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Showing results for "cases".

441. When Things Go Wrong: Responding to Adverse Events. | PSNet
     psnet.ahrq.gov/issue/when-things-go-wrong-responding-adverse-events
     November 19, 2014 - In Conversation with...Sorrel King March 1, 2007 WebM&M Cases … September 21, 2005 WebM&M Cases No Blood, Please … May 1, 2004 WebM&M Cases Urine a Tough Position … October 1, 2003 WebM&M Cases The Dangerous

442. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43002/psn-pdf
     March 12, 2014 - Exposure to media information about a disease can cause doctors to misdiagnose similar-looking clinical cases … Exposure to media information about a disease can cause doctors to misdiagnose similar-looking clinical cases … The participants were then asked to return to the cases, reflect on their previous diagnosis, and consider

443. Patient safety in the emergency department. | PSNet
     psnet.ahrq.gov/issue/patient-safety-emergency-department
     July 13, 2016 - February 1, 2011 WebM&M Cases Reconciling Records … November 1, 2010 WebM&M Cases Recurrent Hypoglycemia … April 5, 2006 WebM&M Cases Discharge Fumbles December … 1, 2004 WebM&M Cases X-ray Flip February 1

444. Outcome of 6 years of protocol use for preventing wrong site office surgery. | PSNet
     psnet.ahrq.gov/issue/outcome-6-years-protocol-use-preventing-wrong-site-office-surgery
     February 10, 2012 - January 12, 2012 WebM&M Cases Turn the Other Cheek … August 3, 2017 View More Related Resources WebM&M Cases … June 10, 2013 WebM&M Cases Turn the Other Cheek March … April 4, 2011 WebM&M Cases The Forgotten Turn December

445. Too Many Cooks in the Kitchen | PSNet
     psnet.ahrq.gov/web-mm/too-many-cooks-kitchen
     March 07, 2018 - chronic comorbidities  List at least two safety-related disadvantages of starting complex surgical cases … Morning starts are recommended for high risk cases when possible, both to allow proper marshalling of … August 15, 2012 WebM&M Cases Back to Basics March … 1, 2004 WebM&M Cases Nosy Business April 1 … December 1, 2009 WebM&M Cases On O.R.

446. Privacy or Safety? | PSNet
     psnet.ahrq.gov/web-mm/privacy-or-safety
     December 01, 2011 - HIPAA's regulations were designed to accommodate most of the routine use cases involving patient data … PCA Overdose August 21, 2005 WebM&M Cases … April 29, 2015 WebM&M Cases Good Catch in the Operating … Room May 1, 2019 WebM&M Cases Turn the Other … Disorder May 1, 2007 WebM&M Cases Overriding

447. Duty to Disclose Someone Else's Error? | PSNet
     psnet.ahrq.gov/web-mm/duty-disclose-someone-elses-error
     June 01, 2004 - As in many complex medical cases, this case has numerous dimensions of uncertainty, making it difficult … Therefore, in cases where a potential error occurred under other providers, the critical first step is … Ideally, organizations would have a neutral third party (such as an ethics committee) consider cases … Taking an institutional approach to complex cases involving communicating with patients about another … Disclosing harmful medical errors to patients: tackling three tough cases.

448. Pregnant With Danger | PSNet
     psnet.ahrq.gov/web-mm/pregnant-danger
     January 12, 2011 - Hypertension has been associated with 25% to 50% of cases of aortic dissection in pregnant women. … October 19, 2022 WebM&M Cases Is It Safe to Be Direct … January 3, 2017 WebM&M Cases Transfusion Overload … November 25, 2020 WebM&M Cases Misdiagnosis of … a Pelvic Mass versus Pregnancy July 29, 2020 WebM&M Cases

449. The Lung Nodule That Refused To Grow | PSNet
     psnet.ahrq.gov/web-mm/lung-nodule-refused-grow
     March 01, 2004 - Such discordance should be infrequent, except for cases in which there are extenuating circumstances … January 19, 2022 WebM&M Cases A Stable Airway? … Routine Goes Awry June 1, 2011 WebM&M Cases … Missed TB May 1, 2004 WebM&M Cases … Central Line Clot May 1, 2003 WebM&M Cases

450. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35868/psn-pdf
     July 10, 2008 - information from nearly 3 million operations between 1985 and 2004, discovering a rate of 1 in 112,994 cases … Investigators further evaluated cases with available medical records, all of which were among the malpractice … so, they noted that the Joint Commission's Universal Protocol might have prevented only 62% of the cases

451. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45509/psn-pdf
     September 28, 2016 - Investigators used an automated algorithm to identify chest imaging cases that potentially had a follow-up … A clinician then reviewed the medical records for a random sample of cases identified by the trigger … tool and a reference set of cases involving patients with abnormal test results but no delays.

452. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40907/psn-pdf
     December 08, 2011 - In Sweden, clinicians are required to report cases of serious adverse events, and patients can obtain … However, this study found that more than 80% of cases where patients were compensated for severe injuries … were not reported by practitioners, including many cases of health care–associated infections and diagnostic

453. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37096/psn-pdf
     June 24, 2010 - For several patient safety indicators, the authors found that the majority of cases were actually pre-existing … Furthermore, cases where an in-hospital complication occurred did not receive significantly higher financial … payments than cases without complications. 

454. Check the Wristband | PSNet
     psnet.ahrq.gov/web-mm/check-wristband
     August 03, 2009 - Accreditation of Healthcare Organization’s (JCAHO’s) sentinel event statistics include 240 reported cases … Around the Block March 1, 2005 WebM&M Cases … January 1, 2004 WebM&M Cases Lost in the Black … Hole October 1, 2003 WebM&M Cases Check the … Bags September 1, 2003 WebM&M Cases Shake

455. Empty Handoff | PSNet
     psnet.ahrq.gov/web-mm/empty-handoff
     August 01, 2017 - reporting major harm.( 2 ) However, errors that do not lead to harm are far more frequent, with most cases … August 9, 2013 WebM&M Cases Carpe Diem (Seize the Day … August 21, 2013 WebM&M Cases Comanagement: Who's … June 1, 2012 WebM&M Cases The Case for Patient … Flow Management November 1, 2011 WebM&M Cases

456. Low on the Totem Pole | PSNet
     psnet.ahrq.gov/web-mm/low-totem-pole
     October 01, 2003 - May 29, 2024 WebM&M Cases An Inadvertent Bolus … May 26, 2021 WebM&M Cases Hyponatremia Secondary … 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

457. Code Status Confusion | PSNet
     psnet.ahrq.gov/web-mm/code-status-confusion
     September 01, 2006 - In more usual cases, patients who suffer cardiopulmonary arrest in the hospital do not have a reversible … December 29, 2014 WebM&M Cases Liposuction Gone Awry … X-ray Flip February 1, 2004 WebM&M Cases … January 1, 2004 WebM&M Cases Crushing Chest Pain … : A Missed Opportunity January 1, 2004 WebM&M Cases

458. The Wrongful Resuscitation | PSNet
     psnet.ahrq.gov/web-mm/wrongful-resuscitation
     October 12, 2012 - the Study to Understand Prognoses and Preferences for Risks of Treatments (SUPPORT), there were no cases … In cases like this one, clarifying patient preferences regarding the use of the acute care hospital in … June 20, 2011 WebM&M Cases "Recurrent" Appendicitis … September 1, 2006 WebM&M Cases Deciphering … the Code February 1, 2006 WebM&M Cases No

459. On O.R. Off? | PSNet
     psnet.ahrq.gov/web-mm/or
     August 22, 2013 - In certain cases, such test results will lead to delay, or even cancellation, of surgery. … A structured process for adding and canceling cases with the OR would have confirmed the cancellation … Consider specific processes with double checks for adding or canceling cases in the operating room as … June 9, 2011 WebM&M Cases Right? Left? Neither! … WebM&M Cases Too Tight Control May 1, 2004

460. Where's the Feeding Tube? | PSNet
     psnet.ahrq.gov/web-mm/wheres-feeding-tube
     September 01, 2003 - June 21, 2023 WebM&M Cases The Dose Makes the Poison: … Errors January 1, 2019 WebM&M Cases Are We … March 1, 2011 WebM&M Cases All in the History … March 21, 2009 WebM&M Cases Novel Drug Misuse … July 1, 2004 WebM&M Cases Central Line Clot