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psnet.ahrq.gov/issue/driving-surgical-quality-using-operative-video
July 29, 2020 - Commentary
Driving surgical quality using operative video.
Citation Text:
O'Mahoney PRA, Yeo HL, Lange MM, et al. Driving Surgical Quality Using Operative Video. Surg Innov. 2016;23(4):337-40. doi:10.1177/1553350616643616.
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psnet.ahrq.gov/issue/diagnostic-errors-and-bedside-clinical-examination
August 20, 2018 - Review
Emerging Classic
Diagnostic errors and the bedside clinical examination.
Citation Text:
Clark BW, Derakhshan A, Desai S. Diagnostic Errors and the Bedside Clinical Examination. Med Clin North Am. 2018;102(3):453-464. doi:10.1016/j.mcna.2017.12.007.
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psnet.ahrq.gov/issue/rapid-response-systems
September 30, 2010 - Commentary
Rapid response systems.
Citation Text:
Hillman KM, Chen J, Jones D. Rapid response systems. Med J Aust. 2014;201(9):519-21.
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psnet.ahrq.gov/issue/high-fidelity-simulation-based-training-neonatal-nursing
April 11, 2011 - Study
High fidelity simulation-based training in neonatal nursing.
Citation Text:
Yaeger KA, Halamek LP, Coyle M, et al. High-fidelity simulation-based training in neonatal nursing. Adv Neonatal Care. 2004;4(6):326-31.
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psnet.ahrq.gov/issue/cardiovascular-medication-errors-children
September 21, 2008 - Study
Cardiovascular medication errors in children.
Citation Text:
Alexander DC, Bundy DG, Shore AD, et al. Cardiovascular medication errors in children. Pediatrics. 2009;124(1):324-32. doi:10.1542/peds.2008-2073.
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psnet.ahrq.gov/issue/eight-rights-safe-electronic-health-record-use
December 06, 2023 - Commentary
Eight rights of safe electronic health record use.
Citation Text:
Sittig DF, Singh H. Eight rights of safe electronic health record use. JAMA. 2009;302(10):1111-3. doi:10.1001/jama.2009.1311.
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psnet.ahrq.gov/issue/faultno-fault-bearing-brunt-medical-mishaps
January 27, 2021 - Commentary
Fault/no fault: bearing the brunt of medical mishaps.
Citation Text:
Silversides A. Fault/no fault: bearing the brunt of medical mishaps. CMAJ. 2008;179(4):309-11. doi:10.1503/cmaj.081020.
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psnet.ahrq.gov/issue/fostering-ethical-conduct-through-psychological-safety
March 30, 2022 - Newspaper/Magazine Article
Fostering ethical conduct through psychological safety.
Citation Text:
Fostering ethical conduct through psychological safety. Ferrere A, Rider C, Renerte B et al. Sloan Manag Rev. Summer 2022;39-43.
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psnet.ahrq.gov/issue/development-training-program-bar-code-assisted-medication-administration-inpatient-pharmacy
September 22, 2021 - Commentary
Development of a training program for bar-code–assisted medication administration in inpatient pharmacy.
Citation Text:
Dartt LR, Schneider R. Development of a training program for bar-code-assisted medication administration in inpatient pharmacy. Am J Health Syst Pharm. 2010…
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psnet.ahrq.gov/issue/caregiver-advise-record-enable-care-act
March 15, 2017 - Commentary
The Caregiver Advise, Record, Enable (CARE) act.
Citation Text:
Anthony M. The Caregiver Advise, Record, Enable (CARE) Act. Home Healthc Now. 2018;36(2):69-70. doi:10.1097/nhh.0000000000000655.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.68_slideshow.ppt
July 01, 2004 - Misuse
Eighteen hours after infusion, the patient developed severe bleeding and hemodynamic instability requiring
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.122_slideshow.ppt
April 01, 2006 - Over the next 10 minutes, the child’s cardiovascular status deteriorated, requiring epinephrine.
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psnet.ahrq.gov/web-mm/two-wrongs-dont-make-right-kidney
April 01, 2010 - This is because the Universal Protocol does not differentiate between types of cases requiring imaging … For example, a change in hospital policy requiring imaging to be present in the operating suite prior
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psnet.ahrq.gov/web-mm/managing-ascites-hazards-fluid-removal
June 01, 2018 - For patients requiring intermittent paracentesis for symptom relief, it would also be important to ensure … they are taking diuretic therapy or not requiring an increase in that therapy.
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psnet.ahrq.gov/node/49451/psn-pdf
June 01, 2004 - are also known as critical values, or more accurately as "alert" values,
since some reflect errors requiring … immediate correction rather than clinical conditions requiring immediate
treatment.
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psnet.ahrq.gov/node/49806/psn-pdf
September 01, 2017 - However, he rapidly
experienced further respiratory decompensation requiring intubation and mechanical … ventilation, as well as
hemodynamic compromise requiring vasopressor support.
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psnet.ahrq.gov/node/49558/psn-pdf
April 01, 2008 - hospital course was marked by multiorgan failure, septic shock, and spontaneous bowel
perforation requiring … antibiotics are warranted, rather than relying on evidence-based
criteria), and health care system factors (requiring
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psnet.ahrq.gov/node/49660/psn-pdf
August 01, 2012 - an interruption.(13) Consequently, inadequate laboratory test result follow-up is a system problem
requiring … Inadequate laboratory test result follow-up is a system problem requiring a system solution.
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psnet.ahrq.gov/web-mm/eptifibatide-epilogue
March 04, 2011 - potential for medical errors.( 12 ) In 2005, the Joint Commission issued a National Patient Safety Goal requiring … error described in the present case may have been prevented with the use of a standardized checklist requiring
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psnet.ahrq.gov/web-mm/late-anemia-following-rh-disease-newborn
June 17, 2010 - beta-glucuronidase in the newborn intestine and, now lipid soluble again, is reabsorbed into the portal circulation, requiring … isoimmunization, maternal antibody can persist for months, and can continue to cause hemolysis, sometimes requiring