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psnet.ahrq.gov/web-mm/forgotten-turn
August 01, 2018 - Rapid onset of purple discoloration in the sacral/buttocks area is also seen with skin failure at the … became clear the patient had not been moved in her bed since her time in the ED, which likely led to the rapid … Privacy Gone Awry
May 1, 2004
Letter
In response
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psnet.ahrq.gov/web-mm/sudden-collapse-during-upper-gastrointestinal-endoscopy-expect-unexpected
September 25, 2024 - nasal cannula, mask ventilation) may be required for ventilation and airway protection. 7 Of course, rapid … May 22, 2024
Safety checklists for emergency response driving and patient transport:
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psnet.ahrq.gov/web-mm/round-trip-service
April 26, 2023 - returning to the United States with local wound problems 2 weeks after surgery, the orthopedic surgeon's response
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psnet.ahrq.gov/web-mm/other-hand
December 12, 2012 - July 31, 2023
Patient Safety Innovations
Remote Response
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psnet.ahrq.gov/node/73455/psn-pdf
June 30, 2021 - sensation is described by patients in a variety of ways such
as a forceful or irregular heartbeat, a rapid … and self-limited arrhythmia, although in rare circumstances it can be
associated with an extremely rapid
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psnet.ahrq.gov/web-mm/transfusion-thresholds-gastrointestinal-bleeding
November 26, 2014 - in this case an ileostomy, may make it difficult to predict the location of bleeding because of more rapid … 2011
Patient Safety Innovations
Battle Buddies: rapid
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psnet.ahrq.gov/node/852808/psn-pdf
August 30, 2023 - Identifying DKA in pregnancy is challenging because the presentation is often vague, and
onset can be rapid
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psnet.ahrq.gov/web-mm/one-dose-two-errors
September 29, 2017 - software; personnel costs; and administrative, legal, and technical issues.( 5 ) This is an area of rapid
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psnet.ahrq.gov/web-mm/hyperglycemia-and-switching-subcutaneous-insulin
May 19, 2021 - to reduced awareness of how to treat diabetes without the technology guidance Patient acuity level / rapid
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psnet.ahrq.gov/web-mm/new-oral-anticoagulants
July 01, 2011 - alternatives to conventional oral anticoagulants and have the advantages of fixed-dose oral dosing, relatively rapid
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psnet.ahrq.gov/node/846770/psn-pdf
March 29, 2023 - Procedure Complications – Who is Responsible for
Follow up?
March 29, 2023
Chalupsky M, Wei H, Marquet E. Procedure Complications – Who is Responsible for Follow up? PSNet
[internet]. 2023.
https://psnet.ahrq.gov/web-mm/procedure-complications-who-responsible-follow
The Case
A 74-year-old man with newly diagnose…
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psnet.ahrq.gov/node/49561/psn-pdf
May 01, 2008 - screening 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.
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psnet.ahrq.gov/node/49724/psn-pdf
January 01, 2015 - Bowel Injury After Laparoscopic Surgery
January 1, 2015
Moorthy K. Bowel Injury After Laparoscopic Surgery. PSNet [internet]. 2015.
https://psnet.ahrq.gov/web-mm/bowel-injury-after-laparoscopic-surgery
The Case
A 30-year-old man presented to the hospital for a scheduled laparoscopic inguinal hernia repair with mes…
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psnet.ahrq.gov/web-mm/see-patient-first
September 27, 2023 - 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
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psnet.ahrq.gov/primer/alert-fatigue
March 15, 2025 - Alert Fatigue
Citation Text:
Alert Fatigue. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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Format:
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Download Ci…
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psnet.ahrq.gov/node/49653/psn-pdf
May 01, 2012 - drama in the first minutes following presentation by this patient with acute myocardial
infarction—rapid
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psnet.ahrq.gov/web-mm/thin-air
March 01, 2006 - transferred to intensive care and died the next day of overwhelming sepsis and systemic inflammatory response … Nonetheless, a typical response to such an event would be to blame clinicians for being ignorant, or
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psnet.ahrq.gov/node/49761/psn-pdf
May 01, 2016 - Pulmonary Nodules
Suspicious-appearing nodules (such as those with larger size, spiculated border, rapid … months.Consecutive CT
images through left lower lobe obtained at same anatomic level after 6 months show rapid
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psnet.ahrq.gov/node/49836/psn-pdf
July 01, 2018 - Gastrostomy Guidelines: A Rapid Review. … QUAH-AMS-Toolkit-List-of-Recommended-Antimicrobial-Restrictions-FEB-2017.pdf
https://www.saxinstitute.org.au/wp-content/uploads/Gastrostomy-guidelines-a-rapid-review.pdf
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psnet.ahrq.gov/perspective/patient-safety-and-health-information-technology-learning-our-mistakes
July 01, 2012 - The effect of physicians' electronic access to tests: a response to Farzad Mostashari.