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psnet.ahrq.gov/web-mm/what-happened-telemetry
January 18, 2012 - She had a mild leukocytosis, evidence of mild acute kidney injury, and a urinalysis positive for infection
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psnet.ahrq.gov/node/49457/psn-pdf
September 01, 2004 - Doctor, Don't Treat Thyself
September 1, 2004
Rosvold EO. Doctor, Don't Treat Thyself. PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/doctor-dont-treat-thyself
The Case
A 50-year-old radiologist presented to the emergency department of the community hospital where he
worked and reported increasing shortnes…
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psnet.ahrq.gov/node/49863/psn-pdf
May 01, 2019 - Good Catch in the Operating Room
May 1, 2019
Day J, Paige JT. Good Catch in the Operating Room. PSNet [internet]. 2019.
https://psnet.ahrq.gov/web-mm/good-catch-operating-room
The Case
A 46-year-old woman with extensive history of back pain from lumbar stenosis was scheduled for an
elective laminectomy and spinal…
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psnet.ahrq.gov/node/60330/psn-pdf
May 05, 2020 - Telehealth and Patient Safety During the COVID-19
Response
May 14, 2020
Sikka N, Willis JS, Fitall E, et al. Telehealth and Patient Safety During the COVID-19 Response. PSNet
[internet]. 2020.
https://psnet.ahrq.gov/perspective/telehealth-and-patient-safety-during-covid-19-response
Introduction
Telehealth typ…
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psnet.ahrq.gov/perspective/conversation-kathleen-sanford-and-sue-schuelke-about-virtual-nursing
August 30, 2023 - National Database of Nursing Quality Indicators showed low incidence of catheter-associated urinary tract infections … , pressure injuries, deep vein thrombosis, and central-line associated blood stream infection. 1 In
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psnet.ahrq.gov/perspective/virtual-nursing-improving-patient-care-and-meeting-workforce-challenges
August 30, 2023 - National Database of Nursing Quality Indicators showed low incidence of catheter-associated urinary tract infections … , pressure injuries, deep vein thrombosis, and central-line associated blood stream infection. 1 In
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psnet.ahrq.gov/web-mm/signout-fallout
November 16, 2022 - complementary interventions to tackle complex patient safety problems (e.g., catheter-related bloodstream infections
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psnet.ahrq.gov/web-mm/case-mistaken-intubation
July 01, 2016 - A 65-year-old man with a history of end stage renal disease, injection drug use, and multiple prior infections
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psnet.ahrq.gov/node/74691/psn-pdf
January 01, 2021 - Infections and neurologic
conditions were the most missed diagnoses across all high-risk cohorts (16
-
psnet.ahrq.gov/node/49735/psn-pdf
June 01, 2015 - , due to ischemia (lack of blood flow from the arterial disease) of his leg, he developed
multiple infections
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psnet.ahrq.gov/node/49855/psn-pdf
March 01, 2019 - catheters involves a more specialized and high-risk procedure; however, they are
associated with fewer infections
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psnet.ahrq.gov/Information/Editor
May 23, 2025 - the 100,000 and 5 Million Lives campaigns, and numerous projects aimed at reducing hospital-acquired infections
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psnet.ahrq.gov/web-mm/prolonged-dka-pregnancy-case-communication-breakdown
June 28, 2023 - Precipitating factors for DKA include infections, new-onset diabetes, insulin pump failure or missed
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psnet.ahrq.gov/innovation/abcdef-bundle-data-literacy-training-performance-measurement-tracking-and-performance
September 23, 2024 - additional treatment decisions. 2
The complex care provided in the ICU increases the risk of mistakes and infections
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psnet.ahrq.gov/web-mm/transitions-adolescent-medicine
August 04, 2021 - May 26, 2016
Economic evaluation of quality improvement interventions for bloodstream infections
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psnet.ahrq.gov/perspective/conversation-karl-bilimoria-md-ms
April 19, 2023 - We also measured a number of secondary outcomes: wound infections, renal failure, sepsis, and readmissions
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psnet.ahrq.gov/innovation/us-department-veterans-affairs-medical-center-houston-tx-and-baylor-college-medicine
February 26, 2025 - Infections and neurologic conditions were the most missed diagnoses across all high-risk cohorts (16/
-
psnet.ahrq.gov/node/33803/psn-pdf
January 01, 2015 - In the case of CUSP for central line infections, we had substantial resources to actually do quite a
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psnet.ahrq.gov/web-mm/delay-malignancy-diagnosis-reflects-systemic-failures
September 25, 2019 - Clinical pathway adherence and missed diagnostic opportunities among children with musculoskeletal infections
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psnet.ahrq.gov/node/853774/psn-pdf
September 27, 2023 - Many common medications, such as beta blockers, blunt the response to inflammation and
infection.3 Not