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psnet.ahrq.gov/node/49663/psn-pdf
September 01, 2012 - This case provides one example of the hazards of this
seemingly benign medical device.
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psnet.ahrq.gov/node/49804/psn-pdf
September 01, 2017 - For example, a transfusion algorithm might alert physicians of
circumstances in which a higher transfusion
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psnet.ahrq.gov/node/49677/psn-pdf
February 01, 2013 - Highlighted in this case is an example of a three-faceted CVC error resulting in significant iatrogenic
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psnet.ahrq.gov/node/33626/psn-pdf
January 01, 2006 - RW: How is it different when you're training, for example, an astronaut crew who will always work with
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psnet.ahrq.gov/web-mm/lost-sign-out-and-documentation
January 31, 2011 - The use of antimicrobial stewardship to help de-escalate the use of antibiotics in the ICU is an example
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psnet.ahrq.gov/node/33820/psn-pdf
December 01, 2016 - For example, if you have pediatric patient die, and that makes the front page of the local paper, it
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psnet.ahrq.gov/web-mm/safeguarding-diagnostic-testing-point-care
September 30, 2011 - For example, a nurse educator can review the appropriate instructions regarding a home-use glucose meter
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psnet.ahrq.gov/node/49440/psn-pdf
March 01, 2004 - Example Root Causes of Diagnostic Errors
Human Factors System Factors
Faulty data gathering (eg, incomplete
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www.ahrq.gov/hai/cauti-tools/archived-webinars/infectious-complications-slides.html
December 01, 2017 - development of new antibiotics and developing new diagnostic tests for resistant bacteria
Slide 9
Example
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psnet.ahrq.gov/node/49498/psn-pdf
January 01, 2006 - Example Electronic VTE Alert System (Brigham and Women's Hospital)
This project was funded under contract
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/training/cbt-bed-bathing.pdf
March 01, 2022 - Example warmer displayed above. Appearance and indicator lights
may vary by manufacturer.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/training/cbt-bed-bathing.pptx
March 01, 2022 - Example warmer displayed above. Appearance and indicator lights may vary by manufacturer.
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psnet.ahrq.gov/sites/default/files/2022-10/spotlight_case_missed_pneumothorax_10.09.2022_-_final.pdf
January 01, 2022 - – For example, the British Thoracic Society recommends monitoring patients for
two hours post-procedure
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psnet.ahrq.gov/web-mm/diffusion-responsibility-leads-danger
November 08, 2013 - For example, at our hospital, our emergency and hospitalist services have agreed that the ED physician
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psnet.ahrq.gov/web-mm/urinary-retention-dilemma
March 01, 2013 - For example, a large cross-sectional, prospective study evaluated 2618 French men with BPH and acute
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www.ahrq.gov/sites/default/files/2024-07/morrison-report.pdf
January 01, 2024 - Here is an example:
Patient sees Dr. Jones for hyperlipidemia and is on a statin drug.
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psnet.ahrq.gov/web-mm/no-bp-during-nibp
March 01, 2011 - [go to PubMed] Figure Figure: Example of an anesthetic record showing NIBP measurements missing
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digital.ahrq.gov/sites/default/files/docs/page/2006Estrin_Trk4_051311comp.pdf
March 08, 2006 - As one example of reform he introduced the idea of Health
Information Technology (HIT) applied in the
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psnet.ahrq.gov/innovation/missouri-quality-initiative-moqi-reduces-hospitalizations-among-nursing-home-residents
July 23, 2024 - QI efforts may vary at each nursing home depending on opportunities for improvement. 3 For example,
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psnet.ahrq.gov/node/33758/psn-pdf
December 01, 2013 - As an example, I have been asked to serve on many national VA committees over the years and
participate