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psnet.ahrq.gov/node/867686/psn-pdf
March 05, 2025 - Association between surgeon stress and major surgical
complications.
March 5, 2025
Awtry J, Skinner S, Polazzi S, et al. Association between surgeon stress and major surgical complications.
JAMA Surg. 2025;160(3):332-340. doi:10.1001/jamasurg.2024.6072.
https://psnet.ahrq.gov/issue/association-between-surgeon-stre…
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psnet.ahrq.gov/node/49457/psn-pdf
September 01, 2004 - Physical examination revealed tachypnea (25 respirations per minute), tachycardia (110 beats per minute
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psnet.ahrq.gov/node/49459/psn-pdf
September 01, 2004 - The patient's IV pump alarmed less than one minute later due to air in the line. … effects—presumably he received none of the Diprivan, given the air in
the line, the infusion time of less than a minute
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psnet.ahrq.gov/node/854634/psn-pdf
January 01, 2024 - Elopement: evidence-based mitigation and management.
October 18, 2023
Marlett JE, Vacovsky BA, Krug EA, et al. Elopement: evidence?based mitigation and management.
Worldviews Evid Based Nurs. 2024;20(6):634-641. doi:10.1111/wvn.12683.
https://psnet.ahrq.gov/issue/elopement-evidence-based-mitigation-and-management
…
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psnet.ahrq.gov/node/867088/psn-pdf
November 06, 2024 - Deficiencies in electronic medical record inpatient list
capabilities negatively impact patient safety, resident
education, and wellness.
November 6, 2024
Davalos RA, Aden J, Pluta N, et al. Deficiencies in electronic medical record inpatient list capabilities
negatively impact patient safety, resident education, …
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.110_slideshow.ppt
December 01, 2005 - %20Climate-EWR.pdf
Test Your Own Institution
If a ward clerk in your institution caused a 20-minute
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psnet.ahrq.gov/issue/strategic-solution-preventing-harm-associated-ambulance-handover-delays
July 22, 2020 - Study
A strategic solution to preventing the harm associated with ambulance handover delays.
Citation Text:
Evans C, Da’Costa A. A strategic solution to preventing the harm associated with ambulance handover delays. Emerg Nurse. 2024;32(6):32(6):15-20. doi:10.7748/en.2024.e2199.
Copy C…
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psnet.ahrq.gov/node/33879/psn-pdf
May 01, 2019 - In general, if it's a stroke or a STEMI and the person is sick but not acutely dying and it's a 45-minute
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psnet.ahrq.gov/perspective/first-do-no-harm-value-driven-patient-safety-neonatal-intensive-care-unit
October 30, 2019 - The cardiac ICU can titrate medicine on a minute-to-minute basis. … lot of agency when you're in the second stage of labor, which is like running the gauntlet from the minute … I look at the 15-minute clinic visit, and the idea that the physician will somehow be able to explain
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psnet.ahrq.gov/sites/default/files/2020-03/final_spotlight_case_delays_in_the_ed_powerpoint_for_cme_review_03.09.2020.pdf
January 01, 2020 - complaint: abdominal pain and vomiting
• Vital signs:
– Blood pressure 154/113 mmHg
– Heart rate 75 beats/minute … – Respiratory rate 16 breaths/minute
– Pulse oximetry 98% on room air
– Oral temperature 36.6˚C
5
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psnet.ahrq.gov/node/37468/psn-pdf
April 11, 2011 - Simulation of in-hospital pediatric medical emergencies
and cardiopulmonary arrests: highlighting the importance
of the first 5 minutes.
April 11, 2011
Hunt EA, Walker AR, Shaffner DH, et al. Simulation of in-hospital pediatric medical emergencies and
cardiopulmonary arrests: highlighting the importance of the fir…
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psnet.ahrq.gov/web-mm/caution-interrupted
October 01, 2016 - The patient's IV pump alarmed less than one minute later due to air in the line. … effects—presumably he received none of the Diprivan, given the air in the line, the infusion time of less than a minute
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psnet.ahrq.gov/node/49806/psn-pdf
September 01, 2017 - His initial vital signs showed a blood pressure of 130/75 mm hg, heart rate of 65 beats per
minute, … respiratory rate of 16 breaths per minute, temperature of 36.3°C, and an oxygen saturation of 90%
on
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psnet.ahrq.gov/node/853774/psn-pdf
September 27, 2023 - Her vital signs included blood pressure 110/73 mmHg, heart rate 104 beats per minute,
respirations 16 … per minute, oxygen saturation 97% on room air, and oral temperature 96.5?
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psnet.ahrq.gov/node/843736/psn-pdf
February 01, 2023 - Saved by ECMO
February 1, 2023
Weiss NA. Saved by ECMO . PSNet [internet]. 2023.
https://psnet.ahrq.gov/web-mm/saved-ecmo
The Case
A 27-year-old pregnant woman was admitted at an estimated gestational age (EGA) of 29 weeks for
increased shortness of breath. She was diagnosed with severe pulmonary arterial hyperte…
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psnet.ahrq.gov/web-mm/delayed-evaluation-abdominal-pain-elderly-patient
February 26, 2020 - Her vital signs included blood pressure 110/73 mmHg, heart rate 104 beats per minute, respirations 16 … per minute, oxygen saturation 97% on room air, and oral temperature 96.5˚F.
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psnet.ahrq.gov/web-mm/time-death
January 03, 2017 - created a simulation ( Video ) of this situation—it shows the code being conducted, with the final minute … successfully completed 10 scenarios, they receive a certificate to bring to an AHA-approved center for a 30-minute
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psnet.ahrq.gov/node/72563/psn-pdf
December 07, 2020 - The Associate Dean of Clinical
Affairs, who oversaw the clinical enterprise, sent out a “Monday Minute … They were designed to be read in under a minute and had key educational messaging
focused on the epidemiology
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psnet.ahrq.gov/perspective/artificial-intelligence-and-patient-safety-promise-and-challenges
March 27, 2024 - Instead of monitoring once an hour or once every 15 minutes, we can monitor patients on a minute-to-minute … patients better, but there are also so, so many small things that clinicians do for our patients on a minute-to-minute
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psnet.ahrq.gov/perspective/conversation-withpatrick-tighe-about-artificial-intelligence
March 27, 2024 - Instead of monitoring once an hour or once every 15 minutes, we can monitor patients on a minute-to-minute … patients better, but there are also so, so many small things that clinicians do for our patients on a minute-to-minute