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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…
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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…
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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…
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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…
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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…
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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
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August 25, 2021
Innova…
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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…
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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.
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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?
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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.
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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
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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.
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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
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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
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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
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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
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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
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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
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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”
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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.