-
psnet.ahrq.gov/node/49741/psn-pdf
September 01, 2015 - Up to 80% of pregnant women
experience nausea and vomiting, most commonly in the first trimester.
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psnet.ahrq.gov/node/854848/psn-pdf
October 31, 2023 - unexpected
diagnoses.”10 As one author observes, “There are situations where a pathologist has to pick up
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psnet.ahrq.gov/web-mm/weight-and-height-juxtaposition-electronic-medical-record-causing-accidental-medication
March 15, 2023 - In any patient work-up, the pharmacist is expected to review the prescription against the data, confirm
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psnet.ahrq.gov/node/49573/psn-pdf
January 01, 2009 - and treatment plan (e.g., "Save the sick, do the others quick" strategy
[16]) as well as speeding up
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psnet.ahrq.gov/node/49437/psn-pdf
March 01, 2004 - The patient underwent an extensive work-
up including bronchoscopy, which revealed a pyogenic lung abscess
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psnet.ahrq.gov/node/49807/psn-pdf
October 01, 2017 - Please make sure to follow up with your primary care provider and call the clinic with any
https://psnet.ahrq.gov
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psnet.ahrq.gov/perspective/conversation-david-juurlink-md-phd
May 22, 2017 - But as time has gone on, as tolerance develops, and as doses have crept up, that pendulum can swing. … So you can end up with a patient who is being harmed more than helped by their therapy and not even realize … Going up to 80 or 100 or 200 is the wrong thing to do, although we did it quite a lot. … That's why it's good to have an exit plan up front. … RW : Do you think the health care system is set up to manage this problem?
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psnet.ahrq.gov/perspective/opioid-overdose-patient-safety-problem
May 01, 2017 - But as time has gone on, as tolerance develops, and as doses have crept up, that pendulum can swing. … So you can end up with a patient who is being harmed more than helped by their therapy and not even realize … Going up to 80 or 100 or 200 is the wrong thing to do, although we did it quite a lot. … That's why it's good to have an exit plan up front. … RW : Do you think the health care system is set up to manage this problem?
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psnet.ahrq.gov/node/849660/psn-pdf
May 31, 2023 - associated with health literacy include mistakes in diabetes management;1 taking the
wrong dose or mixing up
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psnet.ahrq.gov/perspective/organizational-change-face-highly-public-errors-ii-duke-experience
July 20, 2010 - We will continue to encourage colleagues to speak up and share their stories—with our experience or their
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psnet.ahrq.gov/node/49695/psn-pdf
October 01, 2013 - psnet.ahrq.gov/web-mm/finding-fault-default-alert
benefit.(1) However, physicians override computerized alerts up
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psnet.ahrq.gov/node/49413/psn-pdf
September 01, 2003 - Four separate counts have been recommended: the first when the instruments are set up or
sponges unpackaged
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psnet.ahrq.gov/node/49617/psn-pdf
January 01, 2011 - The Commentary
Acute kidney injury (AKI) is a common condition associated with up to 7% of all hospital
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psnet.ahrq.gov/node/49628/psn-pdf
June 01, 2011 - The most
commonly cited preoperative risk is bleeding, which occurs in up to 3% of patients.
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psnet.ahrq.gov/node/49814/psn-pdf
December 01, 2017 - The surgeon did not share critical information, the newly
hired anesthesiologist did not speak up about
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psnet.ahrq.gov/node/49471/psn-pdf
December 01, 2004 - These change frequently so it is important
to be up to date.
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psnet.ahrq.gov/perspective/conversation-withpatrick-tighe-about-artificial-intelligence
March 27, 2024 - Up to this point, a lot of our models for patient care only focused on one outcome at a time. … Computer algorithms can help pick up tiny signals on a chest x-ray that humans may have difficulty seeing … community resources to address social determinants of health, to better schedule hospital patients for follow-up … Sarah Mossburg: Is there anything that we didn’t discuss today that you’d like to bring up? … December 1, 2006
WebM&M Cases
Medication Mix-Up
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psnet.ahrq.gov/perspective/conversation-eric-thomas-about-zero-harm-striving-reduce-preventable-harms-point
September 24, 2024 - than that overarching Big Hairy Audacious Goal, it's better to have marginal improvements that add up … When you have that laser focus on improvement and supporting each other, you end up being the best. … notes that, since the 2013 launch of their Certified Zero Harm Awards, member hospitals have achieved up … Will health systems free up resources as harms become less frequent, or will efforts to reach zero harm
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psnet.ahrq.gov/primer/coronavirus-disease-2019-covid-19-and-diagnostic-error
July 30, 2020 - wp-content/uploads/2020/04/California-Roadmap-to-Modify-the-Stay-at-Home-Order.pdf Guidelines: Opening Up … Resources From the Same Author(s)
WebM&M Cases
Medication Mix-Up
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psnet.ahrq.gov/node/73902/psn-pdf
September 29, 2021 - This
requires clinicians to lower the testing threshold and follow evidence-based recommendations for … If
these markers are normal, other diagnoses should be considered and discharge with follow-up may be