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psnet.ahrq.gov/node/39270/psn-pdf
February 03, 2010 - Organization-wide adoption of computerized provider
order entry systems: a study based on diffusion of
innovations theory.
February 3, 2010
Rahimi B, Timpka T, Vimarlund V, et al. Organization-wide adoption of computerized provider order entry
systems: a study based on diffusion of innovations theory. BMC Med Info…
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psnet.ahrq.gov/node/44707/psn-pdf
February 09, 2016 - Infections and interaction rituals in the organisation:
clinician accounts of speaking up or remaining silent in
the face of threats to patient safety.
February 9, 2016
Szymczak JE. Infections and interaction rituals in the organisation: clinician accounts of speaking up or
remaining silent in the face of threats …
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psnet.ahrq.gov/node/855431/psn-pdf
January 01, 2024 - The benefits and opportunities: engaging patients in
identifying and reporting patient safety incidents.
November 15, 2023
Pozzobon LD, Rotter T, Sears K. The benefits and opportunities: engaging patients in identifying and
reporting patient safety incidents. Healthc Manage Forum. 2024;37(4):196-201.
doi:10.1177/0…
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psnet.ahrq.gov/node/43024/psn-pdf
March 05, 2014 - Speaking up for patient safety by hospital-based health
care professionals: a literature review.
March 5, 2014
Okuyama A, Wagner C, Bijnen B. Speaking up for patient safety by hospital-based health care
professionals: a literature review. BMC Health Serv Res. 2014;14:61. doi:10.1186/1472-6963-14-61.
https://psnet.…
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psnet.ahrq.gov/node/49746/psn-pdf
October 01, 2015 - The previous night, soon after eating dinner, he developed severe mid-
abdominal pain that did not radiate … from intra-abdominal metastases,
active inflammatory bowel disease, or when the patient had acute, severe … medical conditions requiring
stabilization (such as acute myocardial infarction and severe chronic
-
psnet.ahrq.gov/node/49655/psn-pdf
June 01, 2012 - dialysis patients; approximately 50% experience chronic pain, with 82%
reporting this pain as moderate or severe … Points
All dialysis patients should be routinely screened for chronic pain, which is common and often
severe … A systematic review of the use of opioid
medication for those with moderate to severe cancer pain and
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psnet.ahrq.gov/node/49601/psn-pdf
April 01, 2010 - However, as this case demonstrates, epistaxis can be severe, requiring transfusion,
angiographic or … Most severe nose bleeds of this nature
occur in individuals older than 50 years.(1)
https://psnet.ahrq.gov … If the
bleeding has been prolonged, recurrent, or severe, a high index of suspicion for anemia and volume
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.317_slideshow.ppt
March 01, 2014 - acute kidney injury with an elevated creatinine of 2.2 mg/dL (up from a baseline of 0.8 mg/dL), and a severe … The patient was treated for severe sepsis and given intravenous fluids and antibiotics.
4
4
Case … of proportion to the degree of illness, which should have prompted exploration for other causes of severe
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.182_slideshow.ppt
September 01, 2008 - Effects of systemic steroids in patients with severe community-acquired pneumonia. … Even though diagnosis was not clear, most causes of infection had been ruled out
Severe multi-system … Infection—all forms
Exception to rule is when high doses of glucocorticoids are indicated to diminish severe
-
psnet.ahrq.gov/issue/emergency-nursing-and-medical-error-survey-two-states
January 25, 2010 - December 1, 2011
Are temporary staff associated with more severe emergency department
-
psnet.ahrq.gov/issue/ismp-quarterwatch-reports
June 07, 2017 - June 13, 2018
Severe hyperglycemia in patients incorrectly using insulin pens at home
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psnet.ahrq.gov/issue/2017-ismp-medication-safety-self-assessment-communityambulatory-pharmacy
June 07, 2017 - May 11, 2017
Severe hyperglycemia in patients incorrectly using insulin pens at home.
-
psnet.ahrq.gov/issue/patient-safety-24
December 01, 2011 - July 8, 2013
Are temporary staff associated with more severe emergency department medication
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psnet.ahrq.gov/issue/nursing-care-quality-nqf
September 06, 2011 - July 8, 2009
Antecedents of severe and nonsevere medication errors.
-
psnet.ahrq.gov/node/49811/psn-pdf
November 01, 2017 - worsening respiratory status, liver abnormalities, and colonic pseudo-obstruction were all
consistent with severe … These are rare but life-threatening conditions that result from either decompensated
thyrotoxicosis or severe … Effects Score
Absent 0
Mild (agitation) 10
Moderate (delirium, psychosis, extreme lethargy) 20
Severe … 25
Congestive Heart Failure Score
Absent 0
Mild (pedal edema) 5
Moderate (bibasilar rales) 10
Severe
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.25_slideshow.ppt
July 01, 2003 - advanced care discussions
Case: Code Status Confusion
A 60-year-old woman with a history of severe … preferences in scenarios with uncertain outcomes
i.e., successful cardiac resuscitation with resultant severe
-
psnet.ahrq.gov/issue/10-medication-safety-tips-hospitalized-patients
February 06, 2019 - June 13, 2018
Severe hyperglycemia in patients incorrectly using insulin pens at home
-
psnet.ahrq.gov/issue/ismp-long-term-care-advise-err
June 07, 2017 - June 13, 2018
Severe hyperglycemia in patients incorrectly using insulin pens at home
-
psnet.ahrq.gov/issue/clinical-issues-series
July 05, 2006 - 2006
National Partnership for Maternal Safety: consensus bundle on support after a severe
-
psnet.ahrq.gov/issue/fatal-gas-line-mix-how-avoid-making-gastly-mistake
April 29, 2018 - September 12, 2016
ALERT: reports of severe harm after intravenous administration of