-
psnet.ahrq.gov/node/49407/psn-pdf
July 01, 2003 - The poor response of the INR to this large dose of
vitamin K illustrates the relative ineffectiveness … Exaggerated initial response to warfarin following heart valve replacement.
-
psnet.ahrq.gov/node/49679/psn-pdf
March 01, 2013 - Caring for our own: deploying a systemwide second victim
rapid response team.
-
psnet.ahrq.gov/web-mm/missed-patient-assignment-anyone-there
September 01, 2017 - As a result, a rapid cycle improvement was conducted, and its recommendations were implemented on all … for identifying, tracking, and escalating (i.e., passing the message and the responsibility for its response
-
psnet.ahrq.gov/web-mm/delay-initiating-antibiotics-results-fatal-error
August 02, 2015 - The rapid growth of the hospitalist model—both within and outside academic hospitals—seems to indicate … residents completed an anonymous questionnaire describing their most significant mistake and their response
-
psnet.ahrq.gov/node/33745/psn-pdf
February 01, 2013 - Several hospitals have implemented
programs that allow patients or families to activate rapid response
-
psnet.ahrq.gov/cme
February 26, 2025 - July 31, 2024
Hemorrhagic Shock after Elective Spine Surgery: Failure to Rescue after Limited Response
-
psnet.ahrq.gov/web-mm/dont-bite-your-tongue
September 18, 2024 - Factors causing variation in World Health Organization surgical safety checklist effectiveness-a rapid … October 27, 2022
Intraoperative code blue: improving teamwork and code response
-
psnet.ahrq.gov/web-mm/walking-patient-missing-drain
April 01, 2006 - patient meets early mobility criteria, and ensure that the EVD or lumbar drain is clamped to prevent rapid … physical therapy treatment or mobilization, the nurse and physical therapist should discuss the patient's response
-
psnet.ahrq.gov/web-mm/cvc-removal-procedure-any-other
October 01, 2018 - volumes of air entering the circulatory system can be absorbed by the body and may be asymptomatic, rapid
-
psnet.ahrq.gov/web-mm/ventricular-wall-injury-during-diagnostic-cardiac-catheterization
September 01, 2012 - Contrast injection was performed, which resulted in ventricular perforation, leading to rapid accumulation … Fortunately, early recognition of the iatrogenic injury allowed for rapid assessment with a right heart
-
psnet.ahrq.gov/perspective/conversation-withtroyen-brennan-md-jd-mph
December 21, 2022 - When you break it right down, the malpractice crisis is just a rapid increase in the cost associated
-
psnet.ahrq.gov/web-mm/translating-normal-abnormal
October 02, 2019 - advanced statistical models, larger data resources, and more powerful hardware is contributing to their rapid
-
psnet.ahrq.gov/perspective/conversation-david-blumenthal-md-mpp
July 01, 2012 - The effect of physicians' electronic access to tests: a response to Farzad Mostashari. … July 10, 2024
Patient Safety Innovations
Remote Response
-
psnet.ahrq.gov/node/49567/psn-pdf
September 01, 2008 - In addition to RA, other forms of arthritis that have partial or greater response to
glucocorticoids … contraindication for use of
glucocorticoids, unless the principal manifestation of infection is the inflammatory response
-
psnet.ahrq.gov/node/49532/psn-pdf
March 15, 2007 - /#references
https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
compensatory response
-
psnet.ahrq.gov/node/49617/psn-pdf
January 01, 2011 - Failure to Reevaluate
December 1, 2010
Wong-Beringer A. Failure to Reevaluate. PSNet [internet]. 2010.
https://psnet.ahrq.gov/web-mm/failure-reevaluate
The Case
A 61-year-old woman receiving palliative chemotherapy for non–small-cell lung cancer at a community
hospital developed methicillin-resistant staphylococc…
-
psnet.ahrq.gov/node/33821/psn-pdf
December 01, 2016 - Errors and Near Misses: What Health Care Could Learn
From Aviation
December 1, 2016
Macrae C. Errors and Near Misses: What Health Care Could Learn From Aviation. PSNet [internet]. 2016.
https://psnet.ahrq.gov/perspective/errors-and-near-misses-what-health-care-could-learn-aviation
Perspective
Some of the most urg…
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.182_slideshow.ppt
September 01, 2008 - contraindication for use of glucocorticoids, unless the principal manifestation of infection is the inflammatory response
-
psnet.ahrq.gov/web-mm/haste-makes-care-unsafe
January 07, 2015 - by the involved personnel, thus invalidating pattern recognition that commonly triggers a corrective response … In response, clinicians should slow down their pace, becoming more deliberate than normal as they complete
-
psnet.ahrq.gov/node/72689/psn-pdf
January 29, 2021 - 90% or greater for each
of the following: 1) at the request of a nurse, 2) activation of a code or rapid … response, 3) a significant
change in clinical status, 4) a patient fall, and 5) a new instability in