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psnet.ahrq.gov/node/33859/psn-pdf
June 01, 2018 - In Conversation With… Richard Hoppmann, MD
June 1, 2018
In Conversation With… Richard Hoppmann, MD. PSNet [internet]. 2018.
https://psnet.ahrq.gov/perspective/conversation-richard-hoppmann-md
Editor's note: Dr. Hoppmann is the Dorothea H. Krebs Endowed Chair of Ultrasound Education, Professor
of Medicine, and Dire…
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psnet.ahrq.gov/perspective/balancing-supervision-and-autonomy-ongoing-tension
February 01, 2012 - In other words, inadequate supervision may lead to unintended harm to patients in the present, but excessive
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psnet.ahrq.gov/web-mm/failure-adhere-dietary-restrictions-leading-complications-and-poor-follow
September 27, 2023 - Adverse Outcomes
July 8, 2022
WebM&M Cases
Inadequate
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psnet.ahrq.gov/perspective/diagnostic-errors
December 01, 2013 - to the reviewers, clinicians commonly identified organizational problems such as poor policies and inadequate
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psnet.ahrq.gov/web-mm/under-pressure-delayed-diagnosis-compartment-syndrome-after-lower-leg-fracture
November 25, 2020 - Many patients are readmitted because their treatment was incomplete, because of inadequate coordination
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psnet.ahrq.gov/perspective/role-patient-facing-technologies-empower-patients-and-improve-safety
November 01, 2017 - related to lack of patient awareness, limited health literacy, lower socioeconomic status, older age, inadequate
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psnet.ahrq.gov/node/60362/psn-pdf
April 13, 2018 - Low birthweight is often the result of inadequate prenatal care,1 a shortcoming common in poor
and rural
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psnet.ahrq.gov/web-mm/direct-oral-anticoagulants-are-high-risk-medications-potentially-complex-dosing
August 21, 2005 - Given the complexity of DOAC dosing, the risk of either inadequate anticoagulation or excessive anticoagulation
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psnet.ahrq.gov/sites/default/files/2021-05/final_psnet_spotlight_inadvertent_bolus_of_norepinephrine_pp.pdf
January 01, 2021 - variety of medication administration routes,
difficulties in visually distinguishing between
lines, and inadequate
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psnet.ahrq.gov/web-mm/intraosseous-line-extravasation-pediatric-trauma-patient
September 29, 2021 - July 28, 2021
WebM&M Cases
Inadequate Anesthesia
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psnet.ahrq.gov/webmm-case-studies
March 25, 2025 - WebM&M: Case Studies
WebM&M (Morbidity & Mortality Rounds on the Web) features expert analysis of medical errors reported anonymously by our readers. Spotlight Cases include interactive learning modules available for CME/CPE . Commentaries are written by patient safety experts and published monthly. Have you encou…
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psnet.ahrq.gov/perspective/conversation-ellen-deutsch-md-ms-facs-faap-fssh-cpps
December 14, 2022 - occurrence of emergencies, the inability to “pause” necessary treatment despite incomplete information or inadequate
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psnet.ahrq.gov/perspective/conversation-witheric-g-poon-md-mph
September 01, 2008 - human factors and real world use, unexpected or unaccounted cultural and behavioral interactions, and inadequate
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psnet.ahrq.gov/perspective/resilient-healthcare-and-safety-i-and-safety-ii-frameworks
December 14, 2022 - occurrence of emergencies, the inability to “pause” necessary treatment despite incomplete information or inadequate
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psnet.ahrq.gov/node/74120/psn-pdf
November 30, 2021 - Culture Clash No More: Integration and Coordination of
Disease Treatment and Palliative Care
November 30, 2021
Spero H, Usher AE, Howard B, et al. Culture Clash No More: Integration and Coordination of Disease
Treatment and Palliative Care . PSNet [internet]. 2021.
https://psnet.ahrq.gov/web-mm/culture-clash-no-mo…
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psnet.ahrq.gov/node/837958/psn-pdf
December 01, 2021 - or
(2) With respect to a pregnant woman who is having contractions -
(i) there is inadequate
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psnet.ahrq.gov/perspective/conversation-nicholas-g-castle-mha-phd
August 01, 2012 - Many prescribing and monitoring errors stem directly from inadequate information at the time of ordering
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psnet.ahrq.gov/perspective/role-bar-coding-and-smart-pumps-safety
September 01, 2008 - human factors and real world use, unexpected or unaccounted cultural and behavioral interactions, and inadequate
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psnet.ahrq.gov/innovation/statewide-telehealth-program-enhances-access-care-improves-outcomes-high-risk
November 13, 2024 - Low birthweight is often the result of inadequate prenatal care, 1 a shortcoming common in poor and
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psnet.ahrq.gov/perspective/patient-safety-office-based-care-settings
January 31, 2024 - primary care can lead to failure to discuss abnormal test results with patients, leading to delayed or inadequate