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psnet.ahrq.gov/web-mm/failure-ensure-patient-safety-leads-patient-falls-nursing-homes
August 14, 2024 - SPOTLIGHT CASE
CME/MOC
Failure to Ensure Patient Safety Leads to Patient … Citation Text:
Failure to Ensure Patient Safety Leads to Patient Falls in Nursing Homes.. … Cite
Citation
Citation Text:
Failure to Ensure Patient Safety Leads … Cite
Citation
Citation Text:
Failure to Ensure Patient Safety Leads
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psnet.ahrq.gov/node/60566/psn-pdf
June 03, 2020 - Fear of Covid-19 leads other patients to decline critical
treatment.
June 3, 2020
Hafner K. … Fear of Covid-19 leads other patients to decline critical treatment. New York Times. 2020;May
25. … https://psnet.ahrq.gov/issue/fear-covid-19-leads-other-patients-decline-critical-treatment
The uncertainties … https://psnet.ahrq.gov/issue/fear-covid-19-leads-other-patients-decline-critical-treatment
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/50423/psn-pdf
September 04, 2019 - When a vital sign leads a country astray—the opioid
epidemic. … When a Vital Sign Leads a Country Astray—The Opioid Epidemic. … https://psnet.ahrq.gov/issue/when-vital-sign-leads-country-astray-opioid-epidemic
This commentary discusses … https://psnet.ahrq.gov/issue/when-vital-sign-leads-country-astray-opioid-epidemic
https://psnet.ahrq.gov
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psnet.ahrq.gov/web-mm/sleep-deprivation-leads-medication-error-during-spinal-epidural-anesthesia
January 29, 2021 - Sleep Deprivation Leads to Medication Error During Spinal Epidural Anesthesia
Citation Text … Sleep Deprivation Leads to Medication Error During Spinal Epidural Anesthesia.. PSNet [internet]. … Sleep Deprivation Leads to Medication Error During Spinal Epidural Anesthesia.. PSNet [internet]. … Sleep Deprivation Leads to Medication Error During Spinal Epidural Anesthesia.. PSNet [internet]. … WebM&M Cases
An Incomplete Anesthesia History Leads
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psnet.ahrq.gov/node/60359/psn-pdf
May 20, 2020 - Incorrect use of smart infusion pump in the operating
room (OR) leads to milrinone overdose. … https://psnet.ahrq.gov/issue/incorrect-use-smart-infusion-pump-operating-room-or-leads-milrinone-
overdose … https://psnet.ahrq.gov/issue/incorrect-use-smart-infusion-pump-operating-room-or-leads-milrinone-overdose … https://psnet.ahrq.gov/issue/incorrect-use-smart-infusion-pump-operating-room-or-leads-milrinone-overdose
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psnet.ahrq.gov/node/42582/psn-pdf
September 18, 2013 - When diagnostic testing leads to harm: a new outcomes-
based approach for laboratory medicine. … When diagnostic testing leads to harm: a new outcomes-based approach
for laboratory medicine. … https://psnet.ahrq.gov/issue/when-diagnostic-testing-leads-harm-new-outcomes-based-approach-
laboratory-medicine … https://psnet.ahrq.gov/issue/when-diagnostic-testing-leads-harm-new-outcomes-based-approach-laboratory-medicine … https://psnet.ahrq.gov/issue/when-diagnostic-testing-leads-harm-new-outcomes-based-approach-laboratory-medicine
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psnet.ahrq.gov/node/40242/psn-pdf
February 23, 2011 - An anesthesiology department leads culture change at a
hospital system level to improve quality and … An anesthesiology department leads culture change at a
hospital system level to improve quality and … https://psnet.ahrq.gov/issue/anesthesiology-department-leads-culture-change-hospital-system-level-
improve-quality-and … https://psnet.ahrq.gov/issue/anesthesiology-department-leads-culture-change-hospital-system-level-improve-quality-and … https://psnet.ahrq.gov/issue/anesthesiology-department-leads-culture-change-hospital-system-level-improve-quality-and
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psnet.ahrq.gov/node/37517/psn-pdf
August 25, 2009 - How health care complexity leads to cooperation and
affects the autonomy of health care professionals … How health care complexity leads to cooperation and affects
the autonomy of health care professionals … https://psnet.ahrq.gov/issue/how-health-care-complexity-leads-cooperation-and-affects-autonomy-health … https://psnet.ahrq.gov/issue/how-health-care-complexity-leads-cooperation-and-affects-autonomy-health-care-professionals … https://psnet.ahrq.gov/issue/how-health-care-complexity-leads-cooperation-and-affects-autonomy-health-care-professionals
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psnet.ahrq.gov/web-mm/delay-treatment-failure-contact-patient-leads-significant-complications
February 01, 2004 - SPOTLIGHT CASE
Delay in Treatment: Failure to Contact Patient Leads to Significant Complications … Delay in Treatment: Failure to Contact Patient Leads to Significant Complications. … Delay in Treatment: Failure to Contact Patient Leads to Significant Complications. … Delay in Treatment: Failure to Contact Patient Leads to Significant Complications.
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psnet.ahrq.gov/issue/medical-error-leads-tragedy-how-do-we-inform-patient
April 08, 2018 - Commentary
A medical error leads to tragedy: how do we inform the patient? … A medical error leads to tragedy: how do we inform the patient? … A medical error leads to tragedy: how do we inform the patient?
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psnet.ahrq.gov/issue/parkland-knee-surgery-done-doctor-training-leads-amputation-questions
August 11, 2010 - Newspaper/Magazine Article
Parkland knee surgery done by doctor in training leads … Citation Text:
Parkland knee surgery done by doctor in training leads to amputation, questions. … Cite
Citation
Citation Text:
Parkland knee surgery done by doctor in training leads
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psnet.ahrq.gov/web-mm/lack-sepsis-recognition-leads-delay-care-following-cesarean-delivery
November 30, 2021 - Lack of Sepsis Recognition Leads to Delay in Care Following Cesarean Delivery. … Lack of Sepsis Recognition Leads to Delay in Care Following Cesarean Delivery.. PSNet [internet]. … Lack of Sepsis Recognition Leads to Delay in Care Following Cesarean Delivery.. PSNet [internet]. … Lack of Sepsis Recognition Leads to Delay in Care Following Cesarean Delivery.. PSNet [internet]. … Delayed Diagnosis and Treatment of an Occult Hemothorax Following Complicated Central Line Insertion Leads
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psnet.ahrq.gov/node/43863/psn-pdf
July 16, 2015 - Learning through simulated independent practice leads to
better future performance in a simulated crisis … Learning through simulated independent practice leads to
better future performance in a simulated crisis … https://psnet.ahrq.gov/issue/learning-through-simulated-independent-practice-leads-better-future-
performance-simulated … https://psnet.ahrq.gov/issue/learning-through-simulated-independent-practice-leads-better-future-performance-simulated … https://psnet.ahrq.gov/issue/learning-through-simulated-independent-practice-leads-better-future-performance-simulated
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psnet.ahrq.gov/issue/incorrect-use-smart-infusion-pump-operating-room-or-leads-milrinone-overdose
June 03, 2020 - Magazine Article
Incorrect use of smart infusion pump in the operating room (OR) leads … Citation Text:
Incorrect use of smart infusion pump in the operating room (OR) leads to milrinone overdose … Citation
Citation Text:
Incorrect use of smart infusion pump in the operating room (OR) leads … December 7, 2022
WebM&M Cases
Saline Flush Leads to Acute
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psnet.ahrq.gov/sites/default/files/2021-09/Roll-out%20diagram%20generic.pdf
January 01, 2021 - program as part of a psychological resilience intervention
Can stand alone*
Specific nursing unit leads … request
program roll-out for
unit/department
Resilience program lead
meets with dept/unit
leads … to assess needs and
explain program
Program leads facilitate “all
hands” launch meeting with … of Battle Buddies
Distribute Battle Buddy
Pairings and Pocket
Card to dept/unit
members
Key leads
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psnet.ahrq.gov/node/40641/psn-pdf
July 27, 2011 - Error in body weight estimation leads to inadequate
parenteral anticoagulation. … Error in body weight estimation leads to inadequate
parenteral anticoagulation. … https://psnet.ahrq.gov/issue/error-body-weight-estimation-leads-inadequate-parenteral-anticoagulation … https://psnet.ahrq.gov/issue/error-body-weight-estimation-leads-inadequate-parenteral-anticoagulation
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psnet.ahrq.gov/node/36416/psn-pdf
December 22, 2010 - A medical error leads to tragedy: how do we inform the
patient?
December 22, 2010
Baumrucker SJ. … A medical error leads to tragedy: how do we inform the patient? … https://psnet.ahrq.gov/issue/medical-error-leads-tragedy-how-do-we-inform-patient
This roundtable discussion … https://psnet.ahrq.gov/issue/medical-error-leads-tragedy-how-do-we-inform-patient
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psnet.ahrq.gov/node/38619/psn-pdf
May 07, 2018 - Failed check system for chemotherapy leads to
pharmacist's "no contest" plea for involuntary
manslaughter … https://psnet.ahrq.gov/issue/failed-check-system-chemotherapy-leads-pharmacists-no-contest-plea-
involuntary-manslaughter … https://psnet.ahrq.gov/issue/failed-check-system-chemotherapy-leads-pharmacists-no-contest-plea-involuntary-manslaughter … https://psnet.ahrq.gov/issue/failed-check-system-chemotherapy-leads-pharmacists-no-contest-plea-involuntary-manslaughter
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psnet.ahrq.gov/node/60309/psn-pdf
May 06, 2020 - COVID-19 leads to increased need for dialysis machines.
May 6, 2020
Mosley T. Here & Now. … https://psnet.ahrq.gov/issue/covid-19-leads-increased-need-dialysis-machines
Comorbidities can result … https://psnet.ahrq.gov/issue/covid-19-leads-increased-need-dialysis-machines
https://psnet.ahrq.gov/issue
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psnet.ahrq.gov/node/73498/psn-pdf
July 14, 2021 - Leaving a discontinued FentaNYL infusion attached to the
patient leads to a tragic error
July 14, 2021 … https://psnet.ahrq.gov/issue/leaving-discontinued-fentanyl-infusion-attached-patient-leads-tragic-error … https://psnet.ahrq.gov/issue/leaving-discontinued-fentanyl-infusion-attached-patient-leads-tragic-error