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psnet.ahrq.gov/node/50769/psn-pdf
February 15, 2017 - part of the
body, falls due to the patient not knowing to ask for assistance, and inability to treat emergency … room
patients due to failure to obtain medical history or medication list.[17]
Cultural Brokers … Research has shown that the RED is effective at reducing readmissions and post-hospital
emergency department
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psnet.ahrq.gov/node/49592/psn-pdf
October 01, 2009 - Danger in Disruption
October 1, 2009
Fontaine DK. Danger in Disruption. PSNet [internet]. 2009.
https://psnet.ahrq.gov/web-mm/danger-disruption
The Case
A 23-month-old toddler was severely dehydrated after vomiting due to gastric outlet obstruction. She had
metabolic alkalosis (pH = 7.58), and her last peripheral…
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psnet.ahrq.gov/node/49769/psn-pdf
September 01, 2016 - psnet.ahrq.gov/web-mm/complaints-safety-surveillance
The Case
A 42-year-old woman presented to the emergency … department with abdominal pain.
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psnet.ahrq.gov/web-mm/be-picky-about-your-piccs-fragmented-care-and-poor-communication-discharge-leads-picc
July 19, 2023 - department (ED) before the weekend to assess the line. … to adhere poorly to their treatment plan, experience more patient safety-related issues, and visit emergency … departments more often. 21 This case illustrates the fragmentation of care resulting from our siloed … When to Call your Healthcare Provider or go to the Emergency Department if you develop a fever; if you … department is key to improving patient experience and preventing serious patient harm.
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psnet.ahrq.gov/perspective/getting-patient-safety-personal-story
August 01, 2006 - Getting Into Patient Safety: A Personal Story
Jeffrey B. Cooper, PhD | August 1, 2006
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Citation Text:
Cooper JB. Getting Into Patient Safety: A Personal Story. PSNet [internet]. Rockville (MD): A…
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psnet.ahrq.gov/web-mm/perils-cross-coverage
September 22, 2010 - Pediatrics. 2010;125:491-496. [go to PubMed] 11. Epley N, Keysar B, Van Boven L, Gilovich T.
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psnet.ahrq.gov/web-mm/lack-sepsis-recognition-leads-delay-care-following-cesarean-delivery
November 30, 2021 - Inflicting Confusion
June 1, 2015
Pediatric patient safety in the prehospital/emergency … department setting.
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psnet.ahrq.gov/perspective/conversation-withvineet-arora-md-ma
March 01, 2011 - certainly admission, which includes things like transfer from EMS [emergency medical services] to the emergency … department, the emergency department up to the floor ICU, a floor patient going for urgent surgery, … Improving handoffs in the emergency department. Ann Emerg Med. 2010;55:171-180.
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psnet.ahrq.gov/perspective/diagnostic-errors
December 01, 2013 - Utilization Project to show that, among patients with stroke, nearly 13% of patients had a visit to the emergency … department (ED) within the prior 30 days that constituted a potential missed diagnosis.
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psnet.ahrq.gov/node/49702/psn-pdf
March 01, 2014 - The Case
A 55-year-old woman with a history of type 2 diabetes on metformin presented to the emergency … department (ED) with 3 days of progressive malaise, diffuse abdominal pain, and nausea and vomiting
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psnet.ahrq.gov/perspective/ensuring-patient-and-workforce-safety-culture-healthcare
March 27, 2024 - Annual Perspective
Ensuring Patient and Workforce Safety Culture in Healthcare
John Murray, Joann Sorra, Bryan Gale, Sarah Mossburg
| March 27, 2024
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Citation Text:
Murray J, Sorra J, Gale B, et al. Ensuring Patient…
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psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events
December 15, 2024 - Each year, ADEs account for nearly 700,000 emergency department visits and 100,000 hospitalizations
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psnet.ahrq.gov/web-mm/misplaced-nasogastric-tube-resulting-aspiration
August 01, 2009 - The Case An 82-year-old woman presented to the Emergency Department (ED) for evaluation of “altered mental … Study
Catching those who fall through the cracks: integrating a follow-up process for emergency … department patients with incidental radiologic findings.
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psnet.ahrq.gov/perspective/identifying-safety-events-prehospital-setting
May 16, 2022 - Identifying Safety Events in the Prehospital Setting
May 16, 2022
Also Read the Conversation
View more articles from the same authors.
Citation Text:
Crowe RP, Mossburg SE, Dowell P. Identifying Safety Events in the Prehospital Setting. PSNet [internet]. Rockvi…
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psnet.ahrq.gov/web-mm/when-looks-arent-all-they-appear-be-medication-error-uncommon-indication
July 02, 2019 - July 17, 2024
Standardizing medication reconciliation in a pediatric emergency department
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psnet.ahrq.gov/web-mm/unfamiliar-catheter
November 01, 2006 - The Case A 28-year-old woman, 20 months post–bilateral lung transplant, presented to the emergency … department with sudden onset of severe shortness of breath and was admitted to the hospital. … Central Line Clot
May 1, 2003
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See More About The Topic
Emergency … Departments
Nurse Managers
Quality and Safety Professionals
Gynecology
Indwelling Tubes
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psnet.ahrq.gov/web-mm/renal-failure-due-benign-prostatic-hyperplasia
February 01, 2004 - She directed him to the nearest emergency department, where his creatinine was found to be markedly elevated
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psnet.ahrq.gov/perspective/medication-safety-nursing-homes-whats-wrong-and-how-fix-it
August 01, 2012 - Transitions between the nursing home, the emergency room, and the hospital are very common in this patient … Trouble
September 1, 2005
Potential medication dosing errors in outpatient pediatrics … August 7, 2019
Tackling communication barriers between long-term care facility and emergency … department transfers to improve medication safety in older adults.
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psnet.ahrq.gov/node/33730/psn-pdf
June 01, 2012 - about all the safety problems one faces in
different areas, whether it's in internal medicine or in pediatrics
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psnet.ahrq.gov/perspective/how-does-infection-prevention-fit-safety-program
March 01, 2014 - How Does Infection Prevention Fit Into a Safety Program?
Susan S. Huang, MD, MPH | March 1, 2014
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Citation Text:
Huang SS. How Does Infection Prevention Fit Into a Safety Program?. PSNet [interne…