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psnet.ahrq.gov/node/49858/psn-pdf
April 01, 2019 - What Happened on Telemetry?
April 1, 2019
Sandau KE, Funk M. What Happened on Telemetry? PSNet [internet]. 2019.
https://psnet.ahrq.gov/web-mm/what-happened-telemetry
Case Objectives
Describe current hospital practices for continuous telemetry monitoring.
Appreciate key recommendations from the Update to Practice…
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psnet.ahrq.gov/node/33792/psn-pdf
September 01, 2015 - The
fourth leading cause of death in this country is medication errors.
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psnet.ahrq.gov/node/49861/psn-pdf
May 01, 2019 - Updates in the Management of High-Risk Pulmonary
Embolism
May 1, 2019
Kabrhel C, Aaronson E. Updates in the Management of High-Risk Pulmonary Embolism. PSNet [internet].
2019.
https://psnet.ahrq.gov/web-mm/updates-management-high-risk-pulmonary-embolism
Case Objectives
Review common risk factors, typical present…
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psnet.ahrq.gov/curated-library/nurse-wellbeing-and-patient-safety
August 30, 2023 - Breadcrumb
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Created By: Lorri Zipperer, Cybrarian, AHRQ…
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psnet.ahrq.gov/innovation/university-michigan-emergency-critical-care-center-ec3-provides-timely-intensive-care
October 30, 2024 - mortality for ED patients in the post-EC3 cohort; number needed to treat [NNT]=220 patients to reduce 1 death
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psnet.ahrq.gov/node/843051/psn-pdf
February 01, 2023 - made prompt and proactive management challenging, ultimately resulting in airway collapse
and patient death
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.45_slideshow.ppt
January 01, 2004 - The patient’s death may be result of errors in each of the cardinal dimensions of clinical decision-making
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psnet.ahrq.gov/node/49714/psn-pdf
August 21, 2014 - than
24 hours have mortality rates of 23%–75% (23-28), representing an increase of relative risk for death
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psnet.ahrq.gov/web-mm/diagnostic-delay-emergency-department
September 18, 2024 - Errors in Sepsis Management
May 1, 2015
Inquiry into reporter's death
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psnet.ahrq.gov/perspective/conversation-withpatrick-tighe-about-artificial-intelligence
March 27, 2024 - WebM&M Cases
Medication Mix-Up Leads to Patient Death
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psnet.ahrq.gov/perspective/emergence-trigger-tool-premier-measurement-strategy-patient-safety
May 01, 2012 - About 2% of them were associated with death, about 3.5% of them were associated with the requirement
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psnet.ahrq.gov/perspective/conversation-withdavid-c-classen-md-ms
May 01, 2012 - About 2% of them were associated with death, about 3.5% of them were associated with the requirement
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psnet.ahrq.gov/node/848108/psn-pdf
April 26, 2023 - obstruction, apnea, nonminimal hypoxia) and severe
(e.g., aspiration, cardiac arrest, unplanned intubation, death
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psnet.ahrq.gov/node/33878/psn-pdf
April 01, 2019 - the family can also go to the Coroner's Court, and the coroner will investigate what the
cause of death
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psnet.ahrq.gov/perspective/conversation-sidney-dekker-ma-msc-phd
February 26, 2025 - patient dies; in fact it later becomes very difficult to connect Kimberly's actions to the patient's death
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psnet.ahrq.gov/node/72613/psn-pdf
December 22, 2020 - Obviously, we know about the ones that are litigated or in the newspaper,
such as for patient death.
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psnet.ahrq.gov/web-mm/laceration-needed-proper-exam-not-x-ray
November 25, 2020 - WebM&M Cases
Delay in Appropriate Diagnosis and Treatment Leading to Death
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psnet.ahrq.gov/web-mm/be-picky-about-your-piccs-fragmented-care-and-poor-communication-discharge-leads-picc
July 19, 2023 - Association between unmet nonmedication needs after hospital discharge and readmission or death
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psnet.ahrq.gov/web-mm/pitfalls-diagnosing-necrotizing-fasciitis
March 24, 2021 - than 24 hours have mortality rates of 23%–75% ( 23-28 ), representing an increase of relative risk for death
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psnet.ahrq.gov/node/851389/psn-pdf
July 31, 2023 - .10 A study in Michigan found that patients at the
greatest risk of late-stage cancer diagnosis and death