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Showing results for "cases".

141. Thinking in three's: changing surgical patient safety practices in the complex modern operating room. | PSNet
     psnet.ahrq.gov/issue/thinking-threes-changing-surgical-patient-safety-practices-complex-modern-operating-room
     April 28, 2021 - Download Citation Related Resources From the Same Author(s) WebM&M Cases … Two Cases of Retained Vaginal Packing: When Writing an Order is Not Enough April … 28, 2021 WebM&M Cases Did We Forget Something? … September 1, 2003 WebM&M Cases Procedural Mishap … March 30, 2022 WebM&M Cases Sudden Collapse During Upper

142. Inadequate Anesthesia Preparation Leading to Difficult Intubation and Severe Hypoxemia | PSNet
     psnet.ahrq.gov/web-mm/inadequate-anesthesia-preparation-leading-difficult-intubation-and-severe-hypoxemia
     January 29, 2021 - History Leads to Adverse Outcomes July 8, 2022 WebM&M Cases … March 29, 2023 WebM&M Cases Distraction of the … March 15, 2023 WebM&M Cases Open wider: Failure … March 15, 2023 WebM&M Cases Open wider: Failure … February 9, 2022 WebM&M Cases To Dilute or Not Dilute

143. Coming Up Short | PSNet
     psnet.ahrq.gov/web-mm/coming-short
     May 20, 2020 - February 1, 2010 WebM&M Cases Failure to Latch … September 1, 2008 WebM&M Cases It's All in the … Syringe August 1, 2006 WebM&M Cases A "Weak … " Response December 1, 2004 WebM&M Cases The … a Tough Position October 1, 2003 WebM&M Cases

144. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40113/psn-pdf
     December 21, 2014 - Working with a fixed operating room team on consecutive similar cases and the effect on case duration … Working with a fixed operating room team on consecutive similar cases and the effect on case duration … https://psnet.ahrq.gov/issue/working-fixed-operating-room-team-consecutive-similar-cases-and-effect-case … - duration-and Team continuity for surgical cases resulted in improved efficiency in this study conducted … https://psnet.ahrq.gov/issue/working-fixed-operating-room-team-consecutive-similar-cases-and-effect-case-duration-and

145. Missed Compartment Syndrome after Steep Lithotomy Position for Laparoscopic Gynecological Surgery | PSNet
     psnet.ahrq.gov/web-mm/missed-compartment-syndrome-after-steep-lithotomy-position-laparoscopic-gynecological
     January 29, 2021 - March 29, 2023 WebM&M Cases Distraction of the … March 15, 2023 WebM&M Cases Open wider: Failure … May 15, 2024 WebM&M Cases Open wider: Failure to use … October 27, 2022 WebM&M Cases Delayed Diagnosis … June 3, 2020 WebM&M Cases Residual Anesthesia: Tepid

146. Clinical pathway adherence and missed diagnostic opportunities among children with musculoskeletal infections. | PSNet
     psnet.ahrq.gov/issue/clinical-pathway-adherence-and-missed-diagnostic-opportunities-among-children-musculoskeletal
     November 08, 2023 - July 10, 2024 WebM&M Cases A Laceration that Needed a … Proper Exam, Not an X-Ray January 31, 2024 WebM&M Cases … March 15, 2023 WebM&M Cases Spinal Epidural Abscess … October 30, 2017 WebM&M Cases Failed Interpretation of … Screening Tool: Delayed Treatment September 1, 2017 WebM&M Cases

147. Acute Care Admission of the Behavioral Health Patient | PSNet
     psnet.ahrq.gov/web-mm/acute-care-admission-behavioral-health-patient
     July 19, 2023 - Pancreatitis following olanzapine therapy: a report of three cases. … August 4, 2021 WebM&M Cases The Hazards of Distraction … : Ticking All the EHR Boxes February 1, 2017 WebM&M Cases … June 14, 2023 WebM&M Cases Discharge Fumbles … Don't Push November 1, 2003 WebM&M Cases

148. Premature or Overdue? | PSNet
     psnet.ahrq.gov/web-mm/premature-or-overdue
     December 23, 2020 - In cases like this one, the first assessment by a new on-duty team should include a reconfirmation of … Care Status December 23, 2020 WebM&M Cases … October 20, 2021 WebM&M Cases Culture Clash No More: … Treat Thyself September 1, 2004 WebM&M Cases … Heterotopic Pregnancy January 1, 2004 WebM&M Cases

149. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44858/psn-pdf
     February 10, 2016 - Situation awareness errors in anesthesia and critical care in 200 cases of a critical incident reporting … Situation awareness errors in anesthesia and critical care in 200 cases of a critical incident reporting … https://psnet.ahrq.gov/issue/situation-awareness-errors-anesthesia-and-critical-care-200-cases-critical … - incident-reporting This retrospective review of anesthesia and critical care cases in the German … https://psnet.ahrq.gov/issue/situation-awareness-errors-anesthesia-and-critical-care-200-cases-critical-incident-reporting

150. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40767/psn-pdf
     September 14, 2011 - Mislabeling of cases, specimens, blocks, and slides: a College of American Pathologists study of 136 … Mislabeling of cases, specimens, blocks, and slides: a college of american pathologists study of 136 … https://psnet.ahrq.gov/issue/mislabeling-cases-specimens-blocks-and-slides-college-american- pathologists-study … across 136 institutions, this study quantified mislabeling rates at a cumulative total of 0.11% for cases … https://psnet.ahrq.gov/issue/mislabeling-cases-specimens-blocks-and-slides-college-american-pathologists-study

151. Diagnostic stewardship—leveraging the laboratory to improve antimicrobial use. | PSNet
     psnet.ahrq.gov/issue/diagnostic-stewardship-leveraging-laboratory-improve-antimicrobial-use
     March 15, 2023 - April 22, 2020 WebM&M Cases Consequences of Medical Overuse … September 29, 2017 WebM&M Cases Failed Interpretation … of Screening Tool: Delayed Treatment September 1, 2017 WebM&M Cases … October 27, 2016 WebM&M Cases Critical Opportunity Lost … December 30, 2014 WebM&M Cases Amended Lab Results: Communication

152. A doctor gave me an inept diagnosis for a neurological problem. I should know: I’m a neurologist. | PSNet
     psnet.ahrq.gov/issue/doctor-gave-me-inept-diagnosis-neurological-problem-i-should-know-im-neurologist
     April 27, 2022 - October 28, 2020 View More Related Resources WebM&M Cases … June 16, 2021 WebM&M Cases Misdiagnosis of a Pelvic Mass … May 3, 2017 WebM&M Cases Duty to Disclose Someone Else's … May 1, 2011 WebM&M Cases Paradoxical Pulse … February 1, 2011 WebM&M Cases Crushing Chest Pain

153. Central, not Epidural | PSNet
     psnet.ahrq.gov/web-mm/central-not-epidural
     August 28, 2024 - Not-So-Therapeutic Tap July 1, 2012 WebM&M Cases … October 1, 2011 WebM&M Cases Pocket Syringe … Swap May 1, 2011 WebM&M Cases Chemotherapy … Extravasation January 1, 2008 WebM&M Cases … Impatient Inpatient Dosing August 21, 2005 WebM&M Cases

154. Danger in Disruption | PSNet
     psnet.ahrq.gov/web-mm/danger-disruption
     July 29, 2020 - Medication Disorder May 1, 2007 WebM&M Cases … Moved Too Soon October 1, 2004 WebM&M Cases … May 7, 2018 WebM&M Cases Situational (Un)Awareness … and CNO Respond October 1, 2009 WebM&M Cases … October 1, 2007 WebM&M Cases Right? Left?

155. One Dose, Fifty Pills | PSNet
     psnet.ahrq.gov/web-mm/one-dose-fifty-pills
     January 13, 2021 - October 1, 2011 WebM&M Cases Mark My Tooth … August 21, 2007 WebM&M Cases Wandering Off … May 29, 2024 WebM&M Cases An Inadvertent Bolus … to Home Parenteral Nutrition Error May 26, 2021 WebM&M Cases … 28, 2021 WebM&M Cases A Postpartum Woman with

156. Bandemia as a Harbinger of Stercoral Colitis and Impending Perforation | PSNet
     psnet.ahrq.gov/web-mm/bandemia-harbinger-stercoral-colitis-and-impending-perforation
     November 25, 2020 - September 27, 2023 WebM&M Cases The One That Got … June 14, 2023 WebM&M Cases Under Pressure: Delayed … November 16, 2022 WebM&M Cases Delayed Diagnosis … February 13, 2019 WebM&M Cases Missing ECG and Missed … Diagnosis Lead to Dangerous Delay March 1, 2018 WebM&M Cases

157. The impact of clinically undiagnosed injuries on survival estimates. | PSNet
     psnet.ahrq.gov/issue/impact-clinically-undiagnosed-injuries-survival-estimates
     April 03, 2024 - Characteristics and contributing factors of diagnostic error in surgery: analysis of closed medico-legal cases … May 17, 2023 WebM&M Cases Misdiagnosis of a Pelvic Mass … November 11, 2009 WebM&M Cases Autopsy Revelation … March 1, 2004 WebM&M Cases Crushing Chest Pain … : A Missed Opportunity January 1, 2004 WebM&M Cases

158. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866589/psn-pdf
     August 28, 2024 - Among 566 cases identified via medical record review and direct observation of medication administration … , the multidisciplinary panel identified actual harm in 89 cases, with three-quarters of actual harm … occurring in medication administration cases.

159. Patient-clinician diagnostic concordance upon hospital admission. | PSNet
     psnet.ahrq.gov/issue/patient-clinician-diagnostic-concordance-upon-hospital-admission
     October 16, 2024 - June 5, 2024 WebM&M Cases Delayed Diagnosis and Treatment … Erythematosus with a Psychiatric Presentation March 27, 2024 WebM&M Cases … initial patient-provider encounter are a frequent source of diagnostic error among ischemic stroke cases … October 23, 2019 WebM&M Cases Autopsy Revelation … March 1, 2004 WebM&M Cases Missed Appendicitis

160. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47301/psn-pdf
     September 02, 2018 - How common are cognitive errors in cases presented at emergency medicine resident morbidity and mortality … How common are cognitive errors in cases presented at emergency medicine resident morbidity and mortality … https://psnet.ahrq.gov/issue/how-common-are-cognitive-errors-cases-presented-emergency-medicine- resident-morbidity-and … This retrospective review of cases presented at one hospital's emergency medicine morbidity and mortality … https://psnet.ahrq.gov/issue/how-common-are-cognitive-errors-cases-presented-emergency-medicine-resident-morbidity-and