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psnet.ahrq.gov/web-mm/when-vomit-gets-way-aspiration-resulting-death-during-endoscopy
March 18, 2020 - risk of pulmonary aspiration. 13 In this case, the patient was in the prone position, which may have reduced
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psnet.ahrq.gov/node/49537/psn-pdf
June 01, 2007 - Based on these types of analyses, most institutions in recent years have reduced the number of required
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psnet.ahrq.gov/web-mm/fatal-twist-pseudohyperkalemia
February 10, 2021 - potential prolongation, which increases the risk of arrhythmia through various mechanisms, such as reduced
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psnet.ahrq.gov/web-mm/pseudo-obstruction-real-perforation
April 01, 2015 - SPOTLIGHT CASE
Pseudo-obstruction But a Real Perforation
Citation Text:
Paski SC, Dominitz JA. Pseudo-obstruction But a Real Perforation. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
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psnet.ahrq.gov/node/33784/psn-pdf
April 01, 2015 - In Conversation With… David Urbach, MD, MSc
April 1, 2015
In Conversation With… David Urbach, MD, MSc. PSNet [internet]. 2015.
https://psnet.ahrq.gov/perspective/conversation-david-urbach-md-msc
Editor's note: Dr. David Urbach is Professor of Surgery and Health Policy, Management, and Evaluation
at the University…
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psnet.ahrq.gov/perspective/communication-during-transitions-care
July 10, 2024 - Annual Perspective
Communication During Transitions of Care
Ayse P. Gurses; Sarah Mossburg; Zoe Sousane
| March 27, 2024
View more articles from the same authors.
Citation Text:
Gurses AP, Sousane Z, Mossburg S. Communication During Transitions of Care. PS…
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psnet.ahrq.gov/web-mm/pathologic-mistake
February 15, 2010 - Pathologic Mistake
Citation Text:
Alaghehbandan R, Raab SS. Pathologic Mistake. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013.
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Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagge…
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psnet.ahrq.gov/web-mm/hard-swallow
April 26, 2023 - Hard to Swallow
Citation Text:
Driver J. Hard to Swallow. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004.
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psnet.ahrq.gov/web-mm/reconciling-doses
August 14, 2017 - SPOTLIGHT CASE
Reconciling Doses
Citation Text:
Federico F. Reconciling Doses. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005.
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psnet.ahrq.gov/node/49609/psn-pdf
October 01, 2010 - Dangerous Dialysis
October 1, 2010
Holley JL. Dangerous Dialysis . PSNet [internet]. 2010.
https://psnet.ahrq.gov/web-mm/dangerous-dialysis
Case Objectives
List common errors that occur in dialysis units.
Describe steps that can be taken by dialysis units to prevent these common errors.
Describe the role of the …
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psnet.ahrq.gov/issue/maternal-health-research-centers-excellence-u54-clinical-trial-optional
March 08, 2023 - Grant Announcement
Maternal Health Research Centers of Excellence (U54 Clinical Trial Optional).
Citation Text:
Maternal Health Research Centers of Excellence (U54 Clinical Trial Optional). National Institutes of Health. August 11, 2022. RFA-HD-23-035.
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psnet.ahrq.gov/issue/black-or-other-doctors-may-be-relying-race-make-decisions-about-your-health
September 15, 2021 - Newspaper/Magazine Article
Black or 'other'? Doctors may be relying on race to make decisions about your health.
Citation Text:
Black or 'other'? Doctors may be relying on race to make decisions about your health. Smith J, Spodak C. CNN. April 25, 2021.
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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