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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.254_slideshow.ppt
November 01, 2011 - Spotlight Case July 2008
Spotlight Case
Near Miss with Bedside Medications
*
*
Source and Credits
This presentation is based on the November 2011
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Albert W. Wu, MD, MPH, Johns Hopkins Bloomberg S…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.104_slideshow.ppt
September 01, 2005 - Spotlight Case [MONTH] 2003
Spotlight Case September 2005
Double Trouble
Source and Credits
This presentation is based on the Sept. 2005
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available through the Web site
Commentary by: Jerry H. Gurwitz, MD, University of…
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psnet.ahrq.gov/node/49571/psn-pdf
October 01, 2008 - Coming Up Short
October 1, 2008
Hochberg Z'ev. Coming Up Short. PSNet [internet]. 2008.
https://psnet.ahrq.gov/web-mm/coming-short
The Case
A 12-year-old Hispanic female was seen for a well-child check. The child was delivered 2 months
prematurely (likely due to domestic violence) in Puerto Rico. She had an intra…
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psnet.ahrq.gov/node/33563/psn-pdf
September 16, 2024 - Culture of Safety
September 16, 2024
Culture of Safety. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/culture-safety
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the patient safety field. Last reviewed in …
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psnet.ahrq.gov/node/33836/psn-pdf
June 01, 2017 - The Weekend Effect in Cardiology: Is It Real? If So, Can It
Be Fixed?
June 1, 2017
Martin VK, Mirnateghi N, Khoshchehreh M. The Weekend Effect in Cardiology: Is It Real? If So, Can It Be
Fixed? . PSNet [internet]. 2017.
https://psnet.ahrq.gov/perspective/weekend-effect-cardiology-it-real-if-so-can-it-be-fixed
Per…
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psnet.ahrq.gov/node/840175/psn-pdf
November 16, 2022 - Acute limb ischemia results from a rapid decrease in blood flow in an extremity due to occlusion of an
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psnet.ahrq.gov/web-mm/patient-identification-errors-systems-challenge
February 23, 2011 - Utilizing the electronic medical record to flag patients who are ready to be scanned could decrease errors
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psnet.ahrq.gov/node/49612/psn-pdf
November 01, 2010 - A reengineered hospital discharge program to decrease
rehospitalization: a randomized trial.
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psnet.ahrq.gov/web-mm/pathologic-mistake
February 15, 2010 - Additionally, using root cause analysis to identify sources of error has proven to decrease error.( 11
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psnet.ahrq.gov/node/49871/psn-pdf
August 10, 2019 - prostate size (11), and men with higher PSA levels benefit more from 5-ARIs.(12) Moreover, PSA levels
decrease
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psnet.ahrq.gov/web-mm/caution-interrupted
October 01, 2016 - These include measures such as creating separate medication rooms with restricted entry to decrease interruptions
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psnet.ahrq.gov/web-mm/myasthenia-crisis-after-delayed-diagnosis-medically-complex-patient
February 21, 2020 - October 19, 2022
Risk reduction strategy to decrease incidence of retained surgical items
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psnet.ahrq.gov/node/72834/psn-pdf
March 10, 2021 - When such approaches are used, it can decrease misconceptions and misunderstanding
between nursing and
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psnet.ahrq.gov/web-mm/hidden-danger-unseen-intravenous-catheters
October 04, 2023 - There is also a risk of accidental carotid artery puncture and hematoma formation, which may decrease
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psnet.ahrq.gov/web-mm/electronic-err
April 01, 2014 - medications documented elsewhere in the EHR, but also documented his plan to discontinue diltiazem and decrease
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psnet.ahrq.gov/web-mm/discharge-instructions-pacu-who-remembers
August 05, 2009 - A reengineered hospital discharge program to decrease rehospitalization: a randomized trial.
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psnet.ahrq.gov/perspective/context-intervention
August 05, 2020 - the system causes of error tend to reduce individual responsibility for causing error, which might decrease
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psnet.ahrq.gov/perspective/conversation-kathleen-sutcliffe-mn-phd
April 26, 2023 - effectively, how does the organization know what's going on and modify its policies and procedures to try to decrease
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psnet.ahrq.gov/web-mm/hiding-plain-sight
April 24, 2019 - -10 ), while certain antiepileptics, tricyclic antidepressants, opioids, and topical treatments can decrease
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psnet.ahrq.gov/node/42611/psn-pdf
September 25, 2013 - The proportion of clinically relevant alarms decreases as
patient clinical severity decreases in intensive care units:
a pilot study.
September 25, 2013
Inokuchi R, Sato H, Nanjo Y, et al. The proportion of clinically relevant alarms decreases as patient clinical
severity decreases in intensive care units: a pilot…