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psnet.ahrq.gov/sites/default/files/2022-01/final_spotlight_stacked_opioid_administration_01.03.2022.pdf
January 01, 2022 - .
• When the morning shift started, the new nursing assistant called
the team to bedside as the patient … • She was transferred from the PACU to the inpatient floor that
evening and started on a hydromorphone
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psnet.ahrq.gov/node/841469/psn-pdf
December 14, 2022 - Strongyloides infection before any immunosuppressant medications (such as chemotherapy or steroids)
were started … be screened, but it is
imperative to screen patients who are about to receive or who have recently started
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psnet.ahrq.gov/node/73456/psn-pdf
June 30, 2021 - The attending anesthesiologist took over, but before intubation
could be performed, the patient started … After about two
minutes, the patient started to cough up bloody secretions and was administered 100%
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psnet.ahrq.gov/node/836841/psn-pdf
June 01, 2020 - Getting Started with This Innovation
According to the CCHS team, to get started, sites will need to
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psnet.ahrq.gov/issue/mistake-proofing-healthcare-why-stopping-processes-may-be-good-start
March 14, 2022 - Commentary
Mistake-proofing healthcare: why stopping processes may be a good start.
Citation Text:
Grout JR, Toussaint JS. Mistake-proofing healthcare: Why stopping processes may be a good start. Bus Horiz. 2009;53(2):149-156. doi:10.1016/j.bushor.2009.10.007.
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Forma…
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psnet.ahrq.gov/issue/when-clinicians-drop-out-and-start-over-after-adverse-events
May 18, 2022 - Study
When clinicians drop out and start over after adverse events.
Citation Text:
Rodriquez J, Scott SD. When Clinicians Drop Out and Start Over after Adverse Events. Jt Comm J Qual Patient Saf. 2018;44(3):137-145. doi:10.1016/j.jcjq.2017.08.008.
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Format:
DOI …
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psnet.ahrq.gov/issue/how-health-care-changes-when-algorithms-start-making-diagnoses
May 29, 2019 - Newspaper/Magazine Article
How health care changes when algorithms start making diagnoses.
Citation Text:
How health care changes when algorithms start making diagnoses. Burt A, Volchenboum S. Harv Bus Rev. May 8, 2018.
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…
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psnet.ahrq.gov/node/853973/psn-pdf
September 27, 2023 - STOPP/START criteria for potentially inappropriate
prescribing in older people: version 3.
September 27, 2023
O’Mahony D, Cherubini A, Guiteras AR, et al. STOPP/START criteria for potentially inappropriate
prescribing in older people: version 3. Eur Geriatr Med. 2023;14(4):625-632. doi:10.1007/s41999-023-
00777-y.…
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psnet.ahrq.gov/sites/default/files/2020-04/spotlight-slides-wright-schiff.pdf
January 01, 2020 - Spotlight
The Lost Start Date, an Unknown
Risk of E-prescribing
Source and Credits
• This presentation is based on the October 2019
AHRQ WebM&M Spotlight Case
○ See the full article at https://psnet.ahrq.gov/webmm
○ CME credit is available
• Commentary by: Adam Wright, PhD, and Gordon
Schiff, MD
○ Editor, AHRQ…
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psnet.ahrq.gov/node/836876/psn-pdf
May 16, 2022 - To
facilitate this paradigm shift, researchers have started developing EMS trigger tools, based on the
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psnet.ahrq.gov/node/33862/psn-pdf
July 01, 2018 - Shantanu Nundy: It started back in medical school when I was on the wards, learning how to do my
basic … Despite a year's worth of medical
care—she started off in Southeast Asia, then Germany, then to Walter … SN: We started building the community 2 and a half years ago.
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psnet.ahrq.gov/node/33861/psn-pdf
July 01, 2018 - Gordon Schiff: It started with an interest in medication safety. … So it started with my interest in medication safety and realizing that as
an internist I mainly did … It actually
began weeks before I even started taking the drug."
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psnet.ahrq.gov/web-mm/delayed-evaluation-abdominal-pain-elderly-patient
February 26, 2020 - year-old woman presented to the Emergency Department (ED) at 1800H complaining of abdominal pain that had started … An intravenous infusion of normal saline was started at 500 mL/hour. … She started to vomit blood a few moments later, was transferred to an inpatient room within 30 minutes
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psnet.ahrq.gov/web-mm/too-tight-control
March 20, 2013 - Due to new hospital initiatives aimed at tighter glucose control, he was started on an insulin drip rather … envision a "forcing function," in which IV insulin is automatically discontinued, or a dextrose drip started
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psnet.ahrq.gov/node/49411/psn-pdf
July 01, 2003 - you were sick with a terminal illness ... if you
had something that could never be cured ... and you started … In
an effort to respect the patient’s preference to avoid invasive ventilation, she was started on noninvasive
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psnet.ahrq.gov/node/33611/psn-pdf
July 01, 2005 - RW: What did you expect to find before you started? … So we started off
with the goal to look at serious medical errors.
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psnet.ahrq.gov/node/33649/psn-pdf
May 01, 2007 - Then I also started to see incidents reported from
our hospitals to the region. … I
would have guessed it would have been the other way around before I started.
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psnet.ahrq.gov/web-mm/potent-medication-administered-not-so-viable-route
July 20, 2016 - It was started at a low dose but then titrated up to 20 μg/hr to address the patient's continued hypotension … multi-departmental morbidity and mortality review, and a new protocol was issued that potent medications may be started
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psnet.ahrq.gov/web-mm/bowel-injury-after-laparoscopic-surgery
January 19, 2016 - His physical examination was documented as unremarkable, and he was started on a patient-controlled analgesia … On postoperative day 2, the patient was weaned off the PCA and started on a clear liquid diet.
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psnet.ahrq.gov/node/33758/psn-pdf
December 01, 2013 - So my work
started evolving more into informatics, human factors, cognitive psychology, and information … Being opportunistic might be good for people who really need funding to get started or are
looking for