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psnet.ahrq.gov/issue/thank-you-listening-exploratory-study-regarding-lived-experience-and-perception-medical
January 29, 2020 - November 17, 2021
Closing the loop on test results to reduce communication failures: a rapid
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psnet.ahrq.gov/issue/key-factors-effective-implementation-healthcare-workers-support-interventions-after-patient
September 27, 2023 - July 24, 2024
Rapid expansion of the Healing Emotional Lives of Peers program during
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psnet.ahrq.gov/issue/instruments-measuring-patient-safety-competencies-nursing-scoping-review
November 09, 2022 - Epidemiology of and risk factors for coronavirus infection in health care workers: a living rapid
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psnet.ahrq.gov/perspective/safety-radiology
October 01, 2013 - "( 3,4 )
The radiology procedure that has seen the most rapid growth, and raised the most concerns, … RSB : I would say that the response from my community has been mixed.
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psnet.ahrq.gov/web-mm/dont-push
March 02, 2011 - The limited mental status data provided in the case summary made the need for rapid and deep sedation … In my opinion, IV haloperidol push treatment ( 1,2,11-14 ) to achieve rapid sedation of agitated psychotic … The rapid improvement suggests that the psychotic symptoms were not related to underlying schizophrenia … ziprasidone (or offer IM ziprasidone), depending on the clinical status of the patient and need for rapid … Rapid tranquilization of the agitated intensive care unit patients.
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psnet.ahrq.gov/node/852700/psn-pdf
August 30, 2023 - One trend that I hope we’ll sustain is the shift to rapid communities of learning across local, regional … expend lots of time and resources doing event investigations to identify what went wrong, and we
create response … One of our first actions was to initiate virtual sessions and communities to support rapid, global learning … Hartford Foundation, we set up a rapid response network specific to nursing
homes to offer brief calls
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psnet.ahrq.gov/node/33812/psn-pdf
August 01, 2016 - But it's also true that the rapid
transmission of information makes the working methods spread quickly … BPP: I'm sure the progress will be rapid in the coming years.
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psnet.ahrq.gov/perspective/operationalizing-patient-safety-academic-medical-centers
August 01, 2010 - Another factor responsible for the rapid uptake at Penn is that in Pennsylvania we had a burning platform—these … In that context, we've been able to make rapid improvements. … By the same token, engaging people in rapid process improvement and being able to share with them the … June 30, 2021
Perspective
Long-Term Care and the Response
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psnet.ahrq.gov/node/73549/psn-pdf
July 28, 2021 - concentration levels of local anesthetic due to direct injection into a blood vessel or,
more commonly, due to rapid … Intercostal,
caudal, epidural, and penile blocks tend to have relatively rapid absorption whereas peripheral … The rapid infusion of 100 milliliters of 20% intralipid (or 1.5
ml/kg if less than 70 kg) is required … that these important discussions did not
take place in this case, although the anesthesiologist’s rapid
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psnet.ahrq.gov/web-mm/delayed-diagnosis-setting-virtual-care-remembering-physical-examination
April 29, 2020 - The next day, her husband called her primary care office because she was feeling worse with rapid breathing … Fournier’s Gangrene is typically attributed to a necrotizing infection with a rapid and fulminant rate … Therefore, the rapid breathing, diarrhea, and sweating experienced by the patient in this case on the … Right
February 1, 2007
WebM&M Cases
A "Weak" Response
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psnet.ahrq.gov/web-mm/reaction-dye
March 01, 2007 - being (since the thyroid gland requires iodine to function), is too small to elicit an antigen-antibody response … If there is no response to repeated inhalers or if there is symptomatic laryngeal edema, consider treatment … The patient with hypotension should have his or her legs elevated and receive rapid fluid resuscitation
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psnet.ahrq.gov/web-mm/missed-candor-implementation-opportunities
November 11, 2020 - thoracic aortic aneurysm presented to the Emergency Department (ED) after a syncopal event and fall, with rapid … ventricular response. … Activate the system including the team leads trained in response and disclosure. … Additionally, following the third component of the CANDOR Process—Response and Disclosure—a letter … The lessons learned and improvements made in response to the adverse event should also be explained,
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psnet.ahrq.gov/issue/application-emergency-preparedness-principles-pharmacy-departments-approach-black-swan-event
July 22, 2020 - Commentary
Application of emergency preparedness principles to a pharmacy department’s approach to a “black swan” event: the COVID-19 pandemic.
Citation Text:
Waldron KM, Schenkat DH, Rao KV, et al. Application of emergency preparedness principles to a pharmacy department’s approach to a…
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psnet.ahrq.gov/web-mm/forgotten-med
July 01, 2006 - The physician immediately ordered intravenous dextrose followed by an infusion, which led to a rapid … in any patient receiving hypoglycemic agents (either insulin or oral agents) is a simple and common response
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psnet.ahrq.gov/issue/canadian-anesthesia-incident-reporting-system
December 04, 2019 - Factors causing variation in World Health Organization surgical safety checklist effectiveness-a rapid
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psnet.ahrq.gov/issue/studies-medical-errors-warrant-second-opinion
December 13, 2006 - Newspaper/Magazine Article
Studies on medical errors warrant a second opinion.
Citation Text:
Studies on medical errors warrant a second opinion. Bialik C. Wall Street Journal. June 2006.
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psnet.ahrq.gov/web-mm/antiseizure-medication-disorder
April 01, 2006 - Most antiseizure medications are begun at low doses and gradually titrated upward based on clinical response … because of the surprisingly poor correlation between serum concentrations of these agents and clinical response … For patients who need rapid protection from seizures, loading doses of select medications can be used … small dosage changes can result in disproportionate changes in phenytoin blood levels and pharmacologic response … Withholding further dose escalations in patients with a partial response and good medication tolerability
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psnet.ahrq.gov/web-mm/diagnosing-hiv-it-doesnt-take-brain-surgeon
January 01, 2018 - program, patients must be informed of test results and linked to appropriate follow-up care.( 35 ) Rapid … However, positive rapid test results still require confirmatory testing, an issue of particular importance … Protocols for confirmation of reactive rapid HIV tests. Morb Mortal Wkly Rep. 2004;53:221-222. … Epidemiology of and risk factors for coronavirus infection in health care workers: a living rapid … August 1, 2006
WebM&M Cases
A "Weak" Response
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psnet.ahrq.gov/node/33694/psn-pdf
April 01, 2010 - But we also realize that the whole area of measurement and public reporting is
moving at a very rapid … RW: Did that response surprise you?
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psnet.ahrq.gov/node/33595/psn-pdf
December 15, 2024 - deprivation has long been known to impair various cognitive functions, including mood,
motivation, response