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  1. Errors in Sepsis Management | PSNet

    psnet.ahrq.gov/web-mm/errors-sepsis-management
    November 03, 2015 - The Case A 72-year-old woman with pulmonary hypertension, chronic obstructive pulmonary disease (COPD … However, because of her history of pulmonary hypertension and coronary artery disease, she was not given

  2. CMQCC obstetric sepsis toolkit update: a patient-centered approach to quality improvement. | PSNet

    psnet.ahrq.gov/issue/cmqcc-obstetric-sepsis-toolkit-update-patient-centered-approach-quality-improvement
    August 21, 2024 - Commentary CMQCC obstetric sepsis toolkit update: a patient-centered approach to quality improvement. Citation Text: Main EK, Nath R, Bauer ME. CMQCC obstetric sepsis toolkit update: a patient-centered approach to quality improvement. Semin Perinatol. 2024:151976. doi:10.1016/j.semperi.2…

  3. Cognitive biases and artificial intelligence. | PSNet

    psnet.ahrq.gov/issue/cognitive-biases-and-artificial-intelligence
    March 27, 2024 - Study Cognitive biases and artificial intelligence. Citation Text: Wang J, Redelmeier DA. Cognitive biases and artificial intelligence. NEJM AI. 2024;1(12):AIcs2400639. doi:10.1056/aics2400639. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML End…

  4. Spotlight Case [MONTH] 2003 (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.218_slideshow.ppt
    May 01, 2010 - He showed signs of respiratory distress, pulmonary hypertension, coagulopathy, and liver failure.

  5. The Magnetic Deflection | PSNet

    psnet.ahrq.gov/web-mm/magnetic-deflection
    November 18, 2016 - The Case A 68-year-old woman with a prior history of cerebrovascular accident and hypertension presented

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/843234/psn-pdf
    January 01, 2013 - end-stage renal disease (ESRD) on chronic hemodialysis, type 2 diabetes, peripheral arterial disease and hypertension … adjustments, both duloxetine and venlafaxine can accumulate and exacerbate adverse events including hypertension … The inhibition of prostaglandins constricts the afferent arteriole, which can lead to hypertension,

  7. Language discordance and patient care-Babel. | PSNet

    psnet.ahrq.gov/issue/language-discordance-and-patient-care-babel
    October 30, 2024 - Commentary Language discordance and patient care-Babel. Citation Text: Huson TA. Language discordance and patient care-Babel. JAMA Intern Med. 2024;184(11):1287-1288. doi:10.1001/jamainternmed.2024.4273. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote…

  8. Briefing and debriefing in the operating room using fighter pilot crew resource management. | PSNet

    psnet.ahrq.gov/issue/briefing-and-debriefing-operating-room-using-fighter-pilot-crew-resource-management
    May 29, 2024 - Study Briefing and debriefing in the operating room using fighter pilot crew resource management. Citation Text: McGreevy JM, Otten TD. Briefing and debriefing in the operating room using fighter pilot crew resource management. J Am Coll Surg. 2007;205(1):169-76. Copy Citation Fo…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74121/psn-pdf
    November 30, 2021 - four most common sources of maternal morbidity: sepsis, cardiopulmonary dysfunction, pre- eclampsia/hypertension

  10. Patient safety in the emergency department. | PSNet

    psnet.ahrq.gov/issue/patient-safety-emergency-department
    July 13, 2016 - Commentary Patient safety in the emergency department. Citation Text: Farmer B. Patient Safety in the Emergency Department. Emerg Med (N Y). 2016;48(9). doi:10.12788/emed.2016.0052. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged …

  11. Improving the usability of intravenous medication labels to support safe medication delivery. | PSNet

    psnet.ahrq.gov/issue/improving-usability-intravenous-medication-labels-support-safe-medication-delivery
    September 26, 2016 - Study Improving the usability of intravenous medication labels to support safe medication delivery. Citation Text: Bauer DT, Guerlain S. Improving the usability of intravenous medication labels to support safe medication delivery. International journal of industrial ergonomics. 2011;41…

  12. Too Many Cooks Spotlight Pdf (pdf file)

    psnet.ahrq.gov/sites/default/files/2020-08/too_many_cooks_spotlight_pdf.pdf
    January 01, 2020 - repair 4 Case Details • 40 year-old man with multiple comorbidities (diabetes, hyperlipidemia, hypertension

  13. Maternal mortality: near-miss events in middle-income countries, a systematic review. | PSNet

    psnet.ahrq.gov/issue/maternal-mortality-near-miss-events-middle-income-countries-systematic-review
    October 13, 2021 - Review Maternal mortality: near-miss events in middle-income countries, a systematic review. Citation Text: Heitkamp A, Meulenbroek A, van Roosmalen J, et al. Maternal mortality: near-miss events in middle-income countries, a systematic review. Bull World Health Organ. 2021;99(10):693-70…

  14. Design of a safety dashboard for patients. | PSNet

    psnet.ahrq.gov/issue/design-safety-dashboard-patients
    March 16, 2022 - Study Design of a safety dashboard for patients. Citation Text: Gibson B, Butler J, Schnock KO, et al. Design of a safety dashboard for patients. Patient Educ Couns. 2019;103(4):741-747. doi:10.1016/j.pec.2019.10.021. Copy Citation Format: DOI Google Scholar BibTeX EndNote …

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49768/psn-pdf
    September 01, 2016 - one of his patients—an 80- year-old, Spanish-speaking woman with multiple medical problems including hypertension … was supposed to be taking eight medications daily, including losartan and hydrochlorothiazide for hypertension

  16. Hospital checklists are meant to save lives—so why do they often fail? | PSNet

    psnet.ahrq.gov/issue/hospital-checklists-are-meant-save-lives-so-why-do-they-often-fail
    July 31, 2013 - Newspaper/Magazine Article Hospital checklists are meant to save lives—so why do they often fail? Citation Text: Anthes E. Hospital checklists are meant to save lives - so why do they often fail? Nature. 2015;523(7562):516-8. doi:10.1038/523516a. Copy Citation Format: DOI G…

  17. When the lights go down in the delivery room: lessons from a ransomware attack. | PSNet

    psnet.ahrq.gov/issue/when-lights-go-down-delivery-room-lessons-ransomware-attack
    September 02, 2020 - Commentary When the lights go down in the delivery room: lessons from a ransomware attack. Citation Text: Gabbay‐Benziv R, Ben‐Natan M, Roguin A, et al. When the lights go down in the delivery room: lessons from a ransomware attack. Int J Gynaecol Obstet. 2023;162(2):562-568. doi:10.1002…

  18. Quality framework for remote antenatal care: qualitative study with women, healthcare professionals and system-level stakeholders. | PSNet

    psnet.ahrq.gov/issue/quality-framework-remote-antenatal-care-qualitative-study-women-healthcare-professionals-and
    October 21, 2020 - Study Quality framework for remote antenatal care: qualitative study with women, healthcare professionals and system-level stakeholders. Citation Text: Hinton L, Dakin FH, Kuberska K, et al. Quality framework for remote antenatal care: qualitative study with women, healthcare professiona…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865376/psn-pdf
    March 27, 2024 - navigating-chaos-fatal-iatrogenic-liver-injury-patient-admitted-leg-fractures The Case A 60-year-old woman with a history of diabetes, hypertension … Portal hypertension with shunting, cirrhosis-related coagulopathies, and overall frailty are factors

  20. Near-miss and maternal sepsis mortality: a qualitative study of survivors and support persons. | PSNet

    psnet.ahrq.gov/issue/near-miss-and-maternal-sepsis-mortality-qualitative-study-survivors-and-support-persons
    October 11, 2023 - Study Near-miss and maternal sepsis mortality: a qualitative study of survivors and support persons. Citation Text: Bauer ME, Perez SL, Main EK, et al. Near-miss and maternal sepsis mortality: a qualitative study of survivors and support persons. Eur J Obstet Gynecol Reprod Biol. 2024;29…
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