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psnet.ahrq.gov/node/33783/psn-pdf
April 01, 2015 - There are horrible stories of physicians working 10 or
12 hours a day and then going home and spending … 2 or 3 hours bringing their computerized records up to
https://psnet.ahrq.gov/perspective/patient-engagement-and-patient-safety
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psnet.ahrq.gov/node/73455/psn-pdf
June 30, 2021 - Paroxysmal Supraventricular Tachycardia Masquerading
as Panic Attacks
June 30, 2021
Martin DT, O’Leary D. Paroxysmal Supraventricular Tachycardia Masquerading as Panic Attacks. PSNet
[internet]. 2021.
https://psnet.ahrq.gov/web-mm/paroxysmal-supraventricular-tachycardia-masquerading-panic-attacks
The Case
At the…
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psnet.ahrq.gov/node/49642/psn-pdf
December 01, 2011 - Order Interrupted by Text: Multitasking Mishap
December 1, 2011
Halamka J. Order Interrupted by Text: Multitasking Mishap. PSNet [internet]. 2011.
https://psnet.ahrq.gov/web-mm/order-interrupted-text-multitasking-mishap
Case Objectives
State the prevalence of mobile devices among clinicians and their common health…
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psnet.ahrq.gov/web-mm/complications-ecmo-during-transport
January 27, 2021 - The team immediately instituted treatment but, within a few hours, the patient became severely hypotensive … role, that competence is present at the bedside managing both the patient and ECMO at all times, 24 hours
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psnet.ahrq.gov/perspective/conversation-withsanjay-saint-md-mph
November 01, 2008 - After 72 hours, the intern was reminded that a patient had a urinary catheter. … did not yet have CPOE (we do now), so we used a written reminder where a nurse went around after 48 hours
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psnet.ahrq.gov/perspective/conversation-leah-binder-ma-mga
February 26, 2025 - So when hospitals say that the 40 hours of staff time it takes to report to Leapfrog is burdensome, we … Forty hours is not a great deal of time to respond to the public you serve.
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psnet.ahrq.gov/node/857061/psn-pdf
November 27, 2023 - Some states have set specific requirements for clinical hours in various types of
settings, but the … Essentials do not specify a number of clinical hours.
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psnet.ahrq.gov/node/848110/psn-pdf
April 26, 2023 - There is some evidence that suggests that when there are more licensed nursing hours per day at a facility … (i.e., hours worked by registered nurses or licensed practical nurses) falls with injuries among residents
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psnet.ahrq.gov/web-mm/importance-following-safe-practices-infant-feeding-and-handling-expressed-breast-milk
January 31, 2024 - pair although this was appropriately described as a “near miss” since expiration would occur at 24 hours … Restructuring work environments by reducing high-workload duty hours can help reduce errors and increase
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psnet.ahrq.gov/perspective/conversation-lucian-leape-md
June 12, 2019 - There are horrible stories of physicians working 10 or 12 hours a day and then going home and spending … 2 or 3 hours bringing their computerized records up to date.
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psnet.ahrq.gov/web-mm/life-threatening-infant-overdose-sodium-chloride
December 23, 2020 - After this fluid had been infusing for 16 hours, the PICU physician noted the error in the intravenous … when supported by properly trained personnel who regularly perform this task...usually during daytime hours
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psnet.ahrq.gov/perspective/conversation-jennifer-schulz-moore-llb-ma-phd
February 26, 2025 - However, one does need to be a bit careful about whether the initial approach happens within the first 24 hours … or the first 48 hours, and again there's no rule.
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psnet.ahrq.gov/web-mm/failure-ensure-patient-safety-leads-patient-falls-nursing-homes
August 14, 2024 - There is some evidence that suggests that when there are more licensed nursing hours per day at a facility … (i.e., hours worked by registered nurses or licensed practical nurses) falls with injuries among residents
-
psnet.ahrq.gov/node/49442/psn-pdf
May 01, 2004 - of severe community acquired pneumonia who
fail to show a response to treatment within the first 48 hours
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psnet.ahrq.gov/node/49404/psn-pdf
June 01, 2003 - She was scheduled for a repeat scan approximately 48 hours later, when her hCG would be expected to be
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.149_slideshow.ppt
May 01, 2007 - Phenytoin was held and the patient's mental status returned to baseline in 72 hours.
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psnet.ahrq.gov/node/49463/psn-pdf
October 14, 2004 - Two hours
after arriving, while the patient was still groggy from anesthesia, a nurse entered the room
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psnet.ahrq.gov/node/49510/psn-pdf
May 01, 2006 - result, the patient
became drowsy with mild nausea and hypotension, but the symptoms resolved within 24 hours
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psnet.ahrq.gov/node/33579/psn-pdf
September 15, 2024 - context of poorly designed systems (e.g., expected lapses in human vigilance in the
face of long work hours
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psnet.ahrq.gov/node/49730/psn-pdf
April 01, 2015 - care models, which generally include two or more interventions (e.g.,
telephone contact within 48 hours