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psnet.ahrq.gov/issue/patient-safety-records-silent-witness
September 01, 2017 - Newspaper/Magazine Article
Patient safety records: silent witness.
Citation Text:
Gould M. Patient safety. Silent witness. The Health Service Journal. 2008;September 15:22-24.
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psnet.ahrq.gov/issue/rethinking-patient-safety
April 13, 2018 - Book/Report
Rethinking Patient Safety.
Citation Text:
Rethinking Patient Safety. Woodward S. Boca Raton, FL: Productivity Press; 2017. ISBN: 9781498778541.
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psnet.ahrq.gov/issue/understanding-models-error-and-how-they-apply-clinical-practice
October 11, 2016 - Commentary
Understanding models of error and how they apply in clinical practice.
Citation Text:
Understanding models of error and how they apply in clinical practice. Garfield S, Franklin BD. Pharm J. June 14, 2016.
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psnet.ahrq.gov/issue/perceived-impact-duty-hours-limits-fragmentation-patient-care-results-academic-health-center
March 06, 2005 - Study
Perceived impact of duty hours limits on the fragmentation of patient care: results from an academic health center.
Citation Text:
Perceived impact of duty hours limits on the fragmentation of patient care: results from an academic health center. Keating RJ; LaRusso NF; Kolars …
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psnet.ahrq.gov/web-mm/hurried-team-huddle-and-poor-communication-unsafe-practice-during-anesthesia-emergency
September 27, 2023 - predictable drug levels. 9,12 In summary, pregnant patients admitted to the hospital are at increased risk of developing
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psnet.ahrq.gov/node/72517/psn-pdf
November 25, 2020 - Assessment: “I am worried that the patient is developing a serious infection and appears to be
septic
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psnet.ahrq.gov/node/33828/psn-pdf
March 01, 2017 - improving-patient-safety-intensive-care-units-michigan
https://psnet.ahrq.gov/issue/explaining-michigan-developing-ex-post-theory-quality-improvement-program
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psnet.ahrq.gov/node/33869/psn-pdf
November 01, 2018 - During the project, I started developing ideas about why hospitalists grew.
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psnet.ahrq.gov/node/49682/psn-pdf
April 01, 2013 - Four months after the initial
presentation, he re-presented to the emergency department after developing
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psnet.ahrq.gov/node/33826/psn-pdf
February 01, 2017 - reality and task environment present customer needs in constant flux, needs that cannot be
served by developing
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psnet.ahrq.gov/node/61083/psn-pdf
October 28, 2020 - We are actually developing a study right now to look at the long-term impacts of required social isolation
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psnet.ahrq.gov/node/33784/psn-pdf
April 01, 2015 - But I don't
think it completely excuses us from developing reliable evidence.
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psnet.ahrq.gov/web-mm/hypoxic-gas-supply-cross-connected-pipelines
February 05, 2020 - very important to increase the fraction of inspired oxygen (FIO2) to prevent a hypoxic mixture from developing
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psnet.ahrq.gov/node/849661/psn-pdf
June 28, 2023 - predictable drug levels.9,12
In summary, pregnant patients admitted to the hospital are at increased risk of developing
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psnet.ahrq.gov/web-mm/fecal-contamination-peritoneum-laparoscopic-trocar-injury-routine-operation-goes-wrong
March 03, 2021 - March 3, 2021
Patient safety in developing countries: retrospective estimation of scale
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psnet.ahrq.gov/web-mm/syringe-swap-during-regional-block-case-medication-error-and-recovery
July 22, 2020 - Anesthesiology as a specialty has been instrumental in developing human simulation for education, especially
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psnet.ahrq.gov/node/49565/psn-pdf
July 01, 2008 - Wrong Route for Nutrients
July 1, 2008
Scott-Cawiezell JR. Wrong Route for Nutrients. PSNet [internet]. 2008.
https://psnet.ahrq.gov/web-mm/wrong-route-nutrients
The Case
An 82-year-old man living in a skilled nursing facility (SNF) had not been eating or drinking well for about 6
months. He had lost weight and d…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.356_slideshow.ppt
September 01, 2015 - PowerPoint Presentation
Spotlight
Abdominal Pain in Early Pregnancy
This presentation is based on the September 2015
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Charlie C. Kilpatrick, MD, Associate Professor of Obstetrics and Gynecology, Baylor …
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psnet.ahrq.gov/node/49767/psn-pdf
August 21, 2016 - Falling Between the Cracks in the Software
August 21, 2016
Adler-Milstein J. Falling Between the Cracks in the Software. PSNet [internet]. 2016.
https://psnet.ahrq.gov/web-mm/falling-between-cracks-software
The Case
A 61-year-old man with a history of osteoarthritis was scheduled for a total knee replacement. Prio…
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psnet.ahrq.gov/node/49692/psn-pdf
September 01, 2013 - A Picture Speaks 1000 Words
September 1, 2013
Hemphill RR. A Picture Speaks 1000 Words. PSNet [internet]. 2013.
https://psnet.ahrq.gov/web-mm/picture-speaks-1000-words
The Case
A 62-year-old man with a past medical history of hypertension, hyperlipidemia, and type A aortic dissection
repair presented with chest p…