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psnet.ahrq.gov/sites/default/files/2024-05/spotlight_case_stable_airway_slides_final.pptx
January 01, 2024 - Given the failure to wean from mechanical ventilation, the decision to place a tracheostomy tube was correct
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psnet.ahrq.gov/web-mm/diagnosing-missed-diagnosis
October 26, 2022 - The patient was successfully managed in the ICU with 5% dextrose infusion to gradually correct her hypernatremia
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psnet.ahrq.gov/node/860050/psn-pdf
January 04, 2024 - If rapid MRI is included in a hospital’s child abuse protocol, the correct
indications for ordering
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psnet.ahrq.gov/node/33637/psn-pdf
August 01, 2006 - RW: I only ask because I feel this myself when I say that both views are correct.
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psnet.ahrq.gov/web-mm/undetected-foreign-object
April 24, 2018 - nearly all the published reports of RSIs was that the instrument and sponge counts were reported as "correct
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psnet.ahrq.gov/web-mm/delayed-recognition-positive-blood-culture
January 29, 2020 - certain situations, but systems should be in place to identify critical untreated results and notify the correct
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psnet.ahrq.gov/web-mm/cvc-placement-speak-now-or-do-not-use-line
November 01, 2003 - Along with its crucial role in proper line placement, ultrasound can also help ensure correct intraluminal
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psnet.ahrq.gov/web-mm/safety-challenges-supervision-and-night-coverage-academic-residency
February 21, 2024 - to page the senior resident responsible for assisting her overnight, but she also did not have the correct
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psnet.ahrq.gov/node/49705/psn-pdf
January 01, 2020 - opportunities for telemedicine particularly in remote or underserved populations.(20)
In this case, a delay in correct
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psnet.ahrq.gov/node/838855/psn-pdf
October 27, 2022 - been shown to be
effective in multiple different clinical settings, for tasks such as identifying correct
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psnet.ahrq.gov/node/49552/psn-pdf
January 01, 2008 - crucial, as is the logical follow-up to this, pursuing additional training to better understand and correct
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.332_slideshow.ppt
September 01, 2014 - practices
Build alerts for unsafe prescribing
Provide conversion support to ensure the calculation of correct
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psnet.ahrq.gov/node/49550/psn-pdf
December 01, 2007 - Conduciveness to
change
The detection method should capture sufficient detail to understand the events and
correct
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psnet.ahrq.gov/web-mm/failure-rescue-mother
September 23, 2020 - hemorrhage, the primary goals are to provide adequate blood product replacement and to either prevent or correct
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psnet.ahrq.gov/primer/deprescribing-patient-safety-strategy
December 15, 2024 - Bowel Prep
July 1, 2004
WebM&M Cases
Correct
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psnet.ahrq.gov/curated-library/diagnostic-error
August 10, 2025 - including failure to order needed tests, erroneous interpretation of tests, and failure to consider the correct
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psnet.ahrq.gov/node/60952/psn-pdf
September 30, 2020 - When the Lytes Go Out: A Case of Inpatient Cardiac
Arrest
September 30, 2020
Stripe B, Zuidema D. When the Lytes Go Out: A Case of Inpatient Cardiac Arrest . PSNet [internet]. 2020.
https://psnet.ahrq.gov/web-mm/when-lytes-go-out-case-inpatient-cardiac-arrest
Disclosure of Relevant Financial Relationships: As a pr…
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psnet.ahrq.gov/issue/improving-reliability-root-cause-analysis
January 17, 2017 - Newspaper/Magazine Article
Improving reliability with root cause analysis.
Citation Text:
Improving reliability with root cause analysis. Latino RJ
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psnet.ahrq.gov/issue/ability-practitioners-identify-solid-oral-dosage-tablets
January 02, 2017 - Study
Ability of practitioners to identify solid oral dosage tablets.
Citation Text:
Ability of practitioners to identify solid oral dosage tablets. Schiff GD; Kim S; Seger AC; Bult J; Bates DW.
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psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-health-care-proactive-risk-reduction-third-edition
May 18, 2016 - Book/Report
Failure Mode and Effects Analysis in Health Care: Proactive Risk Reduction, Third Edition.
Citation Text:
Failure Mode and Effects Analysis in Health Care: Proactive Risk Reduction, Third Edition. Oakbrook Terrace, IL: Joint Commission Resources; 2010. ISBN: 9781599404066.
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