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psnet.ahrq.gov/node/46991/psn-pdf
August 08, 2018 - Prejudice in perceptions of physicians?: The influence of
race and gender on evaluations of medical errors.
August 8, 2018
Brown D, Martinez LR, Hebl MMR. Prejudice in Perceptions of Physicians?: The Influence of Race and
Gender on Evaluations of Medical Errors. J Gen Intern Med. 2018;33(6):807-808. doi:10.1007/s11…
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psnet.ahrq.gov/node/47912/psn-pdf
April 24, 2019 - A systematic literature review and narrative synthesis on
the risks of medical discharge letters for patients' safety.
April 24, 2019
Schwarz CM, Hoffmann M, Schwarz P, et al. A systematic literature review and narrative synthesis on the
risks of medical discharge letters for patients' safety. BMC Health Serv Res. …
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psnet.ahrq.gov/node/836825/psn-pdf
March 30, 2022 - Antibiotic prescribing errors in patients discharged from
the pediatric emergency department.
March 30, 2022
LaScala EC, Monroe AK, Hall GA, et al. Antibiotic prescribing errors in patients discharged from the
pediatric emergency department. Pediatr Emerg Care. 2022;38(1):e387-e392.
doi:10.1097/pec.000000000000229…
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psnet.ahrq.gov/node/73529/psn-pdf
July 28, 2021 - Prevalence and characteristics of interruptions and
distractions during surgical counts.
July 28, 2021
Bubric KA, Biesbroek SL, Laberge JC, et al. Prevalence and characteristics of interruptions and distractions
during surgical counts. Jt Comm J Qual Patient Saf. 2021;47(9):556-562. doi:10.1016/j.jcjq.2021.05.004.
…
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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
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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
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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
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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
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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
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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.
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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.
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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
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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
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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