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psnet.ahrq.gov/node/33867/psn-pdf
October 01, 2018 - A lot of that can happen at the counseling stage, where there's some communication between the
pharmacist
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psnet.ahrq.gov/node/49843/psn-pdf
October 01, 2018 - Spotlight: Overdiagnosis and Delay: Challenges in Sepsis
Diagnosis
October 1, 2018
Kuye I, Rhee C. Spotlight: Overdiagnosis and Delay: Challenges in Sepsis Diagnosis. PSNet [internet].
2018.
https://psnet.ahrq.gov/web-mm/spotlight-overdiagnosis-and-delay-challenges-sepsis-diagnosis
Case Objectives
Realize the im…
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psnet.ahrq.gov/node/33855/psn-pdf
April 01, 2018 - We felt that payment in isolation might
not be sufficiently helpful—at least at that stage.
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psnet.ahrq.gov/node/861760/psn-pdf
January 31, 2024 - Syringe Swap During Regional Block: A Case of
Medication Error and Recovery
January 31, 2024
Beres K, Gutierrez MC. Syringe Swap During Regional Block: A Case of Medication Error and Recovery.
PSNet [internet]. 2024.
https://psnet.ahrq.gov/web-mm/syringe-swap-during-regional-block-case-medication-error-and-recover…
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psnet.ahrq.gov/node/50613/psn-pdf
October 30, 2019 - You don't have a lot of
agency when you're in the second stage of labor, which is like running the gauntlet
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psnet.ahrq.gov/node/33752/psn-pdf
August 01, 2013 - training and measurement programs without addressing the burnout, or do you
think this is an inevitable stage
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psnet.ahrq.gov/node/857258/psn-pdf
November 30, 2023 - Always Check the Muscle Twitch: Residual
Neuromuscular Block After Removal of a Gastric Balloon
November 30, 2023
Bohringer C, Ashley S. Always Check the Muscle Twitch: Residual Neuromuscular Block After Removal of
a Gastric Balloon. PSNet [internet]. 2023.
https://psnet.ahrq.gov/web-mm/always-check-muscle-twitch-…
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psnet.ahrq.gov/node/33748/psn-pdf
April 01, 2013 - at the level of the initial
review by hospital-based reviewers as well as at the secondary analysis stage
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psnet.ahrq.gov/issue/prone-error-earliest-steps-find-cancer
March 09, 2011 - Newspaper/Magazine Article
Prone to error: earliest steps to find cancer.
Citation Text:
Prone to error: earliest steps to find cancer. Saul S. New York Times. July 19, 2010;A1.
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psnet.ahrq.gov/perspective/conversation-jack-needleman-phd
September 01, 2012 - The second stage is: "my patients are sicker and you haven't taken that into account." … Then you get to the third stage, which is: "I'm practicing as well as I know how to already, there's
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psnet.ahrq.gov/web-mm/fecal-contamination-peritoneum-laparoscopic-trocar-injury-routine-operation-goes-wrong
March 03, 2021 - no foreign material is retained. 18
Take-Home Points
Peritoneal access is the most vulnerable stage
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psnet.ahrq.gov/node/60268/psn-pdf
April 29, 2020 - //psnet.ahrq.gov/web-mm/complications-ecmo-during-transport
The Case
A 54-year-old woman with end-stage
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psnet.ahrq.gov/innovation/ambulatory-safety-nets-reduce-missed-and-delayed-diagnoses-cancer
February 26, 2025 - delay diagnosis and treatment. 10 A study in Michigan found that patients at the greatest risk of late-stage
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psnet.ahrq.gov/web-mm/wrong-patients-blood-evaluating-near-miss-wrong-transfusion-event
July 01, 2017 - atrial fibrillation, coronary artery disease, congestive heart failure with an ejection fraction of 45%, stage
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psnet.ahrq.gov/node/851389/psn-pdf
July 31, 2023 - delay diagnosis and treatment.10 A study in Michigan found that patients at the
greatest risk of late-stage
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psnet.ahrq.gov/node/72517/psn-pdf
November 25, 2020 - morning after her cesarean section, the finding was attributed to having pushed during the second
stage
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psnet.ahrq.gov/node/49682/psn-pdf
April 01, 2013 - language
disturbances, such as frank aphasia, can result from migraine.(15)
So even in the first stage
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psnet.ahrq.gov/sites/default/files/2023-04/failure_to_ensure_patient_safety_leads_to_patient_falls_in_nursing_homes.pdf
January 01, 2023 - Details (1)
• A 78-year-old woman with a history of obesity, diabetes mellitus, anemia,
anxiety, end-stage
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psnet.ahrq.gov/node/49597/psn-pdf
February 01, 2010 - adolescents include the following: non-white, non-European
descent; age older than 10 years; Tanner stage
-
psnet.ahrq.gov/node/836879/psn-pdf
April 27, 2022 - That helped set the stage for the high-profile
case of Betsy Lehman, which was uncovered by investigative