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psnet.ahrq.gov/web-mm/tale-two-falls
March 27, 2024 - judgment, executive function, and attention. 10,11,12 Other medical conditions such as urinary tract infections
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psnet.ahrq.gov/perspective/conversation-withamy-helwig-about-health-plan-patient-safety-initiatives
July 10, 2024 - of patient safety events and adverse events such as medication issues, falls, pressure ulcers, and infections
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psnet.ahrq.gov/perspective/health-plan-patient-safety-initiatives
July 10, 2024 - of patient safety events and adverse events such as medication issues, falls, pressure ulcers, and infections
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psnet.ahrq.gov/perspective/overuse-patient-safety-problem
September 01, 2014 - Unnecessary antibiotics place patients at risk for dangerous infections, such as Clostridium difficile
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psnet.ahrq.gov/perspective/conversation-rosemary-gibson-msc
September 01, 2014 - Unnecessary antibiotics place patients at risk for dangerous infections, such as Clostridium difficile
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psnet.ahrq.gov/perspective/conversation-jack-needleman-phd
September 01, 2012 - systems in which reimbursement is going to be tied to reduction of never events, hospital-acquired infections
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psnet.ahrq.gov/node/837958/psn-pdf
December 01, 2021 - hospital
day #2 for incision and drainage of right shoulder pyogenic arthritis and periprosthetic joint infection
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psnet.ahrq.gov/perspective/role-health-literacy-patient-safety
March 22, 2009 - that the patient knows the adverse effects of methotrexate, is well-prepared to recognize symptoms of infection
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psnet.ahrq.gov/perspective/rediscovering-power-surgical-mm-conference-mm-matrix
September 01, 2007 - started thinking about the hospital in Pittsburgh that has managed to go close to 2 years without a wound infection
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psnet.ahrq.gov/perspective/conversation-robert-hirschtick-md
January 01, 2018 - patient seems to be doing fine, then laying a stethoscope on their chest when they're here for a foot infection
-
psnet.ahrq.gov/node/845472/psn-pdf
March 15, 2023 - unknowns that we had to be very hands-on because we did not know what the course of illness
for COVID infection
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psnet.ahrq.gov/perspective/conversation-withdean-schillinger-md
March 01, 2009 - that the patient knows the adverse effects of methotrexate, is well-prepared to recognize symptoms of infection
-
psnet.ahrq.gov/node/864867/psn-pdf
April 10, 2024 - psnet.ahrq.gov/issue/serious-misdiagnosis-related-harms-malpractice-claims-big-three-vascular-events-infections
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psnet.ahrq.gov/node/837913/psn-pdf
August 31, 2022 - patient was admitted to the PICU on higher-flow oxygen,
ceftriaxone was started for bilateral ear infections
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psnet.ahrq.gov/web-mm/miscommunication-during-interhospital-transport-critically-ill-child
March 27, 2024 - the patient was admitted to the PICU on higher-flow oxygen, ceftriaxone was started for bilateral ear infections
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psnet.ahrq.gov/sites/default/files/2023-01/spotlight_overdose_of_gabapentin_and_oxycodone_in_a_patient_with_end-stage_renal_disease.pdf
January 01, 2023 - Microsoft PowerPoint - Spotlight Case_Gabapentin Overdose_12.21.2022 FINAL.pptx
Spotlight
Overdose of Gabapentin and Oxycodone in a Patient
with End-Stage Renal Disease: A Case for Appropriate
Interruptive Drug-Disease Alerts
Source and Credits
• This presentation is based on the January 2023 AHRQ WebM&M
Spotl…
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psnet.ahrq.gov/node/867656/psn-pdf
February 26, 2025 - At Kaiser, we were called in to consult on an increase in surgical site infections in the orthopedics
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psnet.ahrq.gov/perspective/preparing-health-reform-federal-government-and-nursing-workforce
September 01, 2012 - systems in which reimbursement is going to be tied to reduction of never events, hospital-acquired infections
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psnet.ahrq.gov/perspective/diagnostic-errors
December 01, 2013 - with other safety topics such as medication errors, surgical complications, and health care–associated infections
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psnet.ahrq.gov/perspective/ehr-copy-and-paste-and-patient-safety
January 01, 2018 - patient seems to be doing fine, then laying a stethoscope on their chest when they're here for a foot infection