noted to be lethargic with a low blood pressure. … While the inpatient care team discussed possible causes for her low blood pressure, the microbiology
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psnet.ahrq.gov/web-mm/managing-ascites-hazards-fluid-removal
June 01, 2018 - If a patient develops a large fall in blood pressure, as occasionally occurs, I would give vasopressor … Large volume paracentesis is generally safe, but blood pressure may fall and require treatment.
-
psnet.ahrq.gov/node/50389/psn-pdf
September 25, 2019 - The
patient's blood pressure improved with fluids. … Six hours after admission, the patient's blood pressure started to drop, requiring further intravenous
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psnet.ahrq.gov/issue/objective-medical-emergency-team-activation-criteria-case-control-study
June 22, 2009 - The authors found that respiratory rate, heart rate, systolic blood pressure, and level of consciousness
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psnet.ahrq.gov/cme
February 26, 2025 - On arrival at the emergency department, she had severely elevated blood pressure and hypoxemia. … Over the next 14 hours, the patient’s blood pressure remained at or below 90/60 with continued complaints
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psnet.ahrq.gov/web-mm/forgotten-turn
August 01, 2018 - At our facility, having small portable mirrors attached to the blood pressure machines has assisted staff
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psnet.ahrq.gov/issue/insights-problem-alarm-fatigue-physiologic-monitor-devices-comprehensive-observational-study
July 17, 2013 - retrospective review examined all alarm data regarding physiologic monitoring, including electrocardiogram, blood … pressure, and oxygenation, from five intensive care units in a medical center.
-
psnet.ahrq.gov/node/49615/psn-pdf
December 01, 2010 - At our facility, having small portable mirrors attached to the blood
pressure machines has assisted
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psnet.ahrq.gov/issue/effect-race-and-sex-physicians-recommendations-cardiac-catheterization
July 15, 2020 - 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.197_slideshow.ppt
April 01, 2009 - Spotlight Case July 2008
Spotlight Case
Breakage of a PICC Line
*
*
Source and Credits
This presentation is based on the April 2009 AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Vesselin Dimov, MD
Creighton University
Editor, AHRQ WebM&M: …