-
psnet.ahrq.gov/sites/default/files/2023-08/spotlight_case_prolonged_dka_in_pregnancy_-_slides_-_revised.pdf
January 01, 2023 - Euglycemic DKA is defined as ketoacidosis in the absence of pronounced
hyperglycemia and affects up … – These authors recommend providers follow the American College of Obstetricians and
Gynecologists
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psnet.ahrq.gov/web-mm/other-side
May 01, 2007 - When the patient returned for routine follow-up, the surgeon performed a vulvar colposcopy and biopsied
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psnet.ahrq.gov/node/863650/psn-pdf
February 28, 2024 - in the control group
(discharge AOR=0.40 [0.26–0.62]; p<0.0001).1
The Innovation Team conducted a follow-up
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psnet.ahrq.gov/innovation/statewide-collaborative-support-vaginal-birth-and-reduce-unnecessary-cesarean-deliveries
July 23, 2024 - Maternal Safety
December 22, 2018
Predictors of likelihood of speaking up
-
psnet.ahrq.gov/sites/default/files/2021-09/spotlight_missed_sea_09.17.2021_-_final.pdf
January 01, 2021 - – This requires clinicians to lower the testing threshold and follow evidence-
based recommendations … If these markers are normal, other diagnoses should be considered
and discharge with follow-up may be
-
psnet.ahrq.gov/node/49446/psn-pdf
August 30, 2021 - A pop-
up flag could have alerted the surgeon to ensure the insulin drip was appropriate for the situation
-
psnet.ahrq.gov/primer/coronavirus-disease-2019-covid-19-and-safety-older-adults
April 10, 2024 - preliminary results and should be considered in the context of the clinical situation in that NH and may need follow-up … before they can reopen. 68 Coronavirus Commission for Safety and Quality in NHs As part of its “Opening Up … LTC facilities were able to sign up for the program and the CDC facilitated assigning pharmacy partners … to each facility that signed up. … It is essential that NH residents, staff, and visitors be vaccinated and up to date with CDC’s COVID-
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psnet.ahrq.gov/web-mm/crossed-coverage
September 01, 2015 - Debacle
September 1, 2015
WebM&M Cases
Coming Up
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psnet.ahrq.gov/web-mm/dont-push
March 02, 2011 - treatment ( 1,2,11-14 ) to achieve rapid sedation of agitated psychotic patients to facilitate medical work-up
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psnet.ahrq.gov/web-mm/departure-central-line-ritual
October 13, 2018 - staff—assuming that a culture of psychological safety exists so that nurses are empowered to speak up
-
psnet.ahrq.gov/node/49806/psn-pdf
September 01, 2017 - least two systemic
inflammatory response syndrome (SIRS) criteria (Table 1), yet SIRS criteria misses up
-
psnet.ahrq.gov/web-mm/two-wrongs-dont-make-right-kidney
April 01, 2010 - It is up to the health care administrators, providers, and surgeons to ensure that the protocol is implemented
-
psnet.ahrq.gov/perspective/conversation-matthew-weinger-md
August 01, 2018 - Or it's still expensive and complicated enough that simulation won't rise up as one of the things you … I think other boards, where appropriate, will follow suit. … working; failure to use available resources effectively including calling for help; failure to speak up … team members when those other people's actions are required for successful management; and failure to follow
-
psnet.ahrq.gov/sites/default/files/2024-03/uterine_artery_injury.pdf
January 01, 2024 - is the leading cause
of severe maternal morbidity1 and preventable maternal deaths, accounting for up … had abnormal vital signs and multiple providers considered intra-
abdominal hemorrhage yet no work-up
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.332_slideshow.ppt
September 01, 2014 - Over the next 48 hours he was given increasing doses of extended-release morphine (up to a dose of morphine … He was found to have new acute renal insufficiency, which likely had contributed to a build-up of opioids
-
psnet.ahrq.gov/web-mm/danger-10-intravenous-calcium-chloride-extravasation
April 24, 2024 - infusion site)
No erythema
2
Pain at the infusion site
Localized swelling affecting up … April 24, 2024
WebM&M Cases
Medication Mix-Up
-
psnet.ahrq.gov/perspective/how-does-health-care-simulation-affect-patient-care
August 01, 2018 - Or it's still expensive and complicated enough that simulation won't rise up as one of the things you … I think other boards, where appropriate, will follow suit. … working; failure to use available resources effectively including calling for help; failure to speak up … team members when those other people's actions are required for successful management; and failure to follow
-
psnet.ahrq.gov/web-mm/confusion-acetaminophen
December 01, 2009 - tablets are for ages 2-6, the table on the back of the box (shown here) suggests dosing for children up
-
psnet.ahrq.gov/web-mm/lap-burn
March 01, 2018 - After adjusting the trocar, she picked up the laparoscope and noticed the drapes were melted where the
-
psnet.ahrq.gov/node/49409/psn-pdf
July 01, 2003 - That tends to minimize the vital focus on listening to the patient and following up on her
complaints