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psnet.ahrq.gov/web-mm/mistaken-dose-naloxone
March 21, 2009 - prescribing and discomfort with counseling on its use. 5 Moreover, appropriate counseling requires extensive
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psnet.ahrq.gov/web-mm/add-case-and-missing-checklist
September 01, 2012 - After extensive discussions with the family, the decision was made to focus on comfort measures only.
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psnet.ahrq.gov/web-mm/preventing-picc-complications-whose-line-it
October 01, 2017 - On admission, she was found to have extensive catheter-related thrombosis in the subclavian, axillary
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psnet.ahrq.gov/web-mm/weight-and-height-juxtaposition-electronic-medical-record-causing-accidental-medication
March 15, 2023 - interruptions effectively. 5 Within the fast-paced and high-stress environment of the ED, distractions can be extensive
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psnet.ahrq.gov/web-mm/coming-err-missed-diagnosis-patient-recurrent-pneumothorax
December 14, 2022 - She was started on sirolimus to prevent progression of her bilateral extensive cystic disease, and she
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psnet.ahrq.gov/web-mm/silent-pain-neck
August 19, 2020 - resulting in airway compromise can occur.( 6 ) Risk factors for postoperative hematoma after ACD include extensive
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psnet.ahrq.gov/web-mm/fecal-contamination-peritoneum-laparoscopic-trocar-injury-routine-operation-goes-wrong
March 03, 2021 - The operative note mentioned no visible injury upon entry into the abdominal cavity, but there were extensive
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psnet.ahrq.gov/web-mm/intraosseous-line-extravasation-pediatric-trauma-patient
September 29, 2021 - access is commonly utilized include cardiopulmonary arrest, shock, sepsis, major traumatic injuries, extensive
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psnet.ahrq.gov/node/867651/psn-pdf
February 26, 2025 - Safety I, Safety II, and the New Views of Safety
February 26, 2025
Scanlon M, Jacobson N. Safety I, Safety II, and the New Views of Safety. PSNet [internet]. 2025.
https://psnet.ahrq.gov/primer/safety-i-safety-ii-and-new-views-safety
Background and Context
Safety I and Safety II (Safety I/II) are not safety method…
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psnet.ahrq.gov/primer/safety-i-safety-ii-and-new-views-safety
October 02, 2024 - Safety I, Safety II, and the New Views of Safety
Citation Text:
Scanlon M, Jacobson N. Safety I, Safety II, and the New Views of Safety. PSNet [internet]. Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2025.
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Format:
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psnet.ahrq.gov/web-mm/liver-biopsy-proceed-caution
March 07, 2012 - Jaundice is rarely caused by tumor infiltration of the liver, except after advanced and extensive infiltration
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psnet.ahrq.gov/web-mm/good-catch-operating-room
August 27, 2017 - The Case A 46-year-old woman with extensive history of back pain from lumbar stenosis was scheduled
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psnet.ahrq.gov/web-mm/signout-fallout
November 16, 2022 - The published literature on handoffs in hospitals: deficiencies identified in an extensive review.
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psnet.ahrq.gov/web-mm/open-wider-failure-use-interpreter-results-fractured-teeth-and-hypoxia-during-simple
January 29, 2021 - The Commentary
By Christian Bohringer, MBBS and Luis Godoy, MD
Background
Extensive migration
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psnet.ahrq.gov/web-mm/sweet-case-hidden-hydrogen-ions
November 30, 2023 - patient had a high anion gap (AG) metabolic acidosis from DKA, with concurrent metabolic alkalosis from extensive
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psnet.ahrq.gov/web-mm/antibiotics-urisinusitis-simple-decision-gone-bad
January 01, 2014 - antibiotic resistance.( 10 ) Due to this close link between antibiotic prescribing and development of AMR, extensive
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psnet.ahrq.gov/perspective/conversation-withbarbara-blakeney-ms-rn
August 01, 2005 - As one example, the evidence linking nurse staffing to patient outcomes is considerably more extensive
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psnet.ahrq.gov/web-mm/crossing-line
December 01, 2012 - The patient underwent an extensive work-up including bronchoscopy, which revealed a pyogenic lung abscess
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psnet.ahrq.gov/web-mm/delayed-management-necrotizing-soft-tissue-infection-who-does-patient-belong
March 31, 2021 - concerning findings often extend beyond the borders of the overlying skin changes, requiring much more extensive
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psnet.ahrq.gov/node/865418/psn-pdf
March 27, 2024 - Cybersecurity and How to Maintain Patient Safety
March 27, 2024
Pelletreau B, Riggi J, Gale B, et al. Cybersecurity and How to Maintain Patient Safety. PSNet [internet].
2024.
https://psnet.ahrq.gov/perspective/cybersecurity-and-how-maintain-patient-safety
Introduction
The integration of information technology (I…