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psnet.ahrq.gov/node/49449/psn-pdf
June 01, 2004 - Lethal Vertigo
June 1, 2004
Furman JM. Lethal Vertigo. PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/lethal-vertigo
The Case
A 64-year-old woman, with no prior medical history, complained of sudden onset of severe vertigo and
vomiting, without headache. Her initial blood pressure in the emergency departme…
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psnet.ahrq.gov/node/49389/psn-pdf
February 01, 2003 - Procedural Mishap: Learning Curve?
February 1, 2003
Gibbs VC, Leape L. Procedural Mishap: Learning Curve? PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/procedural-mishap-learning-curve
The Case
A 28-year-old multiparous obese female presented for laparoscopic tubal ligation. The patient had
undesired fert…
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psnet.ahrq.gov/node/49803/psn-pdf
January 01, 2018 - Point-of-care Mixup: 1 Shot Turns Into 3
August 1, 2017
Berberich RF. Point-of-care Mixup: 1 Shot Turns Into 3. PSNet [internet]. 2017.
https://psnet.ahrq.gov/web-mm/point-care-mixup-1-shot-turns-3
The Case
A 2-month-old boy was brought in for a routine 2-month well-child visit. The exam was completed and the
app…
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psnet.ahrq.gov/perspective/emergence-application-based-healthcare
August 05, 2022 - ultimately, we want to have only the safest and the most user-friendly technology make it into the patient’s hands … Privacy and security often go hand in hand, but security is more about protection from external threats
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psnet.ahrq.gov/perspective/conversation-francoise-marvel-md
August 05, 2022 - ultimately, we want to have only the safest and the most user-friendly technology make it into the patient’s hands … Privacy and security often go hand in hand, but security is more about protection from external threats
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psnet.ahrq.gov/perspective/integrating-multiple-medication-decision-support-systems-how-will-we-make-it-all-work
May 01, 2008 - Too often, in our desire to get information tools into the hands of users, we have skipped one or more … On the other hand, for medication-related decision support, many more of the results have been positive
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psnet.ahrq.gov/web-mm/hindsight-2020-thrombolytics-alcohol-intoxication
December 18, 2024 - attributable to other diagnoses (i.e., overdiagnosis or false positive). 2 Examples of “stroke chameleon” are hand-knob … offloading and expedites critical decisions, it may be more compromised by biases, especially in the hands
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psnet.ahrq.gov/node/850673/psn-pdf
June 14, 2023 - When my mom had broken her left hip, her left shoulder, and her right hand at the age of 94, she became … healthcare workers should be aware of limitations
that families might have based on the situation at hand
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psnet.ahrq.gov/node/864867/psn-pdf
April 10, 2024 - attributable to
other diagnoses (i.e., overdiagnosis or false positive).2 Examples of “stroke chameleon” are hand-knob … offloading and expedites critical decisions, it may be more
compromised by biases, especially in the hands
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psnet.ahrq.gov/perspective/conversation-withdavid-w-bates-md-msc
May 01, 2018 - On the other hand, for medication-related decision support, many more of the results have been positive … Too often, in our desire to get information tools into the hands of users, we have skipped one or more
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psnet.ahrq.gov/perspective/conversation-alison-holmes-md-mph
March 01, 2014 - Semmelweiss showed that providers could protect mothers from death during childbirth by washing their hands … and Protocols
Hospital policies related to infection prevention
Compliance monitoring (e.g., hand
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psnet.ahrq.gov/perspective/human-factors-engineering-can-teach-you-how-be-surprised-again
November 01, 2006 - But on the other hand, that's a fact of life—people cannot pay attention all the time, and not everybody
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psnet.ahrq.gov/perspective/conversation-withkatie-boston-leary-about-patient-safety-amid-nursing-workforce
April 24, 2024 - for aspiring nurses as they attend school and are partnering with institutions for their clinical and hands-on … Health Care Providers
Health Care Executives and Administrators
Discontinuities, Gaps, and Hand-Off
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psnet.ahrq.gov/perspective/patient-safety-amid-nursing-workforce-challenges
April 24, 2024 - for aspiring nurses as they attend school and are partnering with institutions for their clinical and hands-on … Health Care Providers
Health Care Executives and Administrators
Discontinuities, Gaps, and Hand-Off
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psnet.ahrq.gov/issue/teamstepps-refresher-course
September 26, 2023 - September 14, 2016
Why hospitals want patients to ask doctors, 'Have you washed your hands
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psnet.ahrq.gov/node/33619/psn-pdf
September 01, 2005 - On the other
hand, I think awareness of errors and the potential to do harm is now being made a part
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psnet.ahrq.gov/node/49596/psn-pdf
December 01, 2009 - He or she has no first-hand information about the procedure, such as the quality of
the tissue closed
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psnet.ahrq.gov/node/33694/psn-pdf
April 01, 2010 - Corrigan was Senior Board Director at the Institute of Medicine, where
she had a major hand in crafting
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psnet.ahrq.gov/node/49844/psn-pdf
October 01, 2018 - With
regards to the case at hand, the solution lies in designing processes to reduce inappropriate utilization
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psnet.ahrq.gov/web-mm/which-end-which
February 09, 2011 - Surgeons require practice manipulating tissues that remain one foot or more away from their hands without