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psnet.ahrq.gov/node/846768/psn-pdf
March 29, 2023 - Endotracheal Tube Fallout in a Patient with Severe
Obesity During Eye Surgery.
March 29, 2023
Bohringer C. Endotracheal Tube Fallout in a Patient with Severe Obesity During Eye Surgery. PSNet
[internet]. 2023.
https://psnet.ahrq.gov/web-mm/endotracheal-tube-fallout-patient-severe-obesity-during-eye-surgery
The Ca…
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psnet.ahrq.gov/web-mm/mitigating-risk-intrahospital-transport-pediatric-patients-risk-physiologic-instability
May 27, 2020 - Mitigating the Risk of Intrahospital Transport for Pediatric Patients at Risk of Physiologic Instability
Citation Text:
Semkiw K, Anderson D, Natale JA. Mitigating the Risk of Intrahospital Transport for Pediatric Patients at Risk of Physiologic Instability. PSNet [internet]. Rockville (MD): Agency for Heal…
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psnet.ahrq.gov/perspective/what-can-rest-health-care-system-learn-vas-quality-and-safety-transformation
September 01, 2006 - increased, and yet the cost of caring for each veteran declined dramatically.( 6 ) What lessons does this hold … train them inexhaustibly, that we're available by phone any time they call and people don't get put on hold
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psnet.ahrq.gov/web-mm/missed-opportunities-suicide-risk-assessment
September 27, 2023 - the next day, he denied having thoughts of suicide and was discharged; he did not qualify for a 5150 hold … Although he did not meet criteria for involuntary psychiatric hold after psychiatric social worker evaluation
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psnet.ahrq.gov/node/33792/psn-pdf
September 01, 2015 - This will hold us
back. … Someday this will take hold; it is just a matter of when.
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psnet.ahrq.gov/node/49678/psn-pdf
March 01, 2013 - remember well during my pediatric residency training
working in an ill-equipped ED and asking parents to hold
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psnet.ahrq.gov/node/33754/psn-pdf
September 01, 2013 - If justice is simply an instrument of the strong to get what
they want or to keep what they want to hold
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psnet.ahrq.gov/web-mm/double-dose-transfer
November 01, 2012 - Do not put medication safety "on hold" with boarded patients. J Emerg Nurs. 2010;36:347-349.
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psnet.ahrq.gov/issue/surgical-mistakes-persist-bay-state-still-tiny-fraction-total-procedures
September 10, 2014 - August 9, 2017
MGH halts a pediatric program: Heart surgeries on hold after errors.
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psnet.ahrq.gov/issue/medical-errors-introduction-concepts
March 06, 2005 - May 1, 2019
Healthcare scandals and the failings of doctors: do official inquiries hold
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psnet.ahrq.gov/perspective/role-patient-facing-technologies-empower-patients-and-improve-safety
November 01, 2017 - Many studies have shown people can hold around seven items in working memory.
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psnet.ahrq.gov/primer/nursing-and-patient-safety
September 15, 2024 - Human factors engineering principles hold that when an individual is attempting a complex task, such
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psnet.ahrq.gov/perspective/doctors-multiple-malpractice-claims-disciplinary-actions-and-complaints-what-do-we-know
July 01, 2017 - It's not easy to hold hospitals legally accountable for care, and when the error occurs because of an … As I alluded to earlier, right now it's very difficult to hold health care institutions accountable for … so unless the failure on the part of the hospital itself can be identified, it's very difficult to hold
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psnet.ahrq.gov/perspective/conversation-michelle-mello-mphil-jd-phd
July 01, 2017 - It's not easy to hold hospitals legally accountable for care, and when the error occurs because of an … As I alluded to earlier, right now it's very difficult to hold health care institutions accountable for … so unless the failure on the part of the hospital itself can be identified, it's very difficult to hold
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.320_slideshow.ppt
January 01, 2020 - not seem to consider alternative diagnoses, which may have been an anchoring bias (the tendency to hold
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psnet.ahrq.gov/perspective/organizational-change-face-highly-public-errors-i-dana-farber-cancer-institute
December 23, 2020 - tenacity among our leaders and the courage to face our own failures in order to learn the lessons they hold
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psnet.ahrq.gov/Information/Editor
April 05, 2025 - Browse Author Resources
Meet PSNet's Editorial Team The PSNet editorial team is committed to producing the highest quality patient safety content. The team brings a wealth of experience and deep subject matter expertise in the field, ensuring that PSNet content is accurate, reliable, and…
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psnet.ahrq.gov/Psnet
April 29, 2021 - Healthcare Risk Management (ASHRM) Sponsor Type: Member association Event Description: Conference intends to hold
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psnet.ahrq.gov/node/33580/psn-pdf
April 01, 2022 - Human
factors engineering principles hold that when an individual is attempting a complex task, such
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psnet.ahrq.gov/node/49571/psn-pdf
October 01, 2008 - Coming Up Short
October 1, 2008
Hochberg Z'ev. Coming Up Short. PSNet [internet]. 2008.
https://psnet.ahrq.gov/web-mm/coming-short
The Case
A 12-year-old Hispanic female was seen for a well-child check. The child was delivered 2 months
prematurely (likely due to domestic violence) in Puerto Rico. She had an intra…