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psnet.ahrq.gov/node/49824/psn-pdf
March 01, 2018 - psnet.ahrq.gov//#references
the patient, perform the catheterization, identify vessel blockages, and open the artery … undergoing immediate intervention in the cardiac catheterization laboratory to open the blocked coronary
artery
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psnet.ahrq.gov/node/863752/psn-pdf
March 06, 2024 - Low perfusion and missed diagnosis of hypoxemia by
pulse oximetry in darkly pigmented skin: a prospective
study.
March 6, 2024
Gudelunas MK, Lipnick M, Hendrickson C, et al. Low perfusion and missed diagnosis of hypoxemia by
pulse oximetry in darkly pigmented skin: a prospective study. Anesth Analg. 2023;138(3):55…
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psnet.ahrq.gov/web-mm/abdominal-aortic-aneurysm-screening
October 01, 2011 - The Case
A 76-year-old man with history of coronary artery disease (status post prior coronary artery … aneurysm repair (EVAR), which involves placement of stent grafts into the vasculature through the femoral arteries
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psnet.ahrq.gov/node/44546/psn-pdf
December 14, 2016 - Diagnostic delays in paediatric stroke.
December 14, 2016
Mallick AA, Ganesan V, Kirkham FJ, et al. Diagnostic delays in paediatric stroke. J Neurol Neurosurg
Psychiatry. 2015;86(8):917-21. doi:10.1136/jnnp-2014-309188.
https://psnet.ahrq.gov/issue/diagnostic-delays-paediatric-stroke
Diagnostic error is a rapidly …
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psnet.ahrq.gov/web-mm/cvc-placement-speak-now-or-do-not-use-line
November 01, 2003 - The possibilities for harm are numerous and include accidental trauma to non-venous structures (arteries … Longitudinal ultrasound view of subclavian vein, catheter (arrow), with subclavian artery above it.
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psnet.ahrq.gov/issue/barriers-and-facilitators-healthcare-workers-adherence-infection-prevention-and-control-ipc
March 02, 2011 - Errors in electronic health record–based data query of statin prescriptions in patients with coronary artery
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psnet.ahrq.gov/issue/association-2011-acgme-resident-duty-hour-reforms-mortality-and-readmissions-among
November 26, 2014 - Resources
Outcome differences between surgeons performing first and subsequent coronary artery
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psnet.ahrq.gov/periodic-issue/periodic-issue-470
December 31, 2024 - A few hours later, he suffered a stroke due to left posterior cerebral artery occlusion and vertebral … artery dissection, leading to severe neurological deficits after delayed treatment.
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psnet.ahrq.gov/sites/default/files/2022-01/final_spotlight_stacked_opioid_administration_01.03.2022.pdf
January 01, 2022 - morbid obesity,
hypertension, heart failure, chronic kidney disease (stage 3),
diabetes, peripheral artery … procedures during the previous week - an arteriogram
followed by balloon tamponade of the left femoral artery
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psnet.ahrq.gov/web-mm/blind-spot
July 30, 2020 - ischemic optic neuropathy (AION), (ii) posterior ischemic optic neuropathy (PION), (iii) central retinal artery … Central nervous system complications of coronary artery bypass graft surgery: prospective analysis of
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psnet.ahrq.gov/node/74713/psn-pdf
January 26, 2022 - morbid obesity, hypertension, heart failure, chronic
kidney disease (stage 3), diabetes, peripheral artery … procedures during the previous week - an arteriogram followed by balloon tamponade of the left
femoral artery
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psnet.ahrq.gov/node/49522/psn-pdf
November 01, 2006 - The Case
A 55-year-old woman with end stage renal disease requiring hemodialysis and coronary artery … disease
(status post-coronary artery bypass grafting and placement of a St. … The predictive accuracy of the New York State coronary artery bypass surgery
report-card system.
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psnet.ahrq.gov/web-mm/getting-good-report-card-unintended-consequences-public-reporting-hospital-quality
October 01, 2004 - The Case A 55-year-old woman with end stage renal disease requiring hemodialysis and coronary artery … disease (status post-coronary artery bypass grafting and placement of a St. … The predictive accuracy of the New York State coronary artery bypass surgery report-card system.
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psnet.ahrq.gov/node/850917/psn-pdf
June 21, 2023 - Improving safety outcomes through medical error
reduction via virtual reality-based clinical skills training.
June 21, 2023
Kennedy GAL, Pedram S, Sanzone S. Improving safety outcomes through medical error reduction via
virtual reality-based clinical skills training. Safety Sci. 2023;165:106200. doi:10.1016/j.ssci.…
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psnet.ahrq.gov/web-mm/navigating-chaos-fatal-iatrogenic-liver-injury-patient-admitted-leg-fractures
November 27, 2019 - August 7, 2024
WebM&M Cases
Uterine Artery Injury during
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psnet.ahrq.gov/node/49663/psn-pdf
September 01, 2012 - Case & Commentary—Part 1:
A 75-year-old man with a history of coronary artery disease and congestive … A prospective, randomized trial of gauze and two
polyurethane dressings for site care of pulmonary artery
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psnet.ahrq.gov/web-mm/dual-therapy-debacle
February 01, 2007 - a cardiac catheterization confirmed single-vessel disease isolated to the left anterior descending artery … prostate surgery, he saw a cardiologist, who determined the patient had asymptomatic, stable coronary artery
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psnet.ahrq.gov/node/49586/psn-pdf
May 01, 2009 - procedure, the surgeon requested 5000 units of intravenous (IV) heparin prior to clamping the carotid
artery … After 3 minutes, an activated clotting time (ACT) was drawn while the surgeon clamped
the carotid artery
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.368_slideshow.ppt
February 01, 2016 - He was taken back to the operating room where it was noted the inferior epigastric artery (a key artery
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psnet.ahrq.gov/node/49423/psn-pdf
November 01, 2003 - Case & Commentary: Part 1
A 65-year-old, 124-kg man with aortic stenosis and coronary artery disease … underwent a combined aortic
valve repair and coronary artery bypass grafting.