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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.458_slideshow.ppt
October 01, 2018 - His blood pressure was low (80/50 mm Hg), and he was started on intravenous fluids and broad spectrum … Physicians placed a central line and started him on vasopressors.
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psnet.ahrq.gov/node/49778/psn-pdf
December 01, 2016 - The patient was immediately started on treatment with
intravenous (IV) amphotericin (an antifungal drug … The other
patient—who should have been started on amphotericin—did not experience any adverse consequences
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psnet.ahrq.gov/perspective/unintended-consequences-florida-medical-liability-legislation
February 01, 2003 - passed Senate Bill 2D to address the medical malpractice insurance "crisis" in the state.( 2 ) Patients started … Reporting of events started to decline, and the fear of weakened peer review and QA protection had permeated
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psnet.ahrq.gov/issue/stoppstart-criteria-potentially-inappropriate-medications-potential-prescribing-omissions
January 19, 2022 - Commentary
Classic
STOPP/START criteria for potentially inappropriate medications/potential prescribing omissions in older people: origin and progress.
Citation Text:
O’Mahony D. STOPP/START criteria for potentially inappropriate medications/potential prescribin…
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psnet.ahrq.gov/node/33855/psn-pdf
April 01, 2018 - And I started thinking that transient cognitive dysfunction was part of this syndrome. … It started seeming to me like a syndrome. … When I really got into this, I started remembering all these situations where I had a patient, maybe
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psnet.ahrq.gov/perspective/conversation-erik-hollnagel-phd
February 26, 2025 - university hospital that were interested in upgrading their risk and safety training, and that's how I started … So they started by firing nearly all the secretaries.
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psnet.ahrq.gov/innovation/patient-and-family-centered-i-pass-family-centered-communication-program-reduce-medical
February 26, 2025 - Getting Started with This Innovation
Gathering support is valuable when starting this innovation. … Funding is helpful in getting started with this innovation.
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psnet.ahrq.gov/primer/deprescribing-patient-safety-strategy
December 15, 2024 - take to see benefit from the medication, among other things. 8 Determining why each medication was started … The medication appropriateness index at 20: where it started, where it has been and where it may be going
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psnet.ahrq.gov/web-mm/sweet-case-hidden-hydrogen-ions
November 30, 2023 - Dextrose-containing fluids were started as the patient was not tolerating any oral intake and an insulin … The patient was transferred to the intensive care unit (ICU) and an insulin drip was started, after which
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psnet.ahrq.gov/node/48186/psn-pdf
August 28, 2019 - Inappropriate prescribing defined by STOPP and START
criteria and its association with adverse drug events
among hospitalized older patients: a multicentre,
prospective study.
August 28, 2019
Fahrni ML, Azmy MT, Usir E, et al. Inappropriate prescribing defined by STOPP and START criteria and its
association with …
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psnet.ahrq.gov/issue/complications-and-death-start-new-academic-year-there-july-phenomenon
February 13, 2008 - Study
Complications and death at the start of the new academic year: is there a July phenomenon?
Citation Text:
Inaba K, Recinos G, Teixeira PGR, et al. Complications and death at the start of the new academic year: is there a July phenomenon? J Trauma. 2010;68(1):19-22. doi:10.1097/TA.…
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psnet.ahrq.gov/sites/default/files/2024-10/spotlight_case_a_cognitive_and_communication_blind_spot_slides.pptx
January 01, 2024 - spine surgery team.
6
6
Case Details (3)
In the meantime, on hospital day 4, the patient had been started … subarachnoid hemorrhage, unfractionated heparin was a reasonable option.13
Notably, it had already been started
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psnet.ahrq.gov/node/861880/psn-pdf
January 31, 2024 - Getting Started with This Innovation
Gathering support is valuable when starting this innovation. … Funding is helpful in getting started with this innovation.
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psnet.ahrq.gov/node/72835/psn-pdf
March 10, 2021 - We started in 2010 to support health
systems to implement the infrastructure for effective patient family … I started as a Patient Family
Advisor (PFA) in the mid-1990s, and we were ecstatic if we got to comment
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psnet.ahrq.gov/node/47796/psn-pdf
March 13, 2019 - Start using a checklist, PRONTO: recommendation for a
standard review process for chemotherapy orders.
March 13, 2019
Crandell BC, Bates JS, Grgic T. Start using a checklist, PRONTO: Recommendation for a standard review
process for chemotherapy orders. J Oncol Pharm Pract. 2018;24(8):609-616.
doi:10.1177/107815521…
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psnet.ahrq.gov/issue/start-year-right-addressing-these-top-10-medication-safety-concerns-2021
April 20, 2022 - Newspaper/Magazine Article
Start the year off right by addressing these top 10 medication safety concerns from 2021.
Citation Text:
Start the year off right by addressing these top 10 medication safety concerns from 2021. ISMP Medication Safety Alert! Acute care edition. January 27, 2022…
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psnet.ahrq.gov/issue/start-new-year-right-preventing-these-top-10-medication-errors-and-hazards
February 09, 2022 - Newspaper/Magazine Article
Start the new year off right by preventing these top 10 medication errors and hazards.
Citation Text:
Start the new year off right by preventing these top 10 medication errors and hazards. ISMP Medication Safety Alert! Acute care edition. January 16, 2020;26(2)…
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psnet.ahrq.gov/issue/start-year-right-preventing-these-top-10-medication-errors-and-hazards-2020
February 09, 2022 - Newspaper/Magazine Article
Start the year off right by preventing these top 10 medication errors and hazards from 2020.
Citation Text:
Start the year off right by preventing these top 10 medication errors and hazards from 2020. ISMP Medication Safety Alert! Acute care edition. January 27…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.197_slideshow.ppt
April 01, 2009 - When the RN started to remove the PICC, it broke, leaving approximately 7 cm in the patient.
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psnet.ahrq.gov/node/50622/psn-pdf
November 06, 2019 - Starting elective cardiac surgery after 3 pm does not
impact patient morbidity, mortality, or hospital costs.
November 6, 2019
Axtell AL, Moonsamy P, Melnitchouk S, et al. Starting elective cardiac surgery after 3 pm does not impact
patient morbidity, mortality, or hospital costs. J Thorac Cardiovasc Surg. 2019.
d…