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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841469/psn-pdf
    December 14, 2022 - All patients who are going to be treated with immunosuppressive drugs https://www.cdc.gov/dpdx/strongyloidiasis
  2. psnet.ahrq.gov/web-mm/tacit-handover-overt-mishap
    August 01, 2006 - question should be: "Is there anything unusual I need to know about this patient or procedure or what's going
  3. psnet.ahrq.gov/web-mm/diagnosing-missed-diagnosis
    October 26, 2022 - The bedside nurse told the physician that the patient seemed to be going to the bathroom frequently;
  4. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2021-04/final_psnet_spotlight_retained_vaginal_packing_04.08.2021.pdf
    January 01, 2021 - or “They told me I was going to have the packing removed but I feel like there is still something inside
  5. psnet.ahrq.gov/web-mm/unfamiliar-catheter
    November 01, 2006 - human factors review and guidance on medical device applications submitted by manufacturers prior to going
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33607/psn-pdf
    September 27, 2022 - Physician Well-being 2.0: Where are we and where are we going?.
  7. psnet.ahrq.gov/primer/covid-19-team-and-human-factors-improve-safety
    September 15, 2024 - June 24, 2020 Going to the COVID-19 Gemba: using observation and high reliability strategies
  8. psnet.ahrq.gov/primer/burnout
    November 20, 2024 - Physician Well-being 2.0: Where are we and where are we going?.
  9. psnet.ahrq.gov/primer/deprescribing-patient-safety-strategy
    December 15, 2024 - The medication appropriateness index at 20: where it started, where it has been and where it may be going
  10. psnet.ahrq.gov/web-mm/communication-failure-whos-charge
    April 01, 2018 - arrest and subsequent death were surprises to everyone because quite literally no one knew what was going
  11. psnet.ahrq.gov/web-mm/missed-appendicitis
    March 13, 2013 - If we are truly going to improve ED safety and quality, we must account for all of these pressures, distractions
  12. psnet.ahrq.gov/web-mm/delay-initiating-antibiotics-results-fatal-error
    August 02, 2015 - If institutions are going to care for patients this way, then standards must be set for quality of care
  13. psnet.ahrq.gov/perspective/maternal-safety-and-perinatal-mental-health
    March 28, 2023 - Those gaps in our system are going to take time and innovation to fill. … We need to normalize the experience of how hard it is to parent even when everything is going well, and
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49474/psn-pdf
    March 01, 2005 - Expect that airway management in a morbidly obese patient is going to be difficult, and be prepared
  15. psnet.ahrq.gov/innovation/cleveland-clinic-pairs-advanced-practice-registered-nurses-and-paramedics-provide-home
    October 30, 2024 - The team reported that going through medications and follow-up care in the patients’ homes sometimes
  16. psnet.ahrq.gov/web-mm/hazards-distraction-ticking-all-ehr-boxes
    April 09, 2014 - When designing a tool that is going to be followed in a mechanistic fashion, we need to make sure that
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49779/psn-pdf
    January 01, 2017 - 30 minutes, but only observed from the doorway and asked the family members present how things were going
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49708/psn-pdf
    May 01, 2014 - It also highlights the importance of not "going through the motions" when completing a routine medication
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33771/psn-pdf
    August 22, 2014 - Somehow we are going to have to get our arms around how to do patient safety and include the patient
  20. psnet.ahrq.gov/web-mm/steroids-and-safety-preventing-medication-adverse-events-during-transitions-care
    September 09, 2013 - inhibitor if a patient is receiving a corticosteroid with an NSAID, or consider doing so if a patient is going

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