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psnet.ahrq.gov/web-mm/dangerous-detour
November 28, 2018 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … The sitter and transporter began to chat. … The patient was standing on the upside-down garbage can and was seconds from stepping off and hanging … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services
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psnet.ahrq.gov/web-mm/delay-treatment-failure-contact-patient-leads-significant-complications
February 01, 2004 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … She received a blood transfusion and a Depo-Provera injection (a hormone to stop the bleeding), and was … Despite this treatment, she developed fevers and abdominal pain and presented to the ED. … and acted on.
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psnet.ahrq.gov/perspective/building-safety-program-using-principles-resilience-engineering
October 23, 2013 - Bisantz, PhD; and Rollin J. … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … For instance, the push for maximizing operating room (OR) utilization can sometimes lead OR coordinators … as between different clinical, nonclinical, and administrative specialties and roles.
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psnet.ahrq.gov/node/49648/psn-pdf
March 01, 2012 - pneumonia and admitted to the
hospital. … She was treated with ceftriaxone and doxycycline, intravenous fluids, and supportive care. … The
patient improved rapidly over 48 hours and was discharged home (she lived with her daughter and … With prompt action by the discharging team and an engaged family, a visit to the ED and
likely a readmission … Postdischarge phone calls allow hospital and
outpatient providers to identify and remedy possible gaps