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psnet.ahrq.gov/node/49459/psn-pdf
September 01, 2004 - and productive performance in high-risk environments depend strongly on continuous
communication and rapid
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psnet.ahrq.gov/web-mm/diuretics-and-electrolyte-abnormalities
February 15, 2017 - other new symptoms suggesting heart failure exacerbation, such as increasing dyspnea, orthopnea, or rapid
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psnet.ahrq.gov/web-mm/saved-ecmo
May 05, 2017 - This preparation would have allowed for rapid initiation of ECMO once the patient became unstable. … A plan should be in place for rapid initiation of mechanical support in the event of circulatory collapse
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psnet.ahrq.gov/web-mm/failure-reevaluate
February 01, 2014 - Failure to Reevaluate
Citation Text:
Wong-Beringer A. Failure to Reevaluate. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged P…
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psnet.ahrq.gov/node/49731/psn-pdf
April 01, 2015 - Fire in the Hole!—An OR Fire
April 1, 2015
Mehta SP, Domino KM. Fire in the Hole!—An OR Fire. PSNet [internet]. 2015.
https://psnet.ahrq.gov/web-mm/fire-hole-or-fire
The Case
A patient was taken to the operating room (OR) to undergo a planned laparoscopic subtotal colon resection
for a biopsy-proven adenocarcinom…
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psnet.ahrq.gov/node/33624/psn-pdf
December 01, 2005 - When you break it right
down, the malpractice crisis is just a rapid increase in the cost associated
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psnet.ahrq.gov/node/49823/psn-pdf
March 01, 2018 - pregnancy-related metabolic demands and limited physiologic reserve results in increased
risk for sudden, rapid … Use of checklists may prevent cognitive errors and lead to more rapid evaluation and treatment.
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psnet.ahrq.gov/node/49697/psn-pdf
December 01, 2013 - ventilation and the airway was secured with endotracheal
tube (after propofol, fentanyl, and rocuronium rapid
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psnet.ahrq.gov/node/49422/psn-pdf
November 01, 2003 - earlier INR) was written later in the day and interpreted by the evening shift
nurse as the physician’s response … While rapid provision of drug therapy is sometimes critical, the important safety step of pharmacist
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psnet.ahrq.gov/node/49586/psn-pdf
May 01, 2009 - Vial Mistakes Involving Heparin
May 1, 2009
Vanderveen T. Vial Mistakes Involving Heparin. PSNet [internet]. 2009.
https://psnet.ahrq.gov/web-mm/vial-mistakes-involving-heparin
The Case
A 65-year-old man was admitted to the hospital for an elective left carotid endarterectomy. During the
procedure, the surgeon re…
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psnet.ahrq.gov/node/49424/psn-pdf
November 01, 2003 - Waiting Too Long
November 1, 2003
Rosen MA. Waiting Too Long. PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/waiting-too-long
The Case
A 31-year-old gravida 1, para 1 woman presented at 40 weeks in the early stages of labor having received
limited prenatal care at an outside clinic. Physical exam performed…
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psnet.ahrq.gov/node/49788/psn-pdf
March 01, 2017 - Following her discharge, the results of a full infectious disease panel returned
showing a nonreactive rapid
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psnet.ahrq.gov/innovation/lifepoint-national-quality-program-provides-structured-framework-reducing-inpatient-harm
February 26, 2025 - The LifePoint National Quality Program Provides Structured Framework for Reducing Inpatient Harm
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January 5, 2021
Innovation
Contact
…
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psnet.ahrq.gov/sites/default/files/2022-08/final_spotlight_latex_allergies-slides.pdf
January 01, 2022 - • The patient was stable after rapid sequence intubation and
maintenance of anesthesia with methohexital … Chlorhexidine
• In the 1990’s, latex became the leading cause of perioperative allergic reactions
• In response
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psnet.ahrq.gov/node/852699/psn-pdf
August 30, 2023 - normal operations of healthcare organizations, it triggered
innovations and the implementation of rapid-cycle … like the recommendations presented in the
National Action Plan helps avoid a piecemeal and reactive response
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psnet.ahrq.gov/web-mm/mistaken-identity
December 18, 2014 - December 18, 2014
Caring for our own: deploying a systemwide second victim rapid response
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psnet.ahrq.gov/web-mm/40-k
January 12, 2011 - earlier INR) was written later in the day and interpreted by the evening shift nurse as the physician’s response … While rapid provision of drug therapy is sometimes critical, the important safety step of pharmacist
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psnet.ahrq.gov/web-mm/after-visit-confusion
August 21, 2007 - Copy and Paste
August 21, 2007
Perspective
Rapid … Response Teams: Lessons from the Early Experience
November 1, 2005
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psnet.ahrq.gov/perspective/conversation-andrew-gettinger-md
September 01, 2017 - We used both quantitative and qualitative methods, including multiple rapid assessment techniques such … Rapid assessment of clinical information systems in the healthcare setting: an efficient method for time-pressed
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psnet.ahrq.gov/web-mm/unexplained-apnea-under-anesthesia
December 01, 2005 - did the pharmaceutical industry realize the importance of packaging medications to easily facilitate rapid … When to Suspect Wrong Drug Administration in the Operating Room Unusual response or lack of response