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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50389/psn-pdf
    September 25, 2019 - Getting the Diagnosis Both Right and Wrong September 25, 2019 Olson AP. Getting the Diagnosis Both Right and Wrong. PSNet [internet]. 2019. https://psnet.ahrq.gov/web-mm/getting-diagnosis-both-right-and-wrong The Case A 27-year-old woman with a history of acute myeloid leukemia was sent to the emergency department…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33660/psn-pdf
    December 01, 2007 - In Conversation with...Eric Coleman, MD, MPH December 1, 2007 In Conversation with..Eric Coleman, MD, MPH. PSNet [internet]. 2007. https://psnet.ahrq.gov/perspective/conversation-witheric-coleman-md-mph Editor's Note: Eric A. Coleman, MD, MPH, is Associate Professor of Medicine at the University of Colorado. Train…

  3. Hold That Order | PSNet

    psnet.ahrq.gov/web-mm/hold-order
    December 19, 2018 - Hold That Order Citation Text: Grissinger M. Hold That Order. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  4. Mistaken Identity | PSNet

    psnet.ahrq.gov/web-mm/mistaken-identity
    December 18, 2014 - Mistaken Identity Citation Text: Hall LW. Mistaken Identity. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  5. Selected Best Practices and Suggestions for Improvement (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4b_pdi02-pressureulcer-bestpractices.pdf
    January 01, 2012 - readjusted in growing children) • Ensure that beds, cribs, and isolettes are inspected so that tubing, leads

  6. Selected Best Practices and Suggestions for Improvement (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4p_combo_pdi02-pressureulcer-bestpractices.pdf
    January 01, 2012 - readjusted in growing children) • Ensure that beds, cribs, and isolettes are inspected so that tubing, leads

  7. Bandemia as a Harbinger of Stercoral Colitis and Impending Perforation | PSNet

    psnet.ahrq.gov/web-mm/bandemia-harbinger-stercoral-colitis-and-impending-perforation
    November 25, 2020 - The impacted fecaloma leads to increased luminal pressure, decreased capillary filling, and eventually

  8. Us Chs States-Role-In-Hie (pdf file)

    digital.ahrq.gov/sites/default/files/docs/medicaid/us_chs_states-role-in-hie.pdf
    September 25, 2006 - States’ Role in Health Information Exchanges A Collaborative Approach Across Multiple Stakeholders Produced by the Deloitte Center for Health Solutions � It is time for the U.S. health care industry to embrace 21st century technology to streamline operations, improve patient care and build a safer health s…

  9. Long COVID Email Updates | Agency for Healthcare Research and Quality

    www.ahrq.gov/coronavirus/long-covid/email.html
    June 01, 2024 - Long COVID Email Updates AHRQ is leading multiple efforts to better understand Long COVID and support people with Long COVID and the healthcare providers who deliver their care. Learn more about AHRQ’s Long COVID grantees, funding opportunities, reports, and other AHRQ activities. Sign up for Long COVID Announc…

  10. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2021-09/spotlight_missed_sea_09.17.2021_-_final.pdf
    January 01, 2021 - – The purulent fluid collection associated with SEA leads to pain and neurologic symptoms via direct

  11. Diabetes-Related Inpatient Stays, 2018 (pdf file)

    hcup-us.ahrq.gov/reports/statbriefs/sb279-Diabetes-Inpatient-Stays-2018.pdf
    January 01, 2018 - Diabetes-Related Inpatient Stays, 2018 1 STATISTICAL BRIEF #279 July 2021 Kathryn R. Fingar, Ph.D., M.P.H., and Lawrence D. Reid, Ph.D., M.P.H. Introduction In 2018, 34.2 million individuals in the United States had ever been diagnosed with diabetes, constituting 10.5 percent of the …

  12. Silent Pain in the Neck | PSNet

    psnet.ahrq.gov/web-mm/silent-pain-neck
    August 19, 2020 - Delayed Diagnosis and Treatment of an Occult Hemothorax Following Complicated Central Line Insertion Leads

  13. Production Pressures | PSNet

    psnet.ahrq.gov/web-mm/production-pressures
    November 16, 2022 - Related Resources WebM&M Cases Sleep Deprivation Leads

  14. Techno Trip | PSNet

    psnet.ahrq.gov/web-mm/techno-trip
    May 01, 2005 - instances of human ("operator") error.( 12,13 ) The view that technology is relatively infallible leads

  15. Missed Appendicitis | PSNet

    psnet.ahrq.gov/web-mm/missed-appendicitis
    March 13, 2013 - Perforation leads to longer hospital stays and delayed complications such as bowel obstruction.

  16. Managing Complexity in Diagnosis: Life-threatening Complications after Gastric Bypass Surgery. | PSNet

    psnet.ahrq.gov/web-mm/managing-complexity-diagnosis-life-threatening-complications-after-gastric-bypass-surgery
    September 25, 2019 - partnership involving patients, their families, clinicians, and other members of the health care team that leads

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36626/psn-pdf
    January 14, 2011 - What's the trouble? How doctors think. January 14, 2011 Groopman J. New Yorker. January 29, 2007. https://psnet.ahrq.gov/issue/whats-trouble-how-doctors-think The author discusses how heuristics can lead to errors in physician judgement and decision making. https://psnet.ahrq.gov/issue/whats-trouble-how-doctors-th…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49822/psn-pdf
    March 01, 2018 - Isolated Clot, Real Error March 1, 2018 Parks A, Fang MC. Isolated Clot, Real Error. PSNet [internet]. 2018. https://psnet.ahrq.gov/web-mm/isolated-clot-real-error Case Objectives Appreciate that errors are common in the management of venous thromboembolism disease. Describe patients with venous thromboembolism i…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49855/psn-pdf
    March 01, 2019 - Which Line: Ordering Provider or Proceduralist? March 1, 2019 Blackmore CC. Which Line: Ordering Provider or Proceduralist? PSNet [internet]. 2019. https://psnet.ahrq.gov/web-mm/which-line-ordering-provider-or-proceduralist Case Objectives Review the role of mistake-proofing to block errors from leading to adverse…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72689/psn-pdf
    January 29, 2021 - But See the Patient First January 29, 2021 Sinigayan VR. But See the Patient First. PSNet [internet]. 2021. https://psnet.ahrq.gov/web-mm/see-patient-first The Case   A 55-year-old man with acute myeloid leukemia presented to the emergency department (ED) with a chief complaint of fever. Five days previously, he …
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