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psnet.ahrq.gov/web-mm/are-we-pushing-graduate-nurses-too-fast
November 16, 2022 - of education in nursing.( 8 ) In part because of the paucity of postgraduate training, Benner ( 9 ) describes
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psnet.ahrq.gov/web-mm/staggered-sensitivity-results
May 01, 2013 - The Commentary The case presented describes a 60-year-old woman who developed a serious postoperative
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psnet.ahrq.gov/web-mm/dropped-lung
February 06, 2012 - programs in teaching and documenting procedural competency.( 6 ) The adage “see one, do one, teach one” describes
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psnet.ahrq.gov/web-mm/forgotten-radiographic-read
June 07, 2016 - The so-called weekend effect ( 3-5 ) describes increased mortality and adverse events during periods
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psnet.ahrq.gov/node/60376/psn-pdf
July 30, 2020 - Summary
This primer describes stressors relevant to the healthcare response to the COVID-19 pandemic
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psnet.ahrq.gov/web-mm/too-hot-comfort
May 19, 2015 - The Commentary This case scenario describes an incident in which a case of extravasation injury was
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psnet.ahrq.gov/node/846127/psn-pdf
March 15, 2023 - sepsis-resulting-delays-treatment-and-miscommunication-among-specialists
by Lucy Shi, MD and Erik Noren MD, MS
This case describes
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psnet.ahrq.gov/node/49401/psn-pdf
May 01, 2003 - https://psnet.ahrq.gov/web-mm/suicidal-man-gun
The Commentary
This case describes a severely depressed
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psnet.ahrq.gov/node/49711/psn-pdf
June 01, 2014 - Limited evidence describes what specifically motivates patients to wander while in an acute care hospital
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psnet.ahrq.gov/node/49749/psn-pdf
December 01, 2015 - Systems Engineering Initiative for Patient Safety (SEIPS) model of work systems and patient safety (5)
describes
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psnet.ahrq.gov/web-mm/do-me-favor
September 12, 2016 - The Commentary
This case describes a common scenario among health care professionals.
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psnet.ahrq.gov/web-mm/incomplete-orders-hypertonic-saline-treat-hyponatremia
February 23, 2022 - Beer potomania, which was originally described in 1972, describes a state of chronic low solute intake
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.290_slideshow.ppt
February 01, 2013 - Spotlight Case July 2008
Spotlight Case
Delay in Treatment:
Failure to Contact Patient Leads to Significant Complications
*
*
Source and Credits
This presentation is based on the February 2013
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: …
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.248_slideshow.ppt
September 01, 2011 - Spotlight Case July 2008
Spotlight Case
The Safety and Quality of Long Term Care
*
*
Source and Credits
This presentation is based on the September 2011
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Amy A. Vogelsmeier, PhD, RN, GCNS-BC, Uni…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.365_slideshow.ppt
January 01, 2016 - PowerPoint Presentation
Spotlight
A Room Without Orders
1
This presentation is based on the January 2016
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Amy Vogelsmeier, PhD, RN, Sinclair School of Nursing; and Laurel Despins, PhD, RN, Sinclair Sc…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.293_slideshow.ppt
March 01, 2013 - Spotlight Case July 2008
Spotlight Case
A Weighty Mistake
*
*
Source and Credits
This presentation is based on the March 2013
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Seth J. Bokser, MD, MPH, Associate Professor of Pediatrics & Medical…
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psnet.ahrq.gov/web-mm/volume-too-low-and-out
July 01, 2017 - An extensive body of literature describes medication errors related to weight-based dosing in pediatric
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psnet.ahrq.gov/perspective/conversation-mary-dixon-woods-dphil
March 01, 2017 - Sociological literature describes how easy it is to exploit people in organizations by appealing to
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psnet.ahrq.gov/web-mm/hemorrhagic-shock-after-elective-spine-surgery-failure-rescue-after-limited-response-nursing
October 31, 2023 - Improving Patient Safety Once the initial management failed and the patient continued to bleed, the case describes
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psnet.ahrq.gov/node/50389/psn-pdf
September 25, 2019 - Getting the Diagnosis Both Right and Wrong
September 25, 2019
Olson AP. Getting the Diagnosis Both Right and Wrong. PSNet [internet]. 2019.
https://psnet.ahrq.gov/web-mm/getting-diagnosis-both-right-and-wrong
The Case
A 27-year-old woman with a history of acute myeloid leukemia was sent to the emergency department…