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psnet.ahrq.gov/node/33756/psn-pdf
October 01, 2013 - After we looked into it more closely, it turns out that there were very few guidelines about what doses
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psnet.ahrq.gov/node/49831/psn-pdf
June 01, 2018 - and electronic health record–based prompts have been shown to improve adherence
with international guidelines
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psnet.ahrq.gov/web-mm/e-prescribing-e-error
February 03, 2021 - February 3, 2021
Surviving Sepsis Campaign: international guidelines for management of
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psnet.ahrq.gov/node/836892/psn-pdf
April 07, 2022 - Managing ICU surge during the COVID-19 crisis: rapid
guidelines.
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psnet.ahrq.gov/node/837963/psn-pdf
August 31, 2022 - Acute mesenteric ischemia: guidelines of the World Society of
Emergency Surgery.
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psnet.ahrq.gov/node/49723/psn-pdf
January 01, 2015 - workshop report on electronic fetal monitoring: update on definitions,
interpretation, and research guidelines
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psnet.ahrq.gov/web-mm/chest-pain-rural-hospital
June 02, 2021 - and electronic health record–based prompts have been shown to improve adherence with international guidelines
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psnet.ahrq.gov/classics
August 01, 2023 - (7)
Critical Pathways
(6)
Patient Self-Management
(13)
Practice Guidelines
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psnet.ahrq.gov/web-mm/anemia-and-delayed-colon-cancer-diagnosis
July 21, 2020 - Clinical practice guidelines: quality of colonoscopy in colorectal cancer screening.
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psnet.ahrq.gov/curated-library/maternal-safety
January 31, 2024 - Organizational Policy/Guidelines
National Partnership for Maternal Safety: consensus
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psnet.ahrq.gov/web-mm/cognitive-and-communication-blind-spot-contributes-permanent-paralysis
January 13, 2010 - Prevention of venous thromboembolism: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines
-
psnet.ahrq.gov/node/74021/psn-pdf
October 25, 2021 - education in these instances is so important,
ensuring that you're up to speed with the latest treatment guidelines
-
psnet.ahrq.gov/node/46974/psn-pdf
April 04, 2018 - From guideline to order set to patient harm.
April 4, 2018
Shah SD, Cifu AS. From Guideline to Order Set to Patient Harm. JAMA. 2018;319(12):1207-1208.
doi:10.1001/jama.2018.1666.
https://psnet.ahrq.gov/issue/guideline-order-set-patient-harm
This editorial discusses how adverse events can occur if standardized ord…
-
psnet.ahrq.gov/node/47387/psn-pdf
September 12, 2018 - Guideline implementation: team communication.
September 12, 2018
Link T. Guideline Implementation: Team Communication: 1.8 www.aornjournal.org/content/cme. AORN J.
2018;108(2):165-177. doi:10.1002/aorn.12300.
https://psnet.ahrq.gov/issue/guideline-implementation-team-communication
Although team development has rec…
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psnet.ahrq.gov/web-mm/when-looks-arent-all-they-appear-be-medication-error-uncommon-indication
July 02, 2019 - When Looks Aren’t All They Appear to Be: A Medication Error in an Uncommon Indication
Citation Text:
Ton K. When Looks Aren’t All They Appear to Be: A Medication Error in an Uncommon Indication . PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human…
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psnet.ahrq.gov/node/50928/psn-pdf
February 21, 2020 - Updates in the Role of Health IT in Patient Safety
February 21, 2020
Hall KK, Fitall E, Hettinger AZ. Updates in the Role of Health IT in Patient Safety. PSNet [internet]. 2020.
https://psnet.ahrq.gov/perspective/updates-role-health-it-patient-safety
Background
Health information technology (HIT) has the potential…
-
psnet.ahrq.gov/node/49865/psn-pdf
June 01, 2019 - Delayed Sepsis Management Due to Ambiguous Allergy
June 1, 2019
Blumenthal K. Delayed Sepsis Management Due to Ambiguous Allergy. PSNet [internet]. 2019.
https://psnet.ahrq.gov/web-mm/delayed-sepsis-management-due-ambiguous-allergy
The Case
A 75-year-old man with a past medical history of hemorrhagic stroke, coron…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.101_slideshow.ppt
July 01, 2005 - Spotlight Case [MONTH] 2003
Spotlight Case July 2005
Impatient Inpatient Dosing
Source and Credits
This presentation is based on the July 2005
AHRQ WebM&M Spotlight Case in Medicine
See the full article at http://webmm.ahrq.gov
CME credit is available through the Web site
Commentary by: Richard H. White…
-
psnet.ahrq.gov/node/49699/psn-pdf
February 01, 2014 - Multifactorial Medication Mishap
February 1, 2014
Yang A. Multifactorial Medication Mishap. PSNet [internet]. 2014.
https://psnet.ahrq.gov/web-mm/multifactorial-medication-mishap
Case Objectives
Understand the system-based causes of medication errors.
Describe a model for a systems approach to error analysis.
Id…
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psnet.ahrq.gov/web-mm/norepinephrine-dosing-error-associated-multiple-health-system-vulnerabilities
November 27, 2019 - Norepinephrine Dosing Error Associated with Multiple Health System Vulnerabilities
Citation Text:
Duby JJ, Schomer K, Oyewole V, et al. Norepinephrine Dosing Error Associated with Multiple Health System Vulnerabilities. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Departm…