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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49575/psn-pdf
    November 01, 2008 - Sick and Pregnant November 1, 2008 El-Ibiary S. Sick and Pregnant. PSNet [internet]. 2008. https://psnet.ahrq.gov/web-mm/sick-and-pregnant The Case A 35-year-old woman with chronic asthma presented to the emergency department (ED) with difficulty breathing. The patient informed the staff that she was 17 weeks pre…
  2. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.161_slideshow.ppt
    October 01, 2007 - Spotlight Case [MONTH] 2003 Spotlight Case October 2007 Do Not Disturb! Source and Credits This presentation is based on the October 2007 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available online Commentary by: F. Daniel Duffy, MD, University of Oklahoma, and…
  3. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.134_slideshow.ppt
    September 01, 2006 - Spotlight Case September 2006 Spotlight Case September 2006 Triple Handoff Source and Credits This presentation is based on the September 2006 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available through the Web site Commentary by: Arpana Vidyarthi, MD, UCSF Sc…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50843/psn-pdf
    January 29, 2020 - Incomplete Orders for Hypertonic Saline to Treat Hyponatremia January 29, 2020 Wiegley N, Morfín JA. Incomplete Orders for Hypertonic Saline to Treat Hyponatremia. PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/incomplete-orders-hypertonic-saline-treat-hyponatremia The Case A 54-year-old man was brought t…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49427/psn-pdf
    January 01, 2004 - Inadvertent Castration January 1, 2004 Calland FJ. Inadvertent Castration. PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/inadvertent-castration The Case An 83-year-old man presented with a left groin mass, "which had been there for years" but had recently increased in size. The patient described persisten…
  6. psnet.ahrq.gov/innovation/echo-care-transitions-successfully-reduces-patient-readmissions-skilled-nursing
    October 30, 2024 - ECHO-Care Transitions Successfully Reduces Patient Readmissions from Skilled Nursing Facilities, Reduces Length of Stay Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL August 25, 2021 Innova…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49854/psn-pdf
    February 01, 2019 - Diagnostic Failure: The Growing Deficit February 1, 2019 Chang R, Flanders S. Diagnostic Failure: The Growing Deficit. PSNet [internet]. 2019. https://psnet.ahrq.gov/web-mm/diagnostic-failure-growing-deficit The Case A 65-year-old woman with a history of diabetes and hypertension was admitted to a hospital's telem…
  8. psnet.ahrq.gov/perspective/context-intervention
    August 05, 2020 - This is the central question of some social science safety research. … Self-serving biases in the attribution process: a re-examination of the fact for fiction question.
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33847/psn-pdf
    August 01, 2017 - RW: Back to the question before about transparency for patients versus creating a safe environment for … The question is always: Can that bad example person be trained to be at least good enough?
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33688/psn-pdf
    October 01, 2009 - I certainly asked the question of a lot of people, probably including you, is it better not to have … I think that is a legitimate question, but I don't think that equates to advocating for the hospital … But without question, waits are up, ambulance wait times are up.
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49459/psn-pdf
    September 01, 2004 - nominally unimportant (for example, because they are directed to someone other than the provider in question … seldom-traversed path in the web of activities associated with drug administration; calling the pharmacy to question
  12. psnet.ahrq.gov/perspective/safety-considerations-building-point-care-ultrasound-program
    June 01, 2018 - They are designed to answer a specific bedside question the practitioner has to help diagnose or manage … RH : That is a good question. … In the long run, there's no question in my mind that appropriately training and assessing practitioners … RH : Good question. … RH : This is a difficult question.
  13. psnet.ahrq.gov/web-mm/fumbled-handoff-inpatient-rehab
    December 21, 2018 - The patient in question had complex care needs due to traumatic brain injury leading to prolonged mechanical … Mismatch apparently occurred in this case, since the 18-year-old patient in question went to a pediatric
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49458/psn-pdf
    September 01, 2004 - survey of a random sample of 1,311 US internists suggest that the average internist addresses the question … The events described are surprising and raise an important question: why was the FNA done if its results
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49605/psn-pdf
    June 01, 2010 - preeclampsia during the visit 2 days prior to the acute event, perhaps because they were afraid to question … the patient at or near term, since delivery is indicated in either case, which may help resolve the question
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49754/psn-pdf
    February 01, 2016 - How best to use PICCs is an important clinical and safety question. … appreciation of the risks associated with these devices, but have not well addressed a key clinical question
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33748/psn-pdf
    April 01, 2013 - CL: It's obviously still an ongoing question. … Whether in fact that leads to real improvements or not is still an open question. … It all raises the question whether a single set of regulations for all trainees may not be the right
  18. psnet.ahrq.gov/web-mm/beeline-spine
    March 01, 2014 - A careful history that included an open-ended question such as "Do you have any other symptoms or concerns … for either of these physicians to have identified this cancer before surgery by asking an open-ended question … Sample Preoperative Screening Questionnaire and Correlation with Anesthesiologist's Evaluation Question
  19. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.110_slideshow.ppt
    December 01, 2005 - Teamwork Survey “Junior team members should not question the decisions made by senior team members”
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33626/psn-pdf
    January 01, 2006 - JB: That question—of "fixed" versus "formed" teams—comes up in both aviation and health care. … That's a teamwork question.

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