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February 01, 2003 - many hazards, it is impossible to create simple lists of safe and unsafe
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materials. … https://psnet.ahrq.gov//#references
John Gosbee, MD, MS
Laura Lin Gosbee, MASc Human Factors Engineering … and Health Care, LLP
References
1.
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December 01, 2004 - More medical education focused on patient autonomy and the importance of
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http://www.genetests.org
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https … ://psnet.ahrq.gov//#references
Neil A. … Epidemiology The Johns
Hopkins University School of Medicine and the Bloomberg School of Public Health
References
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psnet.ahrq.gov/node/49428/psn-pdf
January 01, 2004 - their care.(5,6) Patients can be asked directly how they would like their
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care handled in each of these situations, some of which could … Surgery and
Public Health The Johns Hopkins University School of Medicine
https://psnet.ahrq.gov//#references … References
1.
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July 01, 2012 - //#references
Was there a diagnostic error (i.e., missed or delayed)? … It must
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http://webmm.ahrq.gov/popup_glossary.aspx? … name=heuristic
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be acknowledged, however, that a counterforcing … Take-Home Points
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Diagnostic process errors, diagnostic errors, and adverse outcomes have overlapping but
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June 01, 2016 - Clear communication is sometimes particularly
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challenging in academic settings where, in addition … Memorial Hospital Professor of Clinical
Medicine University of Miami Miller School of Medicine Miami, FL
References
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psnet.ahrq.gov/node/49509/psn-pdf
April 01, 2006 - https://psnet.ahrq.gov/web-mm/insert-omission
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https://psnet.ahrq.gov//#references … for chlamydia with rapid amplified DNA tests can reduce this risk, since
https://psnet.ahrq.gov//#references … https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references … and Reproductive Sciences San
Francisco General Hospital University of California, San Francisco
References … https://psnet.ahrq.gov//#references
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?
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August 21, 2013 - use.(5) Finally, a patient in this BMI range
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may also have been better … Medicine Drexel University College of Medicine Hahnemann University Hospital Philadelphia, PA
References
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psnet.ahrq.gov/node/49522/psn-pdf
November 01, 2006 - https://psnet.ahrq.gov//#references
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https://psnet.ahrq.gov//#references … This is a
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significant risk … References
1. Marshall MN, Shekelle PG, Leatherman S, Brook RH. … [go to PubMed]
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http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?
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January 01, 2016 - https://psnet.ahrq.gov//#references
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Take-Home Points
Whenever … Maibach, MD Professor Department of Dermatology UCSF School of Medicine
References
1.
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July 01, 2010 - ECG
Exercise tolerance assessment
Orthopnea and fluid retention may be only findings
See Notes for references … Polysomnography is the gold standard test
Assume morbidly obese patients have OSA
See Notes for references … weeks of CPAP therapy prior to planned surgery
CPAP reduces systemic and pulmonary HTN
See Notes for references … and Mallampati score of III-IV are best predictors of potential airway difficulties
See Notes for references … already hyperactive hypoxic heart
Obesity supine death syndrome has been described
See Notes for references
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October 01, 2008 - short periods of undernutrition, infection, or psychosocial deprivation are
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mirrored by a decreased growth … use widely available tools to calculate the child's growth velocity, then compare it to
age-related references … Endocrinology
Meyer Children's Hospital, Rambam Medical Center Faculty of Medicine, Technion
Haifa, Israel
References … https://psnet.ahrq.gov//#references
http://www.ncbi.nlm.nih.gov/pubmed/12464225
http://www.ncbi.nlm.nih.gov
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psnet.ahrq.gov/node/49783/psn-pdf
February 01, 2017 - improved outcomes such as reduced mortality, readmissions, and length of
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stay, and this, coupled with … https://psnet.ahrq.gov//#references
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https://psnet.ahrq.gov//#references … References
1. Dagani F, Weiner EL. Cockpit checklists: concepts, design, and use.
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September 01, 2012 - catheter–related bacteremia is rare (0.1% of cases) but can be a serious complication
See Notes for references … IV catheter–related infections do occur, infected catheters should be quickly removed
See Notes for references … significantly reduce complications and prevent infections from peripheral IV catheters
See Notes for references … should be changed no more frequently than every 96 hours, but at least every 7 days
See Notes for references … evidence of inflammation) carries the risk of delayed recognition of true infection
See Notes for references
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psnet.ahrq.gov/node/49387/psn-pdf
February 01, 2003 - https://psnet.ahrq.gov//#references
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https://psnet.ahrq.gov//#references … Shojania, MD Department of Medicine University of California, San Francisco
References
1. … J Gen Intern Med. 1995;10:199-205.[ go to PubMed ]
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October 01, 2012 - factors
CA-MRSA is genetically distinct from health care–associated MRSA (HA-MRSA)
See Notes for references … the same time, the incidence of MRSA per 10,000 wrestlers increased from 19.6 to 60.1
See Notes for references … or indirect contact (e.g., via shared personal items) with an active carrier or case
See Notes for references … See Notes for references.
*
David MZ, Daum RS. … See Notes for references.
*
Centers for Disease Control and Prevention.
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May 01, 2006 - We will start by identifying the
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https://psnet.ahrq.gov//#references … Take-Home Points
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Reason's Swiss Cheese … References
1. Sentinel Event Alert: A follow-up review of wrong site surgery.
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August 01, 2009 - can be more complications, higher morbidity, more errors, and higher costs of care
*
See Notes for references … Quality Indicators (NDNQI)
Collaborative Alliance for Nursing Outcomes (CalNOC)
*
See Notes for references … address nurse staffing levels
15 states have restrictions on mandatory overtime
*
See Notes for references … 4 patients: 1 RN on intermediate units
1-2 patients: 1 RN on intensive care units
*
See Notes for references … developing the unit staffing plans and in hour-by-hour decisions made on the unit
*
See Notes for references
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psnet.ahrq.gov/node/49460/psn-pdf
September 01, 2004 - https://psnet.ahrq.gov//#references
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Several easy steps may not … Daniel Mason, MD UCSF School of Medicine, Class of 2004
References
1. … https://psnet.ahrq.gov//#references
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?
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psnet.ahrq.gov/node/49536/psn-pdf
May 01, 2007 - https://psnet.ahrq.gov//#references
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receivers), the main challenge … Experts suggest that the work environment of ICUs must be reorganized to
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systematically include patients … Henneman, RN, PhD Assistant Professor University of Massachusetts, School of Nursing
References
1. … https://psnet.ahrq.gov//#references
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October 01, 2018 - ED was forced by overcrowding to provide patient care outside its routine
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operational parameters, creating … In addition to the primary
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providers, the deployment of pool nurses to the ED when inpatients