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psnet.ahrq.gov/node/33877/psn-pdf
April 01, 2019 - One is to create a message for parents of a 39-year-old patient who has had a full cardiac
arrest during
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psnet.ahrq.gov/web-mm/navigating-complications-unintended-journey-guidewire-during-dialysis-catheter-placement
February 23, 2022 - Sepsis
May 31, 2023
WebM&M Cases
Management of Cardiac
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psnet.ahrq.gov/web-mm/right-left-neither
November 16, 2022 - Although the risks are low, spinal anesthesia is occasionally associated with severe risks, such as cardiac
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psnet.ahrq.gov/web-mm/code-status-confusion
September 01, 2006 - Ask about preferences regarding scenarios with uncertain outcomes, such as successful cardiac resuscitation
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psnet.ahrq.gov/web-mm/danger-10-intravenous-calcium-chloride-extravasation
April 24, 2024 - hyperkalemia or calcium-channel-blocker or beta-blocker overdose. 1,2 However, it is contraindicated in cardiac
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psnet.ahrq.gov/web-mm/discharge-fumbles
September 09, 2009 - discharge planning and home follow-up intervention on elders hospitalized with common medical and surgical cardiac
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psnet.ahrq.gov/node/866205/psn-pdf
July 10, 2024 - Imaging of the surgical site was ordered, but before it could be completed, cardiac biomarkers
returned
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psnet.ahrq.gov/web-mm/silent-pain-neck
August 19, 2020 - Diagnosis and Treatment of an Occult Hemothorax Following Complicated Central Line Insertion Leads to Cardiac
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psnet.ahrq.gov/perspective/conversation-withjames-p-bagian-md
September 01, 2006 - Application of the aviation black box principle in pediatric cardiac surgery: tracking all failures in … the pediatric cardiac operating room.
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psnet.ahrq.gov/perspective/how-does-health-care-simulation-affect-patient-care
August 01, 2018 - Mastery learning of advanced cardiac life support skills by internal medicine residents using simulation … You can imagine, for example, in pediatric cardiac surgery—where you have unusual anatomy—that the procedure
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psnet.ahrq.gov/sites/default/files/2020-03/final_spotlight_case_delays_in_the_ed_powerpoint_for_cme_review_03.09.2020.pdf
January 01, 2020 - after diagnosis was made
– > 60 minutes elapsed after the OR case was scheduled until the
patient’s cardiac
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psnet.ahrq.gov/web-mm/right-patient-wrong-sample
June 01, 2004 - troponin result leads to false diagnosis of myocardial infarction and unnecessary admission to the cardiac
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psnet.ahrq.gov/innovation/algorithm-based-decision-support-system-guides-trauma-staff-during-initial-treatment
May 31, 2023 - The TR&R team has also begun building resuscitation systems beyond trauma (i.e., cardiac, stroke, sepsis
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psnet.ahrq.gov/perspective/role-patient-improving-patient-safety
March 01, 2007 - She suffered a medication error in the emergency room, which resulted in cardiac arrest.
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psnet.ahrq.gov/web-mm/hidden-mystery
December 01, 2011 - Cardiac and pulse oximetry monitoring, wound care, blood draws, intravenous catheter placement, skin
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psnet.ahrq.gov/web-mm/e-cigarette-explosion-patient-room
March 15, 2023 - , 2022
How strong is the evidence for the use of perioperative beta blockers in non-cardiac
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psnet.ahrq.gov/web-mm/lung-nodule-refused-grow
March 01, 2004 - in the OR Leads to Anticoagulation Mishap
December 1, 2017
Hospital-wide cardiac
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psnet.ahrq.gov/web-mm/unexplained-apnea-under-anesthesia
December 01, 2005 - Serious hazards of transfusion: evaluating the dangers of a wrong patient autologous salvaged blood in cardiac
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psnet.ahrq.gov/web-mm/novel-drug-misuse
September 30, 2010 - The underutilization of cardiac medications of proven benefit, 1990 to 2002.
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psnet.ahrq.gov/web-mm/order-interrupted-text-multitasking-mishap
August 21, 2015 - the goal INR was 2.0–3.0, he was not adequately anticoagulated and was at risk for stroke from the cardiac