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Showing results for "cases".

201. Improving emergency medicine clinician awareness of prehospital-administered medications. | PSNet
     psnet.ahrq.gov/issue/improving-emergency-medicine-clinician-awareness-prehospital-administered-medications
     October 19, 2022 - May 8, 2024 View More Related Resources WebM&M Cases … May 29, 2024 WebM&M Cases Weight and Height Juxtaposition … May 24, 2023 WebM&M Cases The Dose Makes the Poison: … November 16, 2022 WebM&M Cases EMS Perils from Hospital … Overcrowding August 31, 2022 WebM&M Cases

202. False Assumptions Result in a Missed Pneumothorax after Bronchoscopy with Transbronchial Biopsy. | PSNet
     psnet.ahrq.gov/web-mm/false-assumptions-result-missed-pneumothorax-after-bronchoscopy-transbronchial-biopsy
     March 15, 2023 - December 3, 2008 WebM&M Cases Multiple Levels Involved … November 15, 2023 WebM&M Cases Critical Echocardiogram … December 14, 2022 WebM&M Cases Open wider: Failure to … December 14, 2022 WebM&M Cases Delayed Diagnosis … Routine Goes Awry June 1, 2011 WebM&M Cases

203. Open wider: Failure to use an interpreter results in fractured teeth and hypoxia during a simple elective operation. | PSNet
     psnet.ahrq.gov/web-mm/open-wider-failure-use-interpreter-results-fractured-teeth-and-hypoxia-during-simple
     January 29, 2021 - History Leads to Adverse Outcomes July 8, 2022 WebM&M Cases … March 29, 2023 WebM&M Cases Distraction of the … to Arterial Thrombosis June 28, 2023 WebM&M Cases … Anterior Cervical Spine Surgery February 28, 2024 WebM&M Cases … December 14, 2022 WebM&M Cases Don’t Bite Your Tongue

204. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/61089/psn-pdf
     January 01, 2021 - In this analysis of over 700 general surgical cases with complications, the authors attributed cognitive … bias in one-third of all cases. … These cases were also associated with an increase in management errors (e.g., diagnostic, communication

205. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837855/psn-pdf
     August 17, 2022 - study, pathologists and pathology residents were asked to diagnose surgical pathology or cytopathology cases … Most respondents provided the correct diagnosis for most of the cases; 35% of cases were wholly or partially

206. Implementation of a comprehensive unit-based safety program to reduce surgical site infections in cesarean delivery. | PSNet
     psnet.ahrq.gov/issue/implementation-comprehensive-unit-based-safety-program-reduce-surgical-site-infections
     December 20, 2023 - June 21, 2023 View More Related Resources WebM&M Cases … Cardiac Arrests and Emergency Hysterectomy March 27, 2024 WebM&M Cases … September 29, 2021 WebM&M Cases Two Cases of Retained … September 11, 2019 WebM&M Cases Waiting Too Long

207. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37424/psn-pdf
     May 25, 2011 - Responding to serious medical error in general practice—consequences for the GPs involved: analysis of 75 cases … Responding to serious medical error in general practice--consequences for the GPs involved: analysis of 75 cases … psnet.ahrq.gov/issue/responding-serious-medical-error-general-practice-consequences-gps- involved-analysis-75-cases … psnet.ahrq.gov/issue/responding-serious-medical-error-general-practice-consequences-gps-involved-analysis-75-cases … psnet.ahrq.gov/issue/responding-serious-medical-error-general-practice-consequences-gps-involved-analysis-75-cases

208. Check Twice, Transport Once | PSNet
     psnet.ahrq.gov/web-mm/check-twice-transport-once
     March 15, 2023 - In the cases described above, the incorrect patient was transported for a procedure or surgery, which … Conclusion In both cases, the transport-related errors could have been prevented if best practices … Take a Brain Surgeon May 1, 2008 WebM&M Cases … March 1, 2023 WebM&M Cases False Assumptions Result in … 21, 2009 WebM&M Cases Lost in the Black Hole

209. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39823/psn-pdf
     April 04, 2011 - Cognitive error as the most frequent contributory factor in cases of medical injury: a study on verdict's … Cognitive error as the most frequent contributory factor in cases of medical injury: a study on verdict's … https://psnet.ahrq.gov/issue/cognitive-error-most-frequent-contributory-factor-cases-medical-injury-study … https://psnet.ahrq.gov/issue/cognitive-error-most-frequent-contributory-factor-cases-medical-injury-study-verdicts … https://psnet.ahrq.gov/issue/cognitive-error-most-frequent-contributory-factor-cases-medical-injury-study-verdicts

210. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46735/psn-pdf
     January 31, 2018 - Influence of perceived difficulty of cases on student osteopaths' diagnostic reasoning: a cross sectional … Influence of perceived difficulty of cases on student osteopaths' diagnostic reasoning: a cross sectional … https://psnet.ahrq.gov/issue/influence-perceived-difficulty-cases-student-osteopaths-diagnostic-reasoning … https://psnet.ahrq.gov/issue/influence-perceived-difficulty-cases-student-osteopaths-diagnostic-reasoning-cross-sectional … https://psnet.ahrq.gov/issue/influence-perceived-difficulty-cases-student-osteopaths-diagnostic-reasoning-cross-sectional

211. Think Like a Surgeon | PSNet
     psnet.ahrq.gov/web-mm/think-surgeon
     December 04, 2024 - Saved by ECMO February 1, 2023 WebM&M Cases … April 29, 2020 WebM&M Cases Getting the Diagnosis … Both Right and Wrong September 25, 2019 WebM&M Cases … 21, 2009 WebM&M Cases Inadvertent Castration … January 1, 2004 WebM&M Cases Ectopic or Not?

212. Hemorrhagic Shock after Elective Spine Surgery: Failure to Rescue after Limited Response to Nursing Concerns. | PSNet
     psnet.ahrq.gov/web-mm/hemorrhagic-shock-after-elective-spine-surgery-failure-rescue-after-limited-response-nursing
     October 31, 2023 - Packing in conjunction with the use of a local hemostatic agent resolves most cases of mild to moderate … May 24, 2023 WebM&M Cases Respiratory Distress after … Neck Surgery: Two Cases of Postoperative Cervical Hematoma. … February 1, 2023 WebM&M Cases Open wider: Failure … December 15, 2011 WebM&M Cases Silent Pain in the Neck

213. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74187/psn-pdf
     December 15, 2021 - real-world-virtual-patient-simulation-improve-diagnostic-performance-through- deliberate Previous studies have used virtual patient cases … real-world-virtual-patient-simulation-improve-diagnostic-performance-through-deliberate https://psnet.ahrq.gov/issue/teaching-about-diagnostic-errors-through-virtual-patient-cases-pilot-exploration … https://psnet.ahrq.gov/issue/using-computerized-virtual-cases-explore-diagnostic-error-practicing-physicians

214. Back to Basics | PSNet
     psnet.ahrq.gov/web-mm/back-basics
     July 13, 2010 - July 13, 2010 WebM&M Cases Reaction to Dye September … August 26, 2020 WebM&M Cases Nosy Business … April 1, 2010 WebM&M Cases Mark My Tooth … Dosing August 21, 2005 WebM&M Cases Techno … August 30, 2023 WebM&M Cases Norepinephrine Dosing

215. The Forgotten Drip | PSNet
     psnet.ahrq.gov/web-mm/forgotten-drip
     April 01, 2014 - May 29, 2024 WebM&M Cases Hyponatremia Secondary … to Home Parenteral Nutrition Error May 26, 2021 WebM&M Cases … September 1, 2008 WebM&M Cases Discharging Our … Responsibility September 1, 2007 WebM&M Cases … Antiseizure Medication Disorder May 1, 2007 WebM&M Cases

216. Secured But Not Always Safe | PSNet
     psnet.ahrq.gov/web-mm/secured-not-always-safe
     October 01, 2015 - Damage may occur to the recurrent laryngeal nerve, and documented cases of vocal cord paralysis after … Aspiration and the laryngeal mask airway: three cases and a review of the literature. … : Clarifying Code Status December 18, 2019 WebM&M Cases … September 1, 2006 WebM&M Cases Right? … August 21, 2005 WebM&M Cases Lap Burn

217. Failure to Adhere to Dietary Restrictions Leading to Complications and Poor Follow-up | PSNet
     psnet.ahrq.gov/web-mm/failure-adhere-dietary-restrictions-leading-complications-and-poor-follow
     September 27, 2023 - In cases where this is unclear, formal cognitive assessment may be needed, as cognitive disorders are … June 14, 2023 WebM&M Cases Missed Opportunities … for Suicide Risk Assessment November 27, 2019 WebM&M Cases … History Leads to Adverse Outcomes July 8, 2022 WebM&M Cases … October 1, 2008 WebM&M Cases DNR in the OR and

218. Under Pressure: Delayed Diagnosis of Compartment Syndrome after Lower Leg Fracture. | PSNet
     psnet.ahrq.gov/web-mm/under-pressure-delayed-diagnosis-compartment-syndrome-after-lower-leg-fracture
     November 25, 2020 - The Cases Case #1 : A 24-year-old man was seen in a trauma center after his motorcycle collided with … Both cases represent failures of timely diagnosis and intervention; permanent loss of muscle tissue and … September 27, 2023 WebM&M Cases The One That Got … Pitfalls February 1, 2010 WebM&M Cases All … in the History March 21, 2009 WebM&M Cases

219. Some Patients Can't Wait: Improving Timeliness of Emergency Department Care | PSNet
     psnet.ahrq.gov/web-mm/some-patients-cant-wait-improving-timeliness-emergency-department-care
     November 25, 2020 - In most cases, more than one strategy is required. … 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 … October 28, 2020 WebM&M Cases When Looks Aren’t

220. Retained Surgical Items: Causation and Prevention | PSNet
     psnet.ahrq.gov/primer/retained-surgical-items-causation-and-prevention
     January 04, 2024 - In these cases, counting identified a problem but communication failed. … These cases should be viewed as false negative counts. … In the 46 administrative penalty retained sponge cases there were two cases of retained bar-code/device … In both cases, the final sponge counts were documented as correct. … January 4, 2024 WebM&M Cases Two Cases of Retained