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psnet.ahrq.gov/web-mm/uterine-artery-injury-during-cesarean-delivery-leads-cardiac-arrests-and-emergency
September 30, 2020 - Actively recognize MEWS - Maternal Early Warning Signs for obstetric hemorrhage. … Recognize the importance of standardized protocols and built-in alerts to help to address staggering … As health care providers, we must recognize our potential for implicit bias and acknowledge that patients
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psnet.ahrq.gov/node/837660/psn-pdf
July 08, 2022 - Recognize persistent neuromuscular blockade prior to extubation
In retrospect, the persistent weakness … relayed to either the pulmonologist or the anesthesiologist because the junior staff member did not
recognize … If the patient does not recognize the significance of the event, it is unlikely
that the problem will
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psnet.ahrq.gov/web-mm/triaging-interhospital-transfers
April 12, 2023 - Case Objectives
Recognize that transfer of patients between acute care hospitals is common. … Recognize that further research is needed to establish best practice guidelines with regard to the interhospital … The ambulance transport team was not trained to provide critical care and did not recognize that the
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psnet.ahrq.gov/node/45214/psn-pdf
July 13, 2016 - Recognizing quality improvement and patient safety
activities in academic promotion in departments of
medicine: innovative language in promotion criteria.
July 13, 2016
Staiger TO, Mills LM, Wong BM, et al. Recognizing Quality Improvement and Patient Safety Activities in
Academic Promotion in Departments of Medici…
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psnet.ahrq.gov/web-mm/looking-meds-all-wrong-places
June 16, 2021 - The nurse did not recognize that it was unusual to use 32 vials of phenytoin to obtain the required dose … Clinicians can train themselves to recognize warnings associated with medication errors.
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psnet.ahrq.gov/sites/default/files/2020-11/final_nov_spotlight_case_premature_closing-snycope_11.20.2020-revised.pdf
January 01, 2020 - Physician did not recognize the ECG abnormalities as consistent
with intracranial hemorrhage
3. … studies used to evaluate chest pain
with the possibility of myocardial ischemia
• ED physicians need to recognize
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psnet.ahrq.gov/node/49667/psn-pdf
October 01, 2012 - The nurse did not recognize that it was unusual to use 32 vials of phenytoin to obtain the required dose … Clinicians can train themselves to recognize warnings associated with medication errors.
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psnet.ahrq.gov/node/42769/psn-pdf
November 27, 2013 - Sepsis: recognizing the next event.
November 27, 2013
Kilburn FL, Bailey P, Price D. Sepsis: recognizing the next event. Nursing (Brux). 2013;43(10):14-6.
doi:10.1097/01.NURSE.0000434320.25397.53.
https://psnet.ahrq.gov/issue/sepsis-recognizing-next-event
This commentary describes the development and implementatio…
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psnet.ahrq.gov/issue/comparative-effectiveness-serious-game-and-e-module-support-patient-safety-knowledge-and
September 08, 2010 - September 2, 2020
Incoming interns recognize inadequate physical examination as a cause
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psnet.ahrq.gov/issue/making-inpatient-medication-reconciliation-patient-centered-clinically-relevant-and
January 14, 2009 - Patient Safety Innovations
Handshake antimicrobial stewardship as a model to recognize
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psnet.ahrq.gov/issue/social-cost-adverse-medical-events-and-what-we-can-do-about-it
February 10, 2015 - Excusable neglect in malpractice suits against radiologists: a proposed jury instruction to recognize
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psnet.ahrq.gov/issue/frequency-missed-test-results-and-associated-treatment-delays-highly-computerized-health
July 22, 2009 - Download Citation
Related Resources From the Same Author(s)
Failure to recognize
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psnet.ahrq.gov/node/37746/psn-pdf
May 14, 2008 - Reducing preventable medication safety events by
recognizing renal risk.
May 14, 2008
Fields W, Tedeschi C, Foltz J, et al. Reducing preventable medication safety events by recognizing renal
risk. Clin Nurse Spec. 2008;22(2):73-8; quiz 79-80. doi:10.1097/01.NUR.0000311795.69476.2f.
https://psnet.ahrq.gov/issue/red…
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psnet.ahrq.gov/node/42981/psn-pdf
March 19, 2014 - Recognizing and managing errors of cognitive
underspecification.
March 19, 2014
Duthie EA. Recognizing and managing errors of cognitive underspecification. J Patient Saf. 2014;10(1):1-5.
doi:10.1097/PTS.0b013e3182a5f6e1.
https://psnet.ahrq.gov/issue/recognizing-and-managing-errors-cognitive-underspecification
Inc…
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psnet.ahrq.gov/node/41595/psn-pdf
May 28, 2019 - Luer Connector Misconnections: Under-Recognized but
Potentially Dangerous Events.
May 28, 2019
Medical Product Safety Network. Silver Spring, MD; US Food and Drug Administration. November 19,
2008.
https://psnet.ahrq.gov/issue/luer-connector-misconnections-under-recognized-potentially-dangerous-events
This Web si…
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psnet.ahrq.gov/node/73617/psn-pdf
August 26, 2021 - Recognizing Unsafe Care: What It Is and How to Report It.
August 18, 2021
Patient Safety Foundation. August 26, 2021.
https://psnet.ahrq.gov/issue/recognizing-unsafe-care-what-it-and-how-report-it
This webinar introduced medical error and harm as related concepts to identify unsafe care and enhance
response, engag…
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psnet.ahrq.gov/web-mm/painful-medication-reconciliation-mishap
May 01, 2008 - Case Objectives
Recognize that substance use disorders are common in patients with acute pain. … Recognize naltrexone as a first-line pharmacologic treatment option for alcohol use disorder. … Recognize that naltrexone is contraindicated in patients on opioids.
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psnet.ahrq.gov/node/49852/psn-pdf
February 01, 2019 - https://psnet.ahrq.gov/web-mm/triaging-interhospital-transfers
Case Objectives
Recognize that transfer … Recognize that further research is needed to establish best practice guidelines with regard to the
interhospital … The
ambulance transport team was not trained to provide critical care and did not recognize that the
-
psnet.ahrq.gov/node/33674/psn-pdf
February 01, 2009 - But
we've come to recognize that some adverse events are at least partly preventable if we do the right … checking the box is supposed to be a proxy for something useful happening in patient care, we have to
recognize … What they do believe, and I
share this belief, is that we have come to recognize that patient safety
-
psnet.ahrq.gov/node/33702/psn-pdf
November 01, 2010 - Clearly, all of us who
work on the front lines as physicians, nurses, and hospital employees recognize … We use the term "indicators" because we recognize that these are not measures where we
can say that … the action
is—the subset of sicker patients—and you pose the hypothesis that better hospitals should recognize