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psnet.ahrq.gov/node/852807/psn-pdf
August 30, 2023 - Sleep Deprivation Leads to Medication Error During
Spinal Epidural Anesthesia
August 30, 2023
Bohringer C, Osborne R. Sleep Deprivation Leads to Medication Error During Spinal Epidural Anesthesia.
PSNet [internet]. 2023.
https://psnet.ahrq.gov/web-mm/sleep-deprivation-leads-medication-error-during-spinal-epidural-…
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psnet.ahrq.gov/web-mm/pca-overdose
April 01, 2017 - 2005
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See More About The Topic
Intensive Care Units
Emergency … Departments
Clinical Technologists
Physicians
Nurses
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psnet.ahrq.gov/perspective/primary-care-and-patient-safety-opportunities-interface
September 28, 2022 - Primary care access barriers as reported by nonurgent emergency department users: implications for the … A similar number had been to the ER [emergency room] one or more times. … room. … rooms. … rooms.
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psnet.ahrq.gov/perspective/conversation-christie-allen-about-maternal-safety-and-perinatal-mental-health
March 29, 2023 - Specialized departments, like emergency departments and pediatrics, may not focus on the mother, conduct
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psnet.ahrq.gov/perspective/conversation-withrobert-m-wachter-md
October 01, 2008 - equivalent of the Hertz guy walking around the patients looking at their bumpers when they're in our emergency … department or our admitting office, to see whether they already have those dents before they come in … Pediatrics. 2008;121:e1723-e1731. [go to PubMed]
18.
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psnet.ahrq.gov/node/865429/psn-pdf
April 24, 2024 - Missed Connection: A Case of Inadequate ECG Oversight
in Cardiac Surgery
April 24, 2024
Bohringer C, Fierro M, Venugopal S. Missed Connection: A Case of Inadequate ECG Oversight in Cardiac
Surgery. PSNet [internet]. 2024.
https://psnet.ahrq.gov/web-mm/missed-connection-case-inadequate-ecg-oversight-cardiac-surgery…
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psnet.ahrq.gov/perspective/special-edition-perspective-technology-responses-covid-19
August 31, 2020 - Video visit use has also been incorporated into new settings, such as in the emergency department and … For example, emergency department care typically involves "forward triage," where the patient is evaluated … before they present to an urgent care or emergency department. … video visits if patients’ conditions did not warrant admission to the emergency department. … IDHI: Every hospital in the state has telemedicine equipment in their emergency department.
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psnet.ahrq.gov/perspective/maternal-safety-and-perinatal-mental-health
March 28, 2023 - Specialized departments, like emergency departments and pediatrics, may not focus on the mother, conduct
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psnet.ahrq.gov/perspective/risk-management-and-patient-safety
December 01, 2010 - Missed and delayed diagnoses in the emergency department: a study of closed malpractice claims from 4 … discussed with and approved by the attending before they occur:
Discharge from the hospital or from the Emergency … Department
Transfer out of ICU
3.
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psnet.ahrq.gov/web-mm/wrong-route-nutrients
September 04, 2010 - February 1, 2023
Retrospective review for medication dose errors in pediatric emergency … department medication orders that bypassed pharmacist review.
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psnet.ahrq.gov/web-mm/dnr-or-and-afterwards
July 01, 2003 - After initial evaluation in the emergency department, the patient was admitted to a surgical unit where
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psnet.ahrq.gov/node/33875/psn-pdf
March 01, 2019 - would try
to consolidate the bariatric surgery, geriatric service, or obstetrics, or open a pediatric emergency … room or
change the volume or type of patients.
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psnet.ahrq.gov/perspective/errors-and-near-misses-what-health-care-could-learn-aviation
September 01, 2006 - Equally, what is acceptable in an emergency department during a mass casualty event may not be appropriate
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psnet.ahrq.gov/web-mm/false-assumptions-result-missed-pneumothorax-after-bronchoscopy-transbronchial-biopsy
March 15, 2023 - SPOTLIGHT CASE
False Assumptions Result in a Missed Pneumothorax after Bronchoscopy with Transbronchial Biopsy.
Citation Text:
Kuhn BT, Chau-Etchepare F. False Assumptions Result in a Missed Pneumothorax after Bronchoscopy with Transbronchial Biopsy.. PSNet [internet]. Rockville (MD): Agency for …
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psnet.ahrq.gov/node/60363/psn-pdf
March 01, 2021 - costs avoid per patient.3
This was primarily driven by reduced rates of hospital admissions and fewer emergency … department
visits. … Pediatrics 142 (2): 1-9.
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psnet.ahrq.gov/node/74120/psn-pdf
November 30, 2021 - culture-clash-no-more-integration-and-coordination-disease-treatment-and-palliative-care
A 77-year-old man with no significant medical history initially presented to the Emergency … Department (ED)
for abdominal pain. … .2016.303238
https://innovation.cms.gov/files/x/vbid-hospice-rfa2021.pdf
https://www.nhpco.org/palliativecare/pediatrics
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psnet.ahrq.gov/node/866261/psn-pdf
July 10, 2024 - Missed Compartment Syndrome after Steep Lithotomy
Position for Laparoscopic Gynecological Surgery
July 10, 2024
Bohringer C, Chavez G. Missed Compartment Syndrome after Steep Lithotomy Position for Laparoscopic
Gynecological Surgery. PSNet [internet]. 2024.
https://psnet.ahrq.gov/web-mm/missed-compartment-syndrome…
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psnet.ahrq.gov/web-mm/risks-malpositioned-gastrostomy-tube-and-poor-communication
August 01, 2012 - SPOTLIGHT CASE
The Risks of a Malpositioned Gastrostomy Tube and Poor Communication
Citation Text:
Hight RA. The Risks of a Malpositioned Gastrostomy Tube and Poor Communication. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Servic…
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psnet.ahrq.gov/web-mm/dropping-new-lows
December 18, 2024 - SPOTLIGHT CASE
Dropping to New Lows
Citation Text:
Juang PC, Kulasa K. Dropping to New Lows. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016.
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psnet.ahrq.gov/perspective/building-safety-program-vast-health-care-network
March 01, 2019 - would try to consolidate the bariatric surgery, geriatric service, or obstetrics, or open a pediatric emergency … room or change the volume or type of patients.