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psnet.ahrq.gov/node/74251/psn-pdf
January 26, 2022 - Delayed Diagnosis and Treatment of an Occult
Hemothorax Following Complicated Central Line Insertion
Leads to Cardiac Arrest
January 26, 2022
Raff G, Goudy B. Delayed Diagnosis and Treatment of an Occult Hemothorax Following Complicated
Central Line Insertion Leads to Cardiac Arrest. PSNet [internet]. 2022.
https…
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psnet.ahrq.gov/node/33674/psn-pdf
February 01, 2009 - In Conversation with…Robert M. Wachter, MD
October 1, 2008
In Conversation with…Robert M. Wachter, MD. PSNet [internet]. 2008.
https://psnet.ahrq.gov/perspective/conversation-withrobert-m-wachter-md
Editor's note: At the University of California, San Francisco, Robert M. Wachter, MD, is Professor and
Chief of the…
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psnet.ahrq.gov/node/50949/psn-pdf
February 26, 2020 - Pre-analytical pitfalls: Missing and mislabeled specimens
February 26, 2020
Tran NK, Liu Y. Pre-analytical pitfalls: Missing and mislabeled specimens . PSNet [internet]. 2020.
https://psnet.ahrq.gov/web-mm/pre-analytical-pitfalls-missing-and-mislabeled-specimens
The Case
Case #1:
A 56-year-old man was admitted to…
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psnet.ahrq.gov/web-mm/mothers-milk-whose-mother
November 15, 2023 - Mother's Milk, but Whose Mother?
Citation Text:
Dougherty D. Mother's Milk, but Whose Mother?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010.
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Format:
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psnet.ahrq.gov/perspective/remote-patient-monitoring
March 15, 2023 - device, connect that device to some type of transmission device like a smartphone or data hub, and then ensure
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psnet.ahrq.gov/perspective/conversation-dr-neal-sikka-and-dr-colton-hood-about-remote-patient-monitoring
March 15, 2023 - device, connect that device to some type of transmission device like a smartphone or data hub, and then ensure
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psnet.ahrq.gov/node/49561/psn-pdf
May 01, 2008 - testing.(25) Other important challenges to implementing the 2006 CDC
recommendations include the need to ensure
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psnet.ahrq.gov/node/49566/psn-pdf
July 01, 2008 - In addition to urging
facilities to ensure aseptic technique when obtaining donor platelets, the CAP
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psnet.ahrq.gov/web-mm/misconnection-leading-arterial-thrombosis
January 29, 2021 - Ensure communication between staff inserting the catheter and staff administering medications There needs
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psnet.ahrq.gov/web-mm/pill-organizing-plight
June 19, 2018 - Pharmacists play a key role in medication reconciliation, education, and postdischarge follow-up to ensure
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psnet.ahrq.gov/web-mm/hurried-team-huddle-and-poor-communication-unsafe-practice-during-anesthesia-emergency
September 27, 2023 - Council for Continuing Medical Education (ACCME), the University of California, Davis, Health must ensure
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psnet.ahrq.gov/web-mm/delayed-symptomatic-subdural-hematoma-following-initially-normal-ct-head
March 27, 2024 - Council for Continuing Medical Education (ACCME), the University of California, Davis, Health must ensure
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psnet.ahrq.gov/sites/default/files/2025-01/spotlight_case_misdiagnosis_of_small_bowel_obstruction_-_slides_-_final.pptx
January 01, 2025 - A prudent physician should ensure that imaging results comport with the history, physical examination
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psnet.ahrq.gov/node/50613/psn-pdf
October 30, 2019 - It's equally
about that the systems in the communities where we live our lives are meant to ensure that
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psnet.ahrq.gov/node/33855/psn-pdf
April 01, 2018 - Rest and the environment that
promotes it is one thing that we need to ensure.
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psnet.ahrq.gov/web-mm/what-was-those-platelets
August 28, 2024 - In addition to urging facilities to ensure aseptic technique when obtaining donor platelets, the CAP
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psnet.ahrq.gov/web-mm/monitoring-fetal-health
September 08, 2010 - the presence of Category 2 and Category 3 tracings, several steps should be adopted by hospitals to ensure
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psnet.ahrq.gov/node/849661/psn-pdf
June 28, 2023 - Council
for Continuing Medical Education (ACCME), the University of California, Davis, Health must ensure
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psnet.ahrq.gov/node/60329/psn-pdf
May 14, 2020 - JW: There are also simple things you can do to ensure you remain HIPAA compliant.
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psnet.ahrq.gov/sites/default/files/2022-04/final_spotlight_case_and_commentatry_io_line_extravasation-04.08.2022.pdf
January 01, 2022 - Approach to Improving Patient Safety (3)
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• When an IO line is required, care must be taken to ensure