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psnet.ahrq.gov/web-mm/difficult-encounters-cmo-and-cno-respond
March 01, 2018 - Often, individuals feel that their complaints fall into a black hole, are not taken seriously, or will … February 27, 2019
Guidelines for prevention, diagnosis and treatment of ventilator-associated
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psnet.ahrq.gov/node/33686/psn-pdf
August 01, 2009 - In Conversation with...Steven J. Spear, DBA, MS, MS
August 1, 2009
In Conversation with..Steven J. Spear, DBA, MS, MS . PSNet [internet]. 2009.
https://psnet.ahrq.gov/perspective/conversation-withsteven-j-spear-dba-ms-ms
Editor's note: Steven Spear, DBA, MS, MS, is Senior Lecturer at Massachusetts Institute of Tech…
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psnet.ahrq.gov/node/837748/psn-pdf
August 05, 2022 - readmitted 10 days later with another episode of severe
hypoglycemia and a humeral fracture caused by a fall … Hypoglycemia among patients with
Type 2 diabetes: epidemiology, risk factors, and prevention strategies
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psnet.ahrq.gov/web-mm/challenges-diabetes-management-and-medication-reconciliation
March 15, 2023 - readmitted 10 days later with another episode of severe hypoglycemia and a humeral fracture caused by a fall … Hypoglycemia among patients with Type 2 diabetes: epidemiology, risk factors, and prevention strategies
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psnet.ahrq.gov/web-mm/one-toxic-drug-not-another
October 02, 2019 - Innovations
Preventing Falls Through Patient and Family Engagement to Create Customized Prevention
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psnet.ahrq.gov/perspective/conversation-pascale-carayon-phd-and-nicole-werner-phd
November 16, 2022 - What are you doing with infection prevention? … We’ve also done a lot of work in infection prevention. … process was focused on the particular patient population of older adults who come to the ED with a fall … Related Resources
Perspectives on Safety
Suicide Prevention … Interview
In Conversation with Edwin Boudreaux about Suicide Prevention
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psnet.ahrq.gov/web-mm/bleeding-risk
November 01, 2003 - Take-Home Points Oral warfarin is safe and effective in the treatment and prevention of many thromboembolic
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psnet.ahrq.gov/web-mm/missed-connection-case-inadequate-ecg-oversight-cardiac-surgery
March 25, 2020 - SPOTLIGHT CASE
Missed Connection: A Case of Inadequate ECG Oversight in Cardiac Surgery
Citation Text:
Bohringer C, Fierro M, Venugopal S. Missed Connection: A Case of Inadequate ECG Oversight in Cardiac Surgery. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Dep…
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psnet.ahrq.gov/web-mm/cyp450-drugs-expect-unexpected
October 19, 2022 - CYP450 Drugs: Expect the Unexpected
Citation Text:
Gonzalez CJ. CYP450 Drugs: Expect the Unexpected. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNot…
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psnet.ahrq.gov/node/49594/psn-pdf
December 01, 2009 - Standard Deviations
December 1, 2009
Sabin JE. Standard Deviations. PSNet [internet]. 2009.
https://psnet.ahrq.gov/web-mm/standard-deviations
Case Objectives
Understand the safety risks associated with patients being discharged against medical advice
(AMA).
Recognize safety risks associated with being part of a …
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psnet.ahrq.gov/perspective/preparing-health-reform-federal-government-and-nursing-workforce
September 01, 2012 - Preparing for Health Reform: The Federal Government and the Nursing Workforce
Peter I. Buerhaus, PhD, RN | September 1, 2012
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Buerhaus P. Preparing for Health Reform: The Federal G…
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psnet.ahrq.gov/node/33680/psn-pdf
March 22, 2009 - Francisco,
Director of the UCSF Center for Vulnerable Populations, and Chief of the California Diabetes Prevention … thinking about the period of time between visits as an
opportunity to be proactive before patients fall
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psnet.ahrq.gov/classics
August 01, 2023 - Classics and Emerging Classics
To help our readers navigate the tremendous breadth of the PSNet Collection, AHRQ PSNet editors and advisors have given the designation of “Classic” to review articles, empirical studies, government and stakeholder reports, commentaries, and books of lasting importance to the patient sa…
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psnet.ahrq.gov/perspective/conversation-kaveh-shojania-md
February 26, 2025 - In Conversation With… Kaveh Shojania, MD
November 1, 2015
Citation Text:
In Conversation With… Kaveh Shojania, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015.
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For…
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psnet.ahrq.gov/web-mm/do-not-disturb
February 03, 2011 - SPOTLIGHT CASE
Do Not Disturb!
Citation Text:
Duffy DF, Cassel C. Do Not Disturb!. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2007.
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Format:
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psnet.ahrq.gov/web-mm/hypoxemia-after-emergency-intubation
March 24, 2019 - tube (ETT) placement was confirmed by auscultation of breath sounds and observation of chest rise and fall
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psnet.ahrq.gov/node/840174/psn-pdf
August 28, 2024 - and a thoracic aortic aneurysm presented to the Emergency Department (ED) after a syncopal event and
fall
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psnet.ahrq.gov/web-mm/missed-candor-implementation-opportunities
November 11, 2020 - and a thoracic aortic aneurysm presented to the Emergency Department (ED) after a syncopal event and fall
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psnet.ahrq.gov/perspective/safety-prehospital-emergency-medical-services-setting
May 01, 2019 - Occupational injury prevention and management. In: Cone DC, Brice JH, Delbridge TR, Myers JB, eds. … I have seen in the field and as an EMS physician (but also on the receiving end of the EMS patient) fall … And that's one thing that makes it really hard, because 1% of the patients they're going to see will fall
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psnet.ahrq.gov/perspective/patient-engagement-and-patient-safety
February 01, 2013 - Hospitalized patients' attitudes about and participation in error prevention.