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psnet.ahrq.gov/web-mm/worst-headache
July 01, 2016 - The Worst Headache
Citation Text:
Edlow JA. The Worst Headache. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004.
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Format:
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psnet.ahrq.gov/sites/default/files/2024-05/spotlight_case_managing_complexity_in_diagnosis_-_slides_final.pptx
January 01, 2024 - Spotlight
Spotlight
Managing Complexity in Diagnosis: Life-threatening Complications after Gastric Bypass Surgery
1
Source and Credits
This presentation is based on the May 2024 AHRQ WebM&M Spotlight Case
See the full article at https://psnet.ahrq.gov/webmm
CME credit is available
Commentary by: Andrew P.J. …
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psnet.ahrq.gov/issue/implementation-emergency-department-sign-out-checklist-improves-transfer-information-shift
October 30, 2019 - Study
Implementation of an emergency department sign-out checklist improves transfer of information at shift change.
Citation Text:
Dubosh NM, Carney D, Fisher J, et al. Implementation of an emergency department sign-out checklist improves transfer of information at shift change. J Emerg…
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psnet.ahrq.gov/web-mm/management-csf-leaks-after-elective-spine-surgery-routine-laminectomy-leads-fatal-discitis
March 09, 2022 - Neurology . 1960;10:512-521. [ Available at ] Hochman MS, Naidich TP, Kobetz SA, et al. … Neurology . 1992;42(8):1628-1630. [ Available at ] Schumacher HW, Wassmann H, Podlinski C. … Worst Headache
July 1, 2004
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See More About The Topic
Neurology
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psnet.ahrq.gov/node/836885/psn-pdf
May 16, 2022 - A code stroke was
called, neurology arrived at the bedside and transported the patient to the computed
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psnet.ahrq.gov/web-mm/misleading-complaint
December 01, 2009 - January 11, 2023
Monitoring the diagnostic process on an inpatient neurology service.
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psnet.ahrq.gov/node/865884/psn-pdf
May 29, 2024 - Managing Complexity in Diagnosis: Life-threatening
Complications after Gastric Bypass Surgery.
May 29, 2024
Olson APJ. Managing Complexity in Diagnosis: Life-threatening Complications after Gastric Bypass
Surgery. PSNet [internet]. 2024.
https://psnet.ahrq.gov/web-mm/managing-complexity-diagnosis-life-threatening-…
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psnet.ahrq.gov/node/41840/psn-pdf
November 14, 2012 - Risk Prevention and Surgical Checklists.
November 14, 2012
Neurosurg Focus. 2012;33(5):E1-E16.
https://psnet.ahrq.gov/issue/risk-prevention-and-surgical-checklists
This special issue includes articles discussing tactics to improve safety in neurosurgery, including tools,
time-outs, and incident reporting.
…
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psnet.ahrq.gov/web-mm/managing-complexity-diagnosis-life-threatening-complications-after-gastric-bypass-surgery
September 25, 2019 - SPOTLIGHT CASE
Managing Complexity in Diagnosis: Life-threatening Complications after Gastric Bypass Surgery.
Citation Text:
Olson APJ. Managing Complexity in Diagnosis: Life-threatening Complications after Gastric Bypass Surgery.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research …
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psnet.ahrq.gov/node/45291/psn-pdf
November 30, 2016 - Just Bag It.
November 30, 2016
National Comprehensive Cancer Network.
https://psnet.ahrq.gov/issue/just-bag-it
Vincristine is a chemotherapy agent that can have serious consequences if administered incorrectly.
Drawing from guidelines and expert opinion regarding vincristine administration, this campaign advocates…
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psnet.ahrq.gov/web-mm/techno-trip
May 01, 2005 - The surgeon felt that the patient had a stroke, admitted her to the stroke unit, and consulted neurology … View More
See More About The Topic
General Hospitals
Physicians
Neurology
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psnet.ahrq.gov/node/46408/psn-pdf
November 29, 2017 - Eliminating vincristine administration events.
November 29, 2017
Quick Safety. October 16, 2017;(37):1-3.
https://psnet.ahrq.gov/issue/eliminating-vincristine-administration-events
Vincristine administration errors can have serious consequences. This newsletter article outlines steps to
reduce risks associated wit…
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psnet.ahrq.gov/node/72712/psn-pdf
February 03, 2021 - Not ‘just depression.’ She seemed trapped in a downward
mental health spiral. The real cause was a profound
shock.
February 3, 2021
Boodman SG. Washington Post. January 23, 2021.
https://psnet.ahrq.gov/issue/not-just-depression-she-seemed-trapped-downward-mental-health-spiral-real-
cause-was-profound
Misdia…
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psnet.ahrq.gov/node/73176/psn-pdf
April 28, 2021 - Diagnostic errors in pediatric critical care: a systematic
review.
April 28, 2021
Cifra CL, Custer J, Singh H, et al. Diagnostic errors in pediatric critical care: a systematic review. Pediatr
Crit Care Med. 2021;22(8):701-712. doi:10.1097/pcc.0000000000002735.
https://psnet.ahrq.gov/issue/diagnostic-errors-pediat…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.344_slideshow.ppt
April 01, 2015 - PowerPoint Presentation
Spotlight
Dissecting the Presentation
*
This presentation is based on the April 2015
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Shirley Beng Suat Ooi, MBBS (S'pore), Emergency Medicine Department, National Univers…
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psnet.ahrq.gov/node/49661/psn-pdf
August 01, 2012 - Residual Anesthesia: Tepid Burn
August 1, 2012
Kurrek MM, Twersky RS. Residual Anesthesia: Tepid Burn. PSNet [internet]. 2012.
https://psnet.ahrq.gov/web-mm/residual-anesthesia-tepid-burn
The Case
A 42-year-old Filipino man presented to an outpatient surgery center for scheduled repair of an anal fistula.
The pat…
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psnet.ahrq.gov/node/49760/psn-pdf
May 01, 2016 - Mismanagement of Delirium
May 1, 2016
Merrilees J, Lee KP. Mismanagement of Delirium. PSNet [internet]. 2016.
https://psnet.ahrq.gov/web-mm/mismanagement-delirium
The Case
An 85-year-old man with early stage vascular dementia fell on the sidewalk and fractured his leg. Although
fitted with a cast at a regional ho…
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psnet.ahrq.gov/node/840143/psn-pdf
January 01, 2024 - Criteria for the selection of paediatric patients susceptible
to reconciliation error.
November 16, 2022
Iturgoyen Fuentes DP, Meneses Mangas C, Cuervas Mons Vendrell M. Criteria for the selection of
paediatric patients susceptible to reconciliation error. Eur J Hosp Pharm. 2024;31(3):234-239.
doi:10.1136/ejhpharm…
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psnet.ahrq.gov/node/838011/psn-pdf
January 01, 2023 - Fall prevention with the Smart Socks System reduces
hospital fall rates.
September 7, 2022
Moore T, Kline D, Palettas M, et al. Fall prevention with the Smart Socks System reduces hospital fall
rates. J Nurs Care Qual. 2023;38(1):55-60. doi:10.1097/ncq.0000000000000653.
https://psnet.ahrq.gov/issue/fall-prevention…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.398_slideshow.ppt
February 01, 2017 - PowerPoint Presentation
Spotlight
The Hazards of Distraction: Ticking All the EHR Boxes
*
Source and Credits
This presentation is based on the February 2017
AHRQ WebM&M Spotlight Case
See the full article at https://psnet.ahrq.gov/webmm
CME credit is available
Commentary by: Anthony C. Easty, PhD, Adjunct Pr…