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psnet.ahrq.gov/web-mm/inadequate-anesthesia-preparation-leading-difficult-intubation-and-severe-hypoxemia
January 29, 2021 - Inadequate Anesthesia Preparation Leading to Difficult Intubation and Severe Hypoxemia
Citation Text:
Bohringer C. Inadequate Anesthesia Preparation Leading to Difficult Intubation and Severe Hypoxemia. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and…
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psnet.ahrq.gov/web-mm/when-vomit-gets-way-aspiration-resulting-death-during-endoscopy
March 18, 2020 - When Vomit Gets in the Way: Aspiration Resulting in Death During Endoscopy
Citation Text:
Do T, Scott FJ. When Vomit Gets in the Way: Aspiration Resulting in Death During Endoscopy. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024…
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psnet.ahrq.gov/web-mm/no-news-may-not-be-good-news
December 07, 2009 - The patient and mother had to return to the clinic each day for the next few days for ongoing management … hyperkalemia (serum potassium ≥ 6.0 mEq/L, which can be life threatening) in a primary care practice was 3 days … went unacknowledged by ordering clinicians, and 7% of abnormal labs lacked timely follow-up after 30 days
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psnet.ahrq.gov/web-mm/order-interrupted-text-multitasking-mishap
August 21, 2015 - team decided to prescribe warfarin 10 mg per day (an increase over his usual dose of 5 mg/day) for 3 days … order to discontinue the warfarin, and the patient continued to receive 10 mg each day for the next 3 days … the robust CPOE system, neither the intern nor resident reviewed the medication list for the next few days
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psnet.ahrq.gov/node/46168/psn-pdf
June 14, 2017 - The HOSPITAL score predicts potentially preventable 30-
day readmissions in conditions targeted by the Hospital
Readmissions Reduction Program.
June 14, 2017
Burke RE, Schnipper JL, Williams M, et al. The HOSPITAL Score Predicts Potentially Preventable 30-Day
Readmissions in Conditions Targeted by the Hospital Rea…
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psnet.ahrq.gov/node/45145/psn-pdf
January 08, 2018 - The Ask Me to Explain campaign: a 90-day intervention to
promote patient and family involvement in care in a
pediatric emergency department.
January 8, 2018
Tothy AS, Limper HM, Driscoll J, et al. The Ask Me to Explain Campaign: A 90-Day Intervention to Promote
Patient and Family Involvement in Care in a Pediatric…
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psnet.ahrq.gov/node/36614/psn-pdf
January 14, 2011 - Development and evaluation of a 1-day interclerkship
program for medical students on medical errors and
patient safety.
January 14, 2011
Moskowitz E, Veloski J, Fields SK, et al. Development and evaluation of a 1-day interclerkship program for
medical students on medical errors and patient safety. Am J Med Qual. 2…
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psnet.ahrq.gov/node/36397/psn-pdf
December 22, 2010 - The day Joy died.
December 22, 2010
Brandeland GP. The day Joy died. Medical economics. 2006;83(20):50, 52-3.
https://psnet.ahrq.gov/issue/day-joy-died
This author shares his experience as a young physician dealing with the aftermath of a medical error and
how the incident affected his practice, his personal relat…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.296_slideshow.ppt
April 01, 2013 - Clinical outcome in patients from a single region who were dependent on parenteral nutrition for 28 days
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psnet.ahrq.gov/node/40841/psn-pdf
October 16, 2012 - How dangerous is a day in hospital?: A model of adverse
events and length of stay for medical inpatients.
October 16, 2012
Hauck K, Zhao X. How dangerous is a day in hospital? A model of adverse events and length of stay for
medical inpatients. Med Care. 2011;49(12):1068-75. doi:10.1097/MLR.0b013e31822efb09.
https…
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psnet.ahrq.gov/node/46672/psn-pdf
January 30, 2018 - Elevated mortality among weekend hospital admissions is
not associated with adoption of seven day clinical
standards.
January 30, 2018
Meacock R, Sutton M. Elevated mortality among weekend hospital admissions is not associated with
adoption of seven day clinical standards. Emerg Med J. 2018;35(2):108-113. doi:10.1…
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psnet.ahrq.gov/perspective/conversation-cheryl-jones-about-addressing-workplace-violence-and-creating-safer
October 31, 2023 - In Conversation with... Cheryl Jones about Addressing Workplace Violence and Creating a Safer Workplace
Cheryl B. Jones, PhD, RN, FAAN | October 31, 2023
Also Read the Essay
View more articles from the same authors.
Citation Text:
Jones CB. In Conversation with…
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psnet.ahrq.gov/perspective/addressing-workplace-violence-and-creating-safer-workplace
October 31, 2023 - Addressing Workplace Violence and Creating a Safer Workplace
Cheryl B. Jones, PhD, RN, FAAN; Zoe Sousane, BS; Sarah E. Mossburg, RN, PhD
| October 31, 2023
Also Read the Conversation
View more articles from the same authors.
Citation Text:
Jones CB, Sousane Z…
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psnet.ahrq.gov/node/41627/psn-pdf
August 29, 2012 - The nurse's medication day.
August 29, 2012
Jennings BM, Sandelowski M, Mark BA. The nurse's medication day. Qual Health Res. 2011;21(10):1441-
51. doi:10.1177/1049732311411927.
https://psnet.ahrq.gov/issue/nurses-medication-day
This ethnographic study describes the complexity of medication administration and comp…
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psnet.ahrq.gov/node/42242/psn-pdf
September 06, 2018 - World Sepsis Day.
September 6, 2018
Global Sepsis Alliance.
https://psnet.ahrq.gov/issue/world-sepsis-day
This website provides resources to raise awareness of sepsis, including information about its increasing
incidence and causes for its delayed diagnosis. World Sepsis Day occurs yearly on September 13th.
https…
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psnet.ahrq.gov/node/40938/psn-pdf
November 16, 2011 - Decreasing 30-day readmission rates.
November 16, 2011
Lacker C. Decreasing 30-day readmission rates. Am J Nurs. 2011;111(11):65-69.
doi:10.1097/01.NAJ.0000407308.53587.02.
https://psnet.ahrq.gov/issue/decreasing-30-day-readmission-rates
Analyzing data from the Pennsylvania Patient Safety Authority Reporting Syste…
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psnet.ahrq.gov/perspective/patient-engagement-and-patient-safety
February 01, 2013 - RW : There's kind of a thread within the patient safety field these days about patients and families
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psnet.ahrq.gov/perspective/identifying-adverse-events-not-present-admission-can-we-do-it
October 01, 2008 - NS: I walk around the hospital these days and it seems that people are increasingly saying, "We need
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psnet.ahrq.gov/perspective/accreditation-and-regulation-can-they-help-improve-patient-safety
April 01, 2009 - He used to joke that the reason he never had malpractice insurance in the early days of his career was
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psnet.ahrq.gov/node/846564/psn-pdf
March 29, 2023 - Technology as a Tool for Improving Patient Safety
March 29, 2023
Holmgren AJ, McBride S, Gale B, et al. Technology as a Tool for Improving Patient Safety . PSNet
[internet]. 2023.
https://psnet.ahrq.gov/perspective/technology-tool-improving-patient-safety
Introduction
In the past several decades, technological a…