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psnet.ahrq.gov/web-mm/xl-or-smaller
December 13, 2006 - XL or Smaller?
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psnet.ahrq.gov/glossary/swiss-cheese-model
September 13, 2021 - illustrate how analyses of major accidents and catastrophic systems failures tend to reveal multiple, smaller
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psnet.ahrq.gov/taxonomy/term/3460
November 14, 2020 - illustrate how analyses of major accidents and catastrophic systems failures tend to reveal multiple, smaller
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psnet.ahrq.gov/issue/risk-confusion-between-non-lipid-and-lipid-formulations-injectable-amphotericin
March 26, 2008 - March 26, 2008
WebM&M Cases
XL or Smaller?
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psnet.ahrq.gov/web-mm/unintentional-ketamine-overdose-operating-room-mixing-ampules
March 29, 2023 - intramuscular administration for patients who refuse insertion of an intravenous cannula. 18,19 The smaller … Smaller ampules for more concentrated medications
Concentrated solutions of drugs should be provided … in smaller ampules than those provided for dilute solutions to reduce the likelihood of this type of … display drug name and concentration in a large, easy-to-read font
Concentrated medications should be in smaller
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psnet.ahrq.gov/web-mm/abdominal-aortic-aneurysm-screening
October 01, 2011 - However, screening also results in the diagnosis of smaller aneurysms that are unlikely to rupture and … examination (abdominal palpation) is unreliable in the diagnosis of an AAA, particularly in those with smaller … not support early surgical intervention, as survival was not improved by elective repair of aneurysms smaller
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psnet.ahrq.gov/issue/changes-practice-among-physicians-malpractice-claims
February 03, 2016 - Physicians with paid claims were more likely to leave clinical practice and more likely to move to smaller … The authors raise the concern that physicians who move to smaller practice settings may lack the institutional
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psnet.ahrq.gov/innovation/suicide-prevention-emergency-department-population-ed-safe
January 31, 2024 - If this innovation was used in a smaller emergency department, the smaller emergency department would … For example, the smaller organization may need to establish who their quality improvement team will be … In addition, the smaller ED could conduct a modest amount of chart reviews rather than using EHR data
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psnet.ahrq.gov/issue/cost-hospital-wide-activities-improve-patient-safety-and-infection-control-multi-centre-study
September 19, 2007 - equivalent of up to 40 full-time employees' salaries on patient safety–related activities yearly, with smaller
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psnet.ahrq.gov/perspective/conversation-susan-haas-md-msc
March 01, 2019 - You can imagine systems where big places purchase smaller places—superficially it would seem easier to … take over the management of the smaller place and insert all of your own people and systems, but I imagine … : Let's assume the expansion is of the variety that one larger place is now inserting itself into a smaller … partnering with, or buying another place—let's say you were at the bigger place and they were at the smaller
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.368_slideshow.ppt
February 01, 2016 - 4
Case: Robotic Surgery (2)
The urologist explained that the robotic technology would allow for smaller … laparoscopic surgery with added benefit of three-dimensional magnified imaging
Reported benefits include:
Smaller
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psnet.ahrq.gov/perspective/building-safety-program-vast-health-care-network
March 01, 2019 - You can imagine systems where big places purchase smaller places—superficially it would seem easier to … take over the management of the smaller place and insert all of your own people and systems, but I imagine … : Let's assume the expansion is of the variety that one larger place is now inserting itself into a smaller … partnering with, or buying another place—let's say you were at the bigger place and they were at the smaller
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psnet.ahrq.gov/web-mm/waiting-too-long
February 01, 2013 - staff at all times, larger hospitals (or hospital units, such as obstetrics) have an advantage over smaller … workers on other units are "cross trained" to cover a variety of tasks when needs arise); whereas, smaller … In smaller hospitals, changes in hospital staffing or referral patterns will be necessary to accommodate
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psnet.ahrq.gov/perspective/conversation-vineet-chopra-md-msc
April 24, 2024 - Because PICCs are inserted into smaller veins in the arm, they are more likely to provoke DVT. … Your device is placed in a smaller vessel (than the IJ [internal jugular] or the subclavian) so that … You would imagine if they're happening in smaller vessels, they might not be as clinically important?
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psnet.ahrq.gov/perspective/conversation-withwilliam-b-weeks-md-mba
May 01, 2009 - I don't know how much this is going to incentivize, particularly smaller providers. … It may make a difference to a large health care system, but not to smaller providers. … national health care plan, my sense is that bigger employers will do this, and there will be coalitions of smaller
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psnet.ahrq.gov/issue/impact-sample-size-variation-adverse-events-and-preventable-adverse-events-systematic-review
June 27, 2007 - In general, smaller studies (sample size less than 1000 patients) found a much higher incidence of errors
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psnet.ahrq.gov/web-mm/robotic-surgery-risks-vs-rewards
October 31, 2023 - The urologist went on to say that the robotic technology would allow for smaller incisions, better control … The purported benefits of RAS also include smaller incisions, decreased blood loss, shorter hospital
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psnet.ahrq.gov/issue/medical-office-survey-patient-safety-culture
June 28, 2023 - survey is intended for offices with at least three providers, but it also can be used as a tool for smaller
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psnet.ahrq.gov/issue/ncpdp-recommendations-and-guidance-standardizing-dosing-designations-prescription-container
September 09, 2020 - a standard unit of measure (milliliters), using leading zeroes before decimal points (for amounts smaller
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.314_slideshow.ppt
February 01, 2014 - clarify that this was a high concentration formulation for which the volume to administer was 0.25 mL (a smaller