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psnet.ahrq.gov/perspective/aviation-safety-methods-quickly-adopted-questions-remain
January 01, 2006 - terms of what you actually do when you go into an institution, can these behaviors be trained in 4 to 8 hours
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psnet.ahrq.gov/node/836877/psn-pdf
May 16, 2022 - For something that happened hours ago, am I going to accurately
remember what time I gave each medication
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psnet.ahrq.gov/perspective/quality-and-safety-challenges-critical-care-preventing-and-treating-delirium-intensive
December 01, 2012 - factor, and recent trial data indicates that patients randomized to the use of earplugs at nighttime hours … D
Delirium Assessment and Management
Assess for delirium every 8–12 hours using a validated delirium … So I spent hours abstracting their charts, making timelines on huge graph paper of when they got confused
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psnet.ahrq.gov/web-mm/dissecting-presentation
May 05, 2021 - mortality for an untreated type A dissection is thought to be approximately 1%–2% per hour for the first 48 hours
-
psnet.ahrq.gov/node/866618/psn-pdf
December 31, 2024 - The pain was intermittent, began 2-3 weeks prior, lasted several minutes to
hours in duration, and radiated
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psnet.ahrq.gov/primer/debriefing-clinical-learning
September 15, 2024 - Effects of the Accreditation Council for Graduate Medical Education duty hour limits on sleep, work hours
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psnet.ahrq.gov/web-mm/pca-overdose
April 01, 2017 - A few hours after leaving the PACU and arriving on the floor, she was found pale with shallow breathing
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psnet.ahrq.gov/node/33686/psn-pdf
August 01, 2009 - In fact, the resources that
we put in—whether you measure those resources in terms of dollars, hours
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psnet.ahrq.gov/node/33610/psn-pdf
April 01, 2005 - Introducing the New AHRQ WebM&M and AHRQ Patient
Safety Network (PSNet)
April 1, 2005
Wachter R. Introducing the New AHRQ WebM&M and AHRQ Patient Safety Network (PSNet). PSNet
[internet]. 2005.
https://psnet.ahrq.gov/perspective/introducing-new-ahrq-webmm-and-ahrq-patient-safety-network-psnet
Editorial
Five year…
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psnet.ahrq.gov/node/33648/psn-pdf
March 01, 2007 - In Conversation with...Sorrel King
March 1, 2007
In Conversation with..Sorrel King. PSNet [internet]. 2007.
https://psnet.ahrq.gov/perspective/conversation-withsorrel-king
Editor's Note: Sorrel King is the mother of Josie King, who died tragically in 2001 at age 18 months
because of medical errors during a hospita…
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psnet.ahrq.gov/perspective/response-failure-report-march-2007
June 01, 2007 - In response to "Failure to Report" (March 2007)
June 1, 2007
View more articles from the same authors.
Citation Text:
Paparella S, Vaida AJ, Spath P. In response to "Failure to Report" (March 2007). PSNet [internet]. Rockville (MD): Agency for Healthcare Research …
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psnet.ahrq.gov/sites/default/files/2020-01/final_spotlight_near_miss_transfusion_01082020_tocme.pdf
January 01, 2020 - Spotlight
Spotlight
“This is the wrong patient’s blood!”:
Evaluating a Near-Miss Wrong
Transfusion Event
Source and Credits
• This presentation is based on the January 2020 AHRQ WebM&M
Spotlight Case
• Commentary by: Sarah Barnhard MD
o Medical Director of Transfusion Services at UC-Davis Health
o Editors in …
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psnet.ahrq.gov/node/49530/psn-pdf
February 01, 2007 - Four hours later, the child appeared more ill to the father and developed a fever of 104°F.
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.302_slideshow.ppt
June 01, 2013 - cancelled and she was taken to the intensive care unit.
5
6
Case: Emergency Error (3)
Over the next 12 hours
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psnet.ahrq.gov/node/49824/psn-pdf
March 01, 2018 - Because PCI had been delayed for many hours
from the time of the original STEMI, the patient experienced
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psnet.ahrq.gov/web-mm/citrate-mix
February 01, 2010 - with Kayexalate (sodium polystyrene sulfonate) and an insulin infusion, and she recovered within 24 hours
-
psnet.ahrq.gov/web-mm/shake-well
September 01, 2006 - The effect of extended work hours on patient care provided by medical interns.
-
psnet.ahrq.gov/web-mm/security-lapse
December 18, 2019 - Within hours, the office contacted the student for further description of the violation, and within a
-
psnet.ahrq.gov/node/49862/psn-pdf
May 01, 2019 - At all times, 24 hours a day, the powerful magnetic field of the MRI scanner is present and at full
-
psnet.ahrq.gov/node/49812/psn-pdf
November 01, 2017 - Moreover, many laboratories
hold their trash for 24–72 hours in case specimens are accidentally discarded