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psnet.ahrq.gov/perspective/conversation-mark-chassin-md-mpp-mph
April 26, 2023 - That's because the interventions recommended by available practice guidelines, best practices, stories
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psnet.ahrq.gov/node/867805/psn-pdf
February 26, 2025 - We have very good guidelines about what to do in terms of
prevention, yet the rates are still higher
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psnet.ahrq.gov/web-mm/difficult-encounters-cmo-and-cno-respond
March 01, 2018 - February 27, 2019
Guidelines for prevention, diagnosis and treatment of ventilator-associated
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psnet.ahrq.gov/perspective/introducing-new-ahrq-webmm-and-ahrq-patient-safety-network-psnet
April 01, 2005 - whatever new ACGME guidelines are developed?
-
psnet.ahrq.gov/perspective/conversation-withchristopher-p-landrigan-md
April 01, 2005 - whatever new ACGME guidelines are developed?
-
psnet.ahrq.gov/node/72516/psn-pdf
November 25, 2020 - One of the first studies of medical checklists involved the World Health
Organization’s (WHO) Guidelines
-
psnet.ahrq.gov/perspective/conversation-richard-platt-md-msc
October 01, 2016 - Did clinicians at my institution transfuse blood in a way consistent with modern guidelines?
-
psnet.ahrq.gov/node/33804/psn-pdf
March 03, 2016 - for additional funding
and also payment penalties, various survey, certification, and accreditation guidelines
-
psnet.ahrq.gov/node/73202/psn-pdf
April 28, 2021 - The Infectious Diseases Society of America Guidelines on
the Diagnosis of COVID-19: Molecular Diagnostic
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psnet.ahrq.gov/sites/default/files/2021-02/final_feb_2021_spotlight_delay_in_appropriate_dx.pdf
January 01, 2021 - American Society of Hematology 2020 guidelines for management of venous thromboembolism: treatment of
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psnet.ahrq.gov/web-mm/complications-ecmo-during-transport
January 27, 2021 - location, e.g. ward, computed tomography (CT) or operating room. 12,13
Staff training and education
Guidelines
-
psnet.ahrq.gov/web-mm/life-threatening-infant-overdose-sodium-chloride
December 23, 2020 -
The American Society for Parenteral and Enteral Nutrition has published a set of best practice guidelines
-
psnet.ahrq.gov/node/33608/psn-pdf
February 01, 2024 - integrated tools
include clinical case scenarios, electronic education modules, slide sets, and facilitator guidelines
-
psnet.ahrq.gov/web-mm/postpartum-woman-erroneous-sars-cov-2-test
December 23, 2020 - The Infectious Diseases Society of America Guidelines on the Diagnosis of COVID-19: Molecular Diagnostic
-
psnet.ahrq.gov/perspective/conversation-david-gruen-md
January 31, 2020 - example, it is inconceivable that he or she can keep up with the literature on the latest advances and guidelines
-
psnet.ahrq.gov/web-mm/premature-closure-was-it-just-syncope
February 10, 2021 - One of the first studies of medical checklists involved the World Health Organization’s (WHO) Guidelines
-
psnet.ahrq.gov/web-mm/possible-probable-sure-wrong-premature-closure-and-anchoring-complicated-case
October 02, 2013 - errors), and lack of consensus about correct diagnostic process (compared with violations of therapeutic guidelines
-
psnet.ahrq.gov/web-mm/multifactorial-medication-mishap
September 01, 2016 - SPOTLIGHT CASE
Multifactorial Medication Mishap
Citation Text:
Yang A. Multifactorial Medication Mishap. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014.
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Format:
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psnet.ahrq.gov/node/849679/psn-pdf
June 28, 2023 - Under Pressure: Tracheostomy Cuff Over Inflation
Leading to Tissue Necrosis and Cuff Rupture
June 28, 2023
Gould E, Carlsen K, Trask J, et al. Under Pressure: Tracheostomy Cuff Over Inflation Leading to Tissue
Necrosis and Cuff Rupture. PSNet [internet]. 2023.
https://psnet.ahrq.gov/web-mm/under-pressure-tracheost…
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psnet.ahrq.gov/web-mm/mismanagement-acute-decompensated-heart-failure-hypertensive-emergency
May 01, 2018 - SPOTLIGHT CASE
Mismanagement of Acute Decompensated Heart Failure with Hypertensive Emergency
Citation Text:
Lee J, Fernilius J, Frick W. Mismanagement of Acute Decompensated Heart Failure with Hypertensive Emergency. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, U…