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psnet.ahrq.gov/sites/default/files/2022-03/final_spotlight_case_mistaken_capacity.pdf
January 01, 2022 - patient was incidentally diagnosed with prostate cancer, metastatic to
bone, when he was admitted for a fall
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psnet.ahrq.gov/node/836794/psn-pdf
March 31, 2022 - patient was incidentally diagnosed with prostate cancer,
metastatic to bone, when he was admitted for a fall
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psnet.ahrq.gov/web-mm/robotic-surgery-risks-vs-rewards
October 31, 2023 - October 11, 2023
A randomized trial of a multifactorial strategy to prevent serious fall
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psnet.ahrq.gov/perspective/removing-insult-injury-disclosing-adverse-events
February 01, 2006 - January 1, 2004
A randomized trial of a multifactorial strategy to prevent serious fall
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psnet.ahrq.gov/node/865454/psn-pdf
March 27, 2024 - Ensuring Patient and Workforce Safety Culture in
Healthcare
March 27, 2024
Murray J, Sorra J, Gale B, et al. Ensuring Patient and Workforce Safety Culture in Healthcare. PSNet
[internet]. 2024.
https://psnet.ahrq.gov/perspective/ensuring-patient-and-workforce-safety-culture-healthcare
Introduction
In 2020, the I…
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psnet.ahrq.gov/node/49534/psn-pdf
May 01, 2007 - Antiseizure Medication Disorder
May 1, 2007
Alldredge BK. Antiseizure Medication Disorder. PSNet [internet]. 2007.
https://psnet.ahrq.gov/web-mm/antiseizure-medication-disorder
Case Objectives
Appreciate the challenges of safe use of antiepileptic medications.
Identify phenytoin toxicity.
Understand the pharmaco…
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psnet.ahrq.gov/node/867357/psn-pdf
December 18, 2024 - tube (ETT) placement was confirmed by auscultation of breath sounds and observation of chest rise and
fall
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psnet.ahrq.gov/perspective/emergence-application-based-healthcare
August 05, 2022 - , Johns Hopkins Digital Health Innovation Lab
Core Faculty, Johns Hopkins Ciccarone Center for the Prevention … I am core faculty of the Johns Hopkins Ciccarone Center for the Prevention of Cardiovascular Disease. … devices or have internet access but for people who don’t have those things; it is for people who might fall … plenty of use cases for smartphone applications in the cardiology space demonstrating that secondary prevention
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psnet.ahrq.gov/perspective/conversation-withwilliam-b-weeks-md-mba
May 01, 2009 - In Conversation with…William B. Weeks, MD, MBA
May 1, 2009
Also Read an Essay
Citation Text:
In Conversation with…William B. Weeks, MD, MBA. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. …
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psnet.ahrq.gov/perspective/patient-safety-perspective-office-practice
May 01, 2009 - Patient Safety: A Perspective from Office Practice
Richard J. Baron, MD | May 1, 2009
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Baron RJ. Patient Safety: A Perspective from Office Practice. PSNet [internet]. Rockville (MD…
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psnet.ahrq.gov/node/33837/psn-pdf
July 01, 2017 - If
the insurer is not on board, it's very easy for things to fall off the rails.
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psnet.ahrq.gov/node/49585/psn-pdf
May 01, 2009 - Delirium or Dementia?
May 1, 2009
Rudolph JL. Delirium or Dementia? PSNet [internet]. 2009.
https://psnet.ahrq.gov/web-mm/delirium-or-dementia
Case Objectives
State the key diagnostic differences between delirium and dementia.
Describe the Confusion Assessment Method for workup of suspected delirium.
Explain the…
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psnet.ahrq.gov/web-mm/medication-safety-events-related-diagnostic-imaging
January 26, 2022 - Medication Safety Events Related to Diagnostic Imaging
Citation Text:
Sanchez L, Porras H, Lammers C. Medication Safety Events Related to Diagnostic Imaging. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022.
Copy Citation
Fo…
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psnet.ahrq.gov/sites/default/files/2024-05/spotlight_case_managing_complexity_in_diagnosis_-_slides_final.pptx
January 01, 2024 - Spotlight
Spotlight
Managing Complexity in Diagnosis: Life-threatening Complications after Gastric Bypass Surgery
1
Source and Credits
This presentation is based on the May 2024 AHRQ WebM&M Spotlight Case
See the full article at https://psnet.ahrq.gov/webmm
CME credit is available
Commentary by: Andrew P.J. …
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psnet.ahrq.gov/web-mm/weighing-surgical-safety
August 04, 2021 - November 15, 2011
A randomized trial of a multifactorial strategy to prevent serious fall
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psnet.ahrq.gov/node/33670/psn-pdf
July 01, 2008 - on whether those solutions were adopted and whether or not they were
effective, that's where things fall
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psnet.ahrq.gov/node/73229/psn-pdf
May 26, 2021 - 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/are-we-pushing-graduate-nurses-too-fast
November 16, 2022 - Report of Findings from the Practice and Professional Survey, Fall 2004.
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psnet.ahrq.gov/perspective/implementing-patient-safety-program-large-national-health-system
January 01, 2008 - April 1, 2014
Perspective
How Does Infection Prevention … February 1, 2014
Perspective
Implementing a Fall … Prevention Program
December 1, 2011
Perspective
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psnet.ahrq.gov/perspective/conversation-mark-l-graber-md
January 01, 2016 - One is that diagnostic errors are not quite as obvious as a fall or a medication error. … First, diagnostic errors are often confused with errors of screening, prevention, and management and