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psnet.ahrq.gov/web-mm/delirium-or-dementia
September 27, 2023 - consciousness was attributed to "senile dementia" and not impending respiratory failure (as evidenced by the significant
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psnet.ahrq.gov/node/74120/psn-pdf
November 30, 2021 - culture-clash-no-more-integration-and-coordination-disease-treatment-and-palliative-care
A 77-year-old man with no significant … administering
radiation therapy, in addition to potential medical transportation needs, represented a significant … to devote increasing time and energy to caring and learning complex care
regimens, which can have significant
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psnet.ahrq.gov/perspective/conversation-eric-thomas-about-zero-harm-striving-reduce-preventable-harms-point
September 24, 2024 - tension between allocating resources for zero harm initiatives and other areas of healthcare, could be a significant … Statistically, patient harm is rare enough that reliably assessing whether a harm is preventable or not
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psnet.ahrq.gov/perspective/medias-role-patient-safety
April 27, 2022 - A later survey found that a significant segment (51%) of the US public had become aware of the report … by 40 percen t. 6
In the more than two decades since the IOM report was released there have been significant … patient advisory councils could also be a general news media story if they could point to a real and significant
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psnet.ahrq.gov/perspective/conversation-michael-l-millenson
April 27, 2022 - patient advisory councils could also be a general news media story if they could point to a real and significant … A later survey found that a significant segment (51%) of the US public had become aware of the report … by 40 percen t. 6
In the more than two decades since the IOM report was released there have been significant
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psnet.ahrq.gov/node/861882/psn-pdf
January 31, 2024 - Patient Safety in Office-Based Care Settings
January 31, 2024
Ricciardi R, Lee M, Mossburg S. Patient Safety in Office-Based Care Settings. PSNet [internet]. 2024.
https://psnet.ahrq.gov/perspective/patient-safety-office-based-care-settings
The Institute of Medicine’s 2000 publication To Err Is Human summarized res…
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psnet.ahrq.gov/web-mm/getting-good-report-card-unintended-consequences-public-reporting-hospital-quality
October 01, 2004 - This is a significant risk given the limited number of clinical areas for which public reporting has
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psnet.ahrq.gov/perspective/artificial-intelligence-and-patient-safety-promise-and-challenges
March 27, 2024 - AI solutions that address deterioration from sepsis and other conditions have been associated with significant
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psnet.ahrq.gov/perspective/conversation-withpatrick-tighe-about-artificial-intelligence
March 27, 2024 - AI solutions that address deterioration from sepsis and other conditions have been associated with significant
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psnet.ahrq.gov/node/33646/psn-pdf
February 01, 2007 - Friedman found that physicians, medical students, and residents were confident about a
diagnosis in a significant
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psnet.ahrq.gov/web-mm/culture-clash-no-more-integration-and-coordination-disease-treatment-and-palliative-care
December 23, 2020 - List possible disease treatments that fit into the hospice model The Case A 77-year-old man with no significant … administering radiation therapy, in addition to potential medical transportation needs, represented a significant … need to devote increasing time and energy to caring and learning complex care regimens, which can have significant
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psnet.ahrq.gov/sites/default/files/2021-11/spotlight_integration_and_coordination_of_disesase_treatment_and_palliative_care_final.pdf
January 01, 2021 - early palliative care referral and intervention
4
Case Details (1)
• A 77-year-old man with no significant … administering radiation
therapy, in addition to potential medical transportation needs, represented a
significant … to
devote increasing time and energy to caring and learning complex
care regimens, which can have significant
-
psnet.ahrq.gov/web-mm/one-dose-fifty-pills
January 13, 2021 - the Same Author(s)
Assessment of physician sleep and wellness, burnout, and clinically significant
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psnet.ahrq.gov/perspective/conversation-cheryl-jones-about-addressing-workplace-violence-and-creating-safer
October 31, 2023 - Safety leaders recognize workplace violence as a significant patient safety issue; workforce safety is … December 7, 2022
A study of error reporting by nurses: the significant impact of nursing
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psnet.ahrq.gov/sites/default/files/2023-04/april_2023_spotlight_the_dose_makes_the_poison.pdf
January 01, 2023 - • The patient was crying and holding her left hip flexed with significant
tenderness on examination … nurse-related medication administration errors has
emphasized the complexity of weight-based dosing as a significant … communication in a cardiac
catheterization suite via performance feedback and staff education demonstrated a
significant
-
psnet.ahrq.gov/perspective/conversation-withlucian-leape-md
August 01, 2006 - I learned an important lesson: enlightened, risk-taking leadership is the only way to achieve significant … This focus on safety led to significant decreases in risks to patients.
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psnet.ahrq.gov/node/49458/psn-pdf
September 01, 2004 - Otorhinolaryngology (ENT) evaluation revealed no evidence of laryngeal edema; however, there was
evidence of significant
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psnet.ahrq.gov/innovation/michigan-hospital-medicine-safety-consortium-hms-finds-infectious-diseases-id-physician
July 23, 2024 - The hospitals elected to focus on the use of PICCs following a survey that showed significant variation … An earlier survey of ten Michigan hospitals found that there was significant variation in clinical practice
-
psnet.ahrq.gov/node/865373/psn-pdf
March 27, 2024 - AI solutions that address deterioration from sepsis and other conditions have been
associated with significant
-
psnet.ahrq.gov/node/49759/psn-pdf
May 01, 2016 - Falling Through the Crack (in the Bedrails)
May 1, 2016
Dykes PC, Vacca V, Leung WY. Falling Through the Crack (in the Bedrails). PSNet [internet]. 2016.
https://psnet.ahrq.gov/web-mm/falling-through-crack-bedrails
Case Objectives
Review the epidemiology of patient falls and associated injuries in the hospital set…