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psnet.ahrq.gov/node/49813/psn-pdf
January 01, 2018 - https://psnet.ahrq.gov/web-mm/dying-hospital-advanced-dementia
Case Objectives
Recognize the importance
-
psnet.ahrq.gov/perspective/conversation-rebecca-lawton-phd
March 24, 2025 - For example, can patients recognize their own deterioration, and can that become part of the early warning
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psnet.ahrq.gov/web-mm/consequences-medical-overuse
May 05, 2021 - (Again, we recognize that the history may have been limited by the dementia, but one would still expect
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psnet.ahrq.gov/web-mm/spotlight-overdiagnosis-and-delay-challenges-sepsis-diagnosis
October 28, 2020 - Recognize the strengths and limitations of different sepsis criteria and clinical decision support tools
-
psnet.ahrq.gov/node/49431/psn-pdf
January 01, 2004 - This is a
cognitive error, which may be knowledge-based (if staff were never trained to recognize abnormalities
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.45_slideshow.ppt
January 01, 2004 - synthesis
Verification
Errors in Clinical Decision-Making
Data gathering
Staff not trained to recognize
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psnet.ahrq.gov/web-mm/when-patients-and-providers-speak-different-languages
December 08, 2021 - Recognize the risk of communication and clinical errors and how that risk can be mitigated by working
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psnet.ahrq.gov/web-mm/crushing-chest-pain-missed-opportunity
February 01, 2007 - This is a cognitive error, which may be knowledge-based (if staff were never trained to recognize abnormalities
-
psnet.ahrq.gov/perspective/conversation-david-m-gaba-md
March 01, 2013 - to chip away at the evidence base and develop it as far as we can, but at the same time, we have to recognize
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psnet.ahrq.gov/perspective/conversation-susan-haas-md-msc
March 01, 2019 - focused on systems thinking, change management, and human factors, is crucial.( 12 ) It is imperative to recognize
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psnet.ahrq.gov/perspective/conversation-withjack-barker-phd
January 01, 2006 - The barriers to effective communication are very important to recognize and then break down.
-
psnet.ahrq.gov/perspective/conversation-katie-j-suda-pharmd-ms
December 07, 2020 - I recognize that there are currently many barriers and very few resources to assist outpatient providers
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psnet.ahrq.gov/perspective/conversation-cindy-brach
December 27, 2019 - But it is important to recognize that cultural competence is a separate competence from addressing language
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psnet.ahrq.gov/sites/default/files/2020-10/final_slides_oct_2020_spotlight_case_inpt_stroke_mngt_in_adolescent_with_type1_diabetes.pdf
January 01, 2020 - Spotlight
Spotlight
Inpatient Stroke Management in a Patient
with Type 1 Diabetes and Home Insulin
Pump
Source and Credits
• This presentation is based on the October 2020 AHRQ WebM&M
Spotlight Case
o See the full article at https://psnet.ahrq.gov/webmm
o CME credit is available
o Commentary by: Berit B…
-
psnet.ahrq.gov/node/49532/psn-pdf
March 15, 2007 - Back to Basics
March 1, 2007
Hellman R. Back to Basics. PSNet [internet]. 2007.
https://psnet.ahrq.gov/web-mm/back-basics
The Case
A 48-year-old woman with insulin-dependent diabetes mellitus presents to the emergency department with
right upper quadrant pain, fever, and leukocytosis, prompting admission for pres…
-
psnet.ahrq.gov/node/33874/psn-pdf
February 01, 2019 - Building Systems Citizenship in Health Professions
Education: The Continued Call for Health Systems
Science Curricula
February 1, 2019
Gonzalo JD, Singh MK. Building Systems Citizenship in Health Professions Education: The Continued Call
for Health Systems Science Curricula. PSNet [internet]. 2019.
https://psnet.…
-
psnet.ahrq.gov/node/49821/psn-pdf
February 01, 2018 - Right Place, Right Drug, Wrong Strength
February 1, 2018
Jelincic V, Greenall J. Right Place, Right Drug, Wrong Strength. PSNet [internet]. 2018.
https://psnet.ahrq.gov/web-mm/right-place-right-drug-wrong-strength
The Case
A 2-year-old girl was admitted to a hospital burn unit for a 10% total body surface area bur…
-
psnet.ahrq.gov/node/49628/psn-pdf
June 01, 2011 - Routine Goes Awry
June 1, 2011
Huoh KC, Rosbe KW. Routine Goes Awry. PSNet [internet]. 2011.
https://psnet.ahrq.gov/web-mm/routine-goes-awry
The Case
A 6-year-old girl with a history of asthma and chronic adenotonsillitis was referred to a surgeon and
scheduled for a tonsillectomy and adenoidectomy. She was in ot…
-
psnet.ahrq.gov/node/49742/psn-pdf
September 01, 2015 - A Fumbled Handoff to Inpatient Rehab
September 1, 2015
Ashcraft LE, Kahn JM. A Fumbled Handoff to Inpatient Rehab. PSNet [internet]. 2015.
https://psnet.ahrq.gov/web-mm/fumbled-handoff-inpatient-rehab
The Case
An 18-year-old man with no significant past medical history sustained a traumatic brain injury after a mo…
-
psnet.ahrq.gov/node/49805/psn-pdf
September 01, 2017 - The Forgotten Radiographic Read
September 1, 2017
Coil CJ, Witt MD. The Forgotten Radiographic Read. PSNet [internet]. 2017.
https://psnet.ahrq.gov/web-mm/forgotten-radiographic-read
The Case
A 60-year-old woman with peripheral artery disease and chronic mesenteric ischemia was admitted for
management of inferior…