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psnet.ahrq.gov/node/49388/psn-pdf
February 01, 2003 - Unexplained Apnea Under Anesthesia
February 1, 2003
Barach P. Unexplained Apnea Under Anesthesia. PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/unexplained-apnea-under-anesthesia
Case Objectives
Clinical Objectives
List the causes of prolonged apnea in the operating room
Describe the steps in management …
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psnet.ahrq.gov/node/49745/psn-pdf
October 01, 2015 - Amphotericin Toxicity
October 1, 2015
Nagel J, Nguyen E. Amphotericin Toxicity. PSNet [internet]. 2015.
https://psnet.ahrq.gov/web-mm/amphotericin-toxicity
The Case
A 42-year-old woman status-post left pneumonectomy for aspergilloma was being treated with oral
posaconazole for residual fungal disease. She present…
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psnet.ahrq.gov/node/49551/psn-pdf
December 01, 2007 - Too Hot For Comfort
December 1, 2007
Cleland H, Wasiak J. Too Hot For Comfort. PSNet [internet]. 2007.
https://psnet.ahrq.gov/web-mm/too-hot-comfort
The Case
A 4-month-old infant admitted to rule out sepsis was receiving maintenance intravenous (IV) fluid and IV
antibiotics via a peripheral line in the left antec…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.137_slideshow.ppt
November 01, 2006 - Spotlight Case [MONTH] 2003
Spotlight Case November 2006
Getting a Good Report Card: Unintended Consequences of the Public Reporting of Hospital Quality
Source and Credits
This presentation is based on the November 2006
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is…
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psnet.ahrq.gov/web-mm/what-happened-telemetry
January 18, 2012 - The patient had a low-grade fever (38.2°C) and a heart rate of 102 beats per minute, but her vital signs
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psnet.ahrq.gov/web-mm/mothers-milk-whose-mother
November 15, 2023 - or bottle feed their expressed breast milk, thereby reducing the risk of transmission.( 8 ) However minute
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psnet.ahrq.gov/sites/default/files/2024-08/spotlight_case_a_fatal_twist_in_pseudohyperkalemia_slides.pptx
January 01, 2024 - On arrival at the ED, he was afebrile, heart rate was 98 beats per minute (bpm), blood pressure was 103
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psnet.ahrq.gov/issue/medication-administration-discrepancies-persist-despite-electronic-ordering
May 04, 2012 - Study
Medication administration discrepancies persist despite electronic ordering.
Citation Text:
FitzHenry F, Peterson JF, Arrieta M, et al. Medication Administration Discrepancies Persist Despite Electronic Ordering. J Am Med Inform Assoc. 2007;14(6):756-764. doi:10.1197/jamia.m2359.…
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psnet.ahrq.gov/node/850450/psn-pdf
June 14, 2023 - The One That Got Away—Elopement of a Suicidal Patient
in the Emergency Department.
June 14, 2023
Bourgeois JA, Xiong G, Barnes DK, et al. The One That Got Away—Elopement of a Suicidal Patient in the
Emergency Department. PSNet [internet]. 2023.
https://psnet.ahrq.gov/web-mm/one-got-away-elopement-suicidal-patient-…
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psnet.ahrq.gov/issue/nurse-physician-communication-during-labor-and-birth-implications-patient-safety
January 03, 2017 - Study
Nurse-physician communication during labor and birth: implications for patient safety.
Citation Text:
Simpson KR, James DC, Knox E. Nurse-physician communication during labor and birth: implications for patient safety. J Obstet Gynecol Neonatal Nurs. 2006;35(4):547-56.
Copy Cit…
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psnet.ahrq.gov/issue/risk-adjusted-survival-adults-following-hospital-cardiac-arrest-day-week-and-time-day
July 01, 2017 - Study
Risk-adjusted survival for adults following in-hospital cardiac arrest by day of week and time of day: observational cohort study.
Citation Text:
Robinson EJ, Smith GB, Power GS, et al. Risk-adjusted survival for adults following in-hospital cardiac arrest by day of week and time o…
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psnet.ahrq.gov/issue/culture-and-behaviour-english-national-health-service-overview-lessons-large-multimethod
May 01, 2015 - Study
Classic
Culture and behaviour in the English National Health Service: overview of lessons from a large multimethod study.
Citation Text:
Dixon-Woods M, Baker R, Charles K, et al. Culture and behaviour in the English National Health Service: overview of les…
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psnet.ahrq.gov/node/33724/psn-pdf
February 01, 2012 - just got up
from the dinner table halfway through dinner, and you can terminate that phone call in 1 minute
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psnet.ahrq.gov/node/49513/psn-pdf
July 01, 2006 - provide
for the patient's needs (flow rate over time of transport to and from destination) plus a 30-minute
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psnet.ahrq.gov/web-mm/suicide-risk-hospital
November 01, 2011 - and, despite focused efforts, one-third of these occur while the patient is being observed with 15-minute
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.350_slideshow.ppt
June 01, 2015 - cases when the entire case record text was simply cut and pasted, with data entry requiring less than a minute
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psnet.ahrq.gov/node/49728/psn-pdf
March 01, 2015 - Upon admission, his blood pressure was 218/126 mm Hg with a heart rate of 90
beats per minute.
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psnet.ahrq.gov/node/49668/psn-pdf
October 01, 2012 - arouse and cyanotic with notable respiratory muscle retractions, a respiratory
rate of 8 breaths per minute
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psnet.ahrq.gov/node/49725/psn-pdf
January 01, 2015 - surgical arena to the adoption and consistent practice of any checklist, even
one that takes less than a minute
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psnet.ahrq.gov/node/33832/psn-pdf
April 01, 2017 - RW: Or the minute it seems easy is the day you're dangerous again.
KS: Exactly, right.