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psnet.ahrq.gov/node/74717/psn-pdf
February 02, 2022 - Improving hospital infant safe sleep compliance by using
safety prevention bundle methodology.
February 2, 2022
Batra EK, Lewis ML, Saravana D, et al. Improving hospital infant safe sleep compliance by using safety
prevention bundle methodology. Pediatrics. 2021;148(6):e2020033704. doi:10.1542/peds.2020-033704.
ht…
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psnet.ahrq.gov/node/33696/psn-pdf
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/node/862983/psn-pdf
February 28, 2024 - His peak airway
pressures were initially 23-25 cm H2O but suddenly increased to 48-52 about 30 minutes … Thirty minutes into the operation the airway pressures suddenly increased from 25 to 50 cm of H2O and
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psnet.ahrq.gov/node/845278/psn-pdf
March 01, 2023 - Association between opioid tapering and subsequent
health care use, medication adherence, and chronic
condition control.
March 1, 2023
Magnan EM, Tancredi DJ, Xing G, et al. Association between opioid tapering and subsequent health care
use, medication adherence, and chronic condition control. JAMA Netw Open. 2023…
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psnet.ahrq.gov/node/843736/psn-pdf
February 01, 2023 - However, the patient suddenly
became bradycardic and hypotensive.
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psnet.ahrq.gov/node/866618/psn-pdf
December 31, 2024 - A Fatal Twist in Pseudohyperkalemia
December 31, 2024
Devera JL, Barnes DK, Lewis WR. A Fatal Twist in Pseudohyperkalemia. PSNet [internet]. 2024.
https://psnet.ahrq.gov/web-mm/fatal-twist-pseudohyperkalemia
Disclosure of Relevant Financial Relationships: As a provider accredited by the Accreditation Council
for C…
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psnet.ahrq.gov/issue/opioid-deprescribing-toolkit
May 01, 2023 - Toolkit
Opioid deprescribing toolkit.
Citation Text:
Health Innovation East, National Health Service. Opioid deprescribing toolkit.
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Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
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psnet.ahrq.gov/web-mm/resuscitation-errors-shocking-problem
October 19, 2022 - has occurred, such that an equipment problem that might have been easily remedied before an event can suddenly
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psnet.ahrq.gov/issue/preventing-adverse-events-caused-emergency-electrical-power-system-failures
July 31, 2023 - Sentinel Event Alerts
Preventing adverse events caused by emergency electrical power system failures.
Citation Text:
Preventing adverse events caused by emergency electrical power system failures. Sentinel Event Alert. 2006;37(37):1-3.
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psnet.ahrq.gov/issue/creating-culture-safety-opioid-prescribing-handbook-healthcare-executives
May 01, 2023 - Toolkit
Creating a Culture of Safety for Opioid Prescribing: A Handbook for Healthcare Executives.
Citation Text:
Centers for Disease Control and Prevention (CDC); 2021. Creating a Culture of Safety for Opioid Prescribing: A Handbook for Healthcare Executives.
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psnet.ahrq.gov/node/49700/psn-pdf
February 01, 2014 - Nonsustained Ventricular Tachycardia After Acute
Coronary Syndromes: Recognizing High-Risk Patients
February 1, 2014
Piccini JP, Newby KL, Califf R. Nonsustained Ventricular Tachycardia After Acute Coronary Syndromes:
Recognizing High-Risk Patients. PSNet [internet]. 2014.
https://psnet.ahrq.gov/web-mm/nonsustaine…
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psnet.ahrq.gov/issue/how-does-robotic-assisted-surgery-change-or-safety-culture
April 24, 2024 - Commentary
How does robotic-assisted surgery change OR safety culture?
Citation Text:
How does robotic-assisted surgery change OR safety culture? AMA J Ethics. 2023;25(8):E615-E623. doi:10.1001/amajethics.2023.615.
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DOI Google Scholar BibTeX EndNote X3 …
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.203_slideshow.ppt
August 01, 2009 - units become ill or otherwise unable to work their assigned shifts, the patient-to-nurse ratio may suddenly
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psnet.ahrq.gov/web-mm/fatal-twist-pseudohyperkalemia
February 10, 2021 - SPOTLIGHT CASE
A Fatal Twist in Pseudohyperkalemia
Citation Text:
Devera JL, Barnes DK, Lewis WR. A Fatal Twist in Pseudohyperkalemia. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024.
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…
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psnet.ahrq.gov/web-mm/airway-obstruction-during-anterior-cervical-spine-surgery
January 29, 2021 - His peak airway pressures were initially 23-25 cm H 2 O but suddenly increased to 48-52 about 30 minutes … Thirty minutes into the operation the airway pressures suddenly increased from 25 to 50 cm of H 2 O and
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psnet.ahrq.gov/issue/opioid-overdose
April 06, 2022 - Government Resource
Opioid Overdose.
Citation Text:
Opioid Overdose. Centers for Disease Control and Prevention.
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psnet.ahrq.gov/node/49540/psn-pdf
August 21, 2007 - occurred, such that an equipment problem that might have been easily remedied before an event can
suddenly
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psnet.ahrq.gov/issue/patient-safety-or-0
October 23, 2024 - Newspaper/Magazine Article
Patient safety in the OR.
Citation Text:
Stempniak M. Patient safety in the OR. Hospitals & health networks. 2012;86(10):8 p following 40.
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Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …
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psnet.ahrq.gov/issue/reprocessing-reusable-medical-devices
April 08, 2020 - Multi-use Website
Reprocessing of Reusable Medical Devices.
Citation Text:
Reprocessing of Reusable Medical Devices. US Food and Drug Administration.
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psnet.ahrq.gov/issue/management-operating-room-critical-events
March 27, 2024 - Special or Theme Issue
Management of Operating Room Critical Events.
Citation Text:
Management of Operating Room Critical Events. Hannenberg AA, ed. Anesthesiol Clin. 2020;38(4):727-922.
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