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psnet.ahrq.gov/node/866848/psn-pdf
September 25, 2024 - In Conversation with Eric Thomas about Zero Harm:
Striving to Reduce Preventable Harms – Point,
Counterpoint, and Areas of Agreement
September 25, 2024
Thomas E, Mossburg S, Lee M. In Conversation with Eric Thomas about Zero Harm: Striving to Reduce
Preventable Harms – Point, Counterpoint, and Areas of Agreement. …
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psnet.ahrq.gov/node/33675/psn-pdf
October 01, 2008 - Identifying Adverse Events Not Present on Admission:
Can We Do It?
October 1, 2008
Naessens JM. Identifying Adverse Events Not Present on Admission: Can We Do It? PSNet [internet].
2008.
https://psnet.ahrq.gov/perspective/identifying-adverse-events-not-present-admission-can-we-do-it
Perspective
Interest is growi…
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psnet.ahrq.gov/node/73998/psn-pdf
October 27, 2021 - The Hidden Danger of Unseen Intravenous Catheters
October 27, 2021
Vadi MG, Malkin MR. The Hidden Danger of Unseen Intravenous Catheters. PSNet [internet]. 2021.
https://psnet.ahrq.gov/web-mm/hidden-danger-unseen-intravenous-catheters
The Case
A 6-week-old infant underwent a craniotomy and excision of abnormal bra…
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psnet.ahrq.gov/perspective/patient-safety-medical-nursing-and-other-clinical-education
January 31, 2020 - Annual Perspective
Patient Safety in Medical, Nursing, and Other Clinical Education
March 16, 2020
View more articles from the same authors.
Citation Text:
Howley LD, Hall KK, Fitall E. Patient Safety in Medical, Nursing, and Other Clinical Education . PSNe…
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psnet.ahrq.gov/node/33697/psn-pdf
June 01, 2010 - What Do We Know About Emergency Department Safety?
June 1, 2010
Sklar DP, Crandall CS. What Do We Know About Emergency Department Safety? PSNet [internet]. 2010.
https://psnet.ahrq.gov/perspective/what-do-we-know-about-emergency-department-safety
Perspective
Emergency medicine has evolved from a location, with var…
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psnet.ahrq.gov/web-mm/undiagnosed-vaginal-bleeding
July 06, 2022 - Undiagnosed Vaginal Bleeding
Citation Text:
Mandelblatt J. Undiagnosed Vaginal Bleeding . PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML En…
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psnet.ahrq.gov/web-mm/under-pressure-tracheostomy-cuff-over-inflation-leading-tissue-necrosis-and-cuff-rupture
March 15, 2023 - until it is safe to perform the first tracheostomy tube change, but the team should acknowledge the situation
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psnet.ahrq.gov/web-mm/missing-large-vessel-occlusion-stroke-patient-history-seizures
August 31, 2022 - This situation facilitated the growth of the neurohospitalist specialty and the rise of telestroke systems
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psnet.ahrq.gov/web-mm/which-line-ordering-provider-or-proceduralist
September 16, 2015 - knowledge—individuals in the care chain may have different understanding and expertise regarding the patient's situation
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psnet.ahrq.gov/sites/default/files/2024-07/spotlight_case_intraoperative_awareness_during_rhinoplasty_slides_final.pptx
January 01, 2024 - complications.
5
5
Case Details (2)
During the first follow-up visit, the surgeon did not address the situation
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psnet.ahrq.gov/node/50841/psn-pdf
January 29, 2020 - the risk of
hemolytic reaction due to non-ABO antibodies and should be avoided unless the clinical situation
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psnet.ahrq.gov/node/49537/psn-pdf
June 01, 2007 - Obviously, this situation begs for a unified medical record
[such as if the community-based primary
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psnet.ahrq.gov/node/33742/psn-pdf
December 01, 2012 - These specially trained staff, volunteers, and aides are there to help deal with that kind of situation
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psnet.ahrq.gov/node/49737/psn-pdf
June 01, 2015 - The charge nurse was called to assess the situation and found a blood clot in the tubing.
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psnet.ahrq.gov/sites/default/files/2022-02/final_cme_reviewed_spotlight_loss_of_trust_and_a_missed_diagnosis_02.14.20221_-_clean_-_revised.pdf
January 01, 2022 - • The situation was complicated by the COVID-19 pandemic when
many clinic visits were converted to
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psnet.ahrq.gov/node/60542/psn-pdf
May 27, 2020 - trained personnel who regularly perform this task...usually during
daytime hours.”13 However, in this situation
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psnet.ahrq.gov/sites/default/files/2022-05/final_cme_reviewed_-_spotlight_missing_a_large_vessel_occlusion_stroke_04.14.2022_-_copy.pdf
January 01, 2022 - • This situation facilitated the growth of the neurohospitalist specialty
and the rise of telestroke
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psnet.ahrq.gov/node/49534/psn-pdf
May 01, 2007 - Given the complexity of this situation, one wonders whether a system-level solution might be helpful.
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psnet.ahrq.gov/node/861760/psn-pdf
January 31, 2024 - Inadequate training and reliance on assumptions probably complicated the situation,
highlighting the
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psnet.ahrq.gov/node/74121/psn-pdf
November 30, 2021 - and include appropriate responses in high-risk areas, setting alarm limits
relevant to the clinical situation