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psnet.ahrq.gov/node/49648/psn-pdf
March 01, 2012 - missed work, missed time with family, further
deconditioning, and exposure to hospital-associated complications
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psnet.ahrq.gov/node/49486/psn-pdf
August 21, 2005 - anticoagulation management in United States hospitals:
death rates, length of stay, Medicare charges, bleeding complications
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psnet.ahrq.gov/node/49506/psn-pdf
March 01, 2006 - The patient did not have
bleeding complications from the thrombolytic therapy.
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psnet.ahrq.gov/node/49388/psn-pdf
February 01, 2003 - Manual Of Complications During Anesthesia. Lippincott, Philadelphia; 1991.
2. Cooper JB.
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psnet.ahrq.gov/web-mm/emergent-triage-miss
March 06, 2015 - October 28, 2020
WebM&M Cases
Preventing Complications
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psnet.ahrq.gov/node/33696/psn-pdf
June 01, 2010 - Add to that the problem that most emergency departments operate around the clock,
adding the complications
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psnet.ahrq.gov/node/865412/psn-pdf
March 27, 2024 - The neuropsychiatric complications of glucocorticoid
use: steroid psychosis revisited.
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psnet.ahrq.gov/web-mm/hazards-distraction-ticking-all-ehr-boxes
April 09, 2014 - She did well with no new complaints or complications and was discharged from the hospital the following
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psnet.ahrq.gov/web-mm/recurrent-hypoglycemia-care-transition-failure
December 23, 2020 - On this admission, he was resuscitated with IV dextrose and recovered quickly without neurologic complications
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psnet.ahrq.gov/innovation/abcdef-bundle-data-literacy-training-performance-measurement-tracking-and-performance
September 23, 2024 - error in medication administration—all of which can increase the chance that patients will experience complications
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psnet.ahrq.gov/web-mm/elopement
July 14, 2010 - December 21, 2014
Clinical deterioration and hospital‐acquired complications in adult
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psnet.ahrq.gov/web-mm/failure-latch
November 27, 2012 - Clinical Protocol #11: Guidelines for the Evaluation and Management of Neonatal Ankyloglossia and its Complications
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psnet.ahrq.gov/web-mm/impatient-inpatient-dosing
June 24, 2020 - anticoagulation management in United States hospitals: death rates, length of stay, Medicare charges, bleeding complications
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psnet.ahrq.gov/web-mm/failure-reevaluate
February 01, 2014 - Failure to Reevaluate
Citation Text:
Wong-Beringer A. Failure to Reevaluate. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010.
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psnet.ahrq.gov/node/33611/psn-pdf
July 01, 2005 - In Conversation with…Christopher P. Landrigan, MD
April 1, 2005
In Conversation with…Christopher P. Landrigan, MD. PSNet [internet]. 2005.
https://psnet.ahrq.gov/perspective/conversation-withchristopher-p-landrigan-md
Editor's Note: In October 2004, in what immediately became a landmark paper in patient safety, Dr.…
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psnet.ahrq.gov/node/49688/psn-pdf
August 21, 2013 - Discharge Instructions in the PACU: Who Remembers?
August 21, 2013
Engel KG. Discharge Instructions in the PACU: Who Remembers? PSNet [internet]. 2013.
https://psnet.ahrq.gov/web-mm/discharge-instructions-pacu-who-remembers
The Case
A 42-year-old woman was diagnosed with a torn anterior cruciate ligament (ACL) in …
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psnet.ahrq.gov/node/33682/psn-pdf
April 01, 2009 - In Conversation with...Mark Chassin, MD, MPP, MPH
April 1, 2009
In Conversation with..Mark Chassin, MD, MPP, MPH . PSNet [internet]. 2009.
https://psnet.ahrq.gov/perspective/conversation-withmark-chassin-md-mpp-mph
Editor's note: Mark R. Chassin, MD, MPP, MPH, is president of The Joint Commission, the preeminent
s…
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psnet.ahrq.gov/node/49797/psn-pdf
June 01, 2017 - Diagnostic Overshadowing Dangers
June 1, 2017
Raven MC. Diagnostic Overshadowing Dangers. PSNet [internet]. 2017.
https://psnet.ahrq.gov/web-mm/diagnostic-overshadowing-dangers
The Case
A 72-year-old woman with history of opioid abuse was sent to the emergency department (ED) from a
methadone clinic because she a…
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psnet.ahrq.gov/node/49784/psn-pdf
February 01, 2017 - Safeguarding Diagnostic Testing at the Point of Care
February 1, 2017
Kost GJ, Ehrmeyer SS. Safeguarding Diagnostic Testing at the Point of Care. PSNet [internet]. 2017.
https://psnet.ahrq.gov/web-mm/safeguarding-diagnostic-testing-point-care
The Case
A 23-year-old woman presented to the family medicine clinic for…
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psnet.ahrq.gov/perspective/rethinking-root-cause-analysis
August 21, 2016 - Annual Perspective
Rethinking Root Cause Analysis
Kiran Gupta, MD, MPH, and Audrey Lyndon, PhD | January 1, 2016
View more articles from the same authors.
Citation Text:
Gupta K, Lyndon A. Rethinking Root Cause Analysis. PSNet [internet]. Rockville (MD): Age…