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Showing results for "thinking".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49473/psn-pdf
    March 01, 2005 - On O.R. Off? March 1, 2005 Leonard M. On O.R. Off? PSNet [internet]. 2005. https://psnet.ahrq.gov/web-mm/or The Case An elderly man was admitted to the vascular surgery service with rest pain in his leg. Angiography demonstrated peripheral artery disease with anatomy suitable for revascularization. A consulting …

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49463/psn-pdf
    October 14, 2004 - Moved Too Soon October 1, 2004 Lindenauer PK. Moved Too Soon. PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/moved-too-soon The Case A 67-year-old man was admitted to a general hospital ward after undergoing a laminectomy. Two hours after arriving, while the patient was still groggy from anesthesia, a nurs…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49438/psn-pdf
    March 05, 2004 - OR Peeping March 1, 2004 Mackenzie CF. OR Peeping. PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/or-peeping The Case A healthy unmarried woman was undergoing a dilation and curettage (D&C) following an incomplete spontaneous abortion (miscarriage). At this community hospital, a new operating room (OR) su…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49395/psn-pdf
    April 01, 2003 - Medication Overdose April 1, 2003 Kaushal R. Medication Overdose. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/medication-overdose The Case A 15-year-old boy with end-stage AIDS was admitted to the pediatric ICU with mental status changes. He was diagnosed with status epilepticus and started on a loading…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49826/psn-pdf
    April 01, 2018 - Air on the Side of Caution April 1, 2018 Robertson JM, Pozner CN. Air on the Side of Caution. PSNet [internet]. 2018. https://psnet.ahrq.gov/web-mm/air-side-caution The Case A young woman with morbid obesity was scheduled for cardiac catheterization to evaluate shortness of breath and chest pain. A decision was m…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33684/psn-pdf
    May 01, 2009 - Patient Safety: A Perspective from Office Practice May 1, 2009 Baron RJ. Patient Safety: A Perspective from Office Practice. PSNet [internet]. 2009. https://psnet.ahrq.gov/perspective/patient-safety-perspective-office-practice Perspective Most patient interactions with the health care system occur in the outpatien…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850362/psn-pdf
    June 14, 2023 - Home Medications Contribute to a Unique Opportunity for Error on Discharge from the Hospital June 14, 2023 Agrawal G, Nguyen DM. Home Medications Contribute to a Unique Opportunity for Error on Discharge from the Hospital. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/home-medications-contribute-unique-opp…

  8. Is the "Surgical Personality" a Threat to Patient Safety? | PSNet

    psnet.ahrq.gov/web-mm/surgical-personality-threat-patient-safety
    February 24, 2021 - Rather, we need to ask: Under what conditions are social arrangements once thought unassailable and uncontested

  9. Deciphering the Code | PSNet

    psnet.ahrq.gov/web-mm/deciphering-code
    November 16, 2022 - A thought-experiment of walking through the frequently nurse-driven activation of a code—including how

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841467/psn-pdf
    December 14, 2022 - A framework for assessing reasoning about controversial end-of-life clinical decisions. December 14, 2022 Fedyk M, Fairman N, Romano PS, et al. A framework for assessing reasoning about controversial end-of- life clinical decisions. PSNet [internet]. 2022. https://psnet.ahrq.gov/web-mm/framework-assessing-reasonin…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865419/psn-pdf
    March 27, 2024 - reliability in identifying children at risk of poor outcomes and concern that clinicians may be misled into thinking … hyponatremia is known to be associated with community-acquired pneumonia, with the degree of hyponatremia thought

  12. Do Not Miss Sepsis Needles in Viral Haystacks! | PSNet

    psnet.ahrq.gov/web-mm/do-not-miss-sepsis-needles-viral-haystacks
    March 27, 2024 - reliability in identifying children at risk of poor outcomes and concern that clinicians may be misled into thinking … hyponatremia is known to be associated with community-acquired pneumonia, with the degree of hyponatremia thought

  13. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2024-03/final_spotlight_case_not_missing_sepsis_needles_in_viral_haystacks_slides_march_date.pdf
    January 01, 2024 - reliability in identifying children at risk of poor outcomes and concern that clinicians may be misled into thinking … hyponatremia is known to be associated with community-acquired pneumonia, with the degree of hyponatremia thought

  14. Too Many Cooks in the Kitchen | PSNet

    psnet.ahrq.gov/web-mm/too-many-cooks-kitchen
    March 07, 2018 - ignoring others, akin to anchoring bias. 13,14  Learning tools that teach “outside-the-box” or “lateral” thinking

  15. Medication Overdose | PSNet

    psnet.ahrq.gov/web-mm/medication-overdose
    September 01, 2011 - Medication Overdose Citation Text: Kaushal R. Medication Overdose. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RI…

  16. Moved Too Soon | PSNet

    psnet.ahrq.gov/web-mm/moved-too-soon
    November 01, 2006 - Moved Too Soon Citation Text: Lindenauer PK. Moved Too Soon. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  17. PCA Overdose | PSNet

    psnet.ahrq.gov/web-mm/pca-overdose
    April 01, 2017 - PCA Overdose Citation Text: Doyle JD. PCA Overdose. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Dow…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49494/psn-pdf
    January 01, 2006 - One Dose, Fifty Pills November 1, 2005 Smith L. One Dose, Fifty Pills . PSNet [internet]. 2005. https://psnet.ahrq.gov/web-mm/one-dose-fifty-pills The Case A middle-aged man was admitted to the medical service of a teaching hospital with suspected vasculitis. When the initial diagnostic studies failed to provide …

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49572/psn-pdf
    October 01, 2008 - Mistaken Identity October 1, 2008 Hall LW. Mistaken Identity. PSNet [internet]. 2008. https://psnet.ahrq.gov/web-mm/mistaken-identity The Case An 85-year-old Cantonese-speaking woman was admitted to the medical service with altered mental status and a reported fall. After finding tenderness in her left hip, the p…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49589/psn-pdf
    August 01, 2009 - Hiding in Plain Sight August 1, 2009 Weinberg JM. Hiding in Plain Sight. PSNet [internet]. 2009. https://psnet.ahrq.gov/web-mm/hiding-plain-sight The Case A 65-year-old woman presented to an emergency department (ED) with 48 hours of nontraumatic left lower back pain and general malaise. She was diagnosed with a …
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