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psnet.ahrq.gov/web-mm/returning-home-safely
December 22, 2018 - The Commentary by Mark Toles, PhD, RN Every year in the United States, nearly 2 million older adults
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psnet.ahrq.gov/sites/default/files/2020-07/spotlight_nstemi.pdf
January 01, 2020 - Differences in the Prevalence of, and Trends in, Cardiovascular Risk Factors, Treatment, and Control in the United … States, 2001 to 2016.
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psnet.ahrq.gov/perspective/conversation-beverley-h-johnson-about-role-patients-family-reducing-harm
June 14, 2023 - What about at the level of the health system in the United States, how has that evolved and how has that … Sadly, what we’ve done in the United States, and in many other countries, is push families away and say … a reflection of the growing awareness of the importance of family in care transitions, more than 42 states … Organization Level
AHRQ’s “Guide to Patient and Family Engagement in Hospital Quality and Safety” states
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psnet.ahrq.gov/perspective/patient-and-family-roles-safety
June 14, 2023 - a reflection of the growing awareness of the importance of family in care transitions, more than 42 states … Organization Level
AHRQ’s “Guide to Patient and Family Engagement in Hospital Quality and Safety” states … What about at the level of the health system in the United States, how has that evolved and how has that … Sadly, what we’ve done in the United States, and in many other countries, is push families away and say
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psnet.ahrq.gov/perspective/integrating-multiple-medication-decision-support-systems-how-will-we-make-it-all-work
May 01, 2008 - Unfortunately, at this writing, such an infrastructure is an underfunded and distant goal in the United … States, while other countries such as the United Kingdom and the Netherlands are making tremendous progress
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psnet.ahrq.gov/perspective/conversation-withdavid-w-bates-md-msc
May 01, 2018 - Unfortunately, at this writing, such an infrastructure is an underfunded and distant goal in the United … States, while other countries such as the United Kingdom and the Netherlands are making tremendous progress
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psnet.ahrq.gov/web-mm/two-cases-retained-vaginal-packing-when-writing-order-not-enough
September 01, 2003 - SPOTLIGHT CASE
Two Cases of Retained Vaginal Packing: When Writing an Order is Not Enough
Citation Text:
Gibbs VC. Two Cases of Retained Vaginal Packing: When Writing an Order is Not Enough. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and …
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psnet.ahrq.gov/node/49657/psn-pdf
July 01, 2012 - analysis as showing a potential benefit in learning outcomes.(31)
Seldom used in medical education in the United … States, SBML's innovative approach may transform how
educators train physicians.
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psnet.ahrq.gov/web-mm/sweet-case-hidden-hydrogen-ions
November 30, 2023 - and inadequate care for diabetes due to lack of access to care or the high costs of insulin in the United … States. 2
Even if the patient in this case did not have DKA, the order for “sliding scale” insulin
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psnet.ahrq.gov/web-mm/not-so-therapeutic-tap
December 01, 2014 - as showing a potential benefit in learning outcomes.( 31 ) Seldom used in medical education in the United … States, SBML's innovative approach may transform how educators train physicians.
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psnet.ahrq.gov/web-mm/framework-assessing-reasoning-about-controversial-end-life-clinical-decisions
November 30, 2023 - Jonas & Kovner's Health Care Delivery in the United States . 12th ed.
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psnet.ahrq.gov/web-mm/communication-consultants
October 01, 2018 - Communication With Consultants
Citation Text:
Cohn SL. Communication With Consultants. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnot…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.359_slideshow.ppt
October 01, 2015 - PowerPoint Presentation
Spotlight
The Risks of Absent Interoperability:
Medication-Induced Hemolysis in a Patient With a Known Allergy
1
This presentation is based on the October 2015
AHRQ WebM&M Spotlight Case
See the full article at https://psnet.ahrq.gov/
CME credit is available
Commentary by: Jacob Reider,…
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psnet.ahrq.gov/node/50696/psn-pdf
November 27, 2019 - Complications of Vascular Access Procedures in Patients
with Kidney Disease
November 27, 2019
Young SR, Chen I. Complications of Vascular Access Procedures in Patients with Kidney Disease. PSNet
[internet]. 2019.
https://psnet.ahrq.gov/web-mm/complications-vascular-access-procedures-patients-kidney-disease
The Ca…
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psnet.ahrq.gov/node/49749/psn-pdf
December 01, 2015 - the management of increasingly ubiquitous technologies in the management of
many different disease states
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psnet.ahrq.gov/perspective/implementing-fall-prevention-program
November 29, 2023 - large acute hospital ( 2 ) and perhaps as many as 1 million falls in hospital patients each year in the United … States.( 1 ) Additionally, these rates only describe reported falls; under-reporting also has to be
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psnet.ahrq.gov/web-mm/signout-fallout
November 16, 2022 - handoff bundle was implemented in nine pediatric residency programs in leading teaching hospitals in the United … States and Canada from September 2010 to August 2013.( 4 ) The handoff bundle consisted of six major
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psnet.ahrq.gov/node/49519/psn-pdf
September 01, 2006 - Triple Handoff
September 1, 2006
Vidyarthi A. Triple Handoff. PSNet [internet]. 2006.
https://psnet.ahrq.gov/web-mm/triple-handoff
Case Objectives
Appreciate the prevalence of handoffs and sign out related errors.
Understand the key elements of a safe and effective written and verbal sign out.
List Kotter’s 8 st…
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psnet.ahrq.gov/node/49857/psn-pdf
March 01, 2019 - Duplicate Insulin Order
March 1, 2019
Acquisto NM, Cobaugh DJ. Duplicate Insulin Order. PSNet [internet]. 2019.
https://psnet.ahrq.gov/web-mm/duplicate-insulin-order
The Case
A 45-year-old man with a history of insulin-dependent diabetes mellitus was seen in the emergency
department (ED) for complaints of letharg…
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psnet.ahrq.gov/web-mm/check-twice-transport-once
March 15, 2023 - Check Twice, Transport Once
Citation Text:
DePew A, Rice J, Chou J. Check Twice, Transport Once. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 …