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psnet.ahrq.gov/web-mm/hidden-mystery
December 01, 2011 - and pulse oximetry monitoring, wound care, blood draws, intravenous catheter placement, skin care and prevention … behavior.( 19 ) Taken together, these studies indicate that obese patients' medical care might well fall
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psnet.ahrq.gov/web-mm/volume-too-low-and-out
July 01, 2017 - Innovations
Preventing Falls Through Patient and Family Engagement to Create Customized Prevention
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psnet.ahrq.gov/node/49474/psn-pdf
March 01, 2005 - pulse oximetry monitoring, wound care, blood draws, intravenous catheter placement,
skin care and prevention … //#references
Taken together, these studies indicate that obese patients' medical care might well fall
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psnet.ahrq.gov/node/33736/psn-pdf
September 01, 2012 - In Conversation With… Jack Needleman, PhD
September 1, 2012
In Conversation With… Jack Needleman, PhD. PSNet [internet]. 2012.
https://psnet.ahrq.gov/perspective/conversation-jack-needleman-phd
Editor's note: Jack Needleman, PhD, is a Professor in the Department of Health Policy and Management
at UCLA School of P…
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psnet.ahrq.gov/primer/deprescribing-patient-safety-strategy
September 07, 2019 - Deprescribing as a Patient Safety Strategy
Citation Text:
Takhar S, Nelson N. Deprescribing as a Patient Safety Strategy. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2021.
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psnet.ahrq.gov/psnet-collection
January 15, 2024 - The PSNet Collection: All Content
The AHRQ PSNet Collection comprises an extensive selection of resources relevant to the patient safety community. These resources come in a variety of formats, including literature, research, tools, and Web sites. Resources are identified using the National Library of Medicine’s…
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psnet.ahrq.gov/node/865540/psn-pdf
April 11, 2024 - Misplaced Nasogastric Tube Resulting in Aspiration
April 11, 2024
Singh A, Huang C. Misplaced Nasogastric Tube Resulting in Aspiration. PSNet [internet]. 2024.
https://psnet.ahrq.gov/web-mm/misplaced-nasogastric-tube-resulting-aspiration
The Case
An 82-year-old woman presented to the Emergency Department (ED) for …
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psnet.ahrq.gov/web-mm/direct-oral-anticoagulants-are-high-risk-medications-potentially-complex-dosing
August 21, 2005 - In comparison, the recommended dose of rivaroxaban for the prevention of stroke in patients with atrial … dose depends on several factors including the indication (atrial fibrillation, VTE treatment, or VTE prevention … (4) assist with cost issues, especially for Medicare patients whose insurance may change yearly or fall
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psnet.ahrq.gov/issue/five-pitfalls-decisions-about-diagnosis-and-prescribing
April 26, 2017 - Commentary
Five pitfalls in decisions about diagnosis and prescribing.
Citation Text:
Klein JG. Five pitfalls in decisions about diagnosis and prescribing. BMJ. 2005;330(7494):781-3.
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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/baffled-botulinum-toxin
July 17, 2024 - Baffled by Botulinum Toxin
Citation Text:
Sivaraman-Nair KP. Baffled by Botulinum Toxin. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015.
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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/medication-reconciliation-twist-or-dare-we-say-patch
April 03, 2024 - different points of care.( 23 ) Pharmacists, who have been shown to play an important role in the prevention … To date, such cost-benefit studies have tended to fall on the side of benefit.( 29,30 ) This case illustrates
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psnet.ahrq.gov/node/33713/psn-pdf
June 01, 2011 - The
back of a patient chair on a tomography system bent and broke off, allowing a patient to fall.
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psnet.ahrq.gov/node/33855/psn-pdf
April 01, 2018 - health care system more positive and
focused not only on acute management but also on recovery and prevention … We need to be able to use
digital to make sure that people don't fall off during the time in between
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psnet.ahrq.gov/perspective/conversation-derek-feeley
April 10, 2024 - Innovations
Preventing Falls Through Patient and Family Engagement to Create Customized Prevention
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psnet.ahrq.gov/web-mm/getting-right-doctor-right-away
July 01, 2011 - Getting the (Right) Doctor, Right Away
Citation Text:
Gupta K, Khanna R. Getting the (Right) Doctor, Right Away. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016.
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psnet.ahrq.gov/web-mm/looking-meds-all-wrong-places
June 16, 2021 - Many of the steps and techniques described above fall under the field of medication safety engineering
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psnet.ahrq.gov/node/49782/psn-pdf
January 01, 2017 - starting vasopressors peripherally, or, alternatively, why
they allowed the patient's blood pressure to fall
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psnet.ahrq.gov/psnet-collection?search=%7B%22Topic%22%3A%22COVID-19%22%7D&f%5B0%5D=clinical_area%3A5356
October 27, 2021 - authors conclude that these findings suggest a need to return to conventional infection control and prevention … ownership status, facility size and average occupancy rate, rather than quality (as measured by infection prevention