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psnet.ahrq.gov/node/865419/psn-pdf
March 27, 2024 - Do Not Miss Sepsis Needles in Viral Haystacks!
March 27, 2024
Hamline M, Shaikh U. Do Not Miss Sepsis Needles in Viral Haystacks!. PSNet [internet]. 2024.
https://psnet.ahrq.gov/web-mm/do-not-miss-sepsis-needles-viral-haystacks
Disclosure of Relevant Financial Relationships: As a provider accredited by the Accredit…
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psnet.ahrq.gov/web-mm/do-not-miss-sepsis-needles-viral-haystacks
March 27, 2024 - SPOTLIGHT CASE
Do Not Miss Sepsis Needles in Viral Haystacks!
Citation Text:
Hamline M, Shaikh U. Do Not Miss Sepsis Needles in Viral Haystacks!. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024.
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psnet.ahrq.gov/node/49716/psn-pdf
August 21, 2014 - After 10 minutes of chest compressions and advanced cardiovascular life support protocol,
spontaneous
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.347_slideshow.ppt
May 01, 2015 - PowerPoint Presentation
Spotlight
Errors in Sepsis Management
This presentation is based on the May 2015
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: David Shimabukuro, MD, University of California, San Francisco (UCSF)
Editor, AHRQ WebM&M: Rober…
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psnet.ahrq.gov/node/50613/psn-pdf
October 30, 2019 - In Conversation With… Neel Shah, MD, MPP
October 30, 2019
In Conversation With… Neel Shah, MD, MPP. PSNet [internet]. 2019.
https://psnet.ahrq.gov/perspective/conversation-neel-shah-md-mpp
Editor's note: Dr. Shah, MD, MPP, is an Assistant Professor of Obstetrics, Gynecology and Reproductive
Biology at Harvard Medi…
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psnet.ahrq.gov/web-mm/ems-perils-hospital-overcrowding
November 25, 2020 - Offload Time (APOT) by the California Health and Safety Code, wall time is defined as the “time (in minutes … recommended “zero tolerance” for ambulance transfer delays and established a national standard of 15 minutes
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psnet.ahrq.gov/issue/safetynet-lessons-learned-close-calls-or
October 28, 2020 - Special or Theme Issue
SafetyNet: Lessons Learned from Close Calls in the OR.
Citation Text:
SafetyNet: Lessons Learned from Close Calls in the OR. AORN J. 2006;84(1S1):CO1-CO2,s6-s12.
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psnet.ahrq.gov/issue/human-factors-nursing-and-patient-safety
July 07, 2021 - Special or Theme Issue
Human factors, nursing and patient safety.
Citation Text:
Human factors, nursing and patient safety. Nurs Stand. Apr-May 2012;26.
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psnet.ahrq.gov/issue/first-do-no-harm-part-1-case-study-systems-failure
September 07, 2022 - Audiovisual Presentation
First, Do No Harm Part 1: A Case Study of Systems Failure.
Citation Text:
First, Do No Harm Part 1: A Case Study of Systems Failure. Chicago: Partnership for Patient Safety, Harvard Risk Management Foundation; 2000.
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psnet.ahrq.gov/issue/adverse-events-expecting-too-much-nurses-and-too-little-nursing-research
December 01, 2010 - Special or Theme Issue
Adverse Events: Expecting too Much of Nurses and too Little of Nursing Research.
Citation Text:
Adverse Events: Expecting too Much of Nurses and too Little of Nursing Research. Jordan S, ed. J Nurs Manag. 2011;19(3):287-417.
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psnet.ahrq.gov/issue/removing-insult-injury-disclosing-adverse-events
November 07, 2012 - Audiovisual
Removing Insult from Injury: Disclosing Adverse Events.
Citation Text:
Removing Insult from Injury: Disclosing Adverse Events. Johns Hopkins Bloomberg School of Public Health
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.242_slideshow.ppt
June 01, 2011 - Spotlight Case July 2008
Spotlight Case
The ECG is Not Normal
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*
Source and Credits
This presentation is based on the June 2011
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Abigail Zuger, MD, Columbia University
Editor, AHRQ WebM&M: Robe…
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psnet.ahrq.gov/sites/default/files/2024-03/final_spotlight_case_not_missing_sepsis_needles_in_viral_haystacks_slides_march_date.pdf
January 01, 2024 - Spotlight
Spotlight
Do Not Miss Sepsis Needles in Viral Haystacks!
Source and Credits
• This presentation is based on the March 2024 AHRQ WebM&M
Spotlight Case
o See the full article at https://psnet.ahrq.gov/webmm
o CME credit is available
o Commentary by: Michelle Hamline, MD, PhD, MAS and Ulfat
Shaikh, MD, M…
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psnet.ahrq.gov/issue/disrespectful-behavior-healthcare-has-it-improved-please-take-our-survey
May 19, 2021 - Newspaper/Magazine Article
Disrespectful behavior in healthcare: has it improved? Please take our survey!
Citation Text:
Disrespectful behavior in healthcare: has it improved? Please take our survey! ISMP Medication Safety Alert! Acute care edition. September 9, 2021;26(18);1-5.
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psnet.ahrq.gov/issue/challenges-requiring-five-characters-during-adc-drug-searches-override
October 20, 2021 - Newspaper/Magazine Article
Challenges with requiring five characters during ADC drug searches via override.
Citation Text:
Challenges with requiring five characters during ADC drug searches via override. ISMP Medication Safety Alert! Acute care edition. October 21, 2021;26(21):1-3.
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psnet.ahrq.gov/issue/independent-double-checks-undervalued-and-misused
July 12, 2023 - Newspaper/Magazine Article
Independent double checks: undervalued and misused.
Citation Text:
Independent double checks: undervalued and misused. ISMP Medication Safety Alert! Acute care edition. June 13, 2013;18:1-4.
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psnet.ahrq.gov/issue/nurse-faces-prison-deadly-error-her-colleagues-worry-could-i-be-next
May 11, 2022 - Newspaper/Magazine Article
As a nurse faces prison for a deadly error, her colleagues worry: could I be next?
Citation Text:
As a nurse faces prison for a deadly error, her colleagues worry: could I be next? Kelman B. Kaiser Health News. March 22, 2022
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psnet.ahrq.gov/issue/oops-sorry-wrong-patient-patient-verification-process-needed-everywhere-not-just-bedside
March 15, 2022 - Newspaper/Magazine Article
Oops, sorry, wrong patient! A patient verification process is needed everywhere, not just at the bedside.
Citation Text:
Oops, sorry, wrong patient! A patient verification process is needed everywhere, not just at the bedside. ISMP Medication Safety Alert! Acut…
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psnet.ahrq.gov/issue/us-hospitals-drug-mix-just-few-keystrokes-away
March 30, 2022 - Newspaper/Magazine Article
At US hospitals, a drug mix-up is just a few keystrokes away.
Citation Text:
At US hospitals, a drug mix-up is just a few keystrokes away. Kelman B. Kaiser Health News. April 29, 2022.
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psnet.ahrq.gov/issue/patient-death-after-inadvertent-infusion-prn-medication-hanging-bedside-intravenous-iv-pole
April 17, 2024 - Newspaper/Magazine Article
Patient death after inadvertent infusion of PRN medication hanging on bedside intravenous (IV) pole.
Citation Text:
Patient death after inadvertent infusion of PRN medication hanging on bedside intravenous (IV) pole. ISMP Medication Safety Alert! Acute Care. 20…