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psnet.ahrq.gov/perspective/conversation-susan-haas-md-msc
March 01, 2019 - So suddenly the formulary changes, some biomedical equipment changes, a test or radiology reporting system … Suddenly, there are a lot of patients with opioid use disorder or non-English speaking patients.
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psnet.ahrq.gov/periodic-issue/periodic-issue-454
September 25, 2024 - September 4, 2024 Weekly Issue
PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly
Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient
safety literature, news, conferences, repor…
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psnet.ahrq.gov/node/836885/psn-pdf
May 16, 2022 - He
sat on a chair in the hallway and then became suddenly unresponsive. Physicians initiated CPR.
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psnet.ahrq.gov/web-mm/fire-hole-or-fire
August 03, 2017 - Suddenly, sparks and flames began shooting from the monitor tower, and the OR quickly filled with black
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.155_slideshow.ppt
July 01, 2007 - Spotlight Case [MONTH] 2003
Spotlight Case July 2007
Resuscitation Errors:
A Shocking Problem
Source and Credits
This presentation is based on the July 2007
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available online
Commentary by: Benjamin Abella, MD, MPhil, …
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psnet.ahrq.gov/web-mm/missing-trauma
March 03, 2011 - ; wound; trauma" and likewise defines trauma as "wound; an injury inflicted, usually more or less suddenly
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psnet.ahrq.gov/web-mm/carpe-diem-seize-day
September 01, 2012 - The Commentary
By reporting a recent seizure to his new physician, this man suddenly confronts his
-
psnet.ahrq.gov/node/49769/psn-pdf
September 01, 2016 - She said the pain
came on suddenly that morning after binge-drinking vodka.
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psnet.ahrq.gov/node/49466/psn-pdf
October 14, 2004 - Two days later, the patient suddenly aspirated, arrested, and died.
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psnet.ahrq.gov/node/49731/psn-pdf
April 01, 2015 - Suddenly,
sparks and flames began shooting from the monitor tower, and the OR quickly filled with black
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psnet.ahrq.gov/perspective/conversation-withpat-croskerry-md-phd
June 01, 2010 - nature of error in medicine that I really wasn't aware of what was going on in the department until suddenly … We often cannot predict what the flow will be like; there are lots of surges—suddenly you have six ambulances
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psnet.ahrq.gov/web-mm/medical-devices-wild
March 27, 2024 - did improve temporarily, but despite receiving appropriate DVT prophylaxis, one week after surgery he suddenly
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psnet.ahrq.gov/web-mm/management-cardiac-arrest-unconventional-locations
June 14, 2023 - He sat on a chair in the hallway and then became suddenly unresponsive. Physicians initiated CPR.
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psnet.ahrq.gov/web-mm/hard-swallow
April 26, 2023 - Two days later, the patient suddenly aspirated, arrested, and died.
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psnet.ahrq.gov/web-mm/surgical-personality-threat-patient-safety
February 24, 2021 - ability to rise to the occasion, to do what is necessary, to project a calming confidence when odds suddenly
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psnet.ahrq.gov/node/33881/psn-pdf
August 01, 2019 - But in the longer term it will be there because
people suddenly understand what they do, they understand
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psnet.ahrq.gov/node/61083/psn-pdf
October 28, 2020 - you're putting people in their rooms and simple things like a hydration station at the nurse’s station
suddenly
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psnet.ahrq.gov/issue/four-medication-safety-tips-older-adults
March 26, 2008 - Fact Sheet/FAQs
Four Medication Safety Tips for Older Adults.
Citation Text:
FDA Consumer Health Information. Silver Spring, MD: US Food and Drug Administration; September 20, 2016.
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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…
-
psnet.ahrq.gov/node/49665/psn-pdf
September 01, 2012 - Undetected Foreign Object
September 1, 2012
Cima RR. Undetected Foreign Object. PSNet [internet]. 2012.
https://psnet.ahrq.gov/web-mm/undetected-foreign-object
The Case
A 75-year-old man with a past medical history of end-stage renal disease (on hemodialysis), hypertension,
and diabetes was found to have obstruct…