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psnet.ahrq.gov/node/49854/psn-pdf
February 01, 2019 - The early signs of stroke can be subtle, so without a hands-on evaluation, most hospitalists in
this
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psnet.ahrq.gov/node/33582/psn-pdf
September 15, 2024 - Background
An unacceptably large proportion of patients experience preventable harm at the hands of
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psnet.ahrq.gov/node/865697/psn-pdf
April 24, 2024 - aspiring nurses as they attend school and are partnering with
institutions for their clinical and hands-on
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psnet.ahrq.gov/node/49394/psn-pdf
April 01, 2003 - Premature or Overdue?
April 1, 2003
Thomas J, Hannah M. Premature or Overdue? PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/premature-or-overdue
The Case
A 32-year-old woman, gravida 3, para 1, presented for prenatal care at 24 weeks. Her past medical history
was unremarkable, and results of her prenatal …
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psnet.ahrq.gov/primer/detection-safety-hazards
March 30, 2022 - Background An unacceptably large proportion of patients experience preventable harm at the hands of
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psnet.ahrq.gov/web-mm/carpe-diem-seize-day
September 01, 2012 - I find it useful to hand out to my patients to help them understand our local rules and their responsibilities
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psnet.ahrq.gov/web-mm/double-dosing-rules
February 03, 2010 - Nutrients
July 1, 2008
WebM&M Cases
On the Other Hand
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psnet.ahrq.gov/web-mm/missing-ecg-and-missed-diagnosis-lead-dangerous-delay
March 01, 2015 - arrives in the emergency department (ED), where emergency medical services (EMS) personnel formally hand
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psnet.ahrq.gov/web-mm/untimely-end-despite-end-life-care-planning
February 01, 2012 - Intensive Care Units
Pharmacists
Critical Care
Palliative Care
Discontinuities, Gaps, and Hand-Off
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psnet.ahrq.gov/node/848125/psn-pdf
April 26, 2023 - only when it is important enough to
warrant a distraction and change of attention from the task on hand
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psnet.ahrq.gov/node/33832/psn-pdf
April 01, 2017 - On the
other hand, if there's chaos and everybody's doing their own thing to react effectively, how
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psnet.ahrq.gov/node/49604/psn-pdf
June 01, 2010 - Use of strategies from high-reliability organisations to the patient hand-off by resident
physicians
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psnet.ahrq.gov/sites/default/files/2020-08/too_many_cooks_spotlight_pdf.pdf
January 01, 2020 - the patient again postoperatively in the ICU
• The anesthesiology team could have used a structured hand-off
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psnet.ahrq.gov/node/49646/psn-pdf
February 01, 2012 - On the other hand,
patients also may be reluctant to discuss end-of-life issues, particularly when their
-
psnet.ahrq.gov/node/49711/psn-pdf
June 01, 2014 - Elopement, on the other hand, is defined as "a patient that is aware that he/she is not permitted to
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psnet.ahrq.gov/web-mm/saline-flush-leads-acute-paralysis-awake-patient-risks-improper-medication-labeling
February 01, 2019 - The syringe should not leave the provider's hand without a complete label.
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psnet.ahrq.gov/node/49719/psn-pdf
September 01, 2014 - be advisable to have extra emergency equipment and an additional anesthesia professional close at
hand
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psnet.ahrq.gov/web-mm/inadvertent-castration
October 27, 2010 - pre-operative "pauses" or team-briefings, have the capacity to efficiently orient team members to the task at hand
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psnet.ahrq.gov/node/49523/psn-pdf
November 01, 2006 - For the case at hand, the patient was placed on a medication (terazosin) that can take days to relax
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psnet.ahrq.gov/perspective/acgmes-2017-revision-common-program-requirements
January 31, 2018 - Using a human factors framework to assess clinician perceptions of and barriers to high reliability in hand