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psnet.ahrq.gov/web-mm/one-ace-too-many
June 21, 2016 - One ACE Too Many
Citation Text:
Juurlink DN. One ACE Too Many. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006.
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psnet.ahrq.gov/node/49502/psn-pdf
February 01, 2006 - Deciphering the Code
February 1, 2006
Goldstein MK. Deciphering the Code. PSNet [internet]. 2006.
https://psnet.ahrq.gov/web-mm/deciphering-code
The Case
An 85-year-old man with advanced oxygen-dependent chronic obstructive pulmonary disease (COPD)
presented to the emergency department (ED) with increasing shortn…
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psnet.ahrq.gov/sites/default/files/2020-06/final_june-spotlight_case_slides_06.12.2020.pdf
January 01, 2020 - Microsoft PowerPoint - FINAL June-Spotlight Case Slides_06.12.2020.pptx
Spotlight
When the Indications for Drug
Administration Blur
Source and Credits
• This presentation is based on the June 2020 AHRQ
WebM&M Spotlight Case
o See the full article at https://psnet.ahrq.gov/webmm
• Commentary by: Julia Munsch,…
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psnet.ahrq.gov/node/33763/psn-pdf
March 01, 2014 - How Does Infection Prevention Fit Into a Safety Program?
March 1, 2014
Huang SS. How Does Infection Prevention Fit Into a Safety Program? PSNet [internet]. 2014.
https://psnet.ahrq.gov/perspective/how-does-infection-prevention-fit-safety-program
Perspective
In 1999, the Institute of Medicine (IOM) released the To …
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psnet.ahrq.gov/node/49465/psn-pdf
December 22, 2021 - Electronic Err
October 1, 2004
Tang PC. Electronic Err. PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/electronic-err
The Case
A 75-year-old woman with coronary artery disease presented to the emergency department (ED) with chest
pain that that had not responded to three sublingual nitroglycerin tablets at…
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psnet.ahrq.gov/perspective/getting-patient-safety-personal-story
August 01, 2006 - librarian and said, "I'm interested in how you prevent medical errors, and I've found papers about complications
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psnet.ahrq.gov/web-mm/nstemi-curbside-consultation
August 04, 2021 - risk of subsequent MI, heart failure, and death. 13 Furthermore, women also have increased risk of complications
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psnet.ahrq.gov/perspective/conversation-withgeri-amori-phd
December 01, 2010 - changes (suspected cerebrovascular accident/seizure/new onset paralysis)
Development of major wound complications
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psnet.ahrq.gov/perspective/patient-safety-home-dialysis
April 28, 2021 - We have to have this level of surveillance and interventions when complications are occurring.
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psnet.ahrq.gov/web-mm/complaints-safety-surveillance
May 05, 2021 - Relationship between patient complaints and surgical complications.
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psnet.ahrq.gov/web-mm/spinal-epidural-abscess
November 13, 2019 - Postoperatively, she had multiple complications including a pulmonary embolism.
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psnet.ahrq.gov/node/33637/psn-pdf
August 01, 2006 - librarian and said, "I'm interested in how you
prevent medical errors, and I've found papers about complications
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psnet.ahrq.gov/web-mm/transfusion-thresholds-gastrointestinal-bleeding
November 26, 2014 - Topic
Hospitals
Health Care Providers
Gastroenterology
Diagnostic Errors
Transfusion Complications
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psnet.ahrq.gov/web-mm/ounce-prevention
February 17, 2011 - IVC filters may be useful for patients with transiently increased risk of both clotting and bleeding complications
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psnet.ahrq.gov/web-mm/perils-contrast-media
March 01, 2007 - associated with multiple adverse events including progressive loss of kidney function, major cardiac complications
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psnet.ahrq.gov/web-mm/july-syndrome
July 01, 2011 - cancer ( 10 ) surgery—showed no effect while another study showed an increase in hospital-acquired complications
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psnet.ahrq.gov/node/49633/psn-pdf
September 01, 2011 - status had declined, she was now at far greater risk for pressure ulcer
development and other serious complications
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psnet.ahrq.gov/web-mm/clostridium-difficile-relapse-secondary-medication-access-issue
October 01, 2015 - level Comorbidity (severe underlying disease and/or immunodeficiency) Severe Disease with Complications
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psnet.ahrq.gov/web-mm/missed-patient-assignment-anyone-there
September 01, 2017 - October 28, 2020
WebM&M Cases
Preventing Complications
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psnet.ahrq.gov/web-mm/low-totem-pole
October 01, 2003 - October 28, 2020
WebM&M Cases
Preventing Complications