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psnet.ahrq.gov/node/38712/psn-pdf
June 17, 2009 - Silence, power and communication in the operating room.
June 17, 2009
Gardezi F, Lingard LA, Espin S, et al. Silence, power and communication in the operating room. J Adv
Nurs. 2009;65(7):1390-1399. doi:10.1111/j.1365-2648.2009.04994.x.
https://psnet.ahrq.gov/issue/silence-power-and-communication-operating-room
Co…
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psnet.ahrq.gov/node/43583/psn-pdf
October 08, 2014 - Emergency hospitalizations for unsupervised prescription
medication ingestions by young children.
October 8, 2014
Lovegrove MC, Mathew J, Hampp C, et al. Emergency hospitalizations for unsupervised prescription
medication ingestions by young children. Pediatrics. 2014;134(4):e1009-16. doi:10.1542/peds.2014-0840.
h…
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psnet.ahrq.gov/issue/ihi-announces-hospitals-participating-100000-lives-campaign-have-saved-estimated-122300-lives
August 07, 2024 - Press Release/Announcement
Classic
IHI announces that hospitals participating in 100,000 Lives Campaign have saved an estimated 122,300 lives.
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psnet.ahrq.gov/node/33866/psn-pdf
September 01, 2018 - When we hear resistance to the concept of OpenNotes, we
realize it's often not really resistance to … OpenNotes, it's resistance to any one more thing.
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psnet.ahrq.gov/node/865309/psn-pdf
May 29, 2024 - Increased resistance was noted with suctioning. … temperature and minute
ventilation.3 HMEs have additional limitations, including added dead space and resistance
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psnet.ahrq.gov/node/38164/psn-pdf
July 02, 2009 - A Compendium of Strategies to Prevent Healthcare-
Associated Infections in Acute Care Hospitals.
July 2, 2009
Yokoe DS, Mermel LA, Anderson DJ, et al. Infect Control Hosp Epidemiol. 2008;29:901-994.
https://psnet.ahrq.gov/issue/compendium-strategies-prevent-healthcare-associated-infections-acute-care-
hospi…
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psnet.ahrq.gov/node/42333/psn-pdf
June 05, 2013 - Has improved hand hygiene compliance reduced the risk
of hospital-acquired infections among hospitalized
patients in Ontario? Analysis of publicly reported patient
safety data from 2008 to 2011.
June 5, 2013
DiDiodato G. Has improved hand hygiene compliance reduced the risk of hospital-acquired infections
among h…
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psnet.ahrq.gov/node/43652/psn-pdf
August 04, 2015 - Do clinicians know which of their patients have central
venous catheters?: A multicenter observational study.
August 4, 2015
Chopra V, Govindan S, Kuhn L, et al. Do clinicians know which of their patients have central venous
catheters?: a multicenter observational study. Ann Intern Med. 2014;161(8):562-7. doi:10.73…
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psnet.ahrq.gov/node/49865/psn-pdf
June 01, 2019 - Delayed Sepsis Management Due to Ambiguous Allergy
June 1, 2019
Blumenthal K. Delayed Sepsis Management Due to Ambiguous Allergy. PSNet [internet]. 2019.
https://psnet.ahrq.gov/web-mm/delayed-sepsis-management-due-ambiguous-allergy
The Case
A 75-year-old man with a past medical history of hemorrhagic stroke, coron…
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psnet.ahrq.gov/web-mm/delayed-diagnosis-and-treatment-systemic-lupus-erythematosus-psychiatric-presentation
September 27, 2023 - Antipsychotic treatment resistance is a common feature and should lead clinicians to look for additional … However, this patient did not demonstrate antipsychotic treatment resistance, providing another missed
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psnet.ahrq.gov/node/33644/psn-pdf
December 01, 2006 - In the end, we might produce more of the desired change because there is
less resistance and fear from
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psnet.ahrq.gov/issue/clinical-errors-and-medical-negligence
March 01, 2023 - Review
Clinical errors and medical negligence.
Citation Text:
Oyebode F. Clinical errors and medical negligence. Med Princ Pract. 2013;22(4):323-33. doi:10.1159/000346296.
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psnet.ahrq.gov/issue/two-pandemics-same-story-potentially-dangerous-overuse-antibiotics-and-road-medical-hell
March 11, 2020 - Newspaper/Magazine Article
Two pandemics, same story: the potentially dangerous overuse of antibiotics and 'the road to medical hell'.
Citation Text:
Two pandemics, same story: the potentially dangerous overuse of antibiotics and 'the road to medical hell'. Fauber J, Chen D. Milwaukee Jo…
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psnet.ahrq.gov/issue/healthcare-associated-infections
January 10, 2018 - Special or Theme Issue
Healthcare-Associated Infections.
Citation Text:
Healthcare-Associated Infections. Healthc Pap. 2009;9(3):1-62.
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psnet.ahrq.gov/web-mm/delayed-sepsis-management-due-ambiguous-allergy
January 13, 2021 - Delayed Sepsis Management Due to Ambiguous Allergy
Citation Text:
Blumenthal K. Delayed Sepsis Management Due to Ambiguous Allergy. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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psnet.ahrq.gov/web-mm/stable-airway-fatal-airway-occlusion-after-inadequate-post-tracheostomy-care
June 28, 2023 - Increased resistance was noted with suctioning. … temperature and minute ventilation. 3 HMEs have additional limitations, including added dead space and resistance
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psnet.ahrq.gov/node/74121/psn-pdf
November 30, 2021 - These alterations include increased
blood volume, increased cardiac output, decreased vascular resistance … Because of the increased blood volume and
decreased vascular resistance seen late in pregnancy, blood
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psnet.ahrq.gov/perspective/conversation-withlucian-leape-md
August 01, 2006 - RW: The level of resistance that you've seen over the years from all different frontsfrom using the … LL: Well, actually, the resistance hasn't surprised me, because I know doctors are very conservative … The response of our hospitals was not at all one of resistance; it was "How do we do it?"
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psnet.ahrq.gov/perspective/getting-patient-safety-personal-story
August 01, 2006 - RW: The level of resistance that you've seen over the years from all different frontsfrom using the … LL: Well, actually, the resistance hasn't surprised me, because I know doctors are very conservative … The response of our hospitals was not at all one of resistance; it was "How do we do it?"
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psnet.ahrq.gov/issue/medical-errors-mandatory-reporting-voluntary-reporting-or-both
February 28, 2024 - Commentary
Medical errors: mandatory reporting, voluntary reporting, or both?
Citation Text:
Grepperud S. Medical Errors: Mandatory Reporting, Voluntary Reporting, or Both? European Journal of Law and Economics. 2005;20(1). doi:10.1007/s10657-005-1019-8.
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