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psnet.ahrq.gov/web-mm/acute-care-admission-behavioral-health-patient
July 19, 2023 - Acute Care Admission of the Behavioral Health Patient
Citation Text:
Weiss AP, Rosenbaum JF. Acute Care Admission of the Behavioral Health Patient. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013.
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psnet.ahrq.gov/node/851555/psn-pdf
July 31, 2023 - Bandemia as a Harbinger of Stercoral Colitis and
Impending Perforation
July 31, 2023
Flynn S, Barnes DK. Bandemia as a Harbinger of Stercoral Colitis and Impending Perforation. PSNet
[internet]. 2023.
https://psnet.ahrq.gov/web-mm/bandemia-harbinger-stercoral-colitis-and-impending-perforation
The Case
A 56-year-…
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psnet.ahrq.gov/node/849592/psn-pdf
May 31, 2023 - Preventing Falls Through Patient and Family Engagement
to Create Customized Prevention Plans
May 31, 2023
https://psnet.ahrq.gov/innovation/preventing-falls-through-patient-and-family-engagement-create-
customized-prevention
Summary
Patient falls in hospitals are common and debilitating adverse events that persis…
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psnet.ahrq.gov/web-mm/july-syndrome
July 01, 2011 - definitive study to date, a systematic review published in 2011, concluded that, among studies less subject
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psnet.ahrq.gov/node/49669/psn-pdf
November 01, 2012 - The optimal transfusion threshold continues to be a subject of much debate, although two trials provide
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psnet.ahrq.gov/node/49501/psn-pdf
February 03, 2006 - Finally, after the turnover, the clinicians became subject to a framing effect, as all the
findings
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psnet.ahrq.gov/web-mm/watch-warfarin
December 01, 2013 - These drugs have few drug–drug interactions, are not subject to variations in diet, and, unlike warfarin
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psnet.ahrq.gov/web-mm/consequences-miscommunication-regarding-possible-artifact
May 11, 2019 - are required to disclose relevant financial relationships with commercial interests related to the subject
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psnet.ahrq.gov/node/837791/psn-pdf
August 05, 2022 - Specifically, we highlight recent
work in diagnostic safety, which continues to be a subject of importance
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psnet.ahrq.gov/web-mm/when-lytes-go-out-case-inpatient-cardiac-arrest
February 01, 2023 - are required to disclose relevant financial relationships with commercial interests related to the subject
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psnet.ahrq.gov/node/49512/psn-pdf
May 01, 2006 - Right? Left? Neither!
May 1, 2006
Chassin MR, Howell EA. Right? Left? Neither!. PSNet [internet]. 2006.
https://psnet.ahrq.gov/web-mm/right-left-neither
Case Objectives
Appreciate the role of Reason's Swiss Cheese Model in medical errors
Understand the process of analyzing a single error
Provide suggestions for …
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psnet.ahrq.gov/node/49640/psn-pdf
November 01, 2011 - The Case for Patient Flow Management
November 1, 2011
Litvak E, Bernheim SA. The Case for Patient Flow Management. PSNet [internet]. 2011.
https://psnet.ahrq.gov/web-mm/case-patient-flow-management
The Case
A 52-year-old woman with a history of major depression, posttraumatic stress disorder, and alcohol abuse
wa…
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psnet.ahrq.gov/node/33733/psn-pdf
July 01, 2012 - Patient Safety and Health Information Technology:
Learning from Our Mistakes
July 1, 2012
Koppel R. Patient Safety and Health Information Technology: Learning from Our Mistakes. PSNet
[internet]. 2012.
https://psnet.ahrq.gov/perspective/patient-safety-and-health-information-technology-learning-our-mistakes
Perspe…
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psnet.ahrq.gov/node/49535/psn-pdf
May 01, 2007 - Production Pressures
May 1, 2007
Carayon P. Production Pressures. PSNet [internet]. 2007.
https://psnet.ahrq.gov/web-mm/production-pressures
The Case
A 65-year-old man with bipolar disorder was scheduled for maintenance electroconvulsive therapy (ECT), a
procedure he had received dozens of times before. These pro…
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psnet.ahrq.gov/web-mm/risks-malpositioned-gastrostomy-tube-and-poor-communication
August 01, 2012 - are required to disclose relevant financial relationships with ineligible companies related to the subject
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psnet.ahrq.gov/web-mm/engaging-seriously-ill-older-patients-advance-care-planning
December 22, 2018 - and families essentially asked, "If it was an important topic, why isn't the doctor bringing up the subject
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psnet.ahrq.gov/web-mm/discharged-iv-antibiotics-when-issues-arise-who-manages-complications
October 10, 2017 - are required to disclose relevant financial relationships with commercial interests related to the subject
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psnet.ahrq.gov/web-mm/ecg-not-normal
November 10, 2015 - A philosopher could write volumes on the subject, but the brief version is that either extreme of affection
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psnet.ahrq.gov/web-mm/lost-transition
November 17, 2010 - Finally, after the turnover, the clinicians became subject to a framing effect, as all the findings were
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psnet.ahrq.gov/node/49486/psn-pdf
August 21, 2005 - Fourth, there is wide inter-subject variation in the dose of warfarin required to raise the INR to a