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psnet.ahrq.gov/web-mm/endometriosis-common-and-commonly-missed-and-delayed-diagnosis
May 26, 2021 - adhesions can be difficult to identify via this diagnostic method. 10 It is important for clinicians to consider … peripheral nervous, and respiratory systems, patients are often referred to specialists who need to consider … Imaging studies to diagnose endometriosis frequently result in false negative findings and providers must consider
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psnet.ahrq.gov/node/42499/psn-pdf
August 14, 2013 - A considerative checklist to ensure safe daily patient
review.
August 14, 2013
Mohan N, Caldwell G. A Considerative Checklist to ensure safe daily patient review. Clin Teach.
2013;10(4):209-13. doi:10.1111/tct.12023.
https://psnet.ahrq.gov/issue/considerative-checklist-ensure-safe-daily-patient-review
This commen…
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psnet.ahrq.gov/node/848108/psn-pdf
April 26, 2023 - The Dose Makes the Poison: Medication Error During
Procedural Sedation in the Pediatric Emergency
Department.
April 26, 2023
Amashta ML, Barnes DK. The Dose Makes the Poison: Medication Error During Procedural Sedation in the
Pediatric Emergency Department. PSNet [internet]. 2023.
https://psnet.ahrq.gov/web-mm/do…
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psnet.ahrq.gov/perspective/special-edition-perspective-technology-responses-covid-19
August 31, 2020 - Special Edition Perspective: Technology Responses to COVID-19
July 21, 2020
View more articles from the same authors.
Citation Text:
Marcin JP, Cohen NM, Lowery C, et al. Special Edition Perspective: Technology Responses to COVID-19. PSNet [internet]. Rockville (M…
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psnet.ahrq.gov/web-mm/fatal-oversight-misdiagnosis-nocturnal-chest-pain-elevated-d-dimer
May 01, 2005 - Fatal Oversight: Misdiagnosis of Nocturnal Chest Pain with Elevated D-dimer.
Citation Text:
Agusala V, Deen J, Schaefer S. Fatal Oversight: Misdiagnosis of Nocturnal Chest Pain with Elevated D-dimer.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and H…
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psnet.ahrq.gov/node/33703/psn-pdf
November 01, 2010 - Are We Getting Better at Measuring Patient Safety?
November 1, 2010
Rosen AK. Are We Getting Better at Measuring Patient Safety? PSNet [internet]. 2010.
https://psnet.ahrq.gov/perspective/are-we-getting-better-measuring-patient-safety
Perspective
The past decade has witnessed unprecedented interest in patient safe…
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psnet.ahrq.gov/web-mm/unfamiliar-catheter
November 01, 2006 - The Unfamiliar Catheter
Citation Text:
Swayze SC, James A. The Unfamiliar Catheter. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote t…
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psnet.ahrq.gov/sites/default/files/2020-07/spotlight_nstemi.pdf
January 01, 2020 - Spotlight
The NSTEMI Curbside
Consultation
Source and Credits
• This presentation is based on the July 2020 AHRQ WebM&M
Spotlight Case
o See the full article at https://psnet.ahrq.gov/webmm
o CME credit is available
o Commentary by: Amparo C. Villablanca, MD and Gordon Wong, MD
MBA
o AHRQ WebM&M Editors …
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psnet.ahrq.gov/node/846563/psn-pdf
March 21, 2023 - Impact of System Failures on Healthcare Workers
March 21, 2023
Zangaro G, Van CM, Mossburg S. Impact of System Failures on Healthcare Workers . PSNet [internet].
2023.
https://psnet.ahrq.gov/perspective/impact-system-failures-healthcare-workers
Introduction
The March 2022 conviction of RaDonda Vaught, a former nu…
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psnet.ahrq.gov/sites/default/files/2021-04/final_psnet_spotlight_retained_vaginal_packing_04.08.2021.pdf
January 01, 2021 - Spotlight
Spotlight
Two Cases of Retained Vaginal Packing:
When Writing an Order is Not Enough
Source and Credits
• This presentation is based on the April 2021 AHRQ WebM&M
Spotlight Case
o See the full article at https://psnet.ahrq.gov/webmm
o CME credit is available
o Commentary by: Verna Gibbs, MD
o AHRQ W…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.92_slideshow.ppt
April 01, 2005 - Points
Estimate kidney function and risk factors prior to contrast administration
In at-risk patients, consider … exposure
The dose of contrast should be minimized, and iso-osmolar contrast material is preferable
Consider
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.326_slideshow.ppt
June 01, 2014 - He was treated for his fracture, and the institution began to consider a policy regarding patients leaving … HCFs should consider discharging patients who do not comply
20
20
Response Procedures
Even if preventive
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psnet.ahrq.gov/node/33659/psn-pdf
October 01, 2007 - Consider this scenario. … Now consider another scenario. In hospital "B," a patient checks in.
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psnet.ahrq.gov/node/49748/psn-pdf
December 01, 2015 - importance
of alcohol use in patients being considered for transplantation, providers should also consider … First, let's consider the hemodynamic consequences of
paracentesis.
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psnet.ahrq.gov/web-mm/failed-interpretation-screening-tool-delayed-treatment
August 20, 2018 - Given the imperfection of screening tools, clinicians should consider the results of these tools in light … pulmonary edema on the chest radiograph report prompted clinical focus on new-onset heart failure and not consider … In this case, the clinicians did consider infection in their differential diagnosis.
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psnet.ahrq.gov/web-mm/clostridium-difficile-relapse-secondary-medication-access-issue
October 01, 2015 - If vancomycin is unaffordable or intolerable, consider alternative agents such as metronidazole or fidaxomicin … If vancomycin is unaffordable or intolerable, consider alternative agents such as metronidazole or fidaxomicin … Consider post-discharge telephone follow-up to identify and resolve potential medication issues early
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psnet.ahrq.gov/issue/educating-seniors-be-patient-safety-self-advocates-primary-care
December 15, 2011 - December 15, 2011
What do family physicians consider an error?
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psnet.ahrq.gov/node/46862/psn-pdf
February 21, 2018 - Considering human factors and developing systems-
thinking behaviours to ensure patient safety.
February 21, 2018
Vosper H; Lim R; Knight C; et al; CIEHF Pharmaceutical Human Factors Special Interest Group. Clinical
Pharmacist. 2018;10(2).
https://psnet.ahrq.gov/issue/considering-human-factors-and-developing-syste…
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psnet.ahrq.gov/node/45813/psn-pdf
January 18, 2017 - Considering chance in quality and safety performance
measures: an analysis of performance reports by boards
in English NHS trusts.
January 18, 2017
Anhøj J, Hellesøe A-MB. The problem with red, amber, green: the need to avoid distraction by random
variation in organisational performance measures. BMJ Qual Saf. 201…
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psnet.ahrq.gov/node/49576/psn-pdf
January 01, 2009 - To Transfer or Not to Transfer
January 1, 2009
Pines JM. To Transfer or Not to Transfer. PSNet [internet]. 2009.
https://psnet.ahrq.gov/web-mm/transfer-or-not-transfer
Case Objectives
Explore the benefits of the continuity of hospital care.
Understand the rules and regulations behind triage and hospital choice de…