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psnet.ahrq.gov/node/49747/psn-pdf
December 01, 2015 - Harm From Alarm Fatigue
December 1, 2015
Pelter MM, Drew BJ. Harm From Alarm Fatigue. PSNet [internet]. 2015.
https://psnet.ahrq.gov/web-mm/harm-alarm-fatigue
Case Objectives
Define alarm fatigue and describe potential errors that can occur due to alarm fatigue.
Identify federal and national agencies focusing on …
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psnet.ahrq.gov/perspective/telehealth-and-patient-safety-during-covid-19-response
May 14, 2020 - Another area of concern I have is for our elderly patients who often have the most co-morbidities and … I think you should have a quality assurance plan as well, just like we have M&M [morbidity & mortality
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psnet.ahrq.gov/web-mm/pregnant-danger
January 12, 2011 - Take-Home Points
Aortic dissection is a rare complication of pregnancy but carries substantial risk of morbidity
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psnet.ahrq.gov/node/73336/psn-pdf
May 26, 2021 - The clinician’s failure to investigate
beyond the patient’s request to be screened resulted in morbidity
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psnet.ahrq.gov/web-mm/unexplained-apnea-under-anesthesia
December 01, 2005 - There is no accurate measure of the morbidity and mortality associated with anesthesia.
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psnet.ahrq.gov/web-mm/transfusion-overload
September 23, 2020 - Effect of anaemia and cardiovascular disease on surgical mortality and morbidity.
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psnet.ahrq.gov/web-mm/delayed-diagnosis-and-treatment-occult-hemothorax-following-complicated-central-line
April 01, 2008 - The importance of this topic is such that surgical morbidity and mortality conferences often include
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psnet.ahrq.gov/node/33770/psn-pdf
August 01, 2014 - We have ambulatory morbidity and mortality conference, which is not
just for our learners but also for
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psnet.ahrq.gov/node/49675/psn-pdf
February 01, 2013 - that would not cause appreciable harm if
unaddressed for weeks—and even then would cause only minor morbidity
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psnet.ahrq.gov/innovation/algorithm-based-decision-support-system-guides-trauma-staff-during-initial-treatment
May 31, 2023 - 2006
Problem Addressed
Severely injured patients face a high risk of morbidity
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psnet.ahrq.gov/node/49666/psn-pdf
October 01, 2012 - references
https://psnet.ahrq.gov//#references
infections will minimize the likelihood of long-term morbidity
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psnet.ahrq.gov/perspective/conversation-thomas-j-nasca-md-macp
July 10, 2024 - incorporation of resident engagement into safety and quality beyond what traditionally exists, for instance Morbidity
-
psnet.ahrq.gov/node/33742/psn-pdf
December 01, 2012 - Delirium is a marker of a more vulnerable patient, but delirium contributes excess morbidity
and mortality
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psnet.ahrq.gov/node/73145/psn-pdf
April 28, 2021 - Home dialysis programs have quality benchmarks, such as peritonitis rate, hospitalizations,
morbidity
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psnet.ahrq.gov/perspective/surveillance-monitoring-improve-patient-safety-acute-hospital-care-units
April 26, 2023 - sedative and analgesic medications: impact of continuous monitoring on patient mortality and severe morbidity … sedative and analgesic medications: impact of continuous monitoring on patient mortality and severe morbidity
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psnet.ahrq.gov/node/49633/psn-pdf
September 01, 2011 - The Safety and Quality of Long Term Care
September 1, 2011
Vogelsmeier AA. The Safety and Quality of Long Term Care. PSNet [internet]. 2011.
https://psnet.ahrq.gov/web-mm/safety-and-quality-long-term-care
Case Objectives
Identify commonly reported adverse events in long-term care.
Identify two to three challenges…
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psnet.ahrq.gov/primer/long-term-care-and-patient-safety
February 24, 2022 - Long-term Care and Patient Safety
Citation Text:
Bakerjian D. Long-term Care and Patient Safety. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 …
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psnet.ahrq.gov/web-mm/missed-appendicitis
March 13, 2013 - SPOTLIGHT CASE
Missed Appendicitis
Citation Text:
Adams JG. Missed Appendicitis. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML E…
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psnet.ahrq.gov/web-mm/norepinephrine-dosing-error-associated-multiple-health-system-vulnerabilities
November 27, 2019 - Norepinephrine Dosing Error Associated with Multiple Health System Vulnerabilities
Citation Text:
Duby JJ, Schomer K, Oyewole V, et al. Norepinephrine Dosing Error Associated with Multiple Health System Vulnerabilities. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Departm…
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psnet.ahrq.gov/sites/default/files/2023-03/challenging_case_of_multiple_suicide_attempts_in_a_complex_patient_with_psychiatric_comorbidities.pdf
January 01, 2023 - Microsoft PowerPoint - Spotlight Case_Suicide Attempts_03.17.2023 FINAL.pptx
Spotlight
Challenging Case of Multiple Suicide Attempts in a
Complex Patient with Psychiatric Comorbidities
Source and Credits
• This presentation is based on the March 2023 AHRQ WebM&M
Spotlight Case
o See the full article at https://…