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psnet.ahrq.gov/node/33677/psn-pdf
November 01, 2008 - Health Care–Acquired Urinary Tract Infection: The
Problem and Solutions
November 1, 2008
Nicolle LE. Health Care–Acquired Urinary Tract Infection: The Problem and Solutions. PSNet [internet].
2008.
https://psnet.ahrq.gov/perspective/health-care-acquired-urinary-tract-infection-problem-and-solutions
Perspective
U…
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psnet.ahrq.gov/perspective/using-human-factors-engineering-and-seips-model-advance-patient-safety-care-transitions
November 16, 2022 - It’s not an episode of care; it’s part of that older adult patient’s journey where they might be experiencing
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psnet.ahrq.gov/web-mm/medication-reconciliation-twist-or-dare-we-say-patch
April 03, 2024 - the geriatrics service felt that abrupt withdrawal of the cholinesterase inhibitor contributed to the episode
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psnet.ahrq.gov/web-mm/anticoagulation-held-too-long
April 01, 2008 - Extended oral anticoagulant therapy after a first episode of pulmonary embolism.
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psnet.ahrq.gov/node/49708/psn-pdf
May 01, 2014 - geriatrics service felt that abrupt withdrawal of the cholinesterase inhibitor
contributed to the episode
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psnet.ahrq.gov/web-mm/ecg-not-normal
November 10, 2015 - immediately from the indecipherable squiggles of the cardiogram to the name on the tracing and the entire episode
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psnet.ahrq.gov/web-mm/painful-medication-reconciliation-mishap
May 01, 2008 - Prior to this episode, she had been taking naltrexone to treat her alcohol use disorder and had been
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psnet.ahrq.gov/node/49388/psn-pdf
February 01, 2003 - (Table 3)
Case & Commentary: Part 2
Because the apneic episode lasted longer than 30 minutes, the anesthesia
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psnet.ahrq.gov/node/49486/psn-pdf
August 21, 2005 - The patient developed an acute episode of bleeding that required
transfusion.
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psnet.ahrq.gov/node/33814/psn-pdf
September 01, 2016 - complying with often complex therapeutic regimens, and maximally restoring their health after an
illness episode
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psnet.ahrq.gov/node/848125/psn-pdf
April 26, 2023 - Surveillance Monitoring to Improve Patient Safety in
Acute Hospital Care Units
April 26, 2023
McGrath S, Blike G, Gale B, et al. Surveillance Monitoring to Improve Patient Safety in Acute Hospital Care
Units. PSNet [internet]. 2023.
https://psnet.ahrq.gov/perspective/surveillance-monitoring-improve-patient-safety-…
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psnet.ahrq.gov/sites/default/files/2022-12/spotlight_case_strongyloides_final_11.21.22.pdf
January 01, 2022 - Spotlight
Spotlight
Strongyloides: A Hidden Traveler
and Potentially Lethal Missed
Diagnosis
Source and Credits
• This presentation is based on the November 2022 AHRQ WebM&M
Spotlight Case
o See the full article at https://psnet.ahrq.gov/webmm
o CME credit is available
o Commentary by: Narath Carlile MD MPH,…
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psnet.ahrq.gov/web-mm/verbal-orders-and-medication-overrides-dangerous-combination
September 27, 2023 - care settings include substance intoxication/withdrawal/associated psychotic illness; delirium; acute episode
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psnet.ahrq.gov/web-mm/hospital-acquired-diabetic-ketoacidosis
October 28, 2020 - reported taking his regular blood pressure medications without any clear trigger for this hypertensive episode
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psnet.ahrq.gov/web-mm/transfusion-overload
September 23, 2020 - She remained in the hospital for 2 more weeks recovering from the episode and was transferred back to
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psnet.ahrq.gov/node/846169/psn-pdf
March 15, 2023 - Conclusion
This patient became hypoxic during an episode of laryngospasm but fortunately did not suffer
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psnet.ahrq.gov/node/837660/psn-pdf
July 08, 2022 - the patient had an underlying sensitivity to
succinylcholine, contributing to the response to this episode
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psnet.ahrq.gov/perspective/conversation-sharon-k-inouye-md-mph
December 01, 2012 - this kind of focus, studies have shown a more than doubling of risk of incident dementia following an episode
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psnet.ahrq.gov/perspective/conversation-didier-pittet-md-ms
May 01, 2014 - Although the product will be dispensed on demand, only one episode of hand hygiene is recorded for every
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psnet.ahrq.gov/perspective/conversation-amy-c-edmondson-phd-am
February 01, 2017 - And so, each care episode is to a certain degree unique.