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effectivehealthcare-admin.ahrq.gov/health-topics/carbon-monoxide-poisoning
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psnet.ahrq.gov/periodic-issue/periodic-issue-303
August 25, 2021 - endoscopist were serially dilating the esophagus with larger and larger rigid dilators when the patient suddenly
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psnet.ahrq.gov/issue/laparoscopic-bile-duct-injury-understanding-psychology-and-heuristics-error
May 29, 2014 - Study
Laparoscopic bile duct injury: understanding the psychology and heuristics of the error.
Citation Text:
Dekker SWA, Hugh TB. Laparoscopic bile duct injury: understanding the psychology and heuristics of the error. ANZ J Surg. 2008;78(12):1109-14. doi:10.1111/j.1445-2197.2008.0476…
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psnet.ahrq.gov/issue/interruptions-and-blood-transfusion-checks-lessons-simulated-operating-room
September 24, 2016 - Study
Interruptions and blood transfusion checks: lessons from the simulated operating room.
Citation Text:
Liu D, Grundgeiger T, Sanderson P, et al. Interruptions and blood transfusion checks: lessons from the simulated operating room. Anesth Analg. 2009;108(1):219-22. doi:10.1213/ane.0…
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digital.ahrq.gov/sites/default/files/docs/page/5_GLIDES_Challenges_TEP_August_2011.pdf
January 01, 2011 - AHRQ CDS TEP In-Person Meeting - August 2011 - GLIDES Challenges
Update and Challenges
Technical Expert Panel Meeting, August 2011
GLIDES PROJECT
GuideLines Into DEcision Support
sponsored by
The Agency for Healthcare Research and Quality
Contents
• Current Project Status
• Progress
• Accomplishments …
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psnet.ahrq.gov/issue/potential-false-positive-results-antigen-tests-rapid-detection-sars-cov-2-letter-clinical
April 08, 2020 - Press Release/Announcement
Potential for false positive results with antigen tests for rapid detection of SARS-CoV-2--letter to clinical laboratory staff and health care providers.
Citation Text:
Potential for false positive results with antigen tests for rapid detection of SARS-CoV-2--l…
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psnet.ahrq.gov/issue/thinking-threes-changing-surgical-patient-safety-practices-complex-modern-operating-room
April 28, 2021 - Commentary
Thinking in three's: changing surgical patient safety practices in the complex modern operating room.
Citation Text:
Gibbs VC. Thinking in three's: changing surgical patient safety practices in the complex modern operating room. World J Gastroenterol. 2012;18(46):6712-9. doi:…
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psnet.ahrq.gov/issue/learning-tragedy-julia-berg-story
October 28, 2020 - Commentary
Learning from tragedy: the Julia Berg story.
Citation Text:
Graber ML, Berg D, Jerde W, et al. Learning from tragedy: the Julia Berg story. Diagnosis (Berl). 2018;5(4):257-266. doi:10.1515/dx-2018-0067.
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psnet.ahrq.gov/issue/important-change-heparin-container-labels-clearly-state-total-drug-strength
December 16, 2020 - Government Resource
Important change to heparin container labels to clearly state the total drug strength.
Citation Text:
Important change to heparin container labels to clearly state the total drug strength. MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; Dece…
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psnet.ahrq.gov/issue/medical-device-safety-action-plan-protecting-patients-promoting-public-health
November 28, 2018 - Book/Report
Medical Device Safety Action Plan: Protecting Patients, Promoting Public Health.
Citation Text:
Medical Device Safety Action Plan: Protecting Patients, Promoting Public Health. Silver Spring, MD: US Food and Drug Administration; April 2018.
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Sav…
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psnet.ahrq.gov/issue/use-common-gas-outlet-supplementary-oxygen-during-caesarean-section
August 04, 2021 - Commentary
Use of the common gas outlet for supplementary oxygen during Caesarean section.
Citation Text:
Edsell MEG, Erasmus PD. Use of the common gas outlet for supplementary oxygen during Caesarean section. Anaesthesia. 2005;60(11):1152-3.
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psnet.ahrq.gov/issue/preventing-adverse-events-cataract-surgery-recommendations-massachusetts-expert-panel
July 16, 2019 - Study
Preventing adverse events in cataract surgery: recommendations from a Massachusetts expert panel.
Citation Text:
Nanji KC, Roberto SA, Morley MG, et al. Preventing Adverse Events in Cataract Surgery: Recommendations From a Massachusetts Expert Panel. Anesth Analg. 2018;126(5):1537-…
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psnet.ahrq.gov/node/49591/psn-pdf
October 01, 2009 - Two days later, the patient suddenly arrested on the floor.
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effectivehealthcare-admin.ahrq.gov/health-topics/elder-abuse
April 15, 2013 - Skip to main content
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effectivehealthcare-admin.ahrq.gov/products/observational-research-scores/research
January 01, 2019 - Skip to main content
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psnet.ahrq.gov/node/49766/psn-pdf
August 21, 2016 - When the patient suddenly lost a pulse, providers initiated cardiopulmonary resuscitation, which led
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psnet.ahrq.gov/node/49514/psn-pdf
July 01, 2006 - die from hyperkalemia is a matter of speculation—because patients with severe hyperkalemia may
die suddenly
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psnet.ahrq.gov/node/49390/psn-pdf
February 01, 2003 - However, the child
made an unusual noise, which caused the anesthesiologist to turn around suddenly.
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psnet.ahrq.gov/node/49716/psn-pdf
August 21, 2014 - Four
hours later, the patient suddenly became bradycardic to a heart rate of 20 beats per minute.
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psnet.ahrq.gov/web-mm/lethal-cap
December 19, 2018 - He gave the dose to the child who suddenly had difficulty breathing and collapsed.