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psnet.ahrq.gov/web-mm/ems-perils-hospital-overcrowding
November 25, 2020 - low-income patients on underfunded public hospitals. 20
EMTALA defines an MSE as a “medical exam of sufficient … statutorily defined by EMTALA as:
(1) A medical condition manifesting itself by acute symptoms of sufficient
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psnet.ahrq.gov/web-mm/intraoperative-awareness-during-rhinoplasty
January 29, 2021 - SPOTLIGHT CASE
Intraoperative Awareness during Rhinoplasty
Citation Text:
Bohringer C, Toor J. Intraoperative Awareness during Rhinoplasty. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024.
Copy Citation
Format:
…
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psnet.ahrq.gov/node/73650/psn-pdf
August 25, 2021 - risk of recurrence for this patient, the management of the second spontaneous pneumothorax
was not sufficient
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psnet.ahrq.gov/web-mm/continuity-errors-resident-clinic
October 02, 2019 - meaningfully separating the inpatient from outpatient responsibilities of trainees is a necessary but not sufficient
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psnet.ahrq.gov/primer/long-term-care-and-patient-safety
February 24, 2022 - several areas for improvement including comfort with speaking up about safety concerns and ensuring sufficient
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psnet.ahrq.gov/web-mm/unintentional-ketamine-overdose-operating-room-mixing-ampules
March 25, 2020 - quality studies are therefore needed to determine if, and in what context, double-checking produces sufficient
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psnet.ahrq.gov/perspective/conversation-withmark-chassin-md-mpp-mph
April 01, 2009 - If "first, do no harm" were sufficient, there would be no need for a patient safety movement.
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psnet.ahrq.gov/perspective/safety-radiology
October 01, 2013 - with regard to medical imaging is to adhere to the ALARA principle while ensuring that information is sufficient … Based on legal and bioethical principles that pertain to informed consent, it is not sufficient for physicians
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psnet.ahrq.gov/node/49442/psn-pdf
May 01, 2004 - Missed TB
May 1, 2004
FitzGerald MJ, Menzies D. Missed TB. PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/missed-tb
The Case
A 38-year-old white female with no past medical history presented to the hospital with fevers, respiratory
failure, and bilateral pulmonary infiltrates. She was treated empirically w…
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psnet.ahrq.gov/node/49803/psn-pdf
January 01, 2018 - Point-of-care Mixup: 1 Shot Turns Into 3
August 1, 2017
Berberich RF. Point-of-care Mixup: 1 Shot Turns Into 3. PSNet [internet]. 2017.
https://psnet.ahrq.gov/web-mm/point-care-mixup-1-shot-turns-3
The Case
A 2-month-old boy was brought in for a routine 2-month well-child visit. The exam was completed and the
app…
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psnet.ahrq.gov/node/49623/psn-pdf
March 01, 2011 - Are We Pushing Graduate Nurses Too Fast?
March 1, 2011
Spector ND. Are We Pushing Graduate Nurses Too Fast? . PSNet [internet]. 2011.
https://psnet.ahrq.gov/web-mm/are-we-pushing-graduate-nurses-too-fast
The Case
A middle-aged man was admitted to the surgical intensive care unit (SICU) following a complex surgical…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.266_slideshow.ppt
May 01, 2012 - Spotlight Case July 2008
Spotlight Case
The Perils of Cross Coverage
*
*
Source and Credits
This presentation is based on the May 2012
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Jeanne M. Farnan, MD, MHPE, and Vineet M. Arora, MD, MAPP, …
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psnet.ahrq.gov/web-mm/managing-care-challenges-group-home-setting-staffing-adequate-unplanned-incidents
April 27, 2022 - In general, facilities are expected to have competent staff in sufficient numbers to meet the residents
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psnet.ahrq.gov/node/33712/psn-pdf
June 01, 2011 - Airbag inflation sufficient for an unbelted person or a large person may seriously
injure a person wearing
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psnet.ahrq.gov/node/49665/psn-pdf
September 01, 2012 - It is unclear given the very low frequency of RSIs and rare public disclosure of such events that
sufficient
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psnet.ahrq.gov/web-mm/new-patient-mistakenly-checked-another
October 01, 2013 - EHR training and support are sufficient for the needs of EHR users and readily available.
-
psnet.ahrq.gov/node/49512/psn-pdf
May 01, 2006 - that
error combined with the second-most serious error (the mislabeling of the ankle x-ray) was not sufficient
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psnet.ahrq.gov/sites/default/files/2024-05/spotlight_case_stable_airway_slides_final.pptx
January 01, 2024 - are anticipated.11,13
A clinician who may be involved in changing a tracheostomy tube should have a sufficient
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psnet.ahrq.gov/node/857259/psn-pdf
November 30, 2023 - Thus, even if incorrect decisional responses are rare, they occur with sufficient frequency to
impact
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psnet.ahrq.gov/node/33670/psn-pdf
July 01, 2008 - Frontline workers
observe things happening all the time and, if surveyed in sufficient density, can