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psnet.ahrq.gov/web-mm/shortcuts-acetaminophen-induced-liver-failure
July 01, 2017 - the patient to an obstetric triage or labor and delivery unit, where providers are potentially more experienced
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.269_slideshow.ppt
June 01, 2012 - The patient survived the surgery, but experienced persistent post-operative hypotension (shock) of unclear
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psnet.ahrq.gov/node/33642/psn-pdf
November 01, 2006 - If
an experienced pilot makes this mistake, others have probably made it also.
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psnet.ahrq.gov/continuing-education
February 26, 2025 - A 55-year-old woman with a history of panic attacks, obesity, and untreated hypertension, experienced
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psnet.ahrq.gov/web-mm/preventable-transfer-hospital
March 31, 2022 - hospice in the chart leaving the nursing staff no option but to send the patient to the hospital when he experienced
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psnet.ahrq.gov/node/49679/psn-pdf
March 01, 2013 - Moreover, the nurse should have been supervised by an experienced mentor in the first use of the
unfamiliar
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psnet.ahrq.gov/node/49400/psn-pdf
May 01, 2003 - sensitivity for diagnosing large, centrally located pulmonary
emboli and good specificity when read by experienced
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psnet.ahrq.gov/web-mm/slow-down-right-drug-wrong-formulation
October 13, 2018 - That night, he developed atrioventricular block, experienced a pulseless electrical activity cardiac
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psnet.ahrq.gov/periodic-issue/periodic-issue-469
December 31, 2024 - 2024
A 55-year-old woman with a history of panic attacks, obesity, and untreated hypertension, experienced
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psnet.ahrq.gov/primer/patient-safety-indicators
June 15, 2024 - beneficiaries in skilled nursing facilities and 29% of Medicare beneficiaries in rehabilitation hospitals experienced
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psnet.ahrq.gov/web-mm/unintentional-ketamine-overdose-operating-room-mixing-ampules
March 25, 2020 - responsible for a patient’s life in the operating room without direct, in-person supervision by a more experienced
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psnet.ahrq.gov/web-mm/bandemia-harbinger-stercoral-colitis-and-impending-perforation
November 25, 2020 - 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/two-wrongs-dont-make-right-kidney
April 01, 2010 - June 1, 2011
A 62-year-old woman with skin cancer who experienced wrong-site surgery.
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psnet.ahrq.gov/web-mm/discharge-instructions-pacu-who-remembers
August 05, 2009 - When she experienced significant pain, she called the surgeon who then chastised her for not following
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psnet.ahrq.gov/perspective/organizational-change-face-highly-public-errors-ii-duke-experience
July 20, 2010 - Organizational Change in the Face of Highly Public Errors—II. The Duke Experience
Karen Frush, MD | May 1, 2005
View more articles from the same authors.
Citation Text:
Frush K. Organizational Change in the Face of Highly Public Errors—II. The Duke Experience. PSN…
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psnet.ahrq.gov/node/857060/psn-pdf
November 27, 2023 - The Role of Undergraduate Nursing Education in Patient
Safety
November 27, 2023
Stanley J, Gale B, Mossburg S. The Role of Undergraduate Nursing Education in Patient Safety. PSNet
[internet]. 2023.
https://psnet.ahrq.gov/perspective/role-undergraduate-nursing-education-patient-safety
Introduction
Nurses are a li…
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psnet.ahrq.gov/node/73554/psn-pdf
July 28, 2021 - EMS Patient Safety in the Field
July 28, 2021
Augustine JJ, Fitall E, Hall KK, et al. EMS Patient Safety in the Field. PSNet [internet]. 2021.
https://psnet.ahrq.gov/perspective/ems-patient-safety-field
Introduction
Emergency medical services (EMS) personnel serve a critical role within the care continuum. They ar…
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psnet.ahrq.gov/node/49628/psn-pdf
June 01, 2011 - Routine Goes Awry
June 1, 2011
Huoh KC, Rosbe KW. Routine Goes Awry. PSNet [internet]. 2011.
https://psnet.ahrq.gov/web-mm/routine-goes-awry
The Case
A 6-year-old girl with a history of asthma and chronic adenotonsillitis was referred to a surgeon and
scheduled for a tonsillectomy and adenoidectomy. She was in ot…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.92_slideshow.ppt
April 01, 2005 - Spotlight Case [MONTH] 2003
Spotlight Case April 2005
Compare and Contrast
Source and Credits
This presentation is based on the April 2005
Spotlight Case in Emergency Medicine
See the full article at http://webmm.ahrq.gov
CME credit is available through the Web site
Commentary by: Kerry Cho, MD; Glenn Cher…
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psnet.ahrq.gov/node/33741/psn-pdf
November 01, 2012 - The Evidence-Based Physical Examination as a Patient
Safety Practice
November 1, 2012
McGee S. The Evidence-Based Physical Examination as a Patient Safety Practice. PSNet [internet]. 2012.
https://psnet.ahrq.gov/perspective/evidence-based-physical-examination-patient-safety-practice
Perspective
Near the end of hi…