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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/issue/potentially-severe-incidents-during-interhospital-transport-critically-ill-patients
October 26, 2022 - Study
Potentially severe incidents during interhospital transport of critically ill patients, frequently occurring but rarely reported: a prospective study.
Citation Text:
Eiding H, Røise O, Kongsgaard UE. Potentially severe incidents during interhospital transport of critically ill pati…
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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/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/issue/adverse-events-anaesthetic-practice-qualitative-study-definition-discussion-and-reporting
April 18, 2011 - Chronic pain diagnoses and opioid dispensings among insured individuals with serious mental illness
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psnet.ahrq.gov/issue/measurement-adverse-events-using-incidence-flagged-diagnosis-codes
June 18, 2013 - safety events and harms during medical and surgical hospitalizations for persons with serious mental illness
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psnet.ahrq.gov/issue/relational-leadership-perspective-unit-level-safety-climate
April 24, 2018 - safety events and harms during medical and surgical hospitalizations for persons with serious mental illness
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psnet.ahrq.gov/issue/impact-patient-safety-mandates-medical-education-united-states
June 01, 2011 - Admission handoff communications: clinician's shared understanding of patient severity of illness
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psnet.ahrq.gov/issue/identifying-and-addressing-preventable-process-errors-trauma-care
June 17, 2015 - December 15, 2014
Diagnostic error in children presenting with acute medical illness
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psnet.ahrq.gov/issue/assessing-diagnostic-reasoning-consensus-statement-summarizing-theory-practice-and-future
August 11, 2015 - August 23, 2016
Diagnostic error in children presenting with acute medical illness to
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psnet.ahrq.gov/issue/does-insulin-double-checking-procedure-improve-patient-safety
April 24, 2018 - Chronic pain diagnoses and opioid dispensings among insured individuals with serious mental illness
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psnet.ahrq.gov/issue/patient-safety-and-collaboration-intensive-care-unit-team
February 17, 2010 - Chronic pain diagnoses and opioid dispensings among insured individuals with serious mental illness
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psnet.ahrq.gov/web-mm/poorly-advanced-directives
August 01, 2018 - They are often too vague to clearly direct the interventions a patient would want in specific illness … harms associated with CPR might outweigh the benefits for certain patients, such as those with terminal illness
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psnet.ahrq.gov/issue/evidence-based-red-cell-transfusion-critically-ill-quality-improvement-using-computerized
February 15, 2017 - Study
Evidence-based red cell transfusion in the critically ill: quality improvement using computerized physician order entry.
Citation Text:
Rana R, Afessa B, Keegan MT, et al. Evidence-based red cell transfusion in the critically ill: quality improvement using computerized physician …
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psnet.ahrq.gov/web-mm/dropping-new-lows
December 18, 2024 - combined with ongoing assessment of the patient's clinical status, including changes in glycemic trends, illness
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psnet.ahrq.gov/issue/knowledge-translation-critical-care-factors-associated-prescription-commonly-recommended-best
October 31, 2011 - Study
Knowledge translation in critical care: factors associated with prescription of commonly recommended best practices for critically ill patients.
Citation Text:
Ilan R, Fowler RA, Geerts R, et al. Knowledge translation in critical care: factors associated with prescription of comm…
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psnet.ahrq.gov/issue/analysis-risk-factors-adverse-drug-events-critically-ill-patients
October 26, 2010 - Study
Analysis of risk factors for adverse drug events in critically ill patients.
Citation Text:
Kane-Gill SL, Kirisci L, Verrico MM, et al. Analysis of risk factors for adverse drug events in critically ill patients*. Crit Care Med. 2012;40(3):823-8. doi:10.1097/CCM.0b013e318236f473.…
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psnet.ahrq.gov/node/44186/psn-pdf
November 10, 2015 - A comprehensive method to develop a checklist to
increase safety of intra-hospital transport of critically ill
patients.
November 10, 2015
Brunsveld-Reinders AH, Arbous S, Kuiper SG, et al. A comprehensive method to develop a checklist to
increase safety of intra-hospital transport of critically ill patients. Crit…
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psnet.ahrq.gov/node/46556/psn-pdf
November 01, 2017 - So much care it hurts: unneeded scans, therapy, surgery
only add to patients' ills.
November 1, 2017
Szabo L. Kaiser Health News. October 23, 2017.
https://psnet.ahrq.gov/issue/so-much-care-it-hurts-unneeded-scans-therapy-surgery-only-add-patients-ills
Overdiagnosis and overtreatment present a challenge to patient…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.60_slideshow.ppt
May 01, 2004 - Spotlight Case [MONTH] 2003
Spotlight Case May 2004
Too Tight Control:
The Risks of Intensive Insulin Therapy
Source and Credits
This presentation is based on the May 2004
AHRQ WebM&M Spotlight Case in Medicine
CME credit is available through the Web site
See the full article at http://webmm.ahrq.gov
Comm…