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psnet.ahrq.gov/node/865655/psn-pdf
April 24, 2024 - compartment syndrome].”2
Although the ultimate decision rests with the patient, most experts agree that the consequences
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psnet.ahrq.gov/node/853902/psn-pdf
September 27, 2023 - psnet.ahrq.gov//#1
https://psnet.ahrq.gov/issue/cognitive-errors-diagnosis-instantiation-classification-and-consequences
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psnet.ahrq.gov/node/852807/psn-pdf
August 30, 2023 - Fatigue on the flight deck: the consequences of sleep loss and the benefits of napping.
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psnet.ahrq.gov/periodic-issue/periodic-issue-317
November 30, 2021 - November 10, 2021 Weekly Issue
PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly
Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient
safety literature, news, conferences, repor…
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psnet.ahrq.gov/web-mm/all-history
February 28, 2011 - SPOTLIGHT CASE
All in the History
Citation Text:
Fee C. All in the History. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnot…
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psnet.ahrq.gov/web-mm/sudden-collapse-during-upper-gastrointestinal-endoscopy-expect-unexpected
September 25, 2024 - Sudden Collapse During Upper Gastrointestinal Endoscopy: Expect the Unexpected
Citation Text:
Wieck M. Sudden Collapse During Upper Gastrointestinal Endoscopy: Expect the Unexpected. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 202…
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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/node/863649/psn-pdf
February 28, 2024 - In Conversation With...Stephen Hines, PhD and Monika
Haugstetter, MHA, MSN, RN, CPHQ about TeamSTEPPS
3.0
February 28, 2024
In Conversation With..Stephen Hines, PhD and Monika Haugstetter, MHA, MSN, RN, CPHQ about
TeamSTEPPS 3.0. PSNet [internet]. 2024.
https://psnet.ahrq.gov/perspective/conversation-withstephen-…
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psnet.ahrq.gov/node/33692/psn-pdf
February 01, 2010 - In Conversation with…Thomas J. Nasca, MD
February 1, 2010
In Conversation with…Thomas J. Nasca, MD. PSNet [internet]. 2010.
https://psnet.ahrq.gov/perspective/conversation-withthomas-j-nasca-md
Editor's note: Thomas J. Nasca, MD, is the executive director and chief executive officer of the
Accreditation Council fo…
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psnet.ahrq.gov/node/33833/psn-pdf
May 01, 2017 - In Conversation With… David Juurlink, MD, PhD
May 1, 2017
In Conversation With… David Juurlink, MD, PhD. PSNet [internet]. 2017.
https://psnet.ahrq.gov/perspective/conversation-david-juurlink-md-phd
Editor's note: Dr. Juurlink is professor of medicine, pediatrics, and health policy at the University of
Toronto, w…
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psnet.ahrq.gov/node/33760/psn-pdf
February 01, 2014 - In Conversation With… Enrico Coiera, MB, BS, PhD
February 1, 2014
In Conversation With… Enrico Coiera, MB, BS, PhD. PSNet [internet]. 2014.
https://psnet.ahrq.gov/perspective/conversation-enrico-coiera-mb-bs-phd
Editor's note: Enrico Coiera, MB, BS, PhD, is a professor and director of the Centre for Health Informa…
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psnet.ahrq.gov/node/49611/psn-pdf
October 01, 2010 - The Deadly Duo
October 1, 2010
Maldonado JR. The Deadly Duo. PSNet [internet]. 2010.
https://psnet.ahrq.gov/web-mm/deadly-duo
The Case
A 29-year-old man with a history of depression and possible psychosis was found unconscious and
unresponsive at home and was brought to the emergency department. He was tachycardi…
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psnet.ahrq.gov/node/49534/psn-pdf
May 01, 2007 - Antiseizure Medication Disorder
May 1, 2007
Alldredge BK. Antiseizure Medication Disorder. PSNet [internet]. 2007.
https://psnet.ahrq.gov/web-mm/antiseizure-medication-disorder
Case Objectives
Appreciate the challenges of safe use of antiepileptic medications.
Identify phenytoin toxicity.
Understand the pharmaco…
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psnet.ahrq.gov/perspective/conversation-john-halamka-md-ms
March 27, 2024 - We spoke with him about the HITECH Act and the consequences—anticipated and otherwise—of the digitization
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psnet.ahrq.gov/perspective/interruptions-and-distractions-health-care-improved-safety-mindfulness
February 01, 2014 - they actually do reduce the frequency and severity of medication errors without negative unanticipated consequences
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psnet.ahrq.gov/perspective/evolution-patient-safety-surgery
August 01, 2017 - ongoing assessment of procedural skills, along with easy access to peer coaching.( 12 ) There should be consequences
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psnet.ahrq.gov/primer/retained-surgical-items-causation-and-prevention
January 04, 2024 - When an RSI is suspected, the clinical team must carefully consider the potential consequences of not
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psnet.ahrq.gov/perspective/conversation-withatul-gawande-md-ma-mph
September 01, 2007 - personality, the person who was willing to make a choice in certain situations and just live with the consequences
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psnet.ahrq.gov/perspective/conversation-withdonald-norman-phd
November 01, 2006 - chronicle all the errors that computers can create—all the unforeseen, but probably not unforeseeable, consequences
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psnet.ahrq.gov/perspective/conversation-withjanet-corrigan-phd-mba
April 01, 2010 - dealing with an ever-increasing set of existing measures that you need to re-review for unintended consequences