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psnet.ahrq.gov/node/865540/psn-pdf
April 11, 2024 - Misplaced Nasogastric Tube Resulting in Aspiration
April 11, 2024
Singh A, Huang C. Misplaced Nasogastric Tube Resulting in Aspiration. PSNet [internet]. 2024.
https://psnet.ahrq.gov/web-mm/misplaced-nasogastric-tube-resulting-aspiration
The Case
An 82-year-old woman presented to the Emergency Department (ED) for …
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psnet.ahrq.gov/node/863308/psn-pdf
February 28, 2024 - When Vomit Gets in the Way: Aspiration Resulting in
Death During Endoscopy
February 28, 2024
Do T, Scott FJ. When Vomit Gets in the Way: Aspiration Resulting in Death During Endoscopy. PSNet
[internet]. 2024.
https://psnet.ahrq.gov/web-mm/when-vomit-gets-way-aspiration-resulting-death-during-endoscopy
The Case
A…
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psnet.ahrq.gov/node/49786/psn-pdf
March 01, 2017 - Consequences of Medical Overuse
March 1, 2017
Morgan DJ, Foy AJ. Consequences of Medical Overuse. PSNet [internet]. 2017.
https://psnet.ahrq.gov/web-mm/consequences-medical-overuse
Case Objectives
Define overuse and overdiagnosis.
State how much of all care is estimated to be overuse.
Describe why the likelihood…
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psnet.ahrq.gov/node/862983/psn-pdf
February 28, 2024 - Airway Obstruction during Anterior Cervical Spine
Surgery
February 28, 2024
Bohringer C, Vo L. Airway Obstruction during Anterior Cervical Spine Surgery. PSNet [internet]. 2024.
https://psnet.ahrq.gov/web-mm/airway-obstruction-during-anterior-cervical-spine-surgery
The Case
A 47-year-old obese man (body weight 13…
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psnet.ahrq.gov/web-mm/transfusion-overload
September 23, 2020 - SPOTLIGHT CASE
Transfusion Overload
Citation Text:
Patel MS, Carson JL. Transfusion Overload. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML En…
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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/perspective/surveillance-monitoring-improve-patient-safety-acute-hospital-care-units
April 26, 2023 - Surveillance Monitoring to Improve Patient Safety in Acute Hospital Care Units
Susan McGrath, PhD,George Blike, MD, MHCDS,Bryan M. Gale, MA,Sarah E. Mossburg, RN, PhD
| April 26, 2023
Also Read the Conversation
View more articles from the same authors.
Citation…
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psnet.ahrq.gov/perspective/patient-and-family-roles-safety
June 14, 2023 - These restrictions were intended to decrease COVID-19 transmission but meant that families could not
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psnet.ahrq.gov/perspective/conversation-beverley-h-johnson-about-role-patients-family-reducing-harm
June 14, 2023 - These restrictions were intended to decrease COVID-19 transmission but meant that families could not
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psnet.ahrq.gov/node/33616/psn-pdf
August 01, 2005 - The Unfinished Patient Safety Agenda
August 1, 2005
Aiken LH. The Unfinished Patient Safety Agenda. PSNet [internet]. 2005.
https://psnet.ahrq.gov/perspective/unfinished-patient-safety-agenda
Perspective
The goal set by the Institute of Medicine (IOM) in 1999 to reduce medical errors by half within 5 years has
no…
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psnet.ahrq.gov/node/33577/psn-pdf
September 15, 2024 - Duty Hours and Patient Safety
September 15, 2024
Duty Hours and Patient Safety. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/duty-hours-and-patient-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 …
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psnet.ahrq.gov/web-mm/stable-airway-fatal-airway-occlusion-after-inadequate-post-tracheostomy-care
June 28, 2023 - Although routine continuous monitoring of oxygen saturation has been shown to decrease rates of some
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psnet.ahrq.gov/web-mm/one-got-away-elopement-suicidal-patient-emergency-department
September 27, 2023 - Increasing the frequency of nursing assessment of acute psychiatric patients may decrease the duration
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psnet.ahrq.gov/node/49483/psn-pdf
June 01, 2005 - An echocardiogram showed
global decrease in contractility, with an ejection fraction 45% and mild right
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psnet.ahrq.gov/perspective/conversation-ann-gaffey-rn-msn-cphrm-and-bruce-spurlock-md
March 30, 2020 - patient safety community and is sure to be an excellent and highly usable reference for those working to decrease
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psnet.ahrq.gov/web-mm/getting-root-matter
September 01, 2005 - An echocardiogram showed global decrease in contractility, with an ejection fraction 45% and mild right
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psnet.ahrq.gov/perspective/conversation-freya-spielberg-md-mph
September 28, 2022 - critical components of the integrated collaborative care team to help provide seamless handoffs, and to decrease … Improve diabetes management, improve congestive heart failure management, and you decrease rates of avoidable
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psnet.ahrq.gov/perspective/getting-patient-safety-personal-story
August 01, 2006 - Getting Into Patient Safety: A Personal Story
Jeffrey B. Cooper, PhD | August 1, 2006
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Cooper JB. Getting Into Patient Safety: A Personal Story. PSNet [internet]. Rockville (MD): A…
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psnet.ahrq.gov/perspective/conversation-abraham-verghese-md
November 01, 2012 - In Conversation With… Abraham Verghese, MD
November 1, 2012
Also Read an Essay
Citation Text:
In Conversation With… Abraham Verghese, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 201…
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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…