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psnet.ahrq.gov/web-mm/death-pca
January 06, 2017 - Missing from the case at hand is any discussion on the use of pulse oximetry, capnography, or other proven
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psnet.ahrq.gov/web-mm/aspergillus-mediastinitis-endocarditis-pediatric-patient-complicating-cardiac-surgery-and
November 16, 2022 - On the other hand, there are also risks associated with transporting unstable patients to the OR and
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psnet.ahrq.gov/web-mm/duplicate-insulin-order
May 04, 2012 - Inadequate hand-off communication. Sentinel Event Alert. September 11, 2017;(58):1-6.
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psnet.ahrq.gov/issue/empowering-patients-hospital-new-approach-reducing-burden-health-care-associated-infections
May 25, 2022 - critical patient safety activity, and encouraging patients to ask health care providers to wash their hands
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psnet.ahrq.gov/node/865778/psn-pdf
May 29, 2024 - .16 The project also
implemented a structured CVC insertion training program using simulation with hands-on
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psnet.ahrq.gov/periodic-issue/periodic-issue-407
September 27, 2023 - September 6, 2023 Weekly Issue
PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly
Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient
safety literature, news, conferences, repor…
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psnet.ahrq.gov/web-mm/undetected-foreign-object
April 24, 2018 - They are used by many members of the operating team and, unlike instruments, frequently leave the hands
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psnet.ahrq.gov/web-mm/navigating-complications-unintended-journey-guidewire-during-dialysis-catheter-placement
February 23, 2022 - 16 The project also implemented a structured CVC insertion training program using simulation with hands-on
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psnet.ahrq.gov/node/49642/psn-pdf
December 01, 2011 - , caregivers are taught to wipe their mobile devices with alcohol at
the same time they wash their hands
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psnet.ahrq.gov/perspective/conversation-suchi-saria-phd
March 27, 2024 - We used to have a physical bookstore with inventory on hand, but we were shifting toward the paradigm
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psnet.ahrq.gov/web-mm/engaging-seriously-ill-older-patients-advance-care-planning
December 22, 2018 - SPOTLIGHT CASE
Engaging Seriously Ill Older Patients in Advance Care Planning
Citation Text:
Heyland DK. Engaging Seriously Ill Older Patients in Advance Care Planning. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. …
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psnet.ahrq.gov/node/838855/psn-pdf
October 27, 2022 - Rather, it demonstrates a common scenario in
which a busy medical team hands off or turns over care
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psnet.ahrq.gov/node/49567/psn-pdf
September 01, 2008 - He noted stiffness in knees and hands, especially in the morning.
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psnet.ahrq.gov/node/49828/psn-pdf
May 01, 2018 - Out of Sight, Out of Mind: Out-of-Office Test Result
Management
May 1, 2018
Poon EG. Out of Sight, Out of Mind: Out-of-Office Test Result Management. PSNet [internet]. 2018.
https://psnet.ahrq.gov/web-mm/out-sight-out-mind-out-office-test-result-management
Case Objectives
Recognize the general responsibilities of…
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psnet.ahrq.gov/node/860050/psn-pdf
January 04, 2024 - While falling asleep, he was noted to have
eye-rolling and he did not respond to his name, shaking his hands
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psnet.ahrq.gov/node/33769/psn-pdf
June 01, 2014 - Patient Advocacy in Patient Safety: Have Things
Changed?
June 1, 2014
Haskell H. Patient Advocacy in Patient Safety: Have Things Changed? PSNet [internet]. 2014.
https://psnet.ahrq.gov/perspective/patient-advocacy-patient-safety-have-things-changed
Perspective
In 1981, a cancer patient named Paula Carroll founded…
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psnet.ahrq.gov/node/33714/psn-pdf
July 01, 2011 - So to some extent, the increasing automation of everything has on the one
hand offered the opportunity
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psnet.ahrq.gov/node/61078/psn-pdf
October 28, 2020 - Keep Your Hands Off My Insulin Pump! The Dilemma of the Hospitalized
Insulin Pump Patient.
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psnet.ahrq.gov/node/49699/psn-pdf
February 01, 2014 - On the other hand, providing education and
information and drafting rules and policies are easy to implement
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psnet.ahrq.gov/web-mm/more-treatment-better-care
August 11, 2021 - 27-year-old female who presented to a 250-bed community hospital with numbness and tingling of her hands