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psnet.ahrq.gov/node/49436/psn-pdf
February 26, 2004 - Transfusion "Slip"
February 1, 2004
Kaplan HS. Transfusion "Slip". PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/transfusion-slip
The Case
A married couple, Mr. and Mrs. M, was brought to the emergency department (ED) of a Level 1 trauma
center after a half-ton truck that had skidded out of control struck…
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psnet.ahrq.gov/node/33625/psn-pdf
January 01, 2006 - Some
states encourage, or even require, reporting, and some adverse events must be reported to the Joint
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psnet.ahrq.gov/node/49719/psn-pdf
September 01, 2014 - It simply states that "During all anesthetics, the patient's oxygenation, ventilation,
circulation and
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psnet.ahrq.gov/innovation/project-nurture-engages-pregnant-people-substance-use-disorder-improves-maternal-and
September 23, 2024 - Project Nurture Engages Pregnant People with Substance Use Disorder, Improves Maternal and Infant Outcomes.
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March 11, 2021
Innovation
…
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psnet.ahrq.gov/perspective/getting-patient-safety-personal-story
August 01, 2006 - relentless efforts toward safety at Alcoa, Dupont had the best record of worker safety of any company in the United … States.
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psnet.ahrq.gov/web-mm/stable-airway-fatal-airway-occlusion-after-inadequate-post-tracheostomy-care
June 28, 2023 - Mortality associated with tracheostomy complications in the United States: 2007–2016.
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psnet.ahrq.gov/perspective/conversation-cheryl-jones-about-addressing-workplace-violence-and-creating-safer
October 31, 2023 - In Conversation with... Cheryl Jones about Addressing Workplace Violence and Creating a Safer Workplace
Cheryl B. Jones, PhD, RN, FAAN | October 31, 2023
Also Read the Essay
View more articles from the same authors.
Citation Text:
Jones CB. In Conversation with…
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psnet.ahrq.gov/web-mm/sleep-deprivation-leads-medication-error-during-spinal-epidural-anesthesia
January 29, 2021 - , during long haul trips. 7 Amphetamines and other sympathomimetic drugs have also been used in the United
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psnet.ahrq.gov/perspective/strengthening-business-case-patient-safety
May 01, 2013 - than a decade in the national spotlight, the problem of patient safety remains a serious concern in United … States' hospitals. … change.( 17 ) On the other hand, an evaluation of a natural experiment with pay-for-performance in the United
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psnet.ahrq.gov/node/73128/psn-pdf
July 01, 2022 - Hospital at Home program has been adopted by 41 hospitals, health systems and intermediaries
in the United … States and Canada, including Brigham and Women’s Hospital (Massachusetts),
Huntsman Cancer Institute
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psnet.ahrq.gov/sites/default/files/2024-04/spotlight_case_missed_connection-a_case_of_inadequate_ecg_oversight_in_cardiac_surgery_slides_-_final.pdf
January 01, 2024 - Impact of Atrial Fibrillation in Aortic Stenosis (From the United States Readmissions Database).
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psnet.ahrq.gov/web-mm/laceration-needed-proper-exam-not-x-ray
November 25, 2020 - In the United States, an estimated 2.6 million annual ED visits are attributed to hand and wrist injuries
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psnet.ahrq.gov/node/49765/psn-pdf
August 21, 2016 - Cognitive Overload in the ICU
August 21, 2016
Patel VL, Buchman TG. Cognitive Overload in the ICU. PSNet [internet]. 2016.
https://psnet.ahrq.gov/web-mm/cognitive-overload-icu
Case Objectives
Identify the role of cognitive overload—especially interruptions—in compromising quality of care and
patient safety.
List…
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psnet.ahrq.gov/node/33690/psn-pdf
December 01, 2009 - In Conversation with…Gerald B. Hickson, MD
December 1, 2009
In Conversation with…Gerald B. Hickson, MD . PSNet [internet]. 2009.
https://psnet.ahrq.gov/perspective/conversation-withgerald-b-hickson-md
Editor's note: Gerald B. Hickson, MD, is one of the world's leading experts on physician behavior and its
connecti…
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psnet.ahrq.gov/web-mm/mismanagement-delirium
February 13, 2014 - Mismanagement of Delirium
Citation Text:
Merrilees J, Lee KP. Mismanagement of Delirium. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016.
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Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endn…
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psnet.ahrq.gov/web-mm/transitions-adolescent-medicine
August 04, 2021 - Association; International Society for Heart and Lung Transplantation; The Transplantation Society; United … Seven consensus statements representative of the current opinion of families and the United Kingdom transplant
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psnet.ahrq.gov/web-mm/empty-bag
June 01, 2018 - infusion equipment that enhances safety.( 9 ) In another example, many palliative care providers in the United … October 1, 2003
Perspective
Patient Safety in the United
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psnet.ahrq.gov/node/865429/psn-pdf
April 24, 2024 - Impact of atrial fibrillation in aortic stenosis (From the United
States Readmissions Database).
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psnet.ahrq.gov/node/73334/psn-pdf
August 01, 2024 - An Inadvertent Bolus of Norepinephrine.
May 26, 2021
Fazio S, Blackmon E, Doroy A, et al. An Inadvertent Bolus of Norepinephrine. PSNet [internet]. 2021.
https://psnet.ahrq.gov/web-mm/inadvertent-bolus-norepinephrine
Disclosure of Relevant Financial Relationships: As a provider accredited by the Accreditation Counc…
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psnet.ahrq.gov/web-mm/potent-medication-administered-not-so-viable-route
July 20, 2016 - A Potent Medication Administered in a Not So Viable Route
Citation Text:
Loubani O. A Potent Medication Administered in a Not So Viable Route. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
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G…