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psnet.ahrq.gov/web-mm/communication-error-closed-icu
July 01, 2016 - Communication Error in a Closed ICU
Citation Text:
Haas B, Conn LG. Communication Error in a Closed ICU. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
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psnet.ahrq.gov/node/49570/psn-pdf
October 01, 2008 - Case & Commentary: Part 1
A 70-year-old man with type II diabetes and chronic kidney disease was admitted … sulfonylurea (a common
type of antidiabetic drug) despite the patient's relatively advanced chronic kidney … disease. … disease. … disease and his health literacy issues.
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psnet.ahrq.gov/issue/does-checklist-reduce-number-errors-made-nurse-assembled-discharge-prescriptions
March 24, 2019 - WebM&M Cases
Complications of Vascular Access Procedures in Patients with Kidney … Disease
November 27, 2019
Preferences and perceptions of medical error disclosure
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psnet.ahrq.gov/web-mm/recurrent-hypoglycemia-care-transition-failure
December 23, 2020 - Case & Commentary: Part 1 A 70-year-old man with type II diabetes and chronic kidney disease was admitted … sulfonylurea (a common type of antidiabetic drug) despite the patient's relatively advanced chronic kidney … disease. … disease. … disease and his health literacy issues.
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psnet.ahrq.gov/periodic-issue/periodic-issue-328
February 23, 2022 - . | February 23, 2022
A 69-year-old man with End-Stage Kidney Disease (ESKD) secondary to diabetes
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psnet.ahrq.gov/issue/risk-delayed-or-missed-care-and-non-covid-19-outcomes-older-patients-chronic-conditions
December 16, 2020 - Study
Risk from delayed or missed care and non-COVID-19 outcomes for older patients with chronic conditions during the pandemic.
Citation Text:
Smith M, Vaughan Sarrazin M, Wang X, et al. Risk from delayed or missed care and non-COVID-19 outcomes for older patients with chronic condition…
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psnet.ahrq.gov/issue/audibility-patient-clinical-alarms-hospital-nursing-personnel
November 15, 2023 - WebM&M Cases
Complications of Vascular Access Procedures in Patients with Kidney … Disease
November 27, 2019
Combined SNA and LDA methods to understand adverse
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psnet.ahrq.gov/periodic-issue/periodic-issue-330
February 23, 2022 - . | February 23, 2022
A 69-year-old man with End-Stage Kidney Disease (ESKD) secondary to diabetes
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psnet.ahrq.gov/issue/patient-safety-indicators-during-initial-covid-19-pandemic-surge-united-states
August 03, 2022 - The Safety and Quality of Long Term Care
September 1, 2011
Chronic kidney … disease adversely influences patient safety.
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psnet.ahrq.gov/issue/combined-sna-and-lda-methods-understand-adverse-medical-events
November 15, 2023 - WebM&M Cases
Complications of Vascular Access Procedures in Patients with Kidney … Disease
November 27, 2019
Comparison of the accuracy of human readers versus
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psnet.ahrq.gov/issue/linking-joint-commission-inpatient-core-measures-and-national-patient-safety-goals-evidence
October 19, 2022 - December 15, 2011
Chronic kidney disease adversely influences patient safety.
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psnet.ahrq.gov/issue/how-develop-effective-obstetric-checklist
November 16, 2022 - November 16, 2022
Chronic kidney disease adversely influences patient safety.
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psnet.ahrq.gov/issue/unstoppable-doctor-has-been-investigated-every-level-government-how-he-still-practicing
September 16, 2020 - WebM&M Cases
Complications of Vascular Access Procedures in Patients with Kidney … Disease
November 27, 2019
The wrong foot, and other tales of surgical error
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psnet.ahrq.gov/node/852457/psn-pdf
August 16, 2023 - Unpacking the complexity of COVID-19 fatalities: adverse
events as contributing factors--a single-center,
retrospective analysis of the first two years of the
pandemic.
August 16, 2023
Zi?czuk A, Rorat M, Simon K, et al. Unpacking the complexity of COVID-19 fatalities: adverse events as
contributing factors--a si…
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psnet.ahrq.gov/web-mm/missing-large-vessel-occlusion-stroke-patient-history-seizures
August 31, 2022 - without waiting for serum creatinine results when there is suspicion of an LVO, no known history of kidney … disease, and the patient would otherwise qualify for endovascular treatment. 1 As suggested by Brinjiki … For patients with no known kidney disease and suspected LVO stroke, CT angiography and perfusion imaging
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psnet.ahrq.gov/issue/missed-diagnosis-new-onset-systolic-heart-failure-first-presentation-children-no-known-heart
August 18, 2021 - Study
Missed diagnosis of new-onset systolic heart failure at first presentation in children with no known heart disease.
Citation Text:
Puri K, Singh H, Denfield SW, et al. Missed diagnosis of new-onset systolic heart failure at first presentation in children with no known heart disease…
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psnet.ahrq.gov/periodic-issue/periodic-issue-332
March 31, 2022 - . | February 23, 2022
A 69-year-old man with End-Stage Kidney Disease (ESKD) secondary to diabetes
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psnet.ahrq.gov/periodic-issue/periodic-issue-334
March 31, 2022 - . | February 23, 2022
A 69-year-old man with End-Stage Kidney Disease (ESKD) secondary to diabetes
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psnet.ahrq.gov/issue/patient-assisted-incident-reporting-including-patient-patient-safety
June 16, 2011 - September 20, 2011
Chronic kidney disease adversely influences patient safety.
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psnet.ahrq.gov/issue/cost-serious-fall-related-injuries-three-midwestern-hospitals
January 03, 2017 - September 20, 2011
Chronic kidney disease adversely influences patient safety.