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psnet.ahrq.gov/node/862983/psn-pdf
February 28, 2024 - Airway Obstruction during Anterior Cervical Spine
Surgery
February 28, 2024
Bohringer C, Vo L. Airway Obstruction during Anterior Cervical Spine Surgery. PSNet [internet]. 2024.
https://psnet.ahrq.gov/web-mm/airway-obstruction-during-anterior-cervical-spine-surgery
The Case
A 47-year-old obese man (body weight 13…
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/aD-Br2oTJ67FeNdHHkLtPA
tick one)
Premature aging, wrinkling of the skin
Respiratory infections and asthma
High blood … pressure, diabetes
Respiratory infections, allergies and asthma in children of smokers
Miscarriage … performance, premature ageing
Digestive problems, ulcers, inflammation of the pancreas, high blood … pressure
Asthma, bronchitis
Psychosis in those with a personal or family history of schizophrenia … pressure
Mood swings
Anxiety, panic, paranoia
Flash-backs
Increase the effects of mental
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/hemorrhage-postpartum_disposition-comments.pdf
April 28, 2015 - up to 900 ml or up
to 20% of the circulating blood volume cause no change
in either the maternal blood … pressure or the maternal
pulse. … Maternal tachycardia is present
(100-120 beats/min and maternal hypotension (systolic
blood pressure
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psnet.ahrq.gov/issue/measuring-harm-health-care-optimizing-adverse-event-review
May 15, 2013 - Study
Measuring harm in health care: optimizing adverse event review.
Citation Text:
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.
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DOI…
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psnet.ahrq.gov/issue/exploring-impact-safety-culture-incident-reporting-lessons-learned-machine-learning-analysis
February 21, 2024 - Study
Exploring the impact of safety culture on incident reporting: lessons learned from machine learning analysis of NHS England staff survey and incident data.
Citation Text:
Kaya GK, Ustebay S, Nixon J, et al. Exploring the impact of safety culture on incident reporting: lessons learn…
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psnet.ahrq.gov/issue/validating-administrative-data-detection-adverse-events-older-hospitalized-patients
March 13, 2015 - Study
Validating administrative data for the detection of adverse events in older hospitalized patients.
Citation Text:
Ackroyd-Stolarz S, Bowles SK, Giffin L. Validating administrative data for the detection of adverse events in older hospitalized patients. Drug Healthc Patient Saf. 201…
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psnet.ahrq.gov/issue/hybrid-methodology-modeling-risk-adverse-events-complex-health-care-settings
November 11, 2015 - Study
A hybrid methodology for modeling risk of adverse events in complex health-care settings.
Citation Text:
Kazemi R, Mosleh A, Dierks M. A Hybrid Methodology for Modeling Risk of Adverse Events in Complex Health-Care Settings. Risk Anal. 2017;37(3):421-440. doi:10.1111/risa.12702.
…
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psnet.ahrq.gov/issue/communication-interdisciplinary-teams-exploring-closed-loop-communication-during-situ-trauma
July 19, 2023 - Study
Communication in interdisciplinary teams: exploring closed-loop communication during in situ trauma team training.
Citation Text:
Härgestam M, Lindkvist M, Brulin C, et al. Communication in interdisciplinary teams: exploring closed-loop communication during in situ trauma team tra…
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psnet.ahrq.gov/issue/delays-diagnosis-treatment-and-surgery-root-causes-actions-taken-and-recommendations
March 25, 2020 - Study
Delays in diagnosis, treatment, and surgery: root causes, actions taken, and recommendations for healthcare improvement.
Citation Text:
Politi RE, Mills PD, Zubkoff L, et al. Delays in diagnosis, treatment, and surgery: root causes, actions taken, and recommendations for healthcare…
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psnet.ahrq.gov/issue/cost-effectiveness-quality-improvement-programme-reduce-central-line-associated-bloodstream
January 02, 2017 - Study
Cost-effectiveness of a quality improvement programme to reduce central line–associated bloodstream infections in intensive care units in the USA.
Citation Text:
Herzer KR, Niessen L, Constenla DO, et al. Cost-effectiveness of a quality improvement programme to reduce central line-…
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psnet.ahrq.gov/issue/sustaining-improvement-hospital-wide-initiative-patient-safety-and-quality-systematic-scoping
September 01, 2021 - Review
Sustaining improvement of hospital-wide initiative for patient safety and quality: a systematic scoping review.
Citation Text:
Moon SEJ, Hogden A, Eljiz K. Sustaining improvement of hospital-wide initiative for patient safety and quality: a systematic scoping review. BMJ Open Qual…
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psnet.ahrq.gov/issue/health-care-associated-infections-among-hospitalized-patients-covid-19-march-2020-march-2022
May 12, 2021 - Study
Health care-associated infections among hospitalized patients with COVID-19, March 2020-March 2022.
Citation Text:
Sands KE, Blanchard EJ, Fraker S, et al. Health care-associated infections among hospitalized patients with COVID-19, March 2020-March 2022. JAMA Netw Open. 2023;6(4):…
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psnet.ahrq.gov/issue/pca-safety-data-review-after-clinical-decision-support-and-smart-pump-technology
October 08, 2016 - Study
PCA safety data review after clinical decision support and smart pump technology implementation.
Citation Text:
Prewitt J, Schneider S, Horvath M, et al. PCA safety data review after clinical decision support and smart pump technology implementation. J Patient Saf. 2013;9(2):103-9…
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psnet.ahrq.gov/issue/investigating-impact-intensive-care-unit-interruptions-patient-safety-events-and-electronic
October 18, 2023 - Study
Investigating the impact of intensive care unit interruptions on patient safety events and electronic health records use: an observational study.
Citation Text:
Khairat S, Whitt S, Craven CK, et al. Investigating the Impact of Intensive Care Unit Interruptions on Patient Safety Eve…
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psnet.ahrq.gov/issue/antimicrobial-residual-drug-error-intensive-care-unit-single-blinded-prospective
November 21, 2021 - Study
Antimicrobial residual drug error in the intensive care unit; a single blinded prospective observational study.
Citation Text:
Jarrett P, Keogh S, Roberts JA, et al. Antimicrobial residual drug error in the intensive care unit; a single blinded prospective observational study. Inte…
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psnet.ahrq.gov/issue/sources-nurse-sensitive-inpatient-safety-improvement
July 07, 2021 - Study
Sources of nurse-sensitive inpatient safety improvement.
Citation Text:
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.
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DOI Google Scholar BibTeX EndN…
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effectivehealthcare.ahrq.gov/products/ace-inhibitor-arb-update/research-protocol
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digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/IFQHC_workflow_assessment.pdf
January 01, 2007 - Long visits (physicals)
Short visits (follow-ups)
Nurse only visits (blood pressure, glucose level
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digital.ahrq.gov/ahrq-funded-projects/monitoring-intensification-treatment-hyperglycemia-and-hyperlipidemia/annual-summary/2010
January 01, 2010 - Poor control of elevated blood pressure and glycosylated HbA1c have been linked to low frequency of treatment
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www.ahrq.gov/teamstepps-program/curriculum/mutual/tools/task.html
May 01, 2023 - The monitor shows supraventricular tachycardia at a rate of 150 and blood pressure of 76/48.