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psnet.ahrq.gov/node/49826/psn-pdf
April 01, 2018 - Air on the Side of Caution
April 1, 2018
Robertson JM, Pozner CN. Air on the Side of Caution. PSNet [internet]. 2018.
https://psnet.ahrq.gov/web-mm/air-side-caution
The Case
A young woman with morbid obesity was scheduled for cardiac catheterization to evaluate shortness of
breath and chest pain. A decision was m…
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psnet.ahrq.gov/node/850362/psn-pdf
June 14, 2023 - Home Medications Contribute to a Unique Opportunity for
Error on Discharge from the Hospital
June 14, 2023
Agrawal G, Nguyen DM. Home Medications Contribute to a Unique Opportunity for Error on Discharge from
the Hospital. PSNet [internet]. 2023.
https://psnet.ahrq.gov/web-mm/home-medications-contribute-unique-opp…
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psnet.ahrq.gov/node/49653/psn-pdf
May 01, 2012 - The Forgotten Line
May 1, 2012
Render ML. The Forgotten Line. PSNet [internet]. 2012.
https://psnet.ahrq.gov/web-mm/forgotten-line
The Case
An 81-year-old man with a history of coronary artery disease, hypertension, cerebrovascular accidents, and
chronic kidney disease was transferred to a referral hospital for p…
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psnet.ahrq.gov/web-mm/failure-reevaluate
February 01, 2014 - muscle metabolism, and protein intake.( 4 ) Specifically, patients with end-stage liver disease or reduced … or vasopressor therapy and underlying physiologic impairment.( 8-10 ) Recent emergence of MRSA with reduced … Scr may not reflect renal function in patients with reduced muscle mass, malnutrition, and end-stage
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psnet.ahrq.gov/node/33751/psn-pdf
January 01, 2014 - savings realized through patient safety
initiatives have tended to accrue to payers, in the form of reduced … process measures explain only a small fraction of observed
variations in outcomes.(19) But, fears of reduced … Reduced mortality with hospital
pay for performance in England. N Engl J Med. 2012;367:1821-1828.
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psnet.ahrq.gov/node/49517/psn-pdf
August 01, 2006 - For these reasons, the calculated dose of the new opioid is
often reduced by 25%-50% depending on how … references
https://psnet.ahrq.gov//#table
https://psnet.ahrq.gov//#table
dose of the new drug may be reduced … If this expected dose is reduced by 50% to account for possible
incomplete cross-tolerance, dosing schedules
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psnet.ahrq.gov/node/49792/psn-pdf
May 01, 2017 - Diagnostic Delay in the Emergency Department
May 1, 2017
Marshall K, Singh H. Diagnostic Delay in the Emergency Department. PSNet [internet]. 2017.
https://psnet.ahrq.gov/web-mm/diagnostic-delay-emergency-department
Case Objectives
Appreciate the importance of a broad differential diagnosis for acute abdominal pai…
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psnet.ahrq.gov/curated-library/value-and-patient-safety
October 30, 2019 - Breadcrumb
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Created By: Lorri Zipperer, Cybrarian, AHRQ PSNet Tea…
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psnet.ahrq.gov/node/38825/psn-pdf
October 12, 2009 - Similar efforts have emerged in
surgical settings in which adoption of a specific checklist reduced
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psnet.ahrq.gov/node/40203/psn-pdf
February 09, 2011 - Surgery Saves Lives program generated noteworthy attention when
implementation of a 19-item checklist reduced
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psnet.ahrq.gov/web-mm/mobility-lost-icu
August 01, 2018 - systems.( 5 ) The hospital-based PT will examine patients to identify impairments (e.g., weakness or reduced … impairments and activity limitations that may or may not resolve.( 7 ) Complications are prevented or reduced … than 10% of hospitals have identified criteria for appropriate referrals.( 9 ) While therapy may have reduced … that are implementing comprehensive changes in the ICU.( 21 ) Typically the sequelae of weakness, reduced … These benefits include fewer short- and long-term complications, and reduced length of stay.
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psnet.ahrq.gov/web-mm/monitoring-fetal-health
September 08, 2010 - The presence of decreased oxygen saturation in the blood results in reduced and ultimately absent baseline … can quickly scan 30 minutes or more of activity, the windows for digitized tracings are significantly reduced … have been applied in other high-risk domains (e.g., aviation, processing plant operations) and have reduced … environments where observers are actively engaged and interact with information displays instead of being reduced … Attempts to combat monitoring deficits in other high-risk domains with more sophisticated technology have reduced
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psnet.ahrq.gov/issue/department-defense-dod-patient-safety-program
December 27, 2018 - July 7, 2021
Teamwork is associated with reduced hospital staff burnout at military treatment
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psnet.ahrq.gov/issue/manage-staff-fatigue-improve-patient-safety
March 01, 2007 - December 6, 2011
Cost implications of reduced work hours and workloads for resident physicians
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psnet.ahrq.gov/issue/malnourishment-epidemic-plagues-hospitals-really
June 04, 2014 - , 2014
Do variations in hospital mortality patterns after weekend admission reflect reduced
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psnet.ahrq.gov/node/42063/psn-pdf
January 06, 2018 - These practices, if implemented, should result in reduced harm from a wide range of
safety threats,
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psnet.ahrq.gov/issue/pregnancy-related-deaths-saving-womens-lives-during-and-after-delivery
September 07, 2016 - November 16, 2022
CDC guideline for opioid prescribing associated with reduced dispensing
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psnet.ahrq.gov/web-mm/safety-and-quality-long-term-care
January 01, 2016 - Perhaps better communication across settings during points of transition could have reduced the resident's … Patient Safety Goals for Long Term Care include accurate resident identification, safe medication use, reduced … health care-associated infections, reconciled medications, reduced harm from falls, and reduced health
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psnet.ahrq.gov/issue/advancement-toward-high-reliability-healthcare-awards
June 08, 2011 - January 21, 2009
Teamwork is associated with reduced hospital staff burnout at military
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psnet.ahrq.gov/issue/fatal-drug-mix-exposes-hospital-flaws
March 02, 2016 - July 10, 2018
Teamwork is associated with reduced hospital staff burnout at military