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psnet.ahrq.gov/node/45758/psn-pdf
July 21, 2017 - Arrival by ambulance explains variation in mortality by
time of admission: retrospective study of admissions to
hospital following emergency department attendance in
England.
July 21, 2017
Anselmi L, Meacock R, Kristensen SR, et al. Arrival by ambulance explains variation in mortality by time of
admission: retros…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.122_slideshow.ppt
April 01, 2006 - He was readmitted for a repeat surgery several weeks later.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.218_slideshow.ppt
May 01, 2010 - learning from failure
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*
Case: Fatal Error in Neonate (1)
An infant was born prematurely at 30 weeks
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psnet.ahrq.gov/node/49445/psn-pdf
May 01, 2004 - The parents asserted that their daughter had recently converted to her new faith only weeks before and
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psnet.ahrq.gov/node/50859/psn-pdf
January 31, 2020 - one of those burned out physicians – I couldn’t do more and yet, no matter how many
days, hours or weeks
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psnet.ahrq.gov/node/49630/psn-pdf
July 01, 2011 - At the end of the patient's fourth visit in 2 weeks to see the primary care doctor, his daughter was
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psnet.ahrq.gov/issue/national-comparative-audit-blood-transfusion
March 17, 2011 - Government Resource
National Comparative Audit of Blood Transfusion.
Citation Text:
National Comparative Audit of Blood Transfusion. Royal College of Phyisicians; National Blood Service
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S…
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psnet.ahrq.gov/web-mm/watch-warfarin
December 01, 2013 - At the end of the patient's fourth visit in 2 weeks to see the primary care doctor, his daughter was
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psnet.ahrq.gov/issue/prohibition-excessive-overtime-nurses-act
August 01, 2007 - Legislation/Case Law
Prohibition of Excessive Overtime for Nurses Act.
Citation Text:
Prohibition of Excessive Overtime for Nurses Act. The General Assembly of Pennsylvania. HB957 (2005).
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…
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psnet.ahrq.gov/node/73526/psn-pdf
July 28, 2021 - After five weeks of taking the prescribed medication according to the instructions provided by
her pharmacy
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psnet.ahrq.gov/issue/implementing-48-h-ewtd-compliant-rota-junior-doctors-uk-does-not-compromise-patients-safety
June 26, 2019 - Study
Implementing a 48 h EWTD-compliant rota for junior doctors in the UK does not compromise patients' safety: assessor-blind pilot comparison.
Citation Text:
Cappuccio FP, Bakewell A, Taggart FM, et al. Implementing a 48 h EWTD-compliant rota for junior doctors in the UK does not co…
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psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-42
September 26, 2017 - Commentary
ISMP medication error report analysis.
Citation Text:
Cohen MR, Smetzer JL. Oral Syringes: A Crucial and Economical Risk-Reduction Strategy that has Not Been Fully Utilized; Caution regarding Once-Weekly Levothyroxine; When Drug Strengths Differ by 10-Fold; Lower Colchicine Do…
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psnet.ahrq.gov/node/49707/psn-pdf
April 01, 2014 - The patient experienced 4 weeks of Cushing-like symptoms, including abdominal pain, insomnia,
impotence
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psnet.ahrq.gov/perspective/conversation-david-juurlink-md-phd
May 22, 2017 - controlled trials on this issue that establish the efficacy of opioids are short term; they last 6 or 8 weeks … who don't have obvious risk factors for addiction; then they measure the pain scores at 6 or 8 or 12 weeks … "Hey listen, in the first few weeks of therapy if it's clear that you aren't a whole lot better, we're … The patient who has been on opioids for even a few weeks is physically dependent.
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psnet.ahrq.gov/perspective/opioid-overdose-patient-safety-problem
May 01, 2017 - controlled trials on this issue that establish the efficacy of opioids are short term; they last 6 or 8 weeks … who don't have obvious risk factors for addiction; then they measure the pain scores at 6 or 8 or 12 weeks … "Hey listen, in the first few weeks of therapy if it's clear that you aren't a whole lot better, we're … The patient who has been on opioids for even a few weeks is physically dependent.
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psnet.ahrq.gov/issue/using-root-cause-analysis-reduce-falls-injury-psychiatric-unit
September 18, 2019 - Study
Using root cause analysis to reduce falls with injury in the psychiatric unit.
Citation Text:
Lee A, Mills PD, Watts B. Using root cause analysis to reduce falls with injury in the psychiatric unit. Gen Hosp Psychiatry. 2012;34(3):304-11. doi:10.1016/j.genhosppsych.2011.12.007.
…
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psnet.ahrq.gov/issue/medication-administration-and-interruptions-nursing-homes-qualitative-observational-study
March 15, 2023 - Study
Medication administration and interruptions in nursing homes: a qualitative observational study.
Citation Text:
Odberg KR, Hansen BS, Aase K, et al. Medication administration and interruptions in nursing homes: A qualitative observational study. J Clin Nurs. 2018;27(5-6):1113-1124.…
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psnet.ahrq.gov/node/49732/psn-pdf
May 01, 2015 - She had been hospitalized for an exacerbation of her COPD 3 weeks prior but had
been doing well at home … She should have been
immediately started on vancomycin or linezolid as she had been hospitalized 3 weeks
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psnet.ahrq.gov/node/33662/psn-pdf
January 01, 2008 - figure out what the opportunities were at the local level
and then work with them on site for a few weeks … invested in electronic medical records for computerized physician order entry in the
hospital, and by 2 weeks
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psnet.ahrq.gov/node/49633/psn-pdf
September 01, 2011 - A few weeks later, she continued to remain bedbound with little progress in her functional status. … In another nursing home, all
residents returning from the hospital are monitoring daily for two weeks