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psnet.ahrq.gov/web-mm/wrong-time-error-high-alert-medication
February 01, 2014 - October 25, 2023
WebM&M Cases
Management of Cardiac Arrest
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psnet.ahrq.gov/web-mm/home-medications-contribute-unique-opportunity-error-discharge-hospital
May 16, 2022 - Resources From the Same Author(s)
WebM&M Cases
Management of Cardiac
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psnet.ahrq.gov/web-mm/adverse-event-during-intrahospital-transport
June 16, 2021 - The patient went into cardiac arrest.
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psnet.ahrq.gov/web-mm/undiagnosed-vaginal-bleeding
July 06, 2022 - Adverse safety events in emergency medical services care of children with out-of-hospital cardiac
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psnet.ahrq.gov/web-mm/reconciling-records
September 01, 2017 - When the records were carefully reviewed by a physician consulting for an upcoming cardiac procedure,
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psnet.ahrq.gov/web-mm/routine-goes-awry
September 23, 2020 - Diagnosis and Treatment of an Occult Hemothorax Following Complicated Central Line Insertion Leads to Cardiac
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psnet.ahrq.gov/web-mm/waiting-too-long
February 01, 2013 - WebM&M Cases
Uterine Artery Injury during Cesarean Delivery Leads to Cardiac
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psnet.ahrq.gov/perspective/team-training-classroom-training-vs-high-fidelity-simulation
January 12, 2011 - WebM&M Cases
When the Lytes Go Out: A Case of Inpatient Cardiac
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psnet.ahrq.gov/web-mm/hiding-plain-sight
April 24, 2019 - More than one patient has been taken to the cardiac catheterization laboratory because of an "acute MI
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psnet.ahrq.gov/web-mm/chest-tube-complications
September 27, 2023 - Approximately 2 hours later (3 hours after the tube was clamped), the nurse found the patient unresponsive, in cardiac
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psnet.ahrq.gov/node/49512/psn-pdf
May 01, 2006 - Although the risks are low, spinal anesthesia is occasionally associated with
severe risks, such as cardiac
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psnet.ahrq.gov/node/49432/psn-pdf
February 09, 2004 - Despite initiation of antibiotics and full
supportive treatment, the patient had a cardiac arrest and
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psnet.ahrq.gov/web-mm/i-just-want-go-home-understanding-deliriums-impact-treatment-preferences
December 18, 2019 - Steinberg, MD, CMD, HMDC, HEC-C In this case, a seriously ill, encephalopathic patient with active cardiac
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psnet.ahrq.gov/web-mm/potent-medication-administered-not-so-viable-route
July 20, 2016 - Owing to his cardiac condition, he was given a minimal fluid challenge and vasopressor support was ordered
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psnet.ahrq.gov/node/33626/psn-pdf
January 01, 2006 - Whereas, as you said, there's so much mixing in medicine that you have the issue of the head of cardiac
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psnet.ahrq.gov/web-mm/hold-order
December 19, 2018 - Hold orders are also commonly used around the time of procedures (e.g., surgery, cardiac catheterization
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psnet.ahrq.gov/web-mm/misdiagnosis-pelvic-mass-versus-pregnancy
November 25, 2020 - Diagnosis and Treatment of an Occult Hemothorax Following Complicated Central Line Insertion Leads to Cardiac
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psnet.ahrq.gov/web-mm/next-step-use-pre-operative-checklist-prevent-missteps
April 24, 2018 - Learning environments, reliability enhancing work practices, employee engagement, and safety climate in VA cardiac
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psnet.ahrq.gov/perspective/workarounds-and-resiliency-front-lines-health-care
August 01, 2009 - ( 17 ) To illustrate, David O'Regan, a consultant surgeon in Leeds, UK, had recurring problems with cardiac … Identification of systems failures in successful paediatric cardiac surgery.
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psnet.ahrq.gov/node/72739/psn-pdf
February 10, 2021 - Seizure-like movements followed and her cardiac
rhythm changed to pulseless electrical activity requiring … greater than 2 mmol/L in PE is
associated with higher all-cause mortality, likely indicating impaired cardiac