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psnet.ahrq.gov/periodic-issue/periodic-issue-405
August 30, 2023 - the patient suffered slower onset of analgesia and significant pruritis, and required more prolonged monitoring
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psnet.ahrq.gov/periodic-issue/periodic-issue-404
August 30, 2023 - the patient suffered slower onset of analgesia and significant pruritis, and required more prolonged monitoring
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psnet.ahrq.gov/node/846170/psn-pdf
March 15, 2023 - Duplicate Therapies in Retail Pharmacy
March 15, 2023
Punatar N, Molla M, Lee S. Duplicate Therapies in Retail Pharmacy. PSNet [internet]. 2023.
https://psnet.ahrq.gov/web-mm/duplicate-therapies-retail-pharmacy
The Cases
Case 1: A middle-aged man with a past medical history of heart failure with reduced ejection f…
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psnet.ahrq.gov/innovation/project-boost-increases-patient-understanding-treatment-and-follow-care
February 26, 2025 - Project BOOST Increases Patient Understanding of Treatment and Follow-up Care
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May 26, 2021
Innovation
Contact
…
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psnet.ahrq.gov/node/49735/psn-pdf
June 01, 2015 - Anchoring Bias With Critical Implications
June 1, 2015
Etchells E. Anchoring Bias With Critical Implications. PSNet [internet]. 2015.
https://psnet.ahrq.gov/web-mm/anchoring-bias-critical-implications
Case Objectives
Appreciate that diagnostic errors are common in primary and ambulatory care.
Define premature clo…
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psnet.ahrq.gov/node/73300/psn-pdf
July 01, 2022 - Project BOOST Increases Patient Understanding of
Treatment and Follow-up Care
May 26, 2021
https://psnet.ahrq.gov/innovation/project-boost-increases-patient-understanding-treatment-and-follow-care
Summary
The Patient Safe-D(ischarge) program used standardized tools to educate patients about their discharge
needs,…
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psnet.ahrq.gov/node/49822/psn-pdf
March 01, 2018 - Unlike warfarin, DOACs do not require routine dose adjustment or monitoring.
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psnet.ahrq.gov/perspective/conversation-john-g-reiling-phd
June 01, 2014 - In Conversation With... John G. Reiling, PhD
December 1, 2012
Citation Text:
In Conversation With.. John G. Reiling, PhD. PSNet [internet]. 2012.In Conversation With... John G. Reiling, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Qualit…
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psnet.ahrq.gov/node/33770/psn-pdf
August 01, 2014 - focused on
ambulatory patient safety, including missed and delayed diagnosis, adverse drug events, and monitoring
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psnet.ahrq.gov/web-mm/order-interrupted-text-multitasking-mishap
August 21, 2015 - electromagnetic radiation, which may interfere with other hospital devices (e.g., remote telemetry monitoring
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psnet.ahrq.gov/web-mm/hindsight-2020-thrombolytics-alcohol-intoxication
December 18, 2024 - The patient was admitted to the intensive care unit (ICU) for close monitoring.
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psnet.ahrq.gov/node/864867/psn-pdf
April 10, 2024 - The patient was admitted to the intensive care unit (ICU) for close
monitoring.
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psnet.ahrq.gov/perspective/ehr-copy-and-paste-and-patient-safety
January 01, 2018 - Are there technological solutions that we should be thinking about to try to improve the situation? … Safety
March 27, 2024
Perspective
Surveillance Monitoring
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psnet.ahrq.gov/perspective/patient-safety-and-health-information-technology-learning-our-mistakes
July 01, 2012 - There are many, additional, reasons for our current situation. … Recommendations for responsible monitoring and regulation of clinical software systems. … Challenges
March 27, 2024
Perspective
Surveillance Monitoring
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psnet.ahrq.gov/perspective/conversation-david-juurlink-md-phd
May 22, 2017 - You have a situation where untreated pain becomes characterized as a harm. … The increasing availability of prescription drug monitoring programs (PDMPs), designed to improve clinicians … Physician attitudes and experiences with Maryland's prescription drug monitoring program (PDMP).
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psnet.ahrq.gov/perspective/conversation-sharon-k-inouye-md-mph
December 01, 2012 - These specially trained staff, volunteers, and aides are there to help deal with that kind of situation … ABCDE" bundle ( A wakening and B reathing C oordination as well as C hoice of sedation, D elirium monitoring … Large-scale implementation of sedation and delirium monitoring in the intensive care unit: a report from
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psnet.ahrq.gov/perspective/opioid-overdose-patient-safety-problem
May 01, 2017 - The increasing availability of prescription drug monitoring programs (PDMPs), designed to improve clinicians … Physician attitudes and experiences with Maryland's prescription drug monitoring program (PDMP). … You have a situation where untreated pain becomes characterized as a harm.
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psnet.ahrq.gov/primer/coronavirus-disease-2019-covid-19-and-safety-older-adults
April 10, 2024 - and protecting people from severe infection, hospitalization, and death. 41,42 The swiftly evolving situation … ,” which means they are preliminary results and should be considered in the context of the clinical situation … practices and facility resiliency that can serve as a framework for enhanced oversight and quality monitoring … Reopening the doors of Dutch nursing homes during the COVID-19 crisis: results of an in-depth monitoring
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psnet.ahrq.gov/node/60790/psn-pdf
February 23, 2022 - Accuracy of a smartphone-based orthodontic treatment-
monitoring application: A pilot study.
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psnet.ahrq.gov/perspective/conversation-elsabeth-kalenderian-dds-mph-phd-and-muhammad-f-walji-phd
December 22, 2020 - limitations with regards to the infrastructure and resources available to implement AE tracking and monitoring