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psnet.ahrq.gov/web-mm/hyperglycemia-and-switching-subcutaneous-insulin
May 19, 2021 - A basal and bolus subcutaneous insulin regimen of long- and short-acting insulins, determined from insulin
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psnet.ahrq.gov/web-mm/silent-pain-neck
August 19, 2020 - of the mechanism, the interval between hematoma development and airway obstruction may be surprising short
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psnet.ahrq.gov/perspective/long-term-care-and-response-covid-19
October 28, 2020 - Basic PPE [personal protective equipment] was in very short supply for a while, and in some homes, there … KH : Was that home acting like an essentially short-stay or a skilled nursing facility and they just
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psnet.ahrq.gov/web-mm/medication-safety-events-related-diagnostic-imaging
January 26, 2022 - desire to complete the MRI quickly led to repeated dosing of both opioids and benzodiazepines within a short
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psnet.ahrq.gov/web-mm/coming-err-missed-diagnosis-patient-recurrent-pneumothorax
December 14, 2022 - Coming up for Err: Missed Diagnosis in a Patient with Recurrent Pneumothorax
Citation Text:
Carlile N, El-Chemaly S, Schiff G. Coming up for Err – Missed Diagnosis in a Patient with Recurrent Pneumothorax. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health …
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psnet.ahrq.gov/web-mm/real-heartache
October 01, 2018 - Resources From the Same Author(s)
WebM&M Cases
Coming Up Short
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psnet.ahrq.gov/web-mm/pocket-syringe-swap
July 01, 2006 - It's not possible to transfer the entire anesthesia workspace with a patient for the short trip to recovery
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psnet.ahrq.gov/web-mm/crossed-coverage
September 01, 2015 - September 1, 2015
WebM&M Cases
Coming Up Short
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psnet.ahrq.gov/web-mm/wheres-feeding-tube
September 01, 2003 - Patients who require short-term (less than 1 month) feeding often have tubes placed directly through
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psnet.ahrq.gov/web-mm/slow-down-right-drug-wrong-formulation
October 13, 2018 - succinate populated as "Metoprolol *Do Not Crush* SA" with "SA" standing for "sustained action," not "short
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psnet.ahrq.gov/web-mm/new-oral-anticoagulants
July 01, 2011 - a dose is missed), a missed dose of a TSOAC can be devastating because of these agents' relatively short
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psnet.ahrq.gov/web-mm/inappropriate-antibiotic-use
September 22, 2010 - Short-course empiric antibiotic therapy for patients with pulmonary infiltrates in the intensive care
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psnet.ahrq.gov/web-mm/residual-anesthesia-tepid-burn
February 10, 2010 - Residual Anesthesia: Tepid Burn
Citation Text:
Kurrek MM, Twersky RS. Residual Anesthesia: Tepid Burn. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012.
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psnet.ahrq.gov/perspective/artificial-intelligence-and-patient-safety-promise-and-challenges
March 27, 2024 - Patrick Tighe: AI is short for artificial intelligence, but I think more conventionally these days, … checking in on this patient once every 15 minutes, or even once every 5 minutes, you can still miss short
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psnet.ahrq.gov/perspective/conversation-withpatrick-tighe-about-artificial-intelligence
March 27, 2024 - Patrick Tighe: AI is short for artificial intelligence, but I think more conventionally these days, … checking in on this patient once every 15 minutes, or even once every 5 minutes, you can still miss short
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psnet.ahrq.gov/innovation/project-boost-increases-patient-understanding-treatment-and-follow-care
February 26, 2025 - Post-acute care transitions : Existing partnerships between short-term acute care hospitals and skilled
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psnet.ahrq.gov/perspective/incident-reporting-more-attention-safety-action-feedback-loop-please
September 01, 2011 - In addition, a hospital that is tackling a particular safety problem could list specific events as short-term … If you increase your reporting rate in the short term, you better be careful because in the long term
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psnet.ahrq.gov/perspective/can-research-help-us-improve-medical-liability-system
March 01, 2012 - So I guess the short answer is that yes, they all have shades of gray, but it is in the nature of academic … He said to me, "I was on faculty here 6 months, at only 6 months I could give you a short list of people
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psnet.ahrq.gov/perspective/conversation-richard-c-boothman-jd
March 01, 2012 - So I guess the short answer is that yes, they all have shades of gray, but it is in the nature of academic … He said to me, "I was on faculty here 6 months, at only 6 months I could give you a short list of people
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psnet.ahrq.gov/web-mm/dose-makes-poison-medication-error-during-procedural-sedation-pediatric-emergency-department
January 23, 2017 - The intervention delays time to desaturation and allows patients to safely tolerate short periods of