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psnet.ahrq.gov/issue/assessing-patients-2019-experiences-medical-injury-reconciliation-processes-item-generation
June 16, 2021 - Study
Assessing patients 2019 experiences with medical injury reconciliation processes: item generation for a novel survey questionnaire.
Citation Text:
Schulz-Moore JS, Bismark M, Jenkinson C, et al. Assessing patients 2019 experiences with medical injury reconciliation processes: item …
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psnet.ahrq.gov/issue/artificial-intelligence-provision-health-care-american-college-physicians-policy-position
February 18, 2011 - Organizational Policy/Guidelines
Artificial intelligence in the provision of health care: an American College of Physicians policy position paper.
Citation Text:
Daneshvar N, Pandita D, Erickson S, et al. Artificial Intelligence in the Provision of Health Care: An American College of Phy…
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psnet.ahrq.gov/issue/digital-health-intervention-patient-safety-children-and-parents-scoping-review
January 23, 2017 - Review
Digital health intervention on patient safety for children and parents: a scoping review.
Citation Text:
Park J, Jeon H, Choi EK. Digital health intervention on patient safety for children and parents: a scoping review. J Adv Nurs. 2024;80(5):1750-1760. doi:10.1111/jan.15954.
Co…
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psnet.ahrq.gov/issue/fix-and-forget-or-fix-and-report-qualitative-study-tensions-front-line-incident-reporting
May 18, 2016 - Study
Fix and forget or fix and report: a qualitative study of tensions at the front line of incident reporting.
Citation Text:
Hewitt TA, Chreim S. Fix and forget or fix and report: a qualitative study of tensions at the front line of incident reporting. BMJ Qual Saf. 2015;24(5):303-10.…
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psnet.ahrq.gov/web-mm/ounce-prevention
February 17, 2011 - include surgery, trauma, cancer, congestive heart failure, chronic lung disease, age older than 70 years, obesity … risk factor of major surgery was assigned a score of 2; and the minor risk factors of advanced age, obesity
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psnet.ahrq.gov/web-mm/diuretics-and-electrolyte-abnormalities
February 15, 2017 - The Case
A 62-year-old woman with morbid obesity and a past medical history of chronic obstructive
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psnet.ahrq.gov/issue/good-practice-guides-medication-errors-part-1-and-part-2
August 03, 2016 - Book/Report
Good Practice Guides on Medication Errors: Part 1 and Part 2.
Citation Text:
Goedecke T, Ord K, Newbould V, et al. Medication Errors: New Eu Good Practice Guide On Risk Minimisation And Error Prevention. Springer Science and Business Media LLC; 2016. doi:10.1007/s40264-016-04…
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psnet.ahrq.gov/issue/association-inappropriate-outpatient-pediatric-antibiotic-prescriptions-adverse-drug-events
March 05, 2008 - Review
Association of inappropriate outpatient pediatric antibiotic prescriptions with adverse drug events and health care expenditures.
Citation Text:
Butler AM, Brown DS, Durkin MJ, et al. Association of inappropriate outpatient pediatric antibiotic prescriptions with adverse drug even…
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psnet.ahrq.gov/node/49394/psn-pdf
April 01, 2003 - Premature or Overdue?
April 1, 2003
Thomas J, Hannah M. Premature or Overdue? PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/premature-or-overdue
The Case
A 32-year-old woman, gravida 3, para 1, presented for prenatal care at 24 weeks. Her past medical history
was unremarkable, and results of her prenatal …
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psnet.ahrq.gov/innovation/pharmacist-led-mobile-health-intervention-and-transplant-medication-safety-randomized
April 07, 2021 - EMERGING INNOVATIONS
Pharmacist-led mobile health intervention and transplant medication safety: a randomized controlled clinical trial.
Citation Text:
Gonzales HM, Fleming JN, Gebregziabher M, et al. Pharmacist-led mobile health intervention and transplant medication safety: a randomized controll…
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psnet.ahrq.gov/cme
February 26, 2025 - Decompensated Heart Failure with Hypertensive Emergency A 55-year-old woman with a history of panic attacks, obesity
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psnet.ahrq.gov/web-mm/updates-management-high-risk-pulmonary-embolism
December 02, 2020 - Case and Commentary—Part 1
A 45-year-old man with obesity presented to the emergency department with … such as advanced age, cirrhosis, rheumatological disease, antiphospholipid antibody syndrome, smoking, obesity
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psnet.ahrq.gov/web-mm/premature-or-overdue
December 23, 2020 - Premature or Overdue?
Citation Text:
Thomas J, Hannah M. Premature or Overdue?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagge…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.248_slideshow.ppt
September 01, 2011 - *
*
Case: Safety of Long Term Care
A 64-year-old woman with a past medical history of morbid obesity
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psnet.ahrq.gov/web-mm/mismanagement-acute-decompensated-heart-failure-hypertensive-emergency
May 01, 2018 - The Case The patient was a 55-year-old woman with a history of panic attacks, class III obesity, and … Was there implicit bias related to the patient’s obesity , lack of prior treatment for hypertension,
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psnet.ahrq.gov/web-mm/distraction-anesthesiologist-and-lack-resuscitation-drugs-resulting-delayed-treatment
January 29, 2021 - The Case
A 48-year-old woman with a history of obesity (body mass index [BMI] of 32), but without any … WebM&M Cases
Endotracheal Tube Fallout in a Patient with Severe Obesity
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psnet.ahrq.gov/webmm-case-studies
March 25, 2025 - Linkedin
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A 55-year-old woman with a history of panic attacks, obesity … Facebook
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Linkedin
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A 36-year-old woman with class 2 obesity
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psnet.ahrq.gov/node/866261/psn-pdf
July 10, 2024 - missed-compartment-syndrome-after-steep-lithotomy-position-
laparoscopic-gynecological
The Case
A 36-year-old woman with class 2 obesity … Patients with obesity are more prone to
suffer this complication than patients with normal BMI.15,16
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psnet.ahrq.gov/periodic-issue/periodic-issue-328
February 23, 2022 - February 9, 2022 Weekly Issue
PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly
Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient
safety literature, news, conferences, report…
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psnet.ahrq.gov/node/49524/psn-pdf
November 01, 2006 - insufflate the stomach, hence
predisposing to aspiration.(7) Risk factors for aspiration include morbid obesity