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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.299_slideshow.ppt
May 01, 2013 - attending oncologist discussed this with the patient and he was discharged later that day with no adverse consequences
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psnet.ahrq.gov/node/73303/psn-pdf
May 26, 2021 - has
been traditionally focused on errors and mistakes as the fault of the individual with punitive consequences
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psnet.ahrq.gov/node/50699/psn-pdf
November 26, 2019 - patients at
serious risk.4
Risk assessment of treatment
Frail older patients are at risk of unintended consequences
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psnet.ahrq.gov/node/33607/psn-pdf
September 27, 2022 - Stigma Compounds the Consequences of Clinician Burnout During
COVID-19: a Call to Action to Break the
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psnet.ahrq.gov/node/866826/psn-pdf
September 25, 2024 - Background
Inadvertent administration of a hypoxic gas mixture to a patient frequently has lethal consequences … Many hospital staff members are not aware of the severe consequences if they inadvertently
connect the
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psnet.ahrq.gov/web-mm/ca-mrsa-skin-infections-ounce-prevention-worth-pound-cure
March 01, 2005 - and during competition.( 19 ) CA-MRSA remains a dominant cause of SSTI and can lead to devastating consequences … Community-associated methicillin-resistant Staphylococcus aureus: epidemiology and clinical consequences
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psnet.ahrq.gov/node/861760/psn-pdf
January 31, 2024 - brachial plexus block for a 21-year-old patient
with a fractured radius, ultimately resulting in profound consequences … pharmacokinetics and the necessity for precision,
anesthesia care is particularly vulnerable to the consequences
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psnet.ahrq.gov/web-mm/delayed-diagnosis-mesenteric-ischemia
March 31, 2021 - opinions, and failing to re-assess one's impression in the face of worsening symptoms can have devastating consequences … However, as in our presented case, inaccurate or delayed diagnoses can have catastrophic consequences
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psnet.ahrq.gov/node/49750/psn-pdf
January 01, 2016 - As with any new process, implementation of such electronic tools should be monitored for unintended
consequences … be integrated within the context of the clinician's workflow and closely monitored for
unintended consequences
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psnet.ahrq.gov/web-mm/delay-treatment-failure-contact-patient-leads-significant-complications
February 01, 2004 - lapses in the system are heart wrenching because the errors are so clear and easy to understand, and the consequences … Testing process errors and their harms and consequences reported from family medicine practices: a study
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psnet.ahrq.gov/periodic-issue/periodic-issue-275
January 29, 2021 - This article reviews the scope of the problem, factors leading to disruptive physicians, consequences
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psnet.ahrq.gov/node/49733/psn-pdf
May 01, 2015 - https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
serious, even catastrophic consequences
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psnet.ahrq.gov/node/72689/psn-pdf
January 29, 2021 - The true
consequences of false-positive results. JAMA. 1991;265(3):365-369.
9.
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psnet.ahrq.gov/web-mm/false-assumptions-result-missed-pneumothorax-after-bronchoscopy-transbronchial-biopsy
March 15, 2023 - provided to induce various levels of sedation (from light to general anesthesia) can have hemodynamic consequences
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psnet.ahrq.gov/node/33690/psn-pdf
December 01, 2009 - identified
deficiencies are, what interventions will occur, how success will be measured, and what the consequences
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psnet.ahrq.gov/web-mm/transitions-adolescent-medicine
August 04, 2021 - and wellness, young adults with chronic medical conditions can experience serious, even catastrophic consequences
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psnet.ahrq.gov/web-mm/treatment-challenges-after-discharge
January 03, 2017 - SPOTLIGHT CASE
Treatment Challenges After Discharge
Citation Text:
Coffey C. Treatment Challenges After Discharge. 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/33704/psn-pdf
December 01, 2010 - In Conversation with...Geri Amori, PhD
December 1, 2010
In Conversation with..Geri Amori, PhD. PSNet [internet]. 2010.
https://psnet.ahrq.gov/perspective/conversation-withgeri-amori-phd
Editor's note: Geri Amori, PhD, is Vice President for the Education Center at The Risk Management and
Patient Safety Institute, a…
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psnet.ahrq.gov/node/60172/psn-pdf
March 01, 2021 - Verification Screen That Includes Prominent Patient
Photograph Significantly Reduces Errors Caused by
Orders Placed in Wrong Chart
Originally published on June 12, 2020
Last updated on January 11, 2021
https://psnet.ahrq.gov/innovation/verification-screen-includes-prominent-patient-photograph-significantly-
reduc…
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psnet.ahrq.gov/perspective/conversation-jeffrey-starke-md
September 11, 2023 - RW : What have we come to learn from other industries as they have thought about the consequences of … RW : Given that it has those economic consequences and business is often ahead of health care in thinking