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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/perspective/conversation-eric-j-topol-md
February 26, 2025 - beings, but where that can go in terms of the power of information and placing the individual at center stage
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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/33692/psn-pdf
February 01, 2010 - In Conversation with…Thomas J. Nasca, MD
February 1, 2010
In Conversation with…Thomas J. Nasca, MD. PSNet [internet]. 2010.
https://psnet.ahrq.gov/perspective/conversation-withthomas-j-nasca-md
Editor's note: Thomas J. Nasca, MD, is the executive director and chief executive officer of the
Accreditation Council fo…
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psnet.ahrq.gov/node/33783/psn-pdf
April 01, 2015 - RW: At this stage now in the safety field, what do you see that gives you hope?
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psnet.ahrq.gov/perspective/conversation-tejal-k-gandhi-md-mph
February 26, 2025 - means that patients are getting seen by primary care and into the health care system at an earlier stage
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psnet.ahrq.gov/sites/default/files/2024-10/spotlight_case_delayed_symptomatic_subdural_hematoma_slides.pptx
January 01, 2024 - Spotlight
Spotlight
Delayed Symptomatic Subdural Hematoma Following an Initially Normal CT Head
1
Source and Credits
This presentation is based on the October 2024 AHRQ WebM&M Spotlight Case
See the full article at https://psnet.ahrq.gov/webmm
CME credit is available
Commentary by: Ryan Martin, MD, FCNS and …
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psnet.ahrq.gov/node/45255/psn-pdf
January 23, 2017 - Provider risk factors for medication administration error
alerts: analyses of a large-scale closed-loop medication
administration system using RFID and barcode.
January 23, 2017
Hwang Y, Yoon D, Ahn EK, et al. Provider risk factors for medication administration error alerts: analyses
of a large-scale closed-loop m…
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psnet.ahrq.gov/perspective/conversation-lucian-leape-md
June 12, 2019 - RW : At this stage now in the safety field, what do you see that gives you hope?
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psnet.ahrq.gov/node/857061/psn-pdf
November 27, 2023 - The faculty member
is usually on the “stage,” and they impart the knowledge and information to the student
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psnet.ahrq.gov/perspective/conversation-gordon-schiff-md
February 26, 2025 - The thoracic surgeon said I "shouldn't fall on my sword" because the delay didn't really change her stage
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psnet.ahrq.gov/node/33861/psn-pdf
July 01, 2018 - The thoracic surgeon said
I "shouldn't fall on my sword" because the delay didn't really change her stage
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psnet.ahrq.gov/perspective/conversation-brian-jarman-phd
March 01, 2015 - process control methods ( 19 ) to flag unfavorable trends in diagnosis-specific mortality at an early stage
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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
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psnet.ahrq.gov/perspective/conversation-j-bryan-sexton-phd-ma
February 26, 2025 - training and measurement programs without addressing the burnout, or do you think this is an inevitable stage
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psnet.ahrq.gov/web-mm/lack-sepsis-recognition-leads-delay-care-following-cesarean-delivery
November 30, 2021 - the morning after her cesarean section, the finding was attributed to having pushed during the second stage
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psnet.ahrq.gov/web-mm/failure-ensure-patient-safety-leads-patient-falls-nursing-homes
August 14, 2024 - Case 2: A 78-year-old woman with a history of obesity, diabetes mellitus, anemia, anxiety, end-stage
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psnet.ahrq.gov/issue/ahrq-safety-program-improving-surgical-care-and-recovery
December 24, 2008 - Multi-use Website
AHRQ Safety Program for Improving Surgical Care and Recovery.
Citation Text:
AHRQ Safety Program for Improving Surgical Care and Recovery. Agency for Healthcare Research and Quality.
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psnet.ahrq.gov/issue/ensuring-medication-reconciliation
December 19, 2012 - Newspaper/Magazine Article
Ensuring medication reconciliation.
Citation Text:
Ensuring medication reconciliation. Georgia K, Kinney K, Pace A, Helton K. Patient Saf Qual Healthc. November / December 2007.
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…
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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