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psnet.ahrq.gov/node/49676/psn-pdf
February 01, 2013 - The nurse
administered 25 mg Benadryl intravenously followed by a second 25-mg dose of Benadryl 45 minutes … Thirty minutes later the patient had no detectable pulse or respirations.
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psnet.ahrq.gov/node/39990/psn-pdf
June 08, 2011 - The wolf is crying in the operating room: patient monitor
and anesthesia workstation alarming patterns during
cardiac surgery.
June 8, 2011
Schmid F, Goepfert MS, Kuhnt D, et al. The wolf is crying in the operating room: patient monitor and
anesthesia workstation alarming patterns during cardiac surgery. Anesth An…
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psnet.ahrq.gov/web-mm/if-you-say-so-taking-syringe-face-value-operating-room
January 01, 2015 - Over the next few minutes, the patient's blood pressure skyrocketed to 250/135 mm Hg.
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psnet.ahrq.gov/web-mm/chest-tube-complications
September 27, 2023 - About 45 minutes after the tube was clamped, the patient complained of acute, sharp pain radiating to … Despite these measures, the patient did not recover spontaneous circulation for more than 30 minutes
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psnet.ahrq.gov/sites/default/files/2022-10/spotlight_case_missed_pneumothorax_10.09.2022_-_final.pdf
January 01, 2022 - needed,” as his vital signs and
respiratory symptoms remained normal.
6
Case Details (3)
• Thirty minutes … pneumothorax as a category 1 actionable finding and recommends
reporting of those findings, within minutes
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psnet.ahrq.gov/node/33858/psn-pdf
May 01, 2018 - simultaneously,
requiring a doctor on average to enter 140 data elements with every encounter in their 12 minutes … It takes me 10 minutes just to get the medications in, and then 2 minutes are left for the
patient.
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psnet.ahrq.gov/web-mm/missed-pneumonia
June 01, 2005 - Missed Pneumonia
Citation Text:
Rohde JM, Flanders S. Missed Pneumonia. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMed…
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psnet.ahrq.gov/web-mm/too-hot-comfort
May 19, 2015 - Restricting use of the heating device to no longer than 15 to 20 minutes. … , the device must be kept at a temperature below 140°F and must be used for no longer than 15 to 20 minutes
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psnet.ahrq.gov/node/49715/psn-pdf
August 21, 2014 - Bleeding usually stops within several
minutes (7); however, a feared complication of liver biopsy is … AASLD) guidelines state the following: "Vital signs must be frequently monitored (at least every
15 minutes
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psnet.ahrq.gov/web-mm/missing-ecg-and-missed-diagnosis-lead-dangerous-delay
March 01, 2015 - of the cardiac catheterization laboratory.( 4 ) The ideal door-to-intervention time is less than 90 minutes … the patient, perform the catheterization, identify vessel blockages, and open the artery in under 90 minutes
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psnet.ahrq.gov/web-mm/amphotericin-toxicity
April 01, 2014 - rigors are also minimized by providing acetaminophen, diphenhydramine, and/or hydrocortisone 30–60 minutes … minimized by providing pre-medication with acetaminophen, diphenhydramine, and/or hydrocortisone 30–60 minutes
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psnet.ahrq.gov/web-mm/death-pca
January 06, 2017 - The nurse administered 25 mg Benadryl intravenously followed by a second 25-mg dose of Benadryl 45 minutes … Thirty minutes later the patient had no detectable pulse or respirations.
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psnet.ahrq.gov/perspective/aviation-safety-methods-quickly-adopted-questions-remain
January 01, 2006 - In less than 2 minutes, the crew evacuated 309 passengers. … Several minutes later, the plane burst into flames.( 1 ) Crashes like this are remarkably rare, yet the
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psnet.ahrq.gov/web-mm/what-happened-telemetry
January 18, 2012 - The patient was found to be in asystole and after about 20 minutes of resuscitation efforts with no return … watching the telemetry monitor recognized progressive bradycardia and called the hospital floor several minutes
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psnet.ahrq.gov/web-mm/false-assumptions-result-missed-pneumothorax-after-bronchoscopy-transbronchial-biopsy
March 15, 2023 - Thirty minutes after discharge, the radiologist called the care team to alert them to the finding of … pneumothorax as a category 1 actionable finding and recommends reporting of those findings, within minutes
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psnet.ahrq.gov/innovation/virtual-hospitalist-program-address-hospitals-challenges-start-covid-19-pandemic
October 30, 2024 - Over the course of two months, the virtual hospitalists logged a daily median of 105 minutes on the phone … with families, with some days of up to 540 minutes. 1
Another benefit reported by the team was that
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psnet.ahrq.gov/node/49732/psn-pdf
May 01, 2015 - Errors in Sepsis Management
May 1, 2015
Shimabukuro D. Errors in Sepsis Management. PSNet [internet]. 2015.
https://psnet.ahrq.gov/web-mm/errors-sepsis-management
Case Objectives
Define sepsis, severe sepsis, and septic shock.
Describe the severe sepsis/septic shock resuscitation bundle.
Recognize commonly encou…
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psnet.ahrq.gov/node/49858/psn-pdf
April 01, 2019 - The patient was found to be in asystole and after about 20 minutes of resuscitation efforts with no … watching the
telemetry monitor recognized progressive bradycardia and called the hospital floor several minutes
-
psnet.ahrq.gov/perspective/conversation-withalison-stuebe-md-msc-and-kristin-tully-phd
October 06, 2021 - The car seat test takes like 90 minutes. … during inpatient encounters and at postpartum discharge and learned that the wait time was 5 to 75 minutes … If you're not sure if it’s going to be 5 minutes or 75 minutes and you need to ask the patient something
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psnet.ahrq.gov/perspective/health-equity-and-maternal-health
October 06, 2021 - The car seat test takes like 90 minutes. … during inpatient encounters and at postpartum discharge and learned that the wait time was 5 to 75 minutes … If you're not sure if it’s going to be 5 minutes or 75 minutes and you need to ask the patient something