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psnet.ahrq.gov/web-mm/fluidity-diagnostic-wet-reads
April 24, 2018 - 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/web-mm/caution-interrupted
October 01, 2016 - and productive performance in high-risk environments depend strongly on continuous communication and rapid
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psnet.ahrq.gov/web-mm/fire-hole-or-fire
August 03, 2017 - Fire in the Hole!—An OR Fire
Citation Text:
Mehta SP, Domino KM. Fire in the Hole!—An OR Fire. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015.
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psnet.ahrq.gov/node/49687/psn-pdf
August 21, 2013 - As in this case, patients are frequently quite ill on presentation to the hospital, which
makes rapid
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psnet.ahrq.gov/web-mm/shortcuts-acetaminophen-induced-liver-failure
July 01, 2017 - 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/861760/psn-pdf
January 31, 2024 - Syringe Swap During Regional Block: A Case of
Medication Error and Recovery
January 31, 2024
Beres K, Gutierrez MC. Syringe Swap During Regional Block: A Case of Medication Error and Recovery.
PSNet [internet]. 2024.
https://psnet.ahrq.gov/web-mm/syringe-swap-during-regional-block-case-medication-error-and-recover…
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psnet.ahrq.gov/node/33783/psn-pdf
April 01, 2015 - In Conversation With… Lucian Leape, MD
April 1, 2015
In Conversation With… Lucian Leape, MD. PSNet [internet]. 2015.
https://psnet.ahrq.gov/perspective/conversation-lucian-leape-md
Editor's note: Dr. Lucian Leape is Adjunct Professor of Health Policy at the Harvard School of Public
Health, Chairman of the Lucian …
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psnet.ahrq.gov/perspective/conversation-withmark-chassin-md-mpp-mph
April 01, 2009 - We have been pushing outside the routine accreditation and certification processes for the more rapid … safety goals that exceed accreditation requirements, and many hospitals have voluntarily implemented rapid … response teams and other optional enhancements to care.( 6 )
In other words, accreditation and regulation
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psnet.ahrq.gov/node/33683/psn-pdf
April 01, 2009 - safety goals that exceed accreditation requirements, and
many hospitals have voluntarily implemented rapid … response teams and other optional enhancements to
care.(6)
In other words, accreditation and regulation
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psnet.ahrq.gov/perspective/can-research-help-us-improve-medical-liability-system
March 01, 2012 - medical mistakes and risk management, one emphasizing an honest approach to errors, early apology, and rapid … That's part of the fight or flight response.
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psnet.ahrq.gov/web-mm/autopsy-revelation
December 01, 2007 - June 22, 2022
Expanding the scope of Critical Care Rapid Response Teams: a feasible approach
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psnet.ahrq.gov/toolkits
March 01, 2025 - 13)
Clinical Pharmacist Involvement
(1)
Specialized Teams
(11)
Rapid … Response Team
(2)
Unit Based Safety Teams
(9)
Volume-Based Referral
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psnet.ahrq.gov/perspective/assessing-safety-electronic-health-records-what-have-we-learned
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/wrong-patients-blood-evaluating-near-miss-wrong-transfusion-event
July 01, 2017 - the blood is labeled appropriately, it is transfused to someone other than the correct recipient. 15 Response … and requires removing the cause. 12 Per FDA, AABB and the College of American Pathologists (CAP), the response … The appropriate response to a near-miss high-risk transfusion event includes: (1) report the event to
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psnet.ahrq.gov/node/49593/psn-pdf
October 01, 2009 - Who Nose Where the Airway Is?
October 1, 2009
Lee CR. Who Nose Where the Airway Is? PSNet [internet]. 2009.
https://psnet.ahrq.gov/web-mm/who-nose-where-airway
The Case
A 70-year-old man with peripheral vascular disease was brought to the operating room to undergo vascular
bypass surgery on his right upper extrem…
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psnet.ahrq.gov/node/33886/psn-pdf
August 01, 2019 - Medical Scribes and Patient Safety
August 1, 2019
Woodcock D, Bergstrom R. Medical Scribes and Patient Safety. PSNet [internet]. 2019.
https://psnet.ahrq.gov/perspective/medical-scribes-and-patient-safety
Perspective
Scribes have supported physicians for thousands of years.(1) However, little is known about how to…
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psnet.ahrq.gov/web-mm/vial-mistakes-involving-heparin
May 11, 2014 - Vial Mistakes Involving Heparin
Citation Text:
Vanderveen T. Vial Mistakes Involving Heparin. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009.
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psnet.ahrq.gov/web-mm/correct-treatment-plan-incorrect-diagnosis-pharmacist-intervention
May 01, 2011 - Following her discharge, the results of a full infectious disease panel returned showing a nonreactive rapid
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psnet.ahrq.gov/node/837958/psn-pdf
December 01, 2021 - ED crowding has led to a dose-response increase in all-cause 30-day
mortality and one preventable death … are “held hostage” at hospitals waiting for the transition of their patients’
care to the ED.26 EMS response … patients are often unable to provide their own important medical
history and ED providers have to make rapid
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psnet.ahrq.gov/node/49684/psn-pdf
May 01, 2013 - prescribing; drug preparation; assessing treatment compliance;
administration and monitoring; and response … prescribing
4) Drug preparation
5) Assessing treatment compliance
6) Administration and monitoring
7) Response