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psnet.ahrq.gov/node/49456/psn-pdf
July 12, 2004 - cross-coverage, in the care of hospitalized patients can lead to increased lengths of stay, in-
hospital complications
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psnet.ahrq.gov/node/49772/psn-pdf
October 01, 2016 - increasingly aware of the danger posed by hospital-acquired sepsis, given the significant risk
of long-term complications
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psnet.ahrq.gov/node/49599/psn-pdf
February 23, 2010 - patients who are perceived by the physician to present challenging diseases and are more likely to suffer
complications
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psnet.ahrq.gov/node/49556/psn-pdf
March 01, 2008 - Take-Home Points
Temporary hold orders can lead to multiple errors and complications in the medication
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psnet.ahrq.gov/node/60977/psn-pdf
January 08, 2020 - Although no major complications occurred in this case, it is an example of
how mistakes are made, despite
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psnet.ahrq.gov/perspective/role-fda-ensuring-device-safety
May 28, 2020 - May 28, 2020
View More
See More About The Topic
Device-Related Complications
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psnet.ahrq.gov/web-mm/inadvertent-bolus-norepinephrine
December 04, 2016 - vasopressors and inotropic agents have the potential, at high doses and with prolonged use, to cause serious complications … Postoperative complications among patients undergoing cardiac surgery.
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psnet.ahrq.gov/perspective/how-does-health-care-simulation-affect-patient-care
August 01, 2018 - clinical outcomes after the introduction of simulation-based education; these outcomes included patient complications … Use of unsolicited patient observations to identify surgeons with increased risk for postoperative complications
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psnet.ahrq.gov/node/74120/psn-pdf
November 30, 2021 - When
a patient is not on hospice, safety concerns focus on keeping the patient alive and free from complications … While preventing complications remains part of patient safety, preventing
death is no longer a safety
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psnet.ahrq.gov/sites/default/files/2021-11/spotlight_integration_and_coordination_of_disesase_treatment_and_palliative_care_final.pdf
January 01, 2021 - When a patient is not on hospice, safety concerns focus on keeping
the patient alive and free from complications … – While preventing complications remains an important patient safety goal,
preventing death is no
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psnet.ahrq.gov/sites/default/files/2021-05/final_psnet_spotlight_inadvertent_bolus_of_norepinephrine_pp.pdf
January 01, 2021 - vasopressors and
inotropic agents have the potential (at high doses and with
prolonged use) to cause serious complications … Postoperative complications among patients undergoing cardiac surgery.
-
psnet.ahrq.gov/web-mm/culture-clash-no-more-integration-and-coordination-disease-treatment-and-palliative-care
December 23, 2020 - When a patient is not on hospice, safety concerns focus on keeping the patient alive and free from complications … While preventing complications remains part of patient safety, preventing death is no longer a safety
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psnet.ahrq.gov/perspective/conversation-withwilliam-b-weeks-md-mba
May 01, 2009 - Justin Dimick and I wrote a paper that looked at complications in surgery, and we found that when there … were complications at the hospital, the profit margin for the hospital was reduced but not eliminated
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psnet.ahrq.gov/perspective/conversation-urmimala-sarkar-md-mph
August 22, 2014 - value-based care has the potential to very much improve outpatient safety because we're going to see fewer complications … underutilized in outpatient procedures and understudied in terms of impact on infection rates and other complications
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psnet.ahrq.gov/perspective/beyond-hospital-new-frontier-patient-safety
August 01, 2014 - underutilized in outpatient procedures and understudied in terms of impact on infection rates and other complications … value-based care has the potential to very much improve outpatient safety because we're going to see fewer complications
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psnet.ahrq.gov/web-mm/ultrasound-looked-fine-point-care-ultrasound-and-patient-safety
December 01, 2012 - SPOTLIGHT CASE
"The Ultrasound Looked Fine": Point-of-Care Ultrasound and Patient Safety
Citation Text:
Lewiss RE. "The Ultrasound Looked Fine": Point-of-Care Ultrasound and Patient Safety. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and H…
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psnet.ahrq.gov/web-mm/mismanagement-acute-decompensated-heart-failure-hypertensive-emergency
May 01, 2018 - SPOTLIGHT CASE
Mismanagement of Acute Decompensated Heart Failure with Hypertensive Emergency
Citation Text:
Lee J, Fernilius J, Frick W. Mismanagement of Acute Decompensated Heart Failure with Hypertensive Emergency. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, U…
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psnet.ahrq.gov/node/837215/psn-pdf
July 08, 2022 - Missing a Large Vessel Occlusion Stroke in a Patient with
a History of Seizures.
July 8, 2022
Keenan KJ, Nishijima DK. Missing a Large Vessel Occlusion Stroke in a Patient with a History of Seizures.
PSNet [internet]. 2022.
https://psnet.ahrq.gov/web-mm/missing-large-vessel-occlusion-stroke-patient-history-seizure…
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psnet.ahrq.gov/sites/default/files/2022-05/final_cme_reviewed_-_spotlight_missing_a_large_vessel_occlusion_stroke_04.14.2022_-_copy.pdf
January 01, 2022 - Spotlight
Spotlight
Missing a Large Vessel Occlusion Stroke in
a Patient with a History of Seizures
Source and Credits
• This presentation is based on the May 2022 AHRQ WebM&M
Spotlight Case
o See the full article at https://psnet.ahrq.gov/webmm
o CME credit is available
o Commentary by: Kevin Keenan, MD and D…
-
psnet.ahrq.gov/node/49717/psn-pdf
September 01, 2014 - A Lot of Pain (Medications)
September 1, 2014
Herzig SJ. A Lot of Pain (Medications). PSNet [internet]. 2014.
https://psnet.ahrq.gov/web-mm/lot-pain-medications
Case Objectives
Appreciate the challenges of managing acute pain in hospitalized patients on chronic opioids.
Describe the importance of understanding th…