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psnet.ahrq.gov/node/49514/psn-pdf
July 01, 2006 - diabetes who is receiving a maximal dose of an ACE inhibitor and 25
mg of spironolactone can have up
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psnet.ahrq.gov/node/866265/psn-pdf
July 31, 2024 - recent review of studies on the impact of double
check systems found that such processes may detect up
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psnet.ahrq.gov/web-mm/transfusion-thresholds-gastrointestinal-bleeding
November 26, 2014 - , brisk gastrointestinal bleeding (GIB) in patients with IBD is associated with a mortality rate of up … during the COVID-19 pandemic
October 27, 2021
Sustaining the gains: a 7-year follow-through
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psnet.ahrq.gov/node/49642/psn-pdf
December 01, 2011 - include requirements to encrypt all
data, to comply with specific password complexity settings, and to follow … Beam me up Scotty! Impact of personal wireless communication devices in the
emergency department.
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psnet.ahrq.gov/node/836877/psn-pdf
May 16, 2022 - decided that I wanted to turn EMS [emergency medical
services] into my full-time career, and I ended up … NEMSIS has done a really good job at partnering with all of the
vendors to come up with a suggested … So we feel like it's really important to set up the baseline, because it's
possible to improve that … real-time information and more real-time alerting around patient
safety events is going to start to pick up … So, I think that this progression is probably at a natural point,
but it's picking up quickly, and I'm
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psnet.ahrq.gov/perspective/literature-health-care-simulation-education-what-does-it-show
March 01, 2013 - innovation , where companies come out with less capable devices at a much lower price point and thereby open up … It is very difficult to study all the way up to that point, with many different confounders. … exponential rise in the adoption of simulation for all levels of learners—from early learners all the way up … RW : You are dealing now with a new generation of trainees who grew up in a simulated world, with World … will transform simulation, obviate the need for onsite presence, and allow you and others to scale up
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psnet.ahrq.gov/perspective/conversation-mark-chassin-md-mpp-mph
April 26, 2023 - That said, we realized from the beginning that we cannot expect that health care will follow a similar … When Sony releases a highly reliable electronic product in the American market, everybody sits up and … That pace of change has to pick up. It's disappointing that it hasn't spread more rapidly.
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psnet.ahrq.gov/node/838222/psn-pdf
September 28, 2022 - they went somewhere else and got the
https://pubmed.ncbi.nlm.nih.gov/25057539/
test again, doubling up … patients
understand as they come back, that there is a transition, so that we can provide the best follow-up
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psnet.ahrq.gov/perspective/safety-culture-ems
May 26, 2021 - closely aligned with emergency medical services (EMS) care principles: the duty to act, the duty to follow … Preventing medical errors: the bottom-up approach to Just Culture. EMS World. July 16, 2019. … I've dropped a patient trying to pick them up and put them on the stretcher. … CC: I think a lot of the organizations, especially the ones that I've worked [with], always set up the
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psnet.ahrq.gov/node/49534/psn-pdf
May 01, 2007 - patients with
uncontrolled seizures
Rather than increasing medication doses in small increments at each follow … -
up visit, any antiseizure drugs can be adjusted by giving the patient a
schedule to increase the
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psnet.ahrq.gov/curated-library/implementation-patient-safety-projects
August 10, 2025 - been called into question, as many institutions lack a formal mechanism for implementing and following up
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psnet.ahrq.gov/node/867206/psn-pdf
December 18, 2024 - The patient was discharged home with neurology follow-up and a final diagnostic impression of
headache … often spinning), “lightheadedness” (feeling of impending faint, especially
on sitting or standing up … significant overlap, over 60% of TIAs last less than one hour,23 and vestibular
migraine can last up
-
psnet.ahrq.gov/node/838220/psn-pdf
September 27, 2019 - safety events; inadequate communication, including problems with
care transitions or reporting and follow-up … data has indicated that
preventable, manageable health conditions (e.g., diabetes, hypertension) make up
-
psnet.ahrq.gov/web-mm/snfs-opening-black-box
August 27, 2012 - patient is at extremely high risk of complications due to residual symptoms of delirium, present in up … to a SNF from a hospital are readmitted to a hospital within 30 days ( 4 ); a substantial proportion—up … Lynn Ouslander are part-owners of INTERACT Training, Education, and Management Strategies, a start-up
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psnet.ahrq.gov/web-mm/too-tight-control
March 20, 2013 - A pop-up flag could have alerted the surgeon to ensure the insulin drip was appropriate for the situation
-
psnet.ahrq.gov/node/49829/psn-pdf
May 01, 2018 - instead of solely
focusing on active failures (in this case, the anesthesiologist's unfortunate drawing up
-
psnet.ahrq.gov/node/49857/psn-pdf
March 01, 2019 - Ensuring the ADC
is set up to profile patient medications and that nonemergent medications are not available
-
psnet.ahrq.gov/node/854897/psn-pdf
October 31, 2023 - In any patient work-up, the
pharmacist is expected to review the prescription against the data, confirm
-
psnet.ahrq.gov/web-mm/complications-vascular-access-procedures-patients-kidney-disease
November 15, 2023 - an aneurysmal fistula with large clot burden, which has been associated with pulmonary embolism in up
-
psnet.ahrq.gov/web-mm/safety-challenges-supervision-and-night-coverage-academic-residency
February 21, 2024 - The intern looked up the patient on her signout sheet and in the electronic medical record to check the