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psnet.ahrq.gov/web-mm/breakage-picc-line
June 21, 2023 - Case Objectives Appreciate the incidence and consequences of PICC line breakage. … PubMedId RIS
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psnet.ahrq.gov/sites/default/files/2022-01/final_spotlight_stacked_opioid_administration_01.03.2022.pdf
January 01, 2022 - Bakerjian, PhD, APRN,
RN
o Managing Editor: Meghan Weyrich, MPH
2
https://psnet.ahrq.gov/webmm
Objectives … 10.1097/aln.0000000000002184
https://doi.org/10.3892/etm.2019.7915
Spotlight
Source and Credits
Objectives
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psnet.ahrq.gov/sites/default/files/2021-04/final_psnet_spotlight_retained_vaginal_packing_04.08.2021.pdf
January 01, 2021 - Editors: Ulfat Shaikh, MD, and Jacqueline Stocking, PhD, RN
o Managing Editor: Meghan Weyrich, MPH
2
Objectives … ://www.registerednursing.org/nclex/techniques-physical-assessment/
Spotlight
Source and Credits
Objectives
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psnet.ahrq.gov/sites/default/files/2020-03/final_spotlight_case_delays_in_the_ed_powerpoint_for_cme_review_03.09.2020.pdf
January 01, 2020 - Julie, MD, MAS; Katren Tyler, MD
○ Managing Editor: Meghan Weyrich, MPH
2
Objectives
At the conclusion … 42
Spotlight
Source and Credits
Objectives
SOME PATIENTS CAN’T WAIT: IMPROVING TIMELINESS OF EMERGENCY
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psnet.ahrq.gov/sites/default/files/2023-08/spotlight_case_prolonged_dka_in_pregnancy_-_slides_-_revised.pdf
January 01, 2023 - Bakerjian, PhD, APRN, RN
o Managing Editor: Meghan Weyrich, MPH
2
https://psnet.ahrq.gov/webmm
Objectives … VSRT-Team-Based-Care-Principles-Values.pdf
Slide 1: Spotlight
Slide 2: Source and Credits
Slide 3: Objectives
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psnet.ahrq.gov/web-mm/when-indications-drug-administration-blur
May 26, 2021 - Case Objectives
Discuss five patient safety targets associated with this case
State the eight … PubMedId RIS
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psnet.ahrq.gov/node/36247/psn-pdf
February 13, 2008 - Counting for patient safety.
February 13, 2008
Watson DS. Counting for patient safety. AORN J. 2006;84(2):273-5.
https://psnet.ahrq.gov/issue/counting-patient-safety
The author discusses recommended policies and practices for minimizing the risk of retained foreign
objects.
https://psnet.ahrq.gov/issue/counting-p…
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psnet.ahrq.gov/node/852795/psn-pdf
August 23, 2023 - Perceptions of radiation safety culture in medical imaging
by role.
August 23, 2023
Moore QT, Haynes KW. Radiol Technol. 2023;94(5):337-347.
https://psnet.ahrq.gov/issue/perceptions-radiation-safety-culture-medical-imaging-role
Fostering a culture of safety is a core patient safety objective. This survey of 425 ra…
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psnet.ahrq.gov/issue/h-pepss-instrument-measure-health-professionals-perceptions-patient-safety-competence-entry
February 14, 2015 - Study
The H-PEPSS: an instrument to measure health professionals' perceptions of patient safety competence at entry into practice.
Citation Text:
Ginsburg LR, Castel E, Tregunno D, et al. The H-PEPSS: an instrument to measure health professionals' perceptions of patient safety competen…
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psnet.ahrq.gov/issue/frequency-and-significance-discrepancies-surgical-count
March 02, 2011 - Study
The frequency and significance of discrepancies in the surgical count.
Citation Text:
Greenberg CC, Regenbogen SE, Lipsitz SR, et al. The Frequency and Significance of Discrepancies in the Surgical Count. Ann Surg. 2009;248(2). doi:10.1097/sla.0b013e318181c9a3.
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…
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psnet.ahrq.gov/issue/using-data-matrix-coded-sponge-counting-system-across-surgical-practice-impact-after-18
January 02, 2017 - Study
Using a data-matrix–coded sponge counting system across a surgical practice: impact after 18 months.
Citation Text:
Cima RR, Kollengode A, Clark J, et al. Using a data-matrix-coded sponge counting system across a surgical practice: impact after 18 months. Jt Comm J Qual Patient S…
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psnet.ahrq.gov/issue/role-radio-frequency-detection-system-embedded-surgical-sponges-preventing-retained-surgical
February 13, 2008 - Study
The role of radio frequency detection system embedded surgical sponges in preventing retained surgical sponges: a prospective evaluation in patients undergoing emergency surgery.
Citation Text:
Inaba K, Okoye O, Aksoy H, et al. The Role of Radio Frequency Detection System Embedded …
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psnet.ahrq.gov/issue/wisdom-and-justice-not-paying-preventable-complications
January 22, 2014 - Commentary
Classic
The wisdom and justice of not paying for "preventable complications."
Citation Text:
Pronovost P, Goeschel CA, Wachter R. The wisdom and justice of not paying for "preventable complications". JAMA. 2008;299(18):2197-9. doi:10.1001/jama.299.1…
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psnet.ahrq.gov/node/860397/psn-pdf
January 10, 2024 - MRI safety: prepare for new guidance.
January 10, 2024
Gilk T. Appl Radiol. 2023;52(6):24-26.
https://psnet.ahrq.gov/issue/mri-safety-prepare-new-guidance
Magnetic resonance imaging (MRI) services carry with them unique safety considerations in both hospital
and ambulatory scanning environments. This article …
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psnet.ahrq.gov/web-mm/pseudo-obstruction-real-perforation
April 01, 2015 - Case Objectives
Recognize acute colonic pseudo-obstruction and implement a medical management plan … PubMedId RIS
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psnet.ahrq.gov/node/866839/psn-pdf
September 25, 2024 - Learning Objectives
At the conclusion of this educational activity, participants should be able to:
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psnet.ahrq.gov/node/837774/psn-pdf
August 03, 2022 - Preventing retained surgical items.
August 3, 2022
Weston M, Chiodo C. Preventing retained surgical items. AORN J. 2022;115(6):569-575.
doi:10.1002/aorn.13697.
https://psnet.ahrq.gov/issue/preventing-retained-surgical-items
Unintentionally retained foreign objects can be exacerbated by fatigue, distractions, and c…
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psnet.ahrq.gov/node/35288/psn-pdf
September 12, 2016 - M.R.I.'s strong magnets cited in accidents.
September 12, 2016
McNeil DG, Jr.
https://psnet.ahrq.gov/issue/mris-strong-magnets-cited-accidents
This front page article in The New York Times reviews flying object incidents in magnetic resonance
imaging (MRI) scanners. A number of dramatic cases are described (includ…
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psnet.ahrq.gov/node/50825/psn-pdf
January 22, 2020 - Investigation into Detection of Retained Vaginal Swabs
and Tampons Following Childbirth.
January 22, 2020
Farnborough, UK; Healthcare Safety Investigation Branch; December 18, 2019.
https://psnet.ahrq.gov/issue/investigation-detection-retained-vaginal-swabs-and-tampons-following-
childbirth
Maternal care during a…
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psnet.ahrq.gov/node/72583/psn-pdf
December 16, 2020 - Wear face masks with no metal during MRI exams.
December 16, 2020
FDA Safety Communication. MedWatch Safety Alert. Silver Spring, MD: US Food and Drug
Administration; December 7, 2020.
https://psnet.ahrq.gov/issue/wear-face-masks-no-metal-during-mri-exams
Magnetic resonance imaging (MRI) requires patient prep…