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psnet.ahrq.gov/web-mm/dropping-ball-despite-integrated-emr
January 07, 2015 - A lack of harm in no way indicates a presence of safety. It might, but it might not. … symptoms of underlying system design flaws.( 13,14 )
A lack of patient harm does not indicate the presence
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psnet.ahrq.gov/web-mm/suicidal-man-gun
May 01, 2005 - In this case, the resident and supervisor disagree on how to manage the continued presence of the patient … The presence and accessibility of firearms in the homes of adolescent suicides.
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psnet.ahrq.gov/web-mm/under-pressure-delayed-diagnosis-compartment-syndrome-after-lower-leg-fracture
November 25, 2020 - patient with a high-energy mechanism and higher-risk fracture type, they were falsely reassured by the presence … Moreover, the presence of pulses does not rule out CS. … It is customary to assess for the presence or absence of distal pulses when evaluating for CS, but CS
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psnet.ahrq.gov/curated-library/interdisciplinary-teamwork
September 15, 2025 - Investigators discovered that the presence of daily rounds was associated with lower mortality among … In addition, the survival benefits observed with intensivist staffing were in part explained by the presence
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psnet.ahrq.gov/perspective/response-getting-root-matter-june-2005
June 01, 2005 - such individuals often feel guilt over their role in the error and can be overly defensive; (2) their presence
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psnet.ahrq.gov/web-mm/fire-hole-or-fire
August 03, 2017 - of Surgeons ( 5 ), and the Food and Drug Administration.( 6 )
The Fire Triad
Fire requires the presence … However, the use of supplemental oxygen in the presence of an electrocautery is the predominant cause
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psnet.ahrq.gov/node/49545/psn-pdf
September 01, 2007 - 15 years and is now
approximately 0.08%.(3) The risk of death varies with age, as well as with the presence … procedure include recent unstable angina or non–Q-wave infarction, severe coronary artery
disease, and the presence
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psnet.ahrq.gov/node/33743/psn-pdf
December 01, 2012 - half the patients (1,2) will
experience acute changes in consciousness and cognition that reflect the presence … routine clinical care.(7,8) It is our belief that every ICU patient should be
screened daily for the presence
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psnet.ahrq.gov/node/49795/psn-pdf
June 01, 2017 - In the case under discussion, in the presence of a past medical history of atrial fibrillation (without … Despite the presence of new onset AKI and some increased risk
for CIAKI, a contrast-enhanced CT was
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psnet.ahrq.gov/web-mm/missed-pneumonia
June 01, 2005 - total cost of more than $10 billion.( 1 ) Guidelines dictate that the diagnosis of CAP requires the presence … Likelihood ratio* for pneumonia given the presence of findings or symptoms.( 15 ) Exam
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.206_slideshow.ppt
October 01, 2009 - The CMO patiently explained the risk of perioperative death associated with hypotension in the presence
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psnet.ahrq.gov/web-mm/perils-contrast-media
March 01, 2007 - In the case under discussion, in the presence of a past medical history of atrial fibrillation (without … Despite the presence of new onset AKI and some increased risk for CIAKI, a contrast-enhanced CT was essential
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psnet.ahrq.gov/node/49570/psn-pdf
October 01, 2008 - decisionsupport
support to the patient's primary care physician regarding the use of oral hypoglycemics in the presence … Even better, the presence of a true EHR would have markedly facilitated the transition of care from the
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psnet.ahrq.gov/node/49516/psn-pdf
August 01, 2006 - examination, similar to the common practice of examining a diabetic patient's feet
regardless of the presence … see if they can sort
out valvular heart disease or pick up all the physical signs that suggest the presence
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psnet.ahrq.gov/node/49732/psn-pdf
May 01, 2015 - thrombosis-fibrinolysis balance leading to end-organ damage.(3)
Currently, sepsis is defined by the presence … Regardless of patient location, in the presence of shock, the
CVP, MAP, and ScvO2 goals should be achieved
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psnet.ahrq.gov/node/49672/psn-pdf
January 01, 2013 - Case & Commentary—Part 3:
The patient had a 6-month follow-up CT scan in 2004 confirming the presence … recommendations from the Fleischner Society, which vary depending on the size of the nodule
and the presence
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psnet.ahrq.gov/web-mm/communication-error-closed-icu
July 01, 2016 - Attempts were made to cannulate the left femoral vein, but they were unsuccessful due to the presence … patients account for more than 30% of patients admitted to ICU.( 2 ) As a result, surgeons are a frequent presence
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psnet.ahrq.gov/web-mm/coming-undone-failure-closure-device
April 01, 2006 - 15 years and is now approximately 0.08%.( 3 ) The risk of death varies with age, as well as with the presence … procedure include recent unstable angina or non–Q-wave infarction, severe coronary artery disease, and the presence
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.227_slideshow.ppt
November 01, 2010 - effective management of TPADs:
Physicians and practices with high patient safety awareness in general
Presence
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psnet.ahrq.gov/node/49654/psn-pdf
June 01, 2012 - process, whether it is for critical or non-emergent patients: the efficiency of the transfer, the use or
presence … In addition, individual facilities and areas often have local protocols and policies,
though their presence