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261. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50711/psn-pdf
     January 01, 2020 - They found that of patients who were return ED visits and admitted to the ICU, 44% (223 cases) returned … for reasons associated with the index visit and, in those, 14% (31 cases) had a deviation in care at … Implementing a standard diagnostic process of care framework to those 31 cases with a deviation in care

262. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34965/psn-pdf
     August 02, 2016 - Safety Ethics: Cases from Aviation, Healthcare and Occupational and Environmental Health. … https://psnet.ahrq.gov/issue/safety-ethics-cases-aviation-healthcare-and-occupational-and-environmental … https://psnet.ahrq.gov/issue/safety-ethics-cases-aviation-healthcare-and-occupational-and-environmental-health … https://psnet.ahrq.gov/issue/safety-ethics-cases-aviation-healthcare-and-occupational-and-environmental-health

263. Intraosseous Line Extravasation in a Pediatric Trauma Patient | PSNet
     psnet.ahrq.gov/web-mm/intraosseous-line-extravasation-pediatric-trauma-patient
     September 29, 2021 - A report of two cases. … September 27, 2023 WebM&M Cases The One That Got … Intravenous Catheters October 27, 2021 WebM&M Cases … July 28, 2021 WebM&M Cases Inadequate Anesthesia … October 5, 2011 WebM&M Cases Routine Goes Awry June

264. Bedside detection of awareness in the vegetative state: a cohort study. | PSNet
     psnet.ahrq.gov/issue/bedside-detection-awareness-vegetative-state-cohort-study
     December 16, 2020 - July 18, 2016 View More Related Resources WebM&M Cases … April 24, 2019 WebM&M Cases Diagnostic Failure: The Growing … Deficit February 1, 2019 WebM&M Cases Perils … April 8, 2018 WebM&M Cases From Possible to Probable

265. Patient safety in the ambulatory OB/GYN setting. | PSNet
     psnet.ahrq.gov/issue/patient-safety-ambulatory-obgyn-setting
     November 16, 2022 - January 13, 2010 WebM&M Cases Language Barrier April … 1, 2006 WebM&M Cases Undiagnosed Vaginal Bleeding … February 1, 2004 WebM&M Cases Making Do … September 1, 2003 WebM&M Cases Not a Miscarriage

266. Retained surgical items and minimally invasive surgery. | PSNet
     psnet.ahrq.gov/issue/retained-surgical-items-and-minimally-invasive-surgery
     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

267. Executive Order on the Safe, Secure, and Trustworthy Development and Use of Artificial Intelligence. | PSNet
     psnet.ahrq.gov/issue/executive-order-safe-secure-and-trustworthy-development-and-use-artificial-intelligence
     October 05, 2022 - December 23, 2012 WebM&M Cases The “Great Pretender” … Syphilis) is Still Stumping Healthcare Providers May 26, 2021 WebM&M Cases … in Emergency and Primary Care Settings January 7, 2022 WebM&M Cases … February 24, 2021 WebM&M Cases Endometriosis: A Common

268. Missed Connection: A Case of Inadequate ECG Oversight in Cardiac Surgery | PSNet
     psnet.ahrq.gov/web-mm/missed-connection-case-inadequate-ecg-oversight-cardiac-surgery
     March 25, 2020 - 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 … to Arterial Thrombosis June 28, 2023 WebM&M Cases … May 16, 2022 WebM&M Cases Saline Flush Leads to

269. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47010/psn-pdf
     March 13, 2019 - Physicians can enter cases onto the platform or solve cases that others have entered. … physicians across specialties outperformed individual subspecialists even for subspecialty-relevant cases

270. Missed Diagnosis of Addison’s Disease in Adolescent Presenting with Fatigue. | PSNet
     psnet.ahrq.gov/web-mm/missed-diagnosis-addisons-disease-adolescent-presenting-fatigue
     October 28, 2020 - Hazards of Monitor Alert and Alarm Fatigue May 1, 2016 WebM&M Cases … Call March 1, 2012 WebM&M Cases If You Say … February 1, 2023 WebM&M Cases Delayed Diagnosis … December 15, 2021 WebM&M Cases Duty to Disclose Someone … May 1, 2011 WebM&M Cases Adolescent Diabetes: A

271. Procedure Complications – Who is Responsible for Follow up? | PSNet
     psnet.ahrq.gov/web-mm/procedure-complications-who-responsible-follow
     July 31, 2023 - June 21, 2016 WebM&M Cases Dangerous Shift November … 1, 2008 WebM&M Cases Updates in the Management … April 22, 2015 WebM&M Cases Missed Patient Assignment … December 14, 2022 WebM&M Cases False Assumptions … Surgery January 1, 2015 WebM&M Cases Which

272. Correct use of inhalers: help patients breathe easier. | PSNet
     psnet.ahrq.gov/issue/correct-use-inhalers-help-patients-breathe-easier
     August 10, 2016 - May 7, 2018 WebM&M Cases The Lung Nodule That Refused … To Grow December 1, 2012 WebM&M Cases Missed … Goes Awry June 1, 2011 WebM&M Cases Is the … August 1, 2009 WebM&M Cases Central Line Clot … May 1, 2003 WebM&M Cases The Dropped Lung

273. Inflicting Confusion | PSNet
     psnet.ahrq.gov/web-mm/inflicting-confusion
     August 04, 2021 - November 13, 2024 WebM&M Cases Wrong Route for Nutrients … March 29, 2023 WebM&M Cases Delayed Diagnosis of … Mesenteric Ischemia August 31, 2022 WebM&M Cases … The Forgotten Radiographic Read September 1, 2017 WebM&M Cases … Situational (Un)Awareness September 1, 2011 WebM&M Cases

274. Norepinephrine Dosing Error Associated with Multiple Health System Vulnerabilities | PSNet
     psnet.ahrq.gov/web-mm/norepinephrine-dosing-error-associated-multiple-health-system-vulnerabilities
     November 27, 2019 - March 28, 2012 WebM&M Cases Inappropriate Antibiotic … September 1, 2016 WebM&M Cases Nurse Staffing Ratios: … March 1, 2019 WebM&M Cases Looking for Meds … in All the Wrong Places October 1, 2012 WebM&M Cases … Back to Basics March 1, 2007 WebM&M Cases

275. Too Much, Too Fast | PSNet
     psnet.ahrq.gov/web-mm/too-much-too-fast
     June 14, 2019 - March 5, 2025 View More Related Resources WebM&M Cases … Risks of Intraosseous Vascular Access August 21, 2014 WebM&M Cases … The Unfamiliar Catheter March 1, 2013 WebM&M Cases … September 1, 2008 WebM&M Cases Physical Diagnosis … August 1, 2006 WebM&M Cases Central Line Clot

276. Local Anesthesia-Induced Coma During Total Knee Arthroplasty. | PSNet
     psnet.ahrq.gov/web-mm/local-anesthesia-induced-coma-during-total-knee-arthroplasty
     October 27, 2021 - the incidence may be closer to 1 or 1.8 per 1000 after major joint replacement surgery. 1,2 Milder cases … Approximately 50% of LAST cases present with isolated CNS symptoms, about 1/3 present with both CNS and … and Consequences in the Operating Room October 27, 2021 WebM&M Cases … Resulting in Death During Endoscopy February 28, 2024 WebM&M Cases … March 15, 2023 WebM&M Cases False Assumptions Result

277. Listen to the Family | PSNet
     psnet.ahrq.gov/web-mm/listen-family
     April 15, 2015 - A review of such cases reported to JCAHO showed that in 36% of cases the wrong patient was operated on … Mark My Limb December 1, 2004 WebM&M Cases … Too Tight Control May 1, 2004 WebM&M Cases … Privacy Gone Awry May 1, 2004 WebM&M Cases … Transfusion "Slip" February 1, 2004 WebM&M Cases

278. Benefits vs. Risks of Intraosseous Vascular Access | PSNet
     psnet.ahrq.gov/web-mm/benefits-vs-risks-intraosseous-vascular-access
     September 01, 2005 - Of note, compartment syndrome, as occurred in this case, was relatively rare—10 cases (0.6%). … There were also 6 cases (0.4%) of osteomyelitis.( 6 ) Meticulous attention to the site surrounding the … In our experience, most cases of IO access go well. … Figure Related Resources From the Same Author(s) WebM&M Cases … September 1, 2008 WebM&M Cases The Forgotten Drip

279. Infused, Not Ingested | PSNet
     psnet.ahrq.gov/web-mm/infused-not-ingested
     February 01, 2017 - In practice, this tension is exactly what leads to cases such as the one presented here. … 1, 2009 WebM&M Cases Deciphering the Code … 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

280. PCA Overdose | PSNet
     psnet.ahrq.gov/web-mm/pca-overdose
     April 01, 2017 - Respiratory depression associated patient-controlled analgesia: a review of eight cases. … May 29, 2024 WebM&M Cases Misconnection Leading … January 20, 2010 WebM&M Cases Nurse Staffing Ratios: … February 27, 2009 WebM&M Cases Right? Left? … May 1, 2006 WebM&M Cases Getting to the Root of