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psnet.ahrq.gov/web-mm/what-happened-telemetry
January 18, 2012 - Alarm fatigue has resulted in missed patient events and preventable deaths.
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psnet.ahrq.gov/sites/default/files/2022-03/final_spotlight_case_mistaken_capacity.pdf
January 01, 2022 - especially important in the
field of oncology, given the 1.9 million new cancer cases and 608,570
cancer deaths
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psnet.ahrq.gov/node/836794/psn-pdf
March 31, 2022 - especially important in the field of oncology, given the 1.9 million new cancer cases and 608,570 cancer
deaths
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psnet.ahrq.gov/web-mm/ebola-are-we-ready
July 01, 2012 - Commentary As of November 4, 2014, Ebola is estimated to have affected 13,241 individuals with 4950 deaths
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psnet.ahrq.gov/node/33776/psn-pdf
January 01, 2015 - Look at what's going on in General Motors in response to ignition switch problems
that have led to deaths
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psnet.ahrq.gov/node/33833/psn-pdf
May 01, 2017 - But it was also accompanied by a sizeable increase in opioid-related deaths.
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psnet.ahrq.gov/node/865413/psn-pdf
March 27, 2024 - technology.1 The data showed a
correlation between high-impact ransomware attacks and unexplained excess deaths
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psnet.ahrq.gov/node/49564/psn-pdf
July 01, 2008 - according to the
DAWN Mortality Data Report, hydrocodone ranked among the 10 most common drugs related to deaths
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psnet.ahrq.gov/node/849661/psn-pdf
June 28, 2023 - causes of maternal mortality in the United States, accounting for 9 to 11 percent of pregnancy-related
deaths
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psnet.ahrq.gov/web-mm/hurried-team-huddle-and-poor-communication-unsafe-practice-during-anesthesia-emergency
September 27, 2023 - causes of maternal mortality in the United States, accounting for 9 to 11 percent of pregnancy-related deaths
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psnet.ahrq.gov/issue/anaesthetic-adverse-incident-reports-australian-study-1231-outcomes
August 21, 2013 - Study
Anaesthetic adverse incident reports: an Australian study of 1,231 outcomes.
Citation Text:
Aders A, Aders H. Anaesthetic adverse incident reports: an Australian study of 1,231 outcomes. Anaesth Intensive Care. 2005;33(3):336-44.
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psnet.ahrq.gov/issue/another-look-medical-error
November 16, 2022 - Commentary
Another look at medical error.
Citation Text:
Deskin WC, Hoye RE. Another look at medical error. J Surg Oncol. 2004;88(3):122-9.
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Format:
Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
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psnet.ahrq.gov/issue/teamwork-and-legal-and-ethical-responsibility-anaesthetist
February 14, 2024 - Review
Teamwork and the legal and ethical responsibility of the anaesthetist.
Citation Text:
Booij LHDJ, van Leeuwen E. Teamwork and the legal and ethical responsibility of the anaesthetist. Curr Opin Anaesthesiol. 2008;21(2):178-82. doi:10.1097/ACO.0b013e3282f5ff87.
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…
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psnet.ahrq.gov/issue/implementation-and-outcomes-rapid-response-team
January 09, 2019 - Commentary
Implementation and outcomes of a rapid response team.
Citation Text:
McFarlan SJ, Hensley S. Implementation and outcomes of a rapid response team. J Nurs Care Qual. 2007;22(4):307-13, quiz 14-5.
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Format:
Google Scholar PubMed BibTeX EndNote X3 XML …
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psnet.ahrq.gov/issue/integrating-patient-safety-omfs-curriculum-survey-4-year-residency-programs
April 08, 2020 - Study
Integrating patient safety in the OMFS curriculum: survey of 4-year residency programs.
Citation Text:
Buhrow SM, Buhrow JA. Integrating Patient Safety in the OMFS Curriculum: Survey of 4-Year Residency Programs. J Patient Saf. 2016;12(4):197-203.
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…
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psnet.ahrq.gov/issue/managing-risk-systems-approach-versus-personal-responsibility-hospital-incidents
November 25, 2015 - Commentary
Managing risk: systems approach versus personal responsibility for hospital incidents.
Citation Text:
Steiner JL. Managing risk: systems approach versus personal responsibility for hospital incidents. J Am Acad Psychiatry Law. 2006;34(1):96-8.
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…
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psnet.ahrq.gov/periodic-issue/periodic-issue-450
August 28, 2024 - July 31, 2024 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, reports, …
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psnet.ahrq.gov/periodic-issue/periodic-issue-438
May 29, 2024 - May 1, 2024 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, reports, an…
-
psnet.ahrq.gov/node/49458/psn-pdf
September 01, 2004 - Poor Prognosis
September 1, 2004
Lamont EB. Poor Prognosis. PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/poor-prognosis
Case Objectives
Understand the current limitations of physicians' ability to provide prognoses.
List the variables that can be used to guide treatment decisions and prognostication in e…
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psnet.ahrq.gov/node/50612/psn-pdf
October 30, 2019 - The Safety Challenges of Supervision and Night Coverage
in Academic Residency
October 30, 2019
Raffel K. The Safety Challenges of Supervision and Night Coverage in Academic Residency. PSNet
[internet]. 2019.
https://psnet.ahrq.gov/web-mm/safety-challenges-supervision-and-night-coverage-academic-residency
The Case…