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psnet.ahrq.gov/node/33592/psn-pdf
December 15, 2024 - events from the
Harvard Medical Practice Study:
"Case 1: During angiography to evaluate coronary artery
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psnet.ahrq.gov/web-mm/when-taking-sglt2-inhibitor-remember-sstop-stop-sglt2-inhibitor-three-days-bef-o-re
February 01, 2023 - The Case A 67-year-old male with past medical history significant for coronary artery disease (CAD) status-post … myocardial infarction and coronary artery bypass graft (CABG) surgery, obstructive sleep apnea (OSA)
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psnet.ahrq.gov/sites/default/files/2020-01/final_spotlight_near_miss_transfusion_01082020_tocme.pdf
January 01, 2020 - year-old male with a history of hypertension,
hyperlipidemia, paroxysmal atrial fibrillation, coronary artery
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psnet.ahrq.gov/web-mm/missing-suction-tip
January 01, 2006 - 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.
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psnet.ahrq.gov/node/49455/psn-pdf
July 01, 2004 - =Retrieve&db=pubmed&dopt=Abstract&list_uids=14759953
Meningitis and encephalitis
Cervico-cranial artery … Regular Angiography of Posterior Communicating Artery Aneurysm (arrow).
Figure 2.
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psnet.ahrq.gov/web-mm/vial-mistakes-involving-heparin
May 11, 2014 - 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/web-mm/distraction-anesthesiologist-and-lack-resuscitation-drugs-resulting-delayed-treatment
January 29, 2021 - Distraction of the Anesthesiologist and Lack of Resuscitation Drugs Resulting in Delayed Treatment of Laryngospasm.
Citation Text:
Bohringer C. Distraction of the Anesthesiologist and Lack of Resuscitation Drugs Resulting in Delayed Treatment of Laryngospasm.. PSNet [internet]. Rockville (MD): Agency for He…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.68_slideshow.ppt
July 01, 2004 - Underutlization of Effective Therapies is Common
Aspirin and beta-blockers for coronary artery disease
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.98_slideshow.ppt
June 01, 2005 - A pulmonary artery catheter was placed, and initial numbers were—surprisingly—more consistent with cardiogenic
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psnet.ahrq.gov/node/49850/psn-pdf
January 01, 2019 - disease presented with acute limb
ischemia secondary to thrombosis of her left superficial femoral artery
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psnet.ahrq.gov/issue/building-culture-safety-health-care
April 15, 2021 - Book/Report
Building a Culture of Safety in Health Care.
Citation Text:
Building a Culture of Safety in Health Care. Chicago, IL: American Hospital Association: May 2023.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.344_slideshow.ppt
April 01, 2015 - to be an acute aortic dissection (tear in the aorta) extending from the ascending aorta to the renal arteries … the abdomen could lead to mesenteric ischemia and gastrointestinal bleeding
Involvement of the renal arteries
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psnet.ahrq.gov/node/865376/psn-pdf
March 27, 2024 - Navigating Chaos: Fatal Iatrogenic Liver Injury in a
Patient Admitted for Leg Fractures
March 27, 2024
Loseth C. Navigating Chaos: Fatal Iatrogenic Liver Injury in a Patient Admitted for Leg Fractures. PSNet
[internet]. 2024.
https://psnet.ahrq.gov/web-mm/navigating-chaos-fatal-iatrogenic-liver-injury-patient-admi…
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psnet.ahrq.gov/web-mm/transfer-or-not-transfer
November 23, 2016 - The Case A 74-year-old man had a long history of coronary artery disease requiring coronary artery
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psnet.ahrq.gov/web-mm/worst-headache
July 01, 2016 - Subarachnoid hemorrhage Meningitis and encephalitis Cervico-cranial artery dissections … Regular Angiography of Posterior Communicating Artery Aneurysm (arrow).
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psnet.ahrq.gov/web-mm/one-ace-too-many
June 21, 2016 - The Case A 72-year-old man with coronary artery disease, diabetes, and recently diagnosed congestive
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psnet.ahrq.gov/issue/non-luer-connectors-are-we-nearly-there-yet
March 01, 2023 - Commentary
Non-Luer connectors: are we nearly there yet?
Citation Text:
Cook TM. Non-Luer connectors: are we nearly there yet? Anaesthesia. 2012;67(7):784-792. doi:10.1111/j.1365-2044.2012.07154.x.
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psnet.ahrq.gov/issue/survey-results-pharmacists-provide-support-enhance-organizational-response-codes
November 02, 2022 - Newspaper/Magazine Article
Survey results from pharmacists provide support to enhance the organizational response to codes.
Citation Text:
Survey results from pharmacists provide support to enhance the organizational response to codes. ISMP Medication Safety Alert! Acute care edition. Oc…
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psnet.ahrq.gov/web-mm/sudden-collapse-during-upper-gastrointestinal-endoscopy-expect-unexpected
September 25, 2024 - Surgery
April 24, 2024
WebM&M Cases
Uterine Artery
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psnet.ahrq.gov/issue/tragic-error-neuromuscular-blocker-should-prompt-risk-assessment-all-hospitals
November 16, 2015 - Newspaper/Magazine Article
Tragic error with neuromuscular blocker should prompt risk assessment by all hospitals.
Citation Text:
Tragic error with neuromuscular blocker should prompt risk assessment by all hospitals. ISMP Medication Safety Alert! Acute Care Edition. December 18, 2014;19…