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psnet.ahrq.gov/perspective/team-training-classroom-training-vs-high-fidelity-simulation
January 12, 2011 - Fall 2002;Q4:20-24.
7. Gaba DM. The future vision of simulation in health care.
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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/hiding-plain-sight
April 24, 2019 - April 24, 2019
An inpatient fall prevention initiative in a tertiary care hospital.
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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/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/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/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/add-case-and-missing-checklist
September 01, 2012 - addressed through a thorough understanding of the barriers to adherence.( 16 ) Sometimes a process will fall
-
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
-
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
-
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/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/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/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
-
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
…
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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.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XM…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.461_slideshow.ppt
November 01, 2018 - Spotlight
Spotlight
Supervision and Entrustment in Clinical Training: Protecting Patients, Protecting Trainees
*
Source and Credits
This presentation is based on the November 2018 AHRQ WebM&M Spotlight Case
See the full article at https://psnet.ahrq.gov/webmm
CME credit is available
Commentary by: Olle ten C…
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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…