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psnet.ahrq.gov/web-mm/transfer-troubles
December 29, 2014 - transferred with more complete information and that the transport is appropriate.( 12,15,18 ) With the rapid
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psnet.ahrq.gov/node/33732/psn-pdf
July 01, 2012 - In Conversation With… David Blumenthal, MD, MPP
July 1, 2012
In Conversation With… David Blumenthal, MD, MPP. PSNet [internet]. 2012.
https://psnet.ahrq.gov/perspective/conversation-david-blumenthal-md-mpp
Editor's note: David Blumenthal, MD, MPP, is Chief Health Information and Innovation Officer, Partners
Healt…
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psnet.ahrq.gov/node/49615/psn-pdf
December 01, 2010 - Rapid onset of purple discoloration in the sacral/buttocks area is
also seen with skin failure at the … clear the patient had not been moved in her bed since her time in
the ED, which likely led to the rapid
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psnet.ahrq.gov/node/49855/psn-pdf
March 01, 2019 - Which Line: Ordering Provider or Proceduralist?
March 1, 2019
Blackmore CC. Which Line: Ordering Provider or Proceduralist? PSNet [internet]. 2019.
https://psnet.ahrq.gov/web-mm/which-line-ordering-provider-or-proceduralist
Case Objectives
Review the role of mistake-proofing to block errors from leading to adverse…
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psnet.ahrq.gov/node/73642/psn-pdf
August 25, 2021 - nasal cannula, mask ventilation) may be required for ventilation and airway
protection.7 Of course, rapid
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psnet.ahrq.gov/web-mm/navigating-chaos-fatal-iatrogenic-liver-injury-patient-admitted-leg-fractures
November 27, 2019 - It consists of four windows capable of identifying actionable trauma that requires rapid intervention … Complications and Poor Follow-up
July 31, 2023
Streamlining care in crisis: rapid
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psnet.ahrq.gov/web-mm/missing-large-vessel-occlusion-stroke-patient-history-seizures
August 31, 2022 - cause for delay to perfusion imaging and mechanical thrombectomy, such as observing for a clinical response … inappropriately taken the place of stroke alert activation, thereby eliminating the opportunity for rapid
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psnet.ahrq.gov/sites/default/files/2022-05/final_cme_reviewed_-_spotlight_missing_a_large_vessel_occlusion_stroke_04.14.2022_-_copy.pdf
January 01, 2022 - cause for
delay to perfusion imaging and mechanical thrombectomy, such as observing
for a clinical response … inappropriately
taken the place of stroke alert activation, thereby eliminating the
opportunity for rapid
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psnet.ahrq.gov/web-mm/copy-and-paste-notes-and-autopopulated-text-electronic-health-record
May 26, 2021 - The new CMS guidelines for evaluation and management codes emphasize documenting the assessment or response
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psnet.ahrq.gov/innovation/us-department-veterans-affairs-medical-center-houston-tx-and-baylor-college-medicine
February 26, 2025 - Updates included changing the response scales from six to seven points so that there would be a neutral … July 31, 2023
Patient Safety Innovations
Remote Response
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psnet.ahrq.gov/perspective/conversation-matthew-weinger-md
August 01, 2018 - participants gives a drug, you can push a button representing that drug and it generates a simulated response … to be somebody experienced monitoring what is happening to both maintain realism of the simulator's response … the heliport, they identified 641 issues in equipment, code alarms, patient care flow, and emergency response … March 19, 2018
Simulation and the diagnostic process: a pilot study of trauma and rapid … response teams.
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psnet.ahrq.gov/node/850361/psn-pdf
June 14, 2023 - aggressively with intravenous (IV) antibiotics and possible pacemaker lead removal, the patient’s rapid
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psnet.ahrq.gov/node/836976/psn-pdf
April 27, 2022 - IV access, an intraosseous (IO) needle was quickly inserted
into the proximal tibia which allowed rapid … hemorrhagic shock have evolved
considerably over the last several years, the primary importance of rapid
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psnet.ahrq.gov/perspective/how-does-health-care-simulation-affect-patient-care
August 01, 2018 - the heliport, they identified 641 issues in equipment, code alarms, patient care flow, and emergency response … participants gives a drug, you can push a button representing that drug and it generates a simulated response … to be somebody experienced monitoring what is happening to both maintain realism of the simulator's response … May 1, 2019
Simulation and the diagnostic process: a pilot study of trauma and rapid … response teams.
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psnet.ahrq.gov/web-mm/tale-two-falls
March 27, 2024 - A Tale of Two Falls
Citation Text:
Jackson V, Satake A. A Tale of Two Falls. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged P…
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psnet.ahrq.gov/web-mm/poor-prognosis
March 15, 2016 - SPOTLIGHT CASE
Poor Prognosis
Citation Text:
Lamont EB. Poor Prognosis. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote ta…
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psnet.ahrq.gov/web-mm/unexpected-drawbacks-electronic-order-sets
December 01, 2017 - One of the ironies of the rapid adoption of EHR technology in the United States is that clinicians can
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psnet.ahrq.gov/web-mm/dilute-or-not-dilute-drug-errors-and-consequences-operating-room
July 28, 2021 - bypasses the multi-level safety checks otherwise implemented in the hospital setting. 3,4,5 In addition, rapid
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psnet.ahrq.gov/node/49804/psn-pdf
September 01, 2017 - this case an ileostomy, may make it difficult to predict the
location of bleeding because of more rapid
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psnet.ahrq.gov/node/49783/psn-pdf
February 01, 2017 - may gradually be losing the ability to read and think in depth about an issue,
causing us to jump to rapid