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psnet.ahrq.gov/web-mm/always-check-muscle-twitch-residual-neuromuscular-block-after-removal-gastric-balloon
January 29, 2021 - this type of device. 10 A large dose of rocuronium was given to this patient at the beginning of this short … received only 200 mg sugammadex to reverse the large dose of rocuronium given at the beginning of this short
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psnet.ahrq.gov/web-mm/direct-oral-anticoagulants-are-high-risk-medications-potentially-complex-dosing
August 21, 2005 - DOAC include: no need to routinely monitor the drug level or its anticoagulant effect, a relatively short … Patients need to know that the relatively short drug half-life means that they cannot miss taking their … Alternatively, dabigatran and edoxaban require a short course of low-molecular-weight-heparin or regular
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psnet.ahrq.gov/periodic-issue/periodic-issue-471
December 31, 2024 - Resilience strategies tended to be real-time, short-term workarounds to deal with system inefficiencies … Additional research is needed on how to translate short-term workarounds into long-term resilience strategies
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psnet.ahrq.gov/periodic-issue/periodic-issue-469
December 31, 2024 - medical education given its potential long-term benefits for patient safety and non-detrimental effect on short-term … medical education given its potential long-term benefits for patient safety and non-detrimental effect on short-term
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psnet.ahrq.gov/web-mm/ultrasound-looked-fine-point-care-ultrasound-and-patient-safety
December 01, 2012 - In this patient, one with a prosthetic heart valve stating he was short of breath and no longer hearing
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psnet.ahrq.gov/issue/effects-two-commercial-electronic-prescribing-systems-prescribing-error-rates-hospital
September 01, 2016 - August 28, 2024
Short- and long-term effects of an electronic medication management system
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psnet.ahrq.gov/web-mm/hidden-danger-unseen-intravenous-catheters
October 04, 2023 - through an intravenous catheter is inversely proportional to the length of the tubing; therefore, a short … More
Related Resources
Incidence and characteristics of errors detected by a short
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psnet.ahrq.gov/issue/safety-electronic-prescribing-manifestations-mechanisms-and-rates-system-related-errors
February 15, 2012 - August 28, 2024
Short- and long-term effects of an electronic medication management system
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psnet.ahrq.gov/issue/failure-utilize-functions-electronic-prescribing-system-and-subsequent-generation-technically
February 15, 2012 - August 28, 2024
Short- and long-term effects of an electronic medication management system
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psnet.ahrq.gov/issue/disentangling-quality-and-safety-indicator-data-longitudinal-comparative-study-hand-hygiene
March 23, 2011 - August 26, 2020
Short- and long-term effects of an electronic medication management system
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psnet.ahrq.gov/web-mm/admission-drug-dose-too-low
September 01, 2011 - Is the Admission Drug Dose Too Low?
Citation Text:
Kaushal R, Abramson EL. Is the Admission Drug Dose Too Low?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009.
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psnet.ahrq.gov/issue/interprofessional-staff-perspectives-adoption-or-black-box-technology-and-simulations-improve
May 21, 2009 - Study
Interprofessional staff perspectives on the adoption of OR black box technology and simulations to improve patient safety: a multi-methods survey.
Citation Text:
Campbell K, Gardner A, Scott DJ, et al. Interprofessional staff perspectives on the adoption of or black box technology …
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psnet.ahrq.gov/node/33604/psn-pdf
December 15, 2024 - https://psnet.ahrq.gov/issue/partnered-pharmacist-charting-admission-general-medical-and-emergency-short-stay-unit-cluster
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psnet.ahrq.gov/web-mm/norepinephrine-dosing-error-associated-multiple-health-system-vulnerabilities
November 27, 2019 - acute kidney injury, increased duration of hospital stay, and higher mortality. 4-6 Their relatively short … Furthermore, the pharmacokinetic properties of norepinephrine – relatively short half-life and low volume
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psnet.ahrq.gov/perspective/diagnostic-errors-medicine-what-do-doctors-and-umpires-have-common
February 01, 2007 - JB: The short answer is yes.
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psnet.ahrq.gov/web-mm/saved-ecmo
May 05, 2017 - Saved by ECMO
Citation Text:
Weiss NA. Saved by ECMO . PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023.
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psnet.ahrq.gov/primer/improving-patient-safety-and-team-communication-through-daily-huddles
December 15, 2024 - in healthcare teams. 2,3,5 Definition A safety huddle, in the context of healthcare delivery, is a short
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psnet.ahrq.gov/web-mm/getting-root-matter
September 01, 2005 - SPOTLIGHT CASE
Getting to the Root of the Matter
Citation Text:
Saint S, Flanders S. Getting to the Root of the Matter. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005.
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psnet.ahrq.gov/node/33584/psn-pdf
March 15, 2025 - Communication Between Clinicians
March 15, 2025
Communication Between Clinicians. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/communication-between-clinicians
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in…
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psnet.ahrq.gov/perspective/opioid-overdose-patient-safety-problem
May 01, 2017 - We've all seen patients who take oxycodone or some other opioid and in the short term feel a whole lot … Most randomized controlled trials on this issue that establish the efficacy of opioids are short term … They showed in those short-term studies that the drugs can do something and they appeared to be relatively … Does that mean that a short-term prescription can be a reasonable idea?