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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…
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psnet.ahrq.gov/web-mm/high-risk-medications-high-risk-transfers
December 21, 2017 - High-Risk Medications, High-Risk Transfers
Citation Text:
Staggers N. High-Risk Medications, High-Risk Transfers. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
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Format:
Google Scholar BibTeX EndNote …
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psnet.ahrq.gov/node/46037/psn-pdf
April 16, 2018 - 'If no-one stops me, I'll make the mistake again': changing
prescribing behaviours through feedback; a Perceptual
Control Theory perspective.
April 16, 2018
Ferguson J, Keyworth C, Tully MP. 'If no-one stops me, I'll make the mistake again': Changing prescribing
behaviours through feedback; A Perceptual Control Th…
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psnet.ahrq.gov/issue/information-handoff-and-outcomes-critically-ill-patients-transferred-between-hospitals
July 18, 2016 - Study
Information handoff and outcomes of critically ill patients transferred between hospitals.
Citation Text:
Usher MG, Fanning C, Wu D, et al. Information handoff and outcomes of critically ill patients transferred between hospitals. J Crit Care. 2016;36:240-245. doi:10.1016/j.jcrc.20…
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psnet.ahrq.gov/issue/safer-care-acutely-ill-patient-learning-serious-incidents
August 07, 2018 - Book/Report
Safer Care for the Acutely Ill Patient: Learning from Serious Incidents.
Citation Text:
Safer Care for the Acutely Ill Patient: Learning from Serious Incidents. Thomson R, Luettel D, Healey F, Scobie S. London, England: National Patient Safety Agency; 2007. ISBN 978095563…
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psnet.ahrq.gov/issue/improving-adverse-drug-event-detection-critically-ill-patients-through-screening-intensive
February 19, 2014 - Study
Improving adverse drug event detection in critically ill patients through screening intensive care unit transfer summaries.
Citation Text:
Anthes AM, Harinstein LM, Smithburger PL, et al. Improving adverse drug event detection in critically ill patients through screening intensive…
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psnet.ahrq.gov/node/49654/psn-pdf
June 01, 2012 - Transfer Troubles
June 1, 2012
Hains IM. Transfer Troubles. PSNet [internet]. 2012.
https://psnet.ahrq.gov/web-mm/transfer-troubles
Case Objectives
Recognize that transfer of patients between hospitals is common.
Understand the frequency of errors and adverse events in the transfer of patients between hospitals.
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psnet.ahrq.gov/issue/health-care-associated-infections-among-critically-ill-children-us-2007-2012
April 05, 2013 - Study
Health care-associated infections among critically ill children in the US, 2007-2012.
Citation Text:
Patrick SW, Kawai AT, Kleinman K, et al. Health care-associated infections among critically ill children in the US, 2007-2012. Pediatrics. 2014;134(4):705-712. doi:10.1542/peds.2014…
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psnet.ahrq.gov/issue/retrieval-medicine-review-and-guide-uk-practitioners-part-2-safety-patient-retrieval-systems
March 09, 2016 - Commentary
Retrieval medicine: a review and guide for UK practitioners. Part 2: safety in patient retrieval systems.
Citation Text:
Hearns S, Shirley PJ. Retrieval medicine: a review and guide for UK practitioners. Part 2: safety in patient retrieval systems. Emerg Med J. 2006;23(12):9…
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psnet.ahrq.gov/node/49758/psn-pdf
April 01, 2016 - combined with ongoing assessment of the patient's clinical status, including changes in
glycemic trends, illness
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psnet.ahrq.gov/node/49532/psn-pdf
March 15, 2007 - insulin subcutaneously.(12
) Subcutaneous absorption may be slow and erratic, particularly in critical illness
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psnet.ahrq.gov/node/49756/psn-pdf
April 01, 2016 - often include the use of imaging with contrast or laparotomy, depending on the patient's severity of illness … this setting.(13)
In summarizing this case, a patient who was in the recovery phase of his critical illness
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psnet.ahrq.gov/web-mm/transfer-troubles
December 29, 2014 - SPOTLIGHT CASE
Transfer Troubles
Citation Text:
Hains IM. Transfer Troubles. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endno…
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psnet.ahrq.gov/web-mm/lost-sign-out-and-documentation
January 31, 2011 - often include the use of imaging with contrast or laparotomy, depending on the patient's severity of illness … setting.( 13 )
In summarizing this case, a patient who was in the recovery phase of his critical illness
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psnet.ahrq.gov/web-mm/back-basics
July 13, 2010 - insulin subcutaneously.( 12 ) Subcutaneous absorption may be slow and erratic, particularly in critical illness
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psnet.ahrq.gov/perspective/conversation-sharon-k-inouye-md-mph
December 01, 2012 - studies have shown a more than doubling of risk of incident dementia following an episode of critical illness … , and more than half of survivors of critical illness experiencing long-term cognitive impairment.( 5,23 … Delirium as a predictor of long-term cognitive impairment in survivors of critical illness. … Association between acute care and critical illness hospitalization and cognitive function in older adults
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psnet.ahrq.gov/web-mm/all-history
February 28, 2011 - became concerned that a pulmonary embolism (blood clot to the lungs) was the cause for his critical illness … ED providers to inpatient providers should include: Presenting complaint and history of present illness
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psnet.ahrq.gov/node/42020/psn-pdf
July 16, 2013 - Effects of the implementation of a preventive
interventions program on the reduction of medication
errors in critically ill adult patients.
July 16, 2013
Romero CM, Salazar N, Rojas L, et al. Effects of the implementation of a preventive interventions program
on the reduction of medication errors in critically ill…
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psnet.ahrq.gov/perspective/quality-and-safety-challenges-critical-care-preventing-and-treating-delirium-intensive
December 01, 2012 - studies have shown a more than doubling of risk of incident dementia following an episode of critical illness … , and more than half of survivors of critical illness experiencing long-term cognitive impairment.( 5,23 … Delirium as a predictor of long-term cognitive impairment in survivors of critical illness. … Association between acute care and critical illness hospitalization and cognitive function in older adults
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psnet.ahrq.gov/node/37118/psn-pdf
October 04, 2011 - Knowledge translation in critical care: factors associated
with prescription of commonly recommended best
practices for critically ill patients.
October 4, 2011
Ilan R, Fowler RA, Geerts R, et al. Knowledge translation in critical care: factors associated with
prescription of commonly recommended best practices fo…