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psnet.ahrq.gov/web-mm/customer-always-right
January 22, 2014 - Patients may ask for medications or procedures that could cause them more harm than benefit, and these situations
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psnet.ahrq.gov/node/74251/psn-pdf
January 26, 2022 - In these situations, however, it is very important that
surgeons use all tools at their disposal to
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psnet.ahrq.gov/web-mm/medication-errors-retail-pharmacies-wrong-patient-wrong-instructions
March 19, 2019 - Resources From the Same Author(s)
Measuring the teamwork performance of teams in crisis situations
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psnet.ahrq.gov/web-mm/false-assumptions-result-missed-pneumothorax-after-bronchoscopy-transbronchial-biopsy
March 15, 2023 - In many situations, as in this case, the accepting team member is also caring for other patients who
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psnet.ahrq.gov/innovation/project-boost-increases-patient-understanding-treatment-and-follow-care
February 26, 2025 - written discharge instructions: BOOST offers two tools (Patient PASS [Patient Preparation to Address Situations
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psnet.ahrq.gov/web-mm/diagnosing-diagnostic-mistakes
April 30, 2014 - Since ACS is more common than AD in most clinical situations, more harm than good may come from an overzealous
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psnet.ahrq.gov/node/866205/psn-pdf
July 10, 2024 - hospitals should establish a massive transfusion
protocol (MTP) that can be instituted in appropriate situations
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psnet.ahrq.gov/node/49735/psn-pdf
June 01, 2015 - Medical decision making in situations that offer multiple alternatives. JAMA.
1995;273:302-305.
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psnet.ahrq.gov/node/33875/psn-pdf
March 01, 2019 - SH: One of the challenges in these situations is getting at the truth.
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psnet.ahrq.gov/node/49822/psn-pdf
March 01, 2018 - nuanced and influenced by many complex factors, including
the lack of high-quality evidence in specific situations
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psnet.ahrq.gov/node/49702/psn-pdf
March 01, 2014 - However, clinicians in these situations should consider the following questions: If you were the previously
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psnet.ahrq.gov/web-mm/painful-medication-reconciliation-mishap
May 01, 2008 - Such situations can create complex management decisions, and consultation with a pharmacist or pain management
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psnet.ahrq.gov/web-mm/thin-air
March 01, 2006 - anesthesia machine has alarms for oxygen concentration, but these are not yet used for in-hospital transport situations
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psnet.ahrq.gov/node/33738/psn-pdf
December 01, 2012 - http://www.ahrq.gov/about/annualconf09/reiling.htm
make you become smarter in terms of looking at situations
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psnet.ahrq.gov/issue/attention-wanders-rethinking-autopilot
October 26, 2011 - Newspaper/Magazine Article
As attention wanders, rethinking the autopilot.
Citation Text:
Negroni C.
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June 2, 2010
Negroni…
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psnet.ahrq.gov/node/49439/psn-pdf
March 01, 2004 - Lethal Cap
March 1, 2004
Schillinger D. Lethal Cap. PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/lethal-cap
The Case
A 9-month-old child was seen by her pediatrician for a fever and decreased appetite. She was found to
have otitis media and was prescribed amoxicillin. The doctor gave the first dose to th…
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psnet.ahrq.gov/perspective/soil-not-seed-real-problem-root-cause-analysis
March 01, 2007 - The Soil, Not the Seed: The Real Problem with Root Cause Analysis
Patrice Spath, BA, RHIT, and William Minogue, MD | July 1, 2008
View more articles from the same authors.
Citation Text:
Spath P, Minogue W. The Soil, Not the Seed: The Real Problem with Root Cause …
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psnet.ahrq.gov/web-mm/informed-or-misled
April 24, 2018 - Informed or Misled?
Citation Text:
White SM. Informed or Misled?
. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2007.
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psnet.ahrq.gov/node/49845/psn-pdf
October 01, 2018 - Coming Up Short: Maintaining Safety in the Face of Drug
Shortages
October 1, 2018
Plogsted S. Coming Up Short: Maintaining Safety in the Face of Drug Shortages. PSNet [internet]. 2018.
https://psnet.ahrq.gov/web-mm/coming-short-maintaining-safety-face-drug-shortages
The Case
A 1-month-old preterm infant in the ne…
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psnet.ahrq.gov/node/49656/psn-pdf
June 01, 2012 - Comanagement: Who's in Charge?
June 1, 2012
Cheng HQ. Comanagement: Who's in Charge? PSNet [internet]. 2012.
https://psnet.ahrq.gov/web-mm/comanagement-whos-charge
The Case
A 77-year-old man with a history of chronic obstructive pulmonary disease (COPD) was admitted with a left
hip fracture to the orthopedic surg…