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psnet.ahrq.gov/node/37285/psn-pdf
December 24, 2007 - Safer Care for the Acutely Ill Patient: Learning from
Serious Incidents.
December 24, 2007
Thomson R, Luettel D, Healey F, Scobie S. London, England: National Patient Safety Agency; 2007. ISBN
9780955634055.
https://psnet.ahrq.gov/issue/safer-care-acutely-ill-patient-learning-serious-incidents
In analyzing inform…
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psnet.ahrq.gov/node/41283/psn-pdf
April 11, 2012 - Clinical diagnoses and autopsy findings: discrepancies in
critically ill patients.
April 11, 2012
Tejerina E, Esteban A, Fernández-Segoviano P, et al. Clinical diagnoses and autopsy findings:
discrepancies in critically ill patients*. Crit Care Med. 2012;40(3):842-6.
doi:10.1097/CCM.0b013e318236f64f.
https://psne…
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psnet.ahrq.gov/node/764399/psn-pdf
March 02, 2022 - Show me the money, I'll show you my complications:
impacts of incentivized incident self-reporting among
surgeons.
March 2, 2022
Cook-Richardson S, Addo A, Kim P, et al. Show me the money, I'll show you my complications: impacts of
incentivized incident self-reporting among surgeons. J Surg Res. 2022;274:136-144.
…
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psnet.ahrq.gov/issue/cause-death-sloppy-doctors
January 14, 2011 - February 4, 2015
FDA begins inquiry after death and illness from saline bags meant for
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psnet.ahrq.gov/issue/surgical-checklists-save-lives-once-while-they-dont-why
October 17, 2018 - November 6, 2015
FDA begins inquiry after death and illness from saline bags meant for
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psnet.ahrq.gov/issue/over-counter-medicines-benefits-and-dangers
August 05, 2008 - November 6, 2015
FDA begins inquiry after death and illness from saline bags meant for
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psnet.ahrq.gov/issue/health-literacy-research-current-status-and-future-directions
October 07, 2015 - September 7, 2011
Health literacy and quality: focus on chronic illness care and patient
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psnet.ahrq.gov/web-mm/empiric-steroids-good-bad-and-ugly
June 01, 2015 - glucocorticoid therapy in severely ill patients with pneumonia are that many of them have "critical illness–related … initiating glucocorticoid therapy empirically, and you aren't completely certain of the underlying illness … Take-Home Points For a patient with a glucocorticoid-responsive chronic illness that has flared,
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psnet.ahrq.gov/node/837771/psn-pdf
August 03, 2022 - 'I guess I'll wait to hear'- communication of blood test
results in primary care a qualitative study.
August 3, 2022
Watson J, Salisbury C, Whiting PF, et al. ‘I guess I’ll wait to hear’— communication of blood test results in
primary care a qualitative study. Br J Gen Pract. 2022;72(723):e747-e754. doi:10.3399/bjg…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.269_slideshow.ppt
June 01, 2012 - Spotlight Case July 2008
Spotlight Case
Transfer Troubles
1
2
Source and Credits
This presentation is based on the June 2012
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Isla M. Hains, PhD; Centre for Health Systems and Safety Research, Australia…
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psnet.ahrq.gov/issue/medical-errors-malpractice-and-defensive-medicine-ill-fated-triad
July 06, 2022 - Review
Medical errors, malpractice, and defensive medicine: an ill-fated triad.
Citation Text:
Berlin L. Medical errors, malpractice, and defensive medicine: an ill-fated triad. Diagnosis (Berl). 2017;4(3):133-139. doi:10.1515/dx-2017-0007.
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Format:
DOI Google …
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psnet.ahrq.gov/issue/clinical-diagnoses-and-autopsy-findings-discrepancies-critically-ill-patients
March 09, 2022 - Study
Clinical diagnoses and autopsy findings: discrepancies in critically ill patients.
Citation Text:
Tejerina E, Esteban A, Fernández-Segoviano P, et al. Clinical diagnoses and autopsy findings: discrepancies in critically ill patients*. Crit Care Med. 2012;40(3):842-6. doi:10.1097/…
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psnet.ahrq.gov/web-mm/walking-patient-missing-drain
April 01, 2006 - Stiefel, MD, PhD Survivors of critical illness are often afflicted with cognitive, neuromuscular, psychological … Points Early mobility programs have been shown to reduce adverse events associated with critical illness … Long-term neurocognitive function after critical illness. Chest. 2006;130:869-878.
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psnet.ahrq.gov/issue/quantitative-analysis-content-ems-handoff-critically-ill-and-injured-patients-emergency
August 04, 2021 - Study
Quantitative analysis of the content of EMS handoff of critically ill and injured patients to the emergency department.
Citation Text:
Goldberg SA, Porat A, Strother CG, et al. Quantitative Analysis of the Content of EMS Handoff of Critically Ill and Injured Patients to the Emergen…
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psnet.ahrq.gov/issue/association-diagnostic-stewardship-blood-cultures-critically-ill-children-culture-rates
October 19, 2022 - Study
Association of diagnostic stewardship for blood cultures in critically ill children with culture rates, antibiotic use, and patient outcomes: results of the Bright STAR Collaborative.
Citation Text:
Woods-Hill CZ, Colantuoni EA, Koontz DW, et al. Association of diagnostic stewardsh…
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psnet.ahrq.gov/issue/surrogate-decision-makers-perspectives-preventable-breakdowns-care-among-critically-ill
June 07, 2016 - Study
Surrogate decision makers' perspectives on preventable breakdowns in care among critically ill patients: a qualitative study.
Citation Text:
Fisher K, Ahmad S, Jackson M, et al. Surrogate decision makers' perspectives on preventable breakdowns in care among critically ill patients:…
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psnet.ahrq.gov/issue/comprehensive-method-develop-checklist-increase-safety-intra-hospital-transport-critically
March 15, 2016 - Study
A comprehensive method to develop a checklist to increase safety of intra-hospital transport of critically ill patients.
Citation Text:
Brunsveld-Reinders AH, Arbous S, Kuiper SG, et al. A comprehensive method to develop a checklist to increase safety of intra-hospital transport of…
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psnet.ahrq.gov/web-mm/mobility-lost-icu
August 01, 2018 - This approach is a strategy for poor recovery from acute illness and a lost opportunity to prevent, or … Physiotherapy for adult patients with critical illness: recommendations of the European Respiratory Society … Surviving critical illness: acute respiratory distress syndrome as experienced by patients and their
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psnet.ahrq.gov/node/49808/psn-pdf
October 01, 2017 - High-Risk Medications, High-Risk Transfers
October 1, 2017
Staggers N. High-Risk Medications, High-Risk Transfers. PSNet [internet]. 2017.
https://psnet.ahrq.gov/web-mm/high-risk-medications-high-risk-transfers
The Case
A 47-year-old woman with history of primary pulmonary arterial hypertension (PAH) was admitted …
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psnet.ahrq.gov/issue/ers-are-swamped-seriously-ill-patients-although-many-dont-have-covid
November 01, 2023 - Newspaper/Magazine Article
ERs are swamped with seriously ill patients, although many don’t have Covid.
Citation Text:
ERs are swamped with seriously ill patients, although many don’t have Covid. Wells K. Health Shots. National Public Radio. October 29, 2021.
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