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psnet.ahrq.gov/node/49817/psn-pdf
January 01, 2018 - receiving a single, full day's dose of metoprolol as the immediate-release formulation (tartrate) rather … than
the intended extended-release formulation (succinate).
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psnet.ahrq.gov/web-mm/acute-care-admission-behavioral-health-patient
July 19, 2023 - antipsychotics, especially when done abruptly, is associated with higher rates of relapse to psychosis.( 10 ) Rather … than simply a recurrence of illness, this iatrogenic effect has been thought to be a "supersensitivity
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psnet.ahrq.gov/node/838972/psn-pdf
October 27, 2022 - Rather than admitting guilt or taking sole responsibility for the conflict, an apology can
convey a
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psnet.ahrq.gov/node/49763/psn-pdf
June 01, 2016 - This affects more than 100,000 house staff in the United States (3) and 32,000 in
Europe (4) and leads … intern in the ICU made significant errors, ones that did not seem to stem from inadequate
knowledge but rather
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psnet.ahrq.gov/web-mm/reconciling-records
September 01, 2017 - family had given incorrect data to the ED staff (including listing the patient as being on prednisolone rather … than prednisone), and the physicians caring for the patient had simply checked off the option to continue
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psnet.ahrq.gov/web-mm/diagnostic-delay-emergency-department
September 18, 2024 - Over this period, his heart rate increased to greater than 120 bpm and his blood pressure was 175/95 … common chief complaint and diagnosis in United States emergency departments (EDs), accounting for more than … Making a diagnosis often involves shades of gray, rather than black and white data points.
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psnet.ahrq.gov/node/60542/psn-pdf
May 27, 2020 - mEq/100 mL,
a ten-fold higher concentration than intended. … Rather,
the safety process often relied on a dietician to notify the team if the TPN had not been ordered … order sets should be standardized to include a uniform bag size of 250 mL for patients
who weigh less than … or equal to 10 kg and 500 mL for patients who weigh greater than 10 kg.
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psnet.ahrq.gov/web-mm/deciphering-code
November 16, 2022 - However, IT systems should be viewed as tools rather than solutions.
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psnet.ahrq.gov/web-mm/primary-workaround-secondary-complication
January 24, 2018 - In fact, studies of multiple industries show that workarounds are inevitable, which means that rather … than trying to ban them, it may be more valuable to develop preemptive strategies to promote their safe
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psnet.ahrq.gov/node/33820/psn-pdf
December 01, 2016 - While that sounds kind of squishy, I can tell you that,
after literally more than a million submissions … Rather, we often see
that leaders feel like it's necessary to throw somebody to the wolves to show that
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psnet.ahrq.gov/web-mm/medication-handling-and-compounding-errors-operating-room
May 16, 2022 - It was recognized soon after the surgery that the ICG had been prepared using 50% dextrose, rather than … harm and longer hospital stays but can be very expensive, with reports of costing the US economy more than … Rethinking surgical safety: more than just a checklist.
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psnet.ahrq.gov/node/33726/psn-pdf
March 01, 2012 - crown jewel of our democracy, but we've perverted the purposes and
created this as a first resort rather … than the last resort it's intended to be. … by the
number of cases that we have concluded our care was reasonable versus not; before 2001, more than … RB: Well, it's actually fascinating and I am more invigorated than ever over this.
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psnet.ahrq.gov/sites/default/files/2023-01/spotlight_overdose_of_gabapentin_and_oxycodone_in_a_patient_with_end-stage_renal_disease.pdf
January 01, 2023 - • Less than 10% of the parent compound is excreted unchanged in the urine,
and toxicity can occur … Relaxants) (2)
• Baclofen is often prescribed for spasticity and musculoskeletal pain,18 but
more than … • However, these data may not exist, may be out of date, may identify acute
kidney disease rather … than chronic disease, and may not identify all dialysis
patients—potentially leading to inappropriate
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psnet.ahrq.gov/sites/default/files/2025-01/spotlight_case_misdiagnosis_of_small_bowel_obstruction_-_slides_-_final.pptx
January 01, 2025 - The metabolic panel was normal except for borderline elevation of serum creatinine, higher than his baseline … “High-risk” abdominal pain is characterized by clinical features including age greater than 65 years, … while also improving resource utilization and decreasing costs to the health system. 23
In this case, rather … than discharging the patient with a questionable diagnosis and unresolved pain, the clinician could
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psnet.ahrq.gov/perspective/patient-safety-united-kingdom-evolution-and-progress
May 01, 2007 - , the history of quality and safety in the National Health Service (NHS) until recently has been a "rather … Rather, they concerned incompetent or poorly performing doctors, whose colleagues were covering up for … you expected and what has been harder than you expected? … In the UK, when you're trying to introduce change, you rather feel that you're in a goldfish bowl. … RW: What's been harder than you thought?
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psnet.ahrq.gov/perspective/conversation-withsir-liam-donaldson-md-msc
May 01, 2007 - Rather, they concerned incompetent or poorly performing doctors, whose colleagues were covering up for … you expected and what has been harder than you expected? … In the UK, when you're trying to introduce change, you rather feel that you're in a goldfish bowl. … RW: What's been harder than you thought? … , the history of quality and safety in the National Health Service (NHS) until recently has been a "rather
-
psnet.ahrq.gov/node/72586/psn-pdf
December 23, 2020 - Identify factors than can make someone a vulnerable patient in the context of healthcare;
discuss possible … Elucidating and documenting specific patient goals like going home to enjoy loud music rather than relying … ://psnet.ahrq.gov//#19
https://psnet.ahrq.gov//#20
https://psnet.ahrq.gov//#21
energy on the EHR, than … care needs for
that diagnosis.22 The ability of a hospital to get the patient discharged in less time than … Now more than ever, as the demands on healthcare workers reach new peaks and continue to change
day-to-day
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psnet.ahrq.gov/node/49587/psn-pdf
May 01, 2009 - Rather
acutely, the patient became pulseless, and CPR was initiated as the patient's cardiac rhythm … More than 1 million physicians worldwide have taken an ATLS course. … wounds are lower, and for the rare patient with blunt trauma–induced cardiac rupture,
even lower (less than … the epidemiology, prevention, and amelioration of trauma: the
transition to approaches etiologically rather … than descriptively based. 1968.
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psnet.ahrq.gov/node/49734/psn-pdf
May 01, 2015 - Upon arrival in the emergency
department (ED), his pH was less than 6.8, carbon dioxide 37 mm Hg, oxygen … so, his matrix helped us realize that
seatbelts and airbags are, in aggregate, far more beneficial than … those expressed by end-users (the
proceduralists themselves) in qualitative studies and provide us a rather … the epidemiology, prevention, and amelioration of trauma: the
transition to approaches etiologically rather … than descriptively based. 1968.
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psnet.ahrq.gov/web-mm/electronic-err
April 01, 2014 - The nurse informed him that the patient had developed a junctional rhythm with a heart rate less than … been given 100 mg of metoprolol XL and 180 mg of diltiazem CR by the hospital admitting physician, rather … than the 50 mg of metoprolol XL and no diltiazem intended by her outpatient cardiologist. … flag to medication and problem lists indicating that the patient has been seen in clinic more recently than … of clinical information, it is important not to abandon the safety practices used in the past, but rather