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psnet.ahrq.gov/node/33725/psn-pdf
February 01, 2012 - Balancing Supervision and Autonomy: An Ongoing
Tension
February 1, 2012
Dine JC, Myers JS. Balancing Supervision and Autonomy: An Ongoing Tension. PSNet [internet]. 2012.
https://psnet.ahrq.gov/perspective/balancing-supervision-and-autonomy-ongoing-tension
Perspective
Graduate Medical Education (GME) has changed …
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psnet.ahrq.gov/primer/surgical-site-infections
December 15, 2024 - Surgical Site Infections
Citation Text:
Surgical Site Infections. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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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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psnet.ahrq.gov/node/33690/psn-pdf
December 01, 2009 - Therefore, whenever an "event" is
reported, we recognize that there may be two sides to the story. … They recognize the tiered
intervention process. … All of us need to recognize that disclosure is neither an
event nor a moment in time but a process.
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psnet.ahrq.gov/node/49484/psn-pdf
June 01, 2005 - did not automatically cancel the other, free-form
orders, a processing issue the intern failed to recognize … Although an expert physician may instantly recognize the danger of ordering this drug
combination, the
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.212_slideshow.ppt
February 01, 2010 - Teen Pregnancy (2)
Teenagers are less likely to recognize or acknowledge pregnancy
In one hospital, … about local resources related to adolescent sexual health
Adolescents are less likely than adults to recognize
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psnet.ahrq.gov/node/49427/psn-pdf
January 01, 2004 - critical
issues before plowing forward with a planned procedure or therapy—lead clinicians to fail to recognize … Combating cognitive errors and supporting situation awareness
requires procedures and systems that recognize
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psnet.ahrq.gov/node/49734/psn-pdf
May 01, 2015 - The proceduralist opened a second kit, making it more difficult to assess for and recognize
missing … A second team member—and this need not be a physician—might have
helped recognize the implication of
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psnet.ahrq.gov/web-mm/xl-or-smaller
September 13, 2017 - The pediatric intern had minimal experience dealing with hypertensive medications, and did not recognize … other checkpoints along the way (ie, the dispensing and administration of the drug) failed either to recognize
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psnet.ahrq.gov/node/49797/psn-pdf
June 01, 2017 - To overcome it,
providers must:
Recognize that it exists and can adversely impact their ability to … accurate history when caring for frequent ED users and those
with behavioral health diagnoses and to recognize
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psnet.ahrq.gov/node/853774/psn-pdf
September 27, 2023 - It is imperative
that physicians and nurses recognize these differences across age groups and adapt
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psnet.ahrq.gov/web-mm/postpartum-woman-erroneous-sars-cov-2-test
December 23, 2020 - It is also important for clinicians to recognize that antigen testing has even more significant limitations
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psnet.ahrq.gov/node/72517/psn-pdf
November 25, 2020 - Lack of Sepsis Recognition Leads to Delay in Care
Following Cesarean Delivery.
November 25, 2020
Leiserowitz GS, Hedriana H. Lack of Sepsis Recognition Leads to Delay in Care Following Cesarean
Delivery. PSNet [internet]. 2020.
https://psnet.ahrq.gov/web-mm/lack-sepsis-recognition-leads-delay-care-following-cesare…
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psnet.ahrq.gov/web-mm/lack-sepsis-recognition-leads-delay-care-following-cesarean-delivery
November 30, 2021 - Lack of Sepsis Recognition Leads to Delay in Care Following Cesarean Delivery.
Citation Text:
Leiserowitz GS, Hedriana H. Lack of Sepsis Recognition Leads to Delay in Care Following Cesarean Delivery.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and …
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psnet.ahrq.gov/web-mm/robotic-surgery-risks-vs-rewards
October 31, 2023 - SPOTLIGHT CASE
Robotic Surgery: Risks vs. Rewards
Citation Text:
Kirkpatrick T, LaGrange C. Robotic Surgery: Risks vs. Rewards. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016.
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psnet.ahrq.gov/web-mm/syringe-swap-during-regional-block-case-medication-error-and-recovery
July 22, 2020 - Syringe Swap During Regional Block: A Case of Medication Error and Recovery
Citation Text:
Beres K, Gutierrez MC. Syringe Swap During Regional Block: A Case of Medication Error and Recovery.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Serv…
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psnet.ahrq.gov/web-mm/fecal-contamination-peritoneum-laparoscopic-trocar-injury-routine-operation-goes-wrong
March 03, 2021 - SPOTLIGHT CASE
Fecal Contamination of the Peritoneum from Laparoscopic Trocar Injury: A Routine Operation Goes Wrong.
Citation Text:
Ahmed SM, Ali M. Fecal Contamination of the Peritoneum from Laparoscopic Trocar Injury: A Routine Operation Goes Wrong.. PSNet [internet]. Rockville (MD): Agency fo…
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psnet.ahrq.gov/web-mm/ultrasound-looked-fine-point-care-ultrasound-and-patient-safety
December 01, 2012 - As with other diagnostic tests (e.g., radiographs, electrocardiograms, etc.), providers need to recognize
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psnet.ahrq.gov/node/49831/psn-pdf
June 01, 2018 - https://psnet.ahrq.gov/web-mm/chest-pain-rural-hospital
Case Objectives
Recognize that a significant
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