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psnet.ahrq.gov/web-mm/unintentional-ketamine-overdose-operating-room-mixing-ampules
March 25, 2020 - However, there are often systemic issues like labelling in tiny font on drug ampules that make it very difficult … It is unfortunate that drug ampules continue to be labelled with tiny letters that are difficult to read … WebM&M Cases
Inadequate Anesthesia Preparation Leading to Difficult
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psnet.ahrq.gov/perspective/conversation-withtroyen-brennan-md-jd-mph
December 21, 2022 - TB: It's very difficult at the political level, I have to tell you, because there are very well-placed … A change in system really makes it more difficult for them. … which sounds like something that's neutral but really it's just a matter of trying to make it more difficult
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psnet.ahrq.gov/web-mm/when-psychiatric-symptoms-are-not
September 20, 2011 - However, there is often lack of acknowledgment that a careful neurologic examination is difficult to … neurologic findings such as reflex abnormalities or strength testing would be important, it can be difficult … In this case, the delay was not damaging, but represents how difficult it can be for the psychiatric
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psnet.ahrq.gov/node/33611/psn-pdf
July 01, 2005 - In a couple
of intensive care units in a single hospital, it is pretty difficult to measure a difference … However, it is difficult to extrapolate from the data from this one study too much
beyond the setting … CL: I think that it is difficult.
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psnet.ahrq.gov/node/33624/psn-pdf
December 01, 2005 - TB: It's very difficult at the political level, I have to tell you, because there are very well-placed … A change in system really
makes it more difficult for them. … which sounds like
something that's neutral but really it's just a matter of trying to make it more difficult
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psnet.ahrq.gov/issue/harveian-oration-2018-improving-quality-and-safety-healthcare
January 23, 2019 - May 18, 2016
Rethinking diagnostic delay in cancer: how difficult is the diagnosis?
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psnet.ahrq.gov/issue/patient-perceptions-safety-primary-care-qualitative-study-inform-care
September 28, 2022 - July 30, 2014
Burden of difficult encounters in primary care: data from the Minimizing
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psnet.ahrq.gov/issue/impact-anesthetic-handover-mortality-and-morbidity-cardiac-surgery-cohort-study
August 04, 2021 - June 1, 2011
WebM&M Cases
Difficult Encounters: A CMO
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psnet.ahrq.gov/issue/surgical-site-infection-prevention-review
February 15, 2023 - human factors in anaesthesia: guidance for clinicians, departments and hospitals: Guidelines from the Difficult
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psnet.ahrq.gov/issue/considering-human-factors-and-developing-systems-thinking-behaviours-ensure-patient-safety
March 01, 2023 - human factors in anaesthesia: guidance for clinicians, departments and hospitals: Guidelines from the Difficult
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psnet.ahrq.gov/issue/crowd-sourced-hospital-ratings-are-correlated-patient-satisfaction-not-surgical-safety
November 18, 2020 - human factors in anaesthesia: guidance for clinicians, departments and hospitals: Guidelines from the Difficult
-
psnet.ahrq.gov/issue/successful-anesthesia-patient-safety-officer
December 22, 2018 - human factors in anaesthesia: guidance for clinicians, departments and hospitals: Guidelines from the Difficult
-
psnet.ahrq.gov/issue/her-husband-died-suicide-she-sued-his-pain-doctors-rare-challenge-over-opioid-dose-reduction
September 15, 2021 - November 9, 2022
Ignored, threatened, berated: after difficult childbirth experiences
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psnet.ahrq.gov/issue/integrating-patient-safety-education-early-medical-education-utilizing-cadaver-sponges-and
September 23, 2020 - human factors in anaesthesia: guidance for clinicians, departments and hospitals: Guidelines from the Difficult
-
psnet.ahrq.gov/issue/critical-incident-reports-concerning-anaesthetic-equipment-analysis-uk-national-reporting-and
August 03, 2022 - human factors in anaesthesia: guidance for clinicians, departments and hospitals: Guidelines from the Difficult
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psnet.ahrq.gov/issue/reducing-risk-adverse-drug-events-older-adults
November 21, 2021 - human factors in anaesthesia: guidance for clinicians, departments and hospitals: Guidelines from the Difficult
-
psnet.ahrq.gov/issue/urban-outpatient-views-quality-and-safety-primary-care
May 18, 2019 - May 18, 2019
Burden of difficult encounters in primary care: data from the Minimizing
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psnet.ahrq.gov/issue/cognitive-aids-management-clinical-emergencies-systematic-review
January 12, 2022 - human factors in anaesthesia: guidance for clinicians, departments and hospitals: Guidelines from the Difficult
-
psnet.ahrq.gov/issue/litigation-related-inadequate-anaesthesia-analysis-claims-against-nhs-england-1995-2007
November 16, 2022 - human factors in anaesthesia: guidance for clinicians, departments and hospitals: Guidelines from the Difficult
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psnet.ahrq.gov/issue/nurses-perception-error-reporting-and-patient-safety-culture-korea
July 08, 2020 - July 13, 2010
Burden of difficult encounters in primary care: data from the Minimizing