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psnet.ahrq.gov/node/73243/psn-pdf
May 12, 2021 - COVID-19 and patient safety: time to tap into our
investment in high reliability.
May 12, 2021
Adelman JS, Gandhi TK. COVID-19 and patient safety: time to tap into our investment in high reliability. J
Patient Saf. 2021;17(4):331-333. doi:10.1097/pts.0000000000000843.
https://psnet.ahrq.gov/issue/covid-19-and-pati…
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psnet.ahrq.gov/node/60843/psn-pdf
August 26, 2020 - Scoping review of patients' attitudes about their role and
behaviours to ensure safe care at the direct care level.
August 26, 2020
Duhn L, Godfrey C, Medves J. Scoping review of patients’ attitudes about their role and behaviours to
ensure safe care at the direct care level. Health Expect. 2020;23(5):979-991. doi:…
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psnet.ahrq.gov/node/34649/psn-pdf
June 11, 2014 - On error management: lessons from aviation.
June 11, 2014
Helmreich RL. On error management: lessons from aviation. BMJ . 2000;320(7237):781-785.
https://psnet.ahrq.gov/issue/error-management-lessons-aviation
In this perspective, the author draws on analogies from aviation to frame the issues of patient safety and
…
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psnet.ahrq.gov/node/73179/psn-pdf
January 01, 2022 - Use of therapeutic outcomes monitoring method for
performing of pharmaceutical care in oncology patients.
April 28, 2021
Cataldo RRV, Manaças LAR, Figueira PHM, et al. Use of therapeutic outcomes monitoring method for
performing of pharmaceutical care in oncology patients. J Oncol Pharm Pract. 2022;28(4):884-891.
…
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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