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psnet.ahrq.gov/node/49521/psn-pdf
September 12, 2006 - A Troubling Amine
September 1, 2006
Flynn EA. A Troubling Amine. PSNet [internet]. 2006.
https://psnet.ahrq.gov/web-mm/troubling-amine
The Case
A 43-year-old woman was admitted to the intensive care unit for symptoms of heart and respiratory failure.
She was found to have severe mitral and tricuspid valve regurgi…
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psnet.ahrq.gov/node/49724/psn-pdf
January 01, 2015 - Bowel Injury After Laparoscopic Surgery
January 1, 2015
Moorthy K. Bowel Injury After Laparoscopic Surgery. PSNet [internet]. 2015.
https://psnet.ahrq.gov/web-mm/bowel-injury-after-laparoscopic-surgery
The Case
A 30-year-old man presented to the hospital for a scheduled laparoscopic inguinal hernia repair with mes…
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psnet.ahrq.gov/web-mm/misplaced-vial-medication-kit-variability-contributes-medication-error-during-patient
March 12, 2021 - Misplaced Vial: Medication Kit Variability Contributes to Medication Error During Patient Transport
Citation Text:
MacDowell P, McGee E. Misplaced Vial: Medication Kit Variability Contributes to Medication Error During Patient Transport. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Q…
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psnet.ahrq.gov/primer/individual-clinician-performance-issues
March 15, 2025 - Individual Clinician Performance Issues
Citation Text:
Individual Clinician Performance Issues. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 X…
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psnet.ahrq.gov/web-mm/not-miscarriage
June 01, 2005 - Not a Miscarriage
Citation Text:
Learman LA. Not a Miscarriage. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003.
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Format:
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…
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psnet.ahrq.gov/node/60721/psn-pdf
July 21, 2020 - related to the management of patients with
suspected COVID-19 infection, notably online screening measures … patients to be seen over video, as opposed to in clinics and hospital settings, is considered a
safety measure
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psnet.ahrq.gov/perspective/conversation-withbradley-t-rosen-md-mba
March 01, 2008 - We believe that the combination of these measures forms one approach to procedural competence.
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psnet.ahrq.gov/perspective/evidence-based-physical-examination-patient-safety-practice
November 01, 2012 - presence of 4 or 5 of these findings increases probability of pneumonia (likelihood ratio [LR] = 8.2; "LR" measures
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psnet.ahrq.gov/perspective/patient-safety-events-and-role-patient-safety-organizations-during-covid-19-pandemic
January 12, 2022 - guidance and evidence-based recommendations, frontline healthcare personnel have employed creative measures
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psnet.ahrq.gov/web-mm/autopsy-revelation
December 01, 2007 - Medical error and outcomes measures: where have all the autopsies gone?
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psnet.ahrq.gov/web-mm/double-trouble
August 01, 2012 - Objectives
Appreciate the incidence of adverse drug events in older persons
List preventative measures
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psnet.ahrq.gov/web-mm/hidden-danger-unseen-intravenous-catheters
October 04, 2023 - Trauma Care Checklist Program in 11 centers across multiple economic strata: effect on care process measures
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psnet.ahrq.gov/node/49829/psn-pdf
May 01, 2018 - effectiveness.(4) To this end, the Commercial Aviation Safety Team method (24),
which uses process measures
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psnet.ahrq.gov/node/865778/psn-pdf
May 29, 2024 - hands-on practice, followed
by “diligent” attending supervision.16 Following these quality improvement measures
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psnet.ahrq.gov/node/50928/psn-pdf
February 21, 2020 - systematic-review-clinical-decision-support-systems-clinical-oncology-practice
use and concordance, improved care process measures
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psnet.ahrq.gov/node/855057/psn-pdf
October 31, 2023 - Workplace violence in healthcare settings: the
risk factors, implications and collaborative preventive measures
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psnet.ahrq.gov/node/842923/psn-pdf
February 01, 2023 - To minimize the risk of nosocomial
fungal infections, hospitals should implement measures to prevent
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psnet.ahrq.gov/web-mm/slow-down-right-drug-wrong-formulation
October 13, 2018 - but such a center has not yet been formed.( 18 ) Despite current efforts and certification standards, measures
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psnet.ahrq.gov/web-mm/norepinephrine-dosing-error-associated-multiple-health-system-vulnerabilities
November 27, 2019 - February 15, 2023
Medication errors in intensive care units: an umbrella review of control measures
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psnet.ahrq.gov/perspective/conversation-anjali-joseph-phd-edac-and-molly-m-scanlon-phd-faia-facha
June 30, 2021 - From public health, we know that basic measures will go a long way.