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psnet.ahrq.gov/node/49505/psn-pdf
March 01, 2006 - The patient was finally closed and transferred to the ICU 6 hours after the DIC was first
noted.
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psnet.ahrq.gov/node/33813/psn-pdf
August 01, 2016 - separately from medical insurance, and federal and state
assistance for dental care is limited.(15) Finally
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psnet.ahrq.gov/node/33615/psn-pdf
June 01, 2005 - Finally, the leader and team need to
evaluate what's done, to answer the question, "How do I know I
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.461_slideshow.ppt
November 01, 2018 - The patient was finally placed into the MRI machine safely.
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psnet.ahrq.gov/node/49838/psn-pdf
August 01, 2018 - Finally, it highlights the importance of
having a specified location in the medical record, accessible
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psnet.ahrq.gov/node/49830/psn-pdf
May 01, 2018 - Finally, there are problems with the safety of the environment of care on this unit.
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psnet.ahrq.gov/node/49755/psn-pdf
February 01, 2016 - Finally, because sleeping aids are so often added during a hospitalization, the appropriateness of ongoing
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psnet.ahrq.gov/web-mm/lethal-cap
December 19, 2018 - Finally, health professional schools should incorporate basic educational curricula ( 14 ) to ensure
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psnet.ahrq.gov/web-mm/pca-overdose
April 01, 2017 - Finally, in the event of an adverse clinical event possibly related to PCA usage, nothing should be discarded
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psnet.ahrq.gov/web-mm/citrate-mix
February 01, 2010 - Finally, the order entry system may be tailored to screen the patient's laboratory values (serum potassium
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psnet.ahrq.gov/web-mm/amended-lab-results-communication-slip
September 26, 2012 - Finally, in this case, patient harm was avoided by a senior clinician noticing a discrepancy between
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psnet.ahrq.gov/web-mm/check-bags
January 03, 2017 - And finally, the medication can be given through the wrong port, such as into the right atrium rather
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psnet.ahrq.gov/node/49581/psn-pdf
March 21, 2009 - Finally, Dr.
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psnet.ahrq.gov/node/46114/psn-pdf
June 07, 2017 - Standardizing concentrations of adult drug infusions in
Indiana.
June 7, 2017
Walroth TA, Dossett HA, Doolin M, et al. Standardizing concentrations of adult drug infusions in Indiana.
Am J Health Syst Pharm. 2017;74(7):491-497. doi:10.2146/ajhp151018.
https://psnet.ahrq.gov/issue/standardizing-concentrations-adult…
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psnet.ahrq.gov/node/43881/psn-pdf
February 11, 2015 - Cognitive Systems Engineering in Health Care.
February 11, 2015
Bisantz AM, Burns CM, Fairbanks RJ, eds. Boca Raton, FL: CRC Press; 2014. ISBN: 9781466587960.
https://psnet.ahrq.gov/issue/cognitive-systems-engineering-health-care
This publication provides information about the role of cognition in medical error. Th…
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psnet.ahrq.gov/node/43213/psn-pdf
June 04, 2014 - Back to basics: preventing surgical site infections.
June 4, 2014
Spruce L. Back to basics: preventing surgical site infections. AORN J. 2014;99(5):600-8; quiz 609-11.
doi:10.1016/j.aorn.2014.02.002.
https://psnet.ahrq.gov/issue/back-basics-preventing-surgical-site-infections
Surgical site infections are a common …
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psnet.ahrq.gov/node/46058/psn-pdf
October 23, 2018 - Centers for Disease Control and Prevention Guideline for
the Prevention of Surgical Site Infection, 2017.
October 23, 2018
Berríos-Torres SI, Umscheid CA, Bratzler DW, et al. Centers for Disease Control and Prevention Guideline
for the Prevention of Surgical Site Infection, 2017. JAMA Surg. 2017;152(8).
doi:10.100…
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psnet.ahrq.gov/node/45878/psn-pdf
September 20, 2017 - Development of a trigger tool to identify adverse events
and harm in emergency medical services.
September 20, 2017
Howard IL, Bowen JM, Shaikh LAHA, et al. Development of a trigger tool to identify adverse events and
harm in Emergency Medical Services. Emerg Med J. 2017;34(6):391-397. doi:10.1136/emermed-2016-
20…
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psnet.ahrq.gov/node/43038/psn-pdf
March 05, 2014 - Missed it.
March 5, 2014
Green MJ, Rieck R. Missed it. Ann Intern Med. 2013;158(5 Pt 1):357-61. doi:10.7326/0003-4819-158-5-
201303050-00013.
https://psnet.ahrq.gov/issue/missed-it-0
This piece uses a graphic novel format to depict a story of a diagnostic error that resulted in a patient’s
death. The attention-gr…
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psnet.ahrq.gov/perspective/conversation-withjoseph-britto-md
February 01, 2007 - Yes, we might use a set of digital questionnaires to help us ask all the right questions, but finally