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psnet.ahrq.gov/node/867429/psn-pdf
December 18, 2024 - Management of CSF Leaks After Elective Spine Surgery:
Routine Laminectomy Leads to Fatal Discitis and Sepsis
December 18, 2024
Castillo JA, Price R, Kim KD. Management of CSF Leaks After Elective Spine Surgery: Routine
Laminectomy Leads to Fatal Discitis and Sepsis. PSNet [internet]. 2024.
https://psnet.ahrq.gov/w…
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psnet.ahrq.gov/issue/toolkits-reduce-hypertension-pregnancy-and-obstetric-hemorrhage
August 01, 2012 - Obstetric hemorrhage and severe high blood pressure during pregnancy are leading known causes of preventable
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psnet.ahrq.gov/web-mm/hyperglycemia-and-switching-subcutaneous-insulin
May 19, 2021 - Hyperglycemia and Switching to Subcutaneous Insulin
Citation Text:
Wetterneck TB. Hyperglycemia and Switching to Subcutaneous Insulin. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015.
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psnet.ahrq.gov/web-mm/hospital-acquired-diabetic-ketoacidosis
October 28, 2020 - ulcer, presented to the emergency department (ED) with asymptomatic post-dialysis hypertension, with a blood … pressure of 246/100. … He reported taking his regular blood pressure medications without any clear trigger for this hypertensive … He was treated in the ED with hydralazine and clonidine, with mild improvement in blood pressure.
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psnet.ahrq.gov/issue/effects-computerized-decision-support-system-implementations-patient-outcomes-inpatient-care
November 06, 2019 - Review
Emerging Classic
Effects of computerized decision support system implementations on patient outcomes in inpatient care: a systematic review.
Citation Text:
Varghese J, Kleine M, Gessner SI, et al. Effects of computerized decision support system implementa…
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psnet.ahrq.gov/web-mm/good-catch-operating-room
August 27, 2017 - About halfway through the procedure, the anesthesiologist noticed that the patient's blood pressure was … anesthesiologist administered a bolus of intravenous fluids, but over the next few minutes the patient's blood … pressure continued to drop. … the first challenge occurred when the anesthesiologist alerted the surgeon during the initial drop in blood … pressure.
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psnet.ahrq.gov/web-mm/distraction-anesthesiologist-and-lack-resuscitation-drugs-resulting-delayed-treatment
January 29, 2021 - Assessing the position of the eyes, the pupil diameter, the frontalis muscle and the heart rate and blood … pressure can help the anesthesiologist assess the depth of anesthesia. 25 Processed electro-encephalography
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psnet.ahrq.gov/web-mm/overdose-oxygen
August 02, 2023 - She remained afebrile with a normal blood pressure and pulse, and the remainder of the physical examination
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psnet.ahrq.gov/web-mm/dont-dismiss-dangerous-obstetric-hemorrhage
August 21, 2024 - patient.( 12 ) Furthermore, the operative field may appear dry during the procedure when the patient's blood … pressure is low, only to have significant bleeding later emerge when severe hypertensive pressures return
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psnet.ahrq.gov/node/49749/psn-pdf
December 01, 2015 - Hyperglycemia and Switching to Subcutaneous Insulin
December 1, 2015
Wetterneck TB. Hyperglycemia and Switching to Subcutaneous Insulin. PSNet [internet]. 2015.
https://psnet.ahrq.gov/web-mm/hyperglycemia-and-switching-subcutaneous-insulin
The Case
A 47-year-old man with type 2 diabetes was admitted to the hospita…
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psnet.ahrq.gov/node/49673/psn-pdf
December 01, 2012 - On physical
examination, his initial blood pressure was elevated at 192/100 mm Hg, but his heart rate … " (an oral
antacid/anesthetic combination) was given, and the patient reported symptom relief; his blood … pressure
also normalized.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.407_slideshow.ppt
May 01, 2017 - On examination, he was afebrile but tachycardic (heart rate 110–120 bpm) and hypertensive (blood pressure … 1: Diagnostic Delay (4)
Over this period, his heart rate increased to greater than 120 bpm and his blood … pressure was 175/95 mm Hg. … Diagnostic Delay (8)
At this point, the patient was given aggressive intravenous antihypertensives (his blood … pressure had risen to 180/100 mm Hg).
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psnet.ahrq.gov/node/49609/psn-pdf
October 01, 2010 - .(4) Risk factors for falls included patient age, number of
comorbidities, having a lower systolic blood … pressure before starting dialysis, and a history of falls.(4) In
addition, after dialysis sessions, … hemodynamic shifts can lead to transient hypotension (low blood pressure)
and dizziness.(4) The fall
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psnet.ahrq.gov/node/45289/psn-pdf
May 03, 2017 - Measuring harm in health care: optimizing adverse event
review.
May 3, 2017
Walsh KE, Harik P, Mazor KM, et al. Measuring Harm in Health Care: Optimizing Adverse Event Review.
Med Care. 2017;55(4):436-441. doi:10.1097/MLR.0000000000000679.
https://psnet.ahrq.gov/issue/measuring-harm-health-care-optimizing-adverse-…
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psnet.ahrq.gov/node/841759/psn-pdf
December 21, 2022 - Sources of nurse-sensitive inpatient safety improvement.
December 21, 2022
Dynan L, Smith RB. Sources of nurse?sensitive inpatient safety improvement. Health Serv Res.
2022;57(6):1235-1246. doi:10.1111/1475-6773.13979.
https://psnet.ahrq.gov/issue/sources-nurse-sensitive-inpatient-safety-improvement
Nurses play a …
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psnet.ahrq.gov/node/865376/psn-pdf
March 27, 2024 - She had hypotension, with
blood pressure around 80s/50s.
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psnet.ahrq.gov/periodic-issue/periodic-issue-442
May 29, 2024 - In this quality improvement project, a multi-component intervention including remote blood pressure monitoring … was found to increase the rate of completed postpartum blood pressure checks among individuals with … history of hypertension, diabetes, and heart failure, his vital signs were concerning, showing high blood … pressure, rapid heart rate, and low oxygen levels.
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psnet.ahrq.gov/web-mm/forgotten-line
March 11, 2011 - The Forgotten Line
Citation Text:
Render ML. The Forgotten Line. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012.
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Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …
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psnet.ahrq.gov/perspective/conversation-jose-morfin-md-fasn
April 28, 2021 - The second patient safety issue relates to removing fluid—volume control and blood pressure. … Based on their self-assessment skills, they get a blood pressure reading, they get a heart rate reading … pressure during dialysis. … pressure. … You had mentioned with the volume control and blood pressure, that you know that the patient is keeping
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psnet.ahrq.gov/issue/vital-signs-are-still-vital-instability-discharge-and-risk-post-discharge-adverse-outcomes
September 23, 2020 - This observational cohort study found that patients with abnormal vital signs—temperature, blood pressure