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psnet.ahrq.gov/web-mm/local-anesthesia-induced-coma-during-total-knee-arthroplasty
October 27, 2021 - The incidence of LAST is thought to be reduced by using ultrasound during regional anesthesia, likely
-
psnet.ahrq.gov/web-mm/think-surgeon
December 04, 2024 - On reviewing the case, the surgeon thought that the patient had in fact presented with acute cholecystitis
-
digital.ahrq.gov/sites/default/files/docs/survey/pcip-evaluation-patient-survey.pdf
June 16, 2021 - During this visit, were office staff at your
doctor's office as helpful as you thought
they should
-
psnet.ahrq.gov/web-mm/premature-or-overdue
December 23, 2020 - At times, a pregnancy may be thought to be postterm when in fact there has been an error in calculating
-
psnet.ahrq.gov/node/49856/psn-pdf
March 01, 2019 - The procedure was initially thought to be uncomplicated, and the patient was extubated in
the operating
-
cdsic.ahrq.gov/sites/default/files/2022-04/Final%20Innovation%20Center%20Charter_508.pdf
January 01, 2022 - The Center’s two Cores will be led by thought leaders
within the CDS community.
-
cdsic.ahrq.gov/sites/default/files/2024-02/IAS%20Workgroup%20Charter_Final.pdf
January 01, 2024 - The Stakeholder Center and its Workgroups will provide crucial thought leadership for CDSiC activities
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digital.ahrq.gov/sites/default/files/IAS%20Workgroup%20Charter_Final.pdf
November 01, 2023 - The Stakeholder Center and its Workgroups will provide crucial thought leadership for CDSiC activities
-
digital.ahrq.gov/sites/default/files/Final%20Innovation%20Center%20Charter_508.pdf
April 06, 2022 - The Center’s two Cores will be led by thought leaders
within the CDS community.
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www.ahrq.gov/patient-safety/settings/emergency-dept/frequent-use.html
July 01, 2017 - Highlights
Just under half (44%) of frequent ED users did not have any of the six common risk factors thought
-
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-203-section-2-tech-specs.pdf
December 14, 2011 - These two assessments should be thought of as a single
process step: a pressure ulcer admission assessment
-
effectivehealthcare.ahrq.gov/sites/default/files/web-based_willis_respondent.pdf
January 01, 2009 - skills
that
enable
long-‐term
shared
decision-‐making
Slide
10:
Final
Thoughts
-
psnet.ahrq.gov/node/34757/psn-pdf
November 18, 2015 - Unity of Mistakes: A Phenomenological Interpretation of
Medical Work.
November 18, 2015
Paget MA. Philadelphia: Temple University Press; 2004.
https://psnet.ahrq.gov/issue/unity-mistakes-phenomenological-interpretation-medical-work
In this often described landmark text on the nature of medical error, Marianne Page…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/mental-health-pregnant-protocol.pdf
August 24, 2023 - of harming the baby, including thoughts of extended suicidea,b
• Adherence to mental health treatmenta … Outcomes:
• Scores on psychological
assessments
• Cure/resolution of symptoms
• Suicidal thoughts … , attempted
suicide, or death by suicide
• Thoughts of harming the
baby, including thoughts of
extended … or death by suicide associated with
various nonpharmacological interventions
● Relative impact on thoughts … of harming the baby, including thoughts of extended suicide
associated with various nonpharmacological
-
psnet.ahrq.gov/node/43819/psn-pdf
July 16, 2015 - Intercepting wrong-patient orders in a computerized
provider order entry system.
July 16, 2015
Green RA, Hripcsak G, Salmasian H, et al. Intercepting wrong-patient orders in a computerized provider
order entry system. Ann Emerg Med. 2015;65(6):679-686.e1. doi:10.1016/j.annemergmed.2014.11.017.
https://psnet.ahrq.g…
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/binge-eating_clinician.pdf
May 01, 2016 - .
�� There is an increased risk of suicidal thinking and behavior in
children, adolescents, and young … These patients should be monitored for emergence and worsening of
suicidal thoughts and behaviors. … Cognitive behavioral therapy (CBT)
Psychotherapy that focuses on identifying relationships among
thoughts … , feelings, and behaviors and aims to change negative
thoughts about oneself and the world and, by doing
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/disruptive-behavior-disorder_consumer.pdf
August 01, 2016 - appetite
��Feeling tired or sleepy
��Stomach ache
��Atomoxetine may increase the risk of
suicidal thoughts … Feeling weak
��Stomach ache
��Upset stomach
��Rash
��Divalproex may increase the risk of suicidal
thoughts … ��Cold symptoms (stuffy nose
and sore throat)
��Aripiprazole may increase the risk of suicidal
thoughts
-
psnet.ahrq.gov/node/34868/psn-pdf
February 03, 2011 - Role of computerized physician order entry systems in
facilitating medication errors.
February 3, 2011
Koppel R, Metlay JP, Cohen A, et al. Role of computerized physician order entry systems in facilitating
medication errors. JAMA. 2005;293(10):1197-203.
https://psnet.ahrq.gov/issue/role-computerized-physician-ord…
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-215-depression-older-adults-executive-summary.pdf
March 01, 2019 - Hospitalization
• Mortality
• Seizures
• Serious adverse events
• Suicide/suicide attempt
• Suicidal thoughts … arrhythmia, ECG-QTc, falls, fractures, mortality, serious
ADEAE, seizures, sodium/hyponatremia, suicidal thoughts … placebo 1 RCT23 Any AE, blood pressure, ECG-arrhythmia, mortality, seizures,
serious AE, suicidal thoughts … RCT25
Any AE, blood pressure, cognitive function, ECG-QTc, fractures,
serious AE, sodium, suicidal thoughts … RCT25
Any AE, blood pressure, cognitive function, ECG-QTc, fractures,
serious AE, sodium, suicidal thoughts
-
psnet.ahrq.gov/node/34993/psn-pdf
June 22, 2009 - Five system barriers to achieving ultrasafe health care.
June 22, 2009
Amalberti R, Auroy Y, Berwick D, et al. Five system barriers to achieving ultrasafe health care. Ann Intern
Med. 2005;142(9):756-64.
https://psnet.ahrq.gov/issue/five-system-barriers-achieving-ultrasafe-health-care
This commentary builds on the…