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psnet.ahrq.gov/node/49723/psn-pdf
January 01, 2015 - She pushed for approximately 2 hours without any
difficulty or any sign of problems with the fetus.
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psnet.ahrq.gov/node/73336/psn-pdf
May 26, 2021 - intravenous penicillin, 18-20 million units per day administered in divided doses given every four hours
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psnet.ahrq.gov/sites/default/files/2022-08/final_spotlight_latex_allergies-slides.pdf
January 01, 2022 - • Symptoms resolved within 4 hours, and she was extubated
successfully with hemodynamically stable
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psnet.ahrq.gov/web-mm/dont-wait-collect-accurate-weight-case-subtherapeutic-insulin-therapy
July 01, 2008 - was corrected and her insulin dose was adjusted, she improved quickly and her DKA resolved within 12 hours
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psnet.ahrq.gov/web-mm/cognitive-and-communication-blind-spot-contributes-permanent-paralysis
January 13, 2010 - meantime, on hospital day 4, the patient had been started on 7500 units of unfractionated heparin every 8 hours
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psnet.ahrq.gov/perspective/conversation-john-g-reiling-phd
June 01, 2014 - studies with an AHRQ grant measuring how often people were in the room, and we found that 7 out of 8 hours
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psnet.ahrq.gov/curated-library/maternal-safety
January 31, 2024 - comprehensive safety program, which included teamwork training, additional staffing and reduction of work hours
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psnet.ahrq.gov/innovation/us-department-veterans-affairs-medical-center-houston-tx-and-baylor-college-medicine
February 26, 2025 - The instrument is relatively low cost to implement (i.e., primarily requires staff hours) and is available
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psnet.ahrq.gov/web-mm/transfusion-overload
September 23, 2020 - (TRALI; an immune-related transfusion reaction that leads to pulmonary infiltrates and hypoxia 0–6 hours
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psnet.ahrq.gov/web-mm/misplaced-nasogastric-tube-resulting-aspiration
August 01, 2009 - methods, such as pH testing, is their timeliness; awaiting x-ray for confirmation may take several hours
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psnet.ahrq.gov/web-mm/delay-malignancy-diagnosis-reflects-systemic-failures
September 25, 2019 - our institution, the current standard turnaround time for uncomplicated, routine biopsy cases is 48 hours
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psnet.ahrq.gov/web-mm/sweet-case-hidden-hydrogen-ions
November 30, 2023 - of hyper- and hypoglycemic events. 10 In addition, consulting a specialized diabetes team within 24 hours
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psnet.ahrq.gov/perspective/virtual-nursing-improving-patient-care-and-meeting-workforce-challenges
August 30, 2023 - Kathy Sanford: VIC is quite different from other virtual programs in that it’s 24 hours a day.
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psnet.ahrq.gov/perspective/conversation-kathleen-sanford-and-sue-schuelke-about-virtual-nursing
August 30, 2023 - Kathy Sanford: VIC is quite different from other virtual programs in that it’s 24 hours a day.
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psnet.ahrq.gov/node/72618/psn-pdf
December 23, 2020 - Nudge Unit Supports Physician, Patient Behavioral
Changes Towards Medical Decisions that Improve Care
Value and Quality of Care
December 23, 2020
https://psnet.ahrq.gov/innovation/nudge-unit-supports-physician-patient-behavioral-changes-towards-
medical-decisions
Summary
Nudges are a change in the way choices ar…
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psnet.ahrq.gov/web-mm/hard-swallow
April 26, 2023 - Hard to Swallow
Citation Text:
Driver J. Hard to Swallow. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004.
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Format:
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…
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psnet.ahrq.gov/web-mm/inflicting-confusion
August 04, 2021 - Inflicting Confusion
Citation Text:
Scott FI, Lichtenstein GR. Inflicting Confusion. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015.
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psnet.ahrq.gov/web-mm/haste-makes-care-unsafe
January 07, 2015 - Haste Makes Care Unsafe
Citation Text:
Eichhorn JH. Haste Makes Care Unsafe. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015.
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Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged P…
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psnet.ahrq.gov/node/49869/psn-pdf
July 02, 2019 - Failure to Rescue the Mother
July 2, 2019
Vivero A, Klapper EB, Gregory KD, et al. Failure to Rescue the Mother. PSNet [internet]. 2019.
https://psnet.ahrq.gov/web-mm/failure-rescue-mother
The Case
A 27-year-old woman, G5 P2 A2, was first admitted to the hospital at 25 weeks of pregnancy for vaginal
bleeding. An …
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psnet.ahrq.gov/node/865984/psn-pdf
May 29, 2024 - Fatal Oversight: Misdiagnosis of Nocturnal Chest Pain
with Elevated D-dimer.
May 29, 2024
Agusala V, Deen J, Schaefer S. Fatal Oversight: Misdiagnosis of Nocturnal Chest Pain with Elevated D-
dimer. PSNet [internet]. 2024.
https://psnet.ahrq.gov/web-mm/fatal-oversight-misdiagnosis-nocturnal-chest-pain-elevated-d-d…