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psnet.ahrq.gov/sites/default/files/2023-11/spotlight_case_the_risk_of_malpositioned.pdf
January 01, 2023 - herniation.6,9 “
– Buried bumper” syndrome occurs in about 1-4% of cases6,9,14 when the PEG tube’s internal … well-selected patients,33,34 or 20-24 Fr35 in other settings, is cut at the level of the
skin and the internal … The endoscopic removal technique where the PEG tube is cut at the level of the skin but
the internal … Patient safety at handoff in rehabilitation medicine.
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psnet.ahrq.gov/web-mm/caution-interrupted
October 01, 2016 - Robert L, Wears, MD, MS Professor of Emergency Medicine University of Florida, Jacksonville
References … The sociology of emergency medicine. Emergency Medicine News. February 2002;3ff.
10. … Culture at work in aviation and medicine. Aldershot, UK: Ashgate Publishing; 1998.
14. … Departments
Health Care Providers
Organizational Behaviorists
Safety Scientists
Emergency Medicine
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psnet.ahrq.gov/node/33743/psn-pdf
December 01, 2012 - It is also being disseminated across key professional societies in hospital and
critical care medicine … Vasilevskis, MDAssistant Professor of Medicine, Vanderbilt University Medical CenterVA
Tennessee Valley … Wesley Ely, MD, MPHProfessor of Medicine and Critical Care, Vanderbilt University Medical
CenterAssociate … in MedicineAssociate
Vice-Chancellor for Public Health and Health CareDirector of the Institute for Medicine … Early physical medicine and rehabilitation for patients with
acute respiratory failure: a quality improvement
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psnet.ahrq.gov/web-mm/dependence-vs-pain
October 30, 2019 - Gordon, MD, MPH Assistant Professor of Medicine, Advisory Dean University of Pittsburgh School of Medicine
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psnet.ahrq.gov/perspective/conversation-lucy-savitz-about-learning-health-systems-patient-safety
February 26, 2025 - These were followed by a series of reports by the Institute of Medicine (IOM). 4 As people began doing … [Available at] Institute of Medicine. Roundtable on Evidence-Based Medicine. … physician practices, hospitals, insurers, and skilled nursing facilities) that systematically leverages internal … Future Directions The journey to a successful learning health system, where data and evidence from internal … Understanding unwarranted variation in clinical practice: a focus on network effects, reflective medicine
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psnet.ahrq.gov/perspective/learning-health-systems-patient-safety
February 26, 2025 - physician practices, hospitals, insurers, and skilled nursing facilities) that systematically leverages internal … Future Directions The journey to a successful learning health system, where data and evidence from internal … Understanding unwarranted variation in clinical practice: a focus on network effects, reflective medicine … These were followed by a series of reports by the Institute of Medicine (IOM). 4 As people began doing … [Available at] Institute of Medicine. Roundtable on Evidence-Based Medicine.
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psnet.ahrq.gov/web-mm/delay-treatment-failure-contact-patient-leads-significant-complications
February 01, 2004 - Testing process errors and their harms and consequences reported from family medicine practices: a study … Hospitals
Health Care Providers
Quality and Safety Professionals
Pathology and Laboratory Medicine
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psnet.ahrq.gov/perspective/conversation-michelle-mello-mphil-jd-phd
July 01, 2017 - at Stanford Law School and Professor of Health Research and Policy at Stanford University School of Medicine … just for doctors but for the quality of medicine. … And hospitals don't practice medicine, so unless the failure on the part of the hospital itself can be … RW : You've written about electronic health records as one of the sea changes in medicine over the … David Studdert, LLB, ScD, MPH Professor of Medicine and Law Stanford University School of Medicine Stanford
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psnet.ahrq.gov/perspective/conversation-james-augustine-md
July 28, 2021 - Kendall Hall: Could you please introduce yourself and your current roles in emergency medicine and EMS … I also serve as a clinical professor in the Department of Emergency Medicine at Wright State University … 2010
View More
See More About The Topic
Patient Transport
Emergency Medicine
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psnet.ahrq.gov/web-mm/speaking-patient-safety-what-they-dont-tell-you-training-about-feedback-and-burnout
January 22, 2020 - He was admitted to the medicine service and chest radiograph revealed large bilateral pleural effusions … The proceduralist received a page from the medicine team requesting the procedure. … bit surprised that the effusion wasn't larger given what he had been told by the patient's primary medicine … He then called the medicine team and mentioned that he found a very small effusion on the right side, … the correct patient and found that large bilateral pleural effusions were indeed present, just as the medicine
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psnet.ahrq.gov/web-mm/mistaken-identity
December 18, 2014 - Hall, MD Senior Associate Dean for Clinical Affairs University of Missouri–Columbia, School of Medicine
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psnet.ahrq.gov/perspective/patient-engagement-and-patient-safety
February 01, 2013 - the number and variety of recommendations, finding many to be obvious or trivial (e.g., "Keep people medicine … separate from pet medicine," and "Keep the lights on so you don't accidentally take the wrong drug") … President for Quality Improvement and Patient Safety, Dana-Farber Cancer InstituteAssociate Professor of Medicine
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psnet.ahrq.gov/web-mm/medication-handling-and-compounding-errors-operating-room
May 16, 2022 - Combined epiretinal and internal limiting membrane peeling facilitated by high dilution indocyanine green … Clinical outcomes of internal limiting membrane peel using indocyanine green (ICG) dissolved in 5% dextrose … March 25, 2020
Inadvertent Administration of an Oral Liquid Medicine into a Vein
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psnet.ahrq.gov/web-mm/hold-tpa
July 29, 2020 - Society of Critical Care Medicine and American College of Clinical Pharmacy. … 2020
Building a simulation-based crisis resource management course for emergency medicine … See More About The Topic
Emergency Departments
Physicians
Nurses
Emergency Medicine
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psnet.ahrq.gov/web-mm/missed-tb
March 03, 2010 - Mark FitzGerald, MB Professor of Medicine Director, Centre for Clinical Epidemiology and Evaluation University … of British Columbia Dick Menzies, MD Associate Professor of Medicine, Epidemiology, and Biostatistics … More
See More About The Topic
Hospitals
Physicians
Pulmonology
Hospital Medicine
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psnet.ahrq.gov/node/49614/psn-pdf
November 01, 2010 - questioned about it, the patient said he had told the emergency department
(ED) staff that he was taking a medicine … Hardeep Singh, MD, MPH
Assistant Professor of Medicine
Michael E. … DeBakey Veterans Affairs Medical Center and Baylor College of Medicine
Dean F.
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psnet.ahrq.gov/node/33705/psn-pdf
January 01, 2011 - provided key
data about the problem of medical mistakes, it was not until 1999, when the Institute of Medicine … of risk factors in several
key areas including diagnostic failures (9), surgery (10), and emergency medicine … Washington, DC: Committee on Quality of Health Care in America, Institute of Medicine.
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psnet.ahrq.gov/primer/strategies-improve-organizational-health-literacy
August 30, 2023 - A National Academy of Medicine discussion paper 9 identifies and describes essential attributes of a … Washington, DC: National Academy of Medicine; 2012. [ Free full text ]
This project was funded … Hospitals
Long-Term Care
Ambulatory Clinic or Office
Health Care Executives and Administrators
Medicine
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psnet.ahrq.gov/web-mm/resuscitate-or-not
November 01, 2011 - Pronovost, MD, PhD Associate Professor, Anesthesiology and Critical Care Medicine, Surgery and Public … Health The Johns Hopkins University School of Medicine References 1. … Intensive Care Units
Health Care Providers
Non-Health Care Professionals
Critical Care
Hospital Medicine
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psnet.ahrq.gov/node/49696/psn-pdf
December 01, 2013 - Recent guidelines from the American Society of Regional Anesthesia and Pain
Medicine recommend that … Often, these interventions require multidisciplinary input from
medicine, nursing, and pharmacy. … Fang, MD, MPH
Associate Professor of Medicine
Medical Director, UCSF Anticoagulation Clinic
University … receiving
antithrombotic or thrombolytic therapy: American Society of Regional Anesthesia and Pain Medicine