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psnet.ahrq.gov/sites/default/files/2024-10/spotlight_case_delayed_symptomatic_subdural_hematoma_slides.pptx
January 01, 2024 - In this scenario, a false negative CT interpretation would result in a treatment plan that does not include
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psnet.ahrq.gov/web-mm/updates-management-high-risk-pulmonary-embolism
December 02, 2020 - Although we do not know for certain why this patient arrested, the most likely scenario is recurrent
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psnet.ahrq.gov/node/60856/psn-pdf
August 26, 2020 - training-situational-awareness-reduce-surgical-errors-operating-room
strategies for overcoming fixation errors including ruling out the worst-case scenario
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psnet.ahrq.gov/web-mm/getting-good-report-card-unintended-consequences-public-reporting-hospital-quality
October 01, 2004 - appreciate given that specifications for existing quality measures do not enumerate every possible scenario
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psnet.ahrq.gov/sites/default/files/2020-04/final_april-spotlight-implicit_biases_04.02.2020.pdf
January 01, 2020 - can impact interprofessional communication
in crisis situations
– Given the same scripted simulated scenario
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psnet.ahrq.gov/issue/nursing-interruptions-trauma-intensive-care-unit-prospective-observational-study
November 09, 2016 - Study
Nursing interruptions in a trauma intensive care unit: a prospective observational study.
Citation Text:
Craker NC, Myers RA, Eid J, et al. Nursing Interruptions in a Trauma Intensive Care Unit: A Prospective Observational Study. J Nurs Adm. 2017;47(4):205-211. doi:10.1097/NNA.0000…
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psnet.ahrq.gov/issue/nature-and-occurrence-registration-errors-emergency-department
September 28, 2016 - Study
The nature and occurrence of registration errors in the emergency department.
Citation Text:
Hakimzada AF, Green RA, Sayan OR, et al. The nature and occurrence of registration errors in the emergency department. Int J Med Inform. 2007;77(3). doi:10.1016/j.ijmedinf.2007.04.011.
…
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psnet.ahrq.gov/issue/understanding-behaviour-newly-qualified-doctors-acute-care-contexts
July 02, 2014 - Study
Understanding the behaviour of newly qualified doctors in acute care contexts.
Citation Text:
Tallentire VR, Smith SE, Skinner J, et al. Understanding the behaviour of newly qualified doctors in acute care contexts. Med Educ. 2011;45(10):995-1005. doi:10.1111/j.1365-2923.2011.040…
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psnet.ahrq.gov/issue/simulation-design-research-evaluating-safety-innovations-anaesthesia
February 25, 2009 - Study
A simulation design for research evaluating safety innovations in anaesthesia.
Citation Text:
Merry AF, Weller JM, Robinson BJ, et al. A simulation design for research evaluating safety innovations in anaesthesia*. Anaesthesia. 2008;63(12):1349-57. doi:10.1111/j.1365-2044.2008.…
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psnet.ahrq.gov/issue/focus-society-cardiovascular-anesthesiologists-initiative-improve-quality-and-safety
January 03, 2017 - Commentary
FOCUS: The Society of Cardiovascular Anesthesiologists' initiative to improve quality and safety in the cardiovascular operating room.
Citation Text:
Barbeito A, Lau WT, Weitzel N, et al. FOCUS: the Society of Cardiovascular Anesthesiologists' initiative to improve quality and…
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psnet.ahrq.gov/issue/recovery-medical-errors-critical-care-nursing-safety-net
February 18, 2011 - Study
Recovery from medical errors: the critical care nursing safety net.
Citation Text:
Rothschild JM, Hurley A, Landrigan CP, et al. Recovery from medical errors: the critical care nursing safety net. Jt Comm J Qual Patient Saf. 2006;32(2):63-72.
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Format:
G…
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psnet.ahrq.gov/issue/state-art-usage-simulation-anesthesia-skills-and-teamwork
June 18, 2014 - Review
State-of-the-art usage of simulation in anesthesia: skills and teamwork.
Citation Text:
Krage R, Erwteman M. State-of-the-art usage of simulation in anesthesia: skills and teamwork. Curr Opin Anaesthesiol. 2015;28(6):727-34. doi:10.1097/ACO.0000000000000257.
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Fo…
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psnet.ahrq.gov/perspective/what-have-we-learned-about-safe-inpatient-handovers
March 01, 2011 - Even in the best case scenario handoff, it is unclear if we are able to equalize common ground such that
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psnet.ahrq.gov/perspective/ems-patient-safety-field
July 28, 2021 - EMS Patient Safety in the Field
July 28, 2021
Also Read the Conversation
View more articles from the same authors.
Citation Text:
Augustine JJ, Fitall E, Hall KK, et al. EMS Patient Safety in the Field. PSNet [internet]. Rockville (MD): Agency for Healthcare Re…
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psnet.ahrq.gov/node/33742/psn-pdf
December 01, 2012 - The other very common scenario is that people don't know the baseline status of
the patient, so it's
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psnet.ahrq.gov/perspective/conversation-amy-j-starmer-md-mph
May 31, 2023 - So we emphasized that a team approach is a more ideal scenario.
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psnet.ahrq.gov/web-mm/duty-disclose-someone-elses-error
June 01, 2004 - In the most straightforward scenario, in which there was a consensus that the initial radiology reading
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psnet.ahrq.gov/web-mm/consequences-medical-overuse
May 05, 2021 - Morgan, MD, MS, and Andrew Foy, MD
This case represents a common medical scenario.
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psnet.ahrq.gov/web-mm/palliative-care-comfort-vs-harm
December 04, 2016 - However, one could imagine a scenario in which giving opioids to an obtunded patient did rise to the
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psnet.ahrq.gov/web-mm/right-regimen-wrong-cancer-patient-catches-medical-error
August 01, 2006 - In this scenario, one set of orders was written at the time of diagnosis and another, with adjusted doses