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psnet.ahrq.gov/node/43910/psn-pdf
November 23, 2016 - Error disclosure and family members' reactions: does the
type of error really matter?
November 23, 2016
Leone D, Lamiani G, Vegni E, et al. Error disclosure and family members' reactions: does the type of error
really matter? Patient Educ Couns. 2015;98(4):446-52. doi:10.1016/j.pec.2014.12.011.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/34809/psn-pdf
February 18, 2011 - Iatrogenic illness on a general medical service at a
university hospital.
February 18, 2011
Steel K, Gertman PM, Crescenzi C, et al. Iatrogenic illness on a general medical service at a university
hospital. N Engl J Med. 1981;304(11):638-42.
https://psnet.ahrq.gov/issue/iatrogenic-illness-general-medical-service-u…
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psnet.ahrq.gov/web-mm/or
August 22, 2013 - Health care delivery represents such a complex and dynamic process that simple but regimented communication
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psnet.ahrq.gov/web-mm/crossed-coverage
September 01, 2015 - An INR increase of 0.2–0.3 units per day represents an optimal response to initiation of warfarin.
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psnet.ahrq.gov/web-mm/pathologic-mistake
February 15, 2010 - and then undervalue data that would either support another diagnosis or refute the favored diagnosis represents
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psnet.ahrq.gov/web-mm/ventricular-wall-injury-during-diagnostic-cardiac-catheterization
September 01, 2012 - kidney disease, female sex, and age over 75 years. 5,6 Opportunities for Improving Safety This case represents
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psnet.ahrq.gov/web-mm/preventable-rash
October 01, 2012 - syphilis and by communicating with other health departments, determine if a reactive syphilis serology represents
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psnet.ahrq.gov/node/49568/psn-pdf
September 01, 2008 - The Commentary
This case represents a classic example of the difficulties families face when they encounter
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psnet.ahrq.gov/web-mm/dont-push
March 02, 2011 - Intramuscular olanzapine (Zyprexa®) is expected to receive FDA approval in the near future; it represents
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psnet.ahrq.gov/node/49419/psn-pdf
October 01, 2003 - This
represents a considerable cultural shift in health care both in admitting the possibility of error
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psnet.ahrq.gov/web-mm/departure-central-line-ritual
October 13, 2018 - The Commentary This case represents a preventable medical error.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.281_slideshow.ppt
October 01, 2012 - cutaneous abscesses resolve their infection with incision and drainage
Unfortunately, this patient represents
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psnet.ahrq.gov/node/49432/psn-pdf
February 09, 2004 - director is the only individual who can
determine whether an error is an isolated circumstance or represents
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psnet.ahrq.gov/node/49475/psn-pdf
March 01, 2005 - characteristics of the technology are not carefully managed.(2,3)
The IT "Gap" Uncovered
Digital radiology (DR) represents
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psnet.ahrq.gov/node/49451/psn-pdf
June 01, 2004 - However, failure to do so represents a common
noncognitive error—an unconscious lapse in an automatic
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psnet.ahrq.gov/node/49787/psn-pdf
March 01, 2017 - from lithium is acquired NDI, occurring in approximately 40% of patients on chronic
lithium.(2) NDI represents
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psnet.ahrq.gov/node/33652/psn-pdf
June 01, 2007 - Patient safety
reporting represents just one tool to promote patient safety.
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psnet.ahrq.gov/web-mm/preventing-picc-complications-whose-line-it
October 01, 2017 - Conclusion
The case presented represents the diverse and sometimes fractured approach to the delivery
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psnet.ahrq.gov/web-mm/residual-anesthesia-tepid-burn
February 10, 2010 - continuous infusions via indwelling catheters.( 8 ) In summary, the addition of local/regional anesthesia represents
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.107_slideshow.ppt
November 01, 2005 - Spotlight Case [MONTH] 2003
Spotlight Case November 2005
Reconciling Doses
Source and Credits
This presentation is based on the November 2005 Spotlight Case in Emergency Medicine
See the full article at http://webmm.ahrq.gov
CME credit is available through the Web site
Commentary by: Frank Federico, RPh,…