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psnet.ahrq.gov/web-mm/missing-large-vessel-occlusion-stroke-patient-history-seizures
August 31, 2022 - WebM&M Cases
Overdose of Gabapentin and Oxycodone in a Patient with End-Stage … Renal Disease: A Case for Appropriate Interruptive Drug-Disease Alerts.
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psnet.ahrq.gov/curated-library/value-and-patient-safety
May 01, 2013 - demonstrated success in reducing the unneeded intervention: fewer serum creatinine tests ordered in those with end … stage renal disease, fewer portable chest radiographs ordered in the intensive care unit, and fewer
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psnet.ahrq.gov/node/60268/psn-pdf
April 29, 2020 - https://psnet.ahrq.gov/web-mm/complications-ecmo-during-transport
The Case
A 54-year-old woman with end-stage … Auxiliary (example: heater on in ECMO and renal replacement therapy)
4.
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psnet.ahrq.gov/perspective/learning-health-systems-patient-safety
February 26, 2025 - The spread and scale part is very much in its novice stage. … You would have to design a study where the systems were all at the same stage (e.g., what you would call … organization were afraid that if they pushed a weight-based fluid bolus for morbidly obese patients who had renal … As we transfer care from hospital-based to ambulatory to home-based, the people who end up in the hospital … Sarah Mossburg: I know we are coming to the end of our time.
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psnet.ahrq.gov/perspective/conversation-lucy-savitz-about-learning-health-systems-patient-safety
February 26, 2025 - The spread and scale part is very much in its novice stage. … You would have to design a study where the systems were all at the same stage (e.g., what you would call … organization were afraid that if they pushed a weight-based fluid bolus for morbidly obese patients who had renal … As we transfer care from hospital-based to ambulatory to home-based, the people who end up in the hospital … Sarah Mossburg: I know we are coming to the end of our time.
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psnet.ahrq.gov/web-mm/complications-ecmo-during-transport
January 27, 2021 - The Case
A 54-year-old woman with end-stage chronic obstructive pulmonary disease (COPD) was admitted … Auxiliary (example: heater on in ECMO and renal replacement therapy)
4.
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psnet.ahrq.gov/perspective/conversation-dave-debronkart
June 01, 2014 - He was diagnosed in 2007 with metastatic renal cell cancer.
Dr. … As a result, we end up with unnecessary morbidity and mortality. … As I said at the end of that piece, my engagement didn't contradict the doctor's contributions, it added
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psnet.ahrq.gov/perspective/patient-advocacy-patient-safety-have-things-changed
June 01, 2014 - He was diagnosed in 2007 with metastatic renal cell cancer.
Dr. … As a result, we end up with unnecessary morbidity and mortality. … As I said at the end of that piece, my engagement didn't contradict the doctor's contributions, it added