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psnet.ahrq.gov/web-mm/miscommunication-or-leads-anticoagulation-mishap
May 08, 2019 - Eight months previously, he had experienced a myocardial infarction and was started on dual antiplatelet
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psnet.ahrq.gov/node/33709/psn-pdf
July 01, 2011 - Care Units (PACU), this approach proved highly effective in improving
handover quality, even among experienced
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psnet.ahrq.gov/node/851555/psn-pdf
July 31, 2023 - laboratory review of many clinicians and may require manual confirmation of automated
results by an experienced
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psnet.ahrq.gov/web-mm/amphotericin-toxicity
April 01, 2014 - While not irreversibly harmed, the patient experienced an infusion reaction and acute kidney injury.
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psnet.ahrq.gov/node/49688/psn-pdf
August 21, 2013 - When she experienced
significant pain, she called the surgeon who then chastised her for not following
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psnet.ahrq.gov/node/49458/psn-pdf
September 01, 2004 - The patient, family, and physician in this vignette experienced the uncommon situation of a pessimistic
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.101_slideshow.ppt
July 01, 2005 - Reducing Dosing Errors with Warfarin
Consult experienced providers
Pharmacist overview of anticoagulant
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psnet.ahrq.gov/node/49710/psn-pdf
May 01, 2014 - One day after re-initiation of his warfarin, he experienced a recurrence of his subdural hematoma.
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psnet.ahrq.gov/node/49706/psn-pdf
January 01, 2015 - events that cause morbidity and readmission,
as in this patient.(11,12) Two-thirds of adverse events experienced
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psnet.ahrq.gov/node/49605/psn-pdf
June 01, 2010 - Shortly after paramedics
arrived, the patient experienced a respiratory and cardiac arrest.
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psnet.ahrq.gov/node/49457/psn-pdf
September 01, 2004 - in the tricky situation of either accepting the judgment of his patient-
expert or questioning an experienced
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psnet.ahrq.gov/sites/default/files/2020-08/too_many_cooks_spotlight_pdf.pdf
January 01, 2020 - already stretched thin.
16
Approach to Improving Safety (3)
• Procedure itself was complicated - an experienced
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psnet.ahrq.gov/node/49493/psn-pdf
November 01, 2005 - answered if the
floating nurse is instructed and empowered to ask questions or even assigned a specific experienced
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psnet.ahrq.gov/node/49713/psn-pdf
June 01, 2014 - He subsequently experienced acute onset of shortness of breath associated with a "whistling sound" from
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psnet.ahrq.gov/node/49823/psn-pdf
March 01, 2018 - the patient to an obstetric triage or labor and delivery unit, where
providers are potentially more experienced
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psnet.ahrq.gov/node/33650/psn-pdf
May 01, 2007 - or been seriously injured from events involving medical
devices, nearly 10,000 people known to have experienced
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psnet.ahrq.gov/node/836993/psn-pdf
April 27, 2022 - Factors associated with workplace violence among
healthcare workers in an academic medical center.
April 27, 2022
Otachi JK, Robertson H, Okoli CTC. Factors associated with workplace violence among healthcare workers
in an academic medical center. Perspect Psychiatr Care. 2022;58(4):2383-2393. doi:10.1111/ppc.13072…
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psnet.ahrq.gov/node/844992/psn-pdf
February 22, 2023 - The role of bias in clinical decision-making of people with
serious mental illness and medical co-morbidities: a
scoping review.
February 22, 2023
Crapanzano KA, Deweese S, Pham D, et al. The role of bias in clinical decision-making of people with
serious mental illness and medical co-morbidities: a scoping review…
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psnet.ahrq.gov/node/863761/psn-pdf
January 23, 2020 - Exposures to structural racism and racial discrimination
among pregnant and early post-partum Black women
living in Oakland, California.
January 23, 2020
Chambers BD, Arabia SE, Arega HA, et al. Exposures to structural racism and racial discrimination among
pregnant and early post?partum Black women living in Oakl…
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psnet.ahrq.gov/node/837301/psn-pdf
June 01, 2022 - Physicians' experiences with mistreatment and
discrimination by patients, families, and visitors and
association with burnout.
June 1, 2022
Dyrbye LN, West CP, Sinsky CA, et al. Physicians' experiences with mistreatment and discrimination by
patients, families, and visitors and association with burnout. JAMA Netw …