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psnet.ahrq.gov/node/33712/psn-pdf
June 01, 2011 - Or are there ways to prospectively
anticipate that something is likely to fall off the back of the truck
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psnet.ahrq.gov/web-mm/potent-medication-administered-not-so-viable-route
July 20, 2016 - starting vasopressors peripherally, or, alternatively, why they allowed the patient's blood pressure to fall
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psnet.ahrq.gov/web-mm/pocket-syringe-swap
July 01, 2006 - drugs used by anesthesia practitioners are administered by IV push or IV infusion, and many of them fall
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psnet.ahrq.gov/web-mm/late-anemia-following-rh-disease-newborn
June 17, 2010 - providers who all noted that the hemoglobin remained stable at 12 g/dL, and the bilirubin continued to fall
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psnet.ahrq.gov/web-mm/myasthenia-crisis-after-delayed-diagnosis-medically-complex-patient
February 21, 2020 - October 18, 2023
Assessment of a wearable fall prevention system at a Veterans Health
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psnet.ahrq.gov/web-mm/departure-central-line-ritual
October 13, 2018 - June 26, 2019
Evaluation of clinical practice guidelines on fall prevention and management
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psnet.ahrq.gov/node/49804/psn-pdf
September 01, 2017 - In such cases, the hemoglobin tends to fall precipitously and waiting
can result in delayed and insufficient
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psnet.ahrq.gov/web-mm/shortcuts-acetaminophen-induced-liver-failure
July 01, 2017 - dL) postingestion than at 4 hours (150 mg/dL).( 11 ) This is because the measured concentration will fall
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psnet.ahrq.gov/web-mm/add-case-and-missing-checklist
September 01, 2012 - addressed through a thorough understanding of the barriers to adherence.( 16 ) Sometimes a process will fall
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psnet.ahrq.gov/web-mm/double-trouble
August 01, 2012 - October 11, 2023
A randomized trial of a multifactorial strategy to prevent serious fall
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psnet.ahrq.gov/node/49799/psn-pdf
July 01, 2017 - with confirmation is mandated by accreditation bodies, but even with
mandates in place, results can fall
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psnet.ahrq.gov/web-mm/unhappy-patient-leaves-against-medical-advice
January 31, 2024 - No Pain
July 1, 2003
WebM&M Cases
Another Fall
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psnet.ahrq.gov/node/33652/psn-pdf
June 01, 2007 - while being
cared for in a health care facility
Patient death or serious disability associated with a fall
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psnet.ahrq.gov/web-mm/norepinephrine-dosing-error-associated-multiple-health-system-vulnerabilities
November 27, 2019 - presented to a Level III trauma center with bilateral lower extremity paralysis following a ground level fall
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psnet.ahrq.gov/web-mm/bandemia-harbinger-stercoral-colitis-and-impending-perforation
November 25, 2020 - Journal Article
Study
Catching those who fall
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psnet.ahrq.gov/web-mm/discharged-blindly
October 26, 2022 - Discharged Blindly
Citation Text:
Iezzoni LI. Discharged Blindly. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS…
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psnet.ahrq.gov/node/33640/psn-pdf
September 01, 2006 - What Can the Rest of the Health Care System Learn from
the VA's Quality and Safety Transformation?
September 1, 2006
Jha AK. What Can the Rest of the Health Care System Learn from the VA's Quality and Safety
Transformation? PSNet [internet]. 2006.
https://psnet.ahrq.gov/perspective/what-can-rest-health-care-system…
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psnet.ahrq.gov/web-mm/electrocardiogram-results-read-me
May 01, 2019 - Electrocardiogram Results: ***READ ME***
Citation Text:
Alpert JS. Electrocardiogram Results: ***READ ME***. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012.
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Format:
Google Scholar BibTeX EndNote X3 XM…
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psnet.ahrq.gov/node/49443/psn-pdf
May 01, 2004 - Privacy Gone Awry
May 1, 2004
Pauker SG, Pauker SP. Privacy Gone Awry. PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/privacy-gone-awry
The Case
A 3-year-old child underwent bilateral myringotomies and tube insertion with adenoidectomy.
Preoperatively, she had an upper respiratory infection, but was eating…
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psnet.ahrq.gov/node/49827/psn-pdf
April 01, 2018 - Walking Patient, Missing Drain
April 1, 2018
Olkowski BF, Ravenel M, Stiefel MF. Walking Patient, Missing Drain. PSNet [internet]. 2018.
https://psnet.ahrq.gov/web-mm/walking-patient-missing-drain
The Case
A 43-year-old woman with a history of metastatic breast cancer was admitted to the hospital for an elective
…