-
psnet.ahrq.gov/web-mm/danger-disruption
July 29, 2020 - Using the second option, the nurse could attempt to have a "crucial conversation" within 24 hours of
-
psnet.ahrq.gov/node/49402/psn-pdf
June 01, 2003 - Within 24 hours, the patient defervesced.
-
psnet.ahrq.gov/node/867985/psn-pdf
January 01, 2025 - The National
Action Alliance for Suicide Prevention recommends that patients are contacted within 24 hours
-
psnet.ahrq.gov/periodic-issue/periodic-issue-469
December 31, 2024 - A few hours later, he suffered a stroke due to left posterior cerebral artery occlusion and vertebral
-
psnet.ahrq.gov/periodic-issue/periodic-issue-471
December 31, 2024 - A few hours later, he suffered a stroke due to left posterior cerebral artery occlusion and vertebral
-
psnet.ahrq.gov/node/855057/psn-pdf
October 31, 2023 - of organizational policies and staff training,
overcrowding, long wait times, inflexible visiting hours
-
psnet.ahrq.gov/innovation/missouri-quality-initiative-moqi-reduces-hospitalizations-among-nursing-home-residents
July 23, 2024 - nursing home staffing include having a registered nurse (RN) on duty for at least eight consecutive hours
-
psnet.ahrq.gov/node/49512/psn-pdf
May 01, 2006 - Provide suggestions for remediation
Case & Commentary
A 79-year-old woman presented to an after hours
-
psnet.ahrq.gov/perspective/american-view-uks-patient-safety-enterprise-top-down-vs-bottom
December 01, 2005 - Accreditation Council for Graduate Medical Education (ACGME)
NGO (accreditor)
New limits on duty hours
-
psnet.ahrq.gov/web-mm/inappropriate-antibiotic-use
September 22, 2010 - Within 24 hours, the patient defervesced.
-
psnet.ahrq.gov/web-mm/bandemia-harbinger-stercoral-colitis-and-impending-perforation
November 25, 2020 - patients who are discharged with high-risk findings but without a definitive diagnosis within 24-48 hours
-
psnet.ahrq.gov/web-mm/case-patient-flow-management
February 23, 2019 - If, for example, many PCPs affiliated with the same hospitals would have limited office hours on the
-
psnet.ahrq.gov/web-mm/when-looks-arent-all-they-appear-be-medication-error-uncommon-indication
July 02, 2019 - condition was made worse by the onset of ongoing hiccups of unknown etiology which lasted more than 48 hours
-
psnet.ahrq.gov/perspective/conversation-withatul-gawande-md-ma-mph
September 01, 2007 - In Conversation with...Atul Gawande, MD, MA, MPH
September 1, 2007
Also Read an Essay
Citation Text:
In Conversation with..Atul Gawande, MD, MA, MPH. PSNet [internet]. 2007.In Conversation with...Atul Gawande, MD, MA, MPH. PSNet [internet]. Rockville (MD): Agency…
-
psnet.ahrq.gov/web-mm/missed-connection-case-inadequate-ecg-oversight-cardiac-surgery
March 25, 2020 - SPOTLIGHT CASE
Missed Connection: A Case of Inadequate ECG Oversight in Cardiac Surgery
Citation Text:
Bohringer C, Fierro M, Venugopal S. Missed Connection: A Case of Inadequate ECG Oversight in Cardiac Surgery. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Dep…
-
psnet.ahrq.gov/perspective/conversation-withjoseph-britto-md
February 01, 2007 - sidebar citation in the text)
A 74-year-old woman comes to the emergency department with several hours
-
psnet.ahrq.gov/web-mm/dual-therapy-debacle
February 01, 2007 - Dual Therapy Debacle
Citation Text:
Kayser SR. Dual Therapy Debacle. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId …
-
psnet.ahrq.gov/node/49628/psn-pdf
June 01, 2011 - Routine Goes Awry
June 1, 2011
Huoh KC, Rosbe KW. Routine Goes Awry. PSNet [internet]. 2011.
https://psnet.ahrq.gov/web-mm/routine-goes-awry
The Case
A 6-year-old girl with a history of asthma and chronic adenotonsillitis was referred to a surgeon and
scheduled for a tonsillectomy and adenoidectomy. She was in ot…
-
psnet.ahrq.gov/node/33808/psn-pdf
May 01, 2016 - Reducing the Safety Hazards of Monitor Alert and Alarm
Fatigue
May 1, 2016
Jacques S, Williams E. Reducing the Safety Hazards of Monitor Alert and Alarm Fatigue. PSNet [internet].
2016.
https://psnet.ahrq.gov/perspective/reducing-safety-hazards-monitor-alert-and-alarm-fatigue
Perspective
Alarm fatigue occurs whe…
-
psnet.ahrq.gov/node/836942/psn-pdf
April 27, 2022 - Saline Flush Leads to Acute Paralysis of an Awake
Patient: Risks of Improper Medication Labeling in an
Operating Room
April 27, 2022
Kriss RS. Saline Flush Leads to Acute Paralysis of an Awake Patient: Risks of Improper Medication
Labeling in an Operating Room. PSNet [internet]. 2022.
https://psnet.ahrq.gov/web-m…