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Showing results for "cases".

61. Inadvertent Use of More Potent Acid Leads to Burn | PSNet
    psnet.ahrq.gov/web-mm/inadvertent-use-more-potent-acid-leads-burn
    November 01, 2023 - November 12, 2008 WebM&M Cases Culture Clash No More: … Techno Trip March 1, 2005 WebM&M Cases … Failure to Report March 1, 2007 WebM&M Cases … Dangerous Dapsone June 1, 2004 WebM&M Cases … Shake Well September 1, 2003 WebM&M Cases

62. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/74857/psn-pdf
    February 23, 2022 - Clinical reasoning in dire times- analysis of cognitive biases in clinical cases during the COVID-19 … Clinical reasoning in dire times- analysis of cognitive biases in clinical cases during the COVID-19 … https://psnet.ahrq.gov/issue/clinical-reasoning-dire-times-analysis-cognitive-biases-clinical-cases-during … Researchers asked primary care providers taking care of COVID-19 adult patients to describe cases when … https://psnet.ahrq.gov/issue/clinical-reasoning-dire-times-analysis-cognitive-biases-clinical-cases-during-covid

63. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/47880/psn-pdf
    June 18, 2019 - A multidisciplinary model for reviewing severe maternal morbidity cases and teaching residents patient … A Multidisciplinary Model for Reviewing Severe Maternal Morbidity Cases and Teaching Residents Patient … https://psnet.ahrq.gov/issue/multidisciplinary-model-reviewing-severe-maternal-morbidity-cases-and- … study, an academic hospital adopted a systems-based morbidity and mortality conference model to review cases … https://psnet.ahrq.gov/issue/multidisciplinary-model-reviewing-severe-maternal-morbidity-cases-and-teaching-residents

64. Wrong-site craniotomy: analysis of 35 cases and systems for prevention. | PSNet
    psnet.ahrq.gov/issue/wrong-site-craniotomy-analysis-35-cases-and-systems-prevention
    November 16, 2022 - Study Wrong-site craniotomy: analysis of 35 cases and systems for prevention. … Wrong-site craniotomy: analysis of 35 cases and systems for prevention. … Wrong-site craniotomy: analysis of 35 cases and systems for prevention. … January 17, 2019 WebM&M Cases Fire in the Hole!

65. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/859351/psn-pdf
    January 01, 2024 - Changing the patient safety mindset: can safety cases help? December 20, 2023 Sujan M, Habli I. … Changing the patient safety mindset: can safety cases help? … https://psnet.ahrq.gov/issue/changing-patient-safety-mindset-can-safety-cases-help Examination and discussion … https://psnet.ahrq.gov/issue/changing-patient-safety-mindset-can-safety-cases-help https://psnet.ahrq.gov … /issue/safer-clinical-systems https://psnet.ahrq.gov/issue/what-can-safety-cases-offer-patient-safety-multisite-case-study

66. Diagnostic errors reported in primary healthcare and emergency departments: a retrospective and descriptive cohort study of 4830 reported cases of preventable harm in Sweden. | PSNet
    psnet.ahrq.gov/issue/diagnostic-errors-reported-primary-healthcare-and-emergency-departments-retrospective-and
    March 11, 2020 - healthcare and emergency departments: a retrospective and descriptive cohort study of 4830 reported cases … healthcare and emergency departments: A retrospective and descriptive cohort study of 4830 reported cases … healthcare and emergency departments: A retrospective and descriptive cohort study of 4830 reported cases … initial patient-provider encounter are a frequent source of diagnostic error among ischemic stroke cases … Responding to serious medical error in general practice—consequences for the GPs involved: analysis of 75 cases

67. Retained Surgical Items: Definition and Epidemiology. | PSNet
    psnet.ahrq.gov/primer/retained-surgical-items-definition-and-epidemiology
    September 15, 2024 - /RFB will identify different elements of causation and different preventive strategies in examining cases … Some RSI cases qualify as reportable adverse events [called serious reportable events (SRE) by the … In some cases, the surgical team is still looking for an item that they know is missing, but they have … In these cases, there is still internal organizational reporting where the organization (1) discloses … (30%) involved SMI and device fragments. 9 cases (11%) involved instruments. 7/9 cases involved one

68. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/73493/psn-pdf
    July 14, 2021 - Safety cases for digital health innovations: can they work? July 14, 2021 Sujan M, Habli I. … Safety cases for digital health innovations: can they work? … https://psnet.ahrq.gov/issue/safety-cases-digital-health-innovations-can-they-work This commentary discusses … the use of “safety cases” to communicate the safety of a product, system or service in industry (e.g … https://psnet.ahrq.gov/issue/safety-cases-digital-health-innovations-can-they-work https://psnet.ahrq.gov

69. Redesigning surgical decision making for high-risk patients. | PSNet
    psnet.ahrq.gov/issue/redesigning-surgical-decision-making-high-risk-patients
    July 20, 2016 - making can contribute to safer and more patient-centered care in this setting, particularly for complex cases … March 1, 2023 WebM&M Cases Missing a Large Vessel Occlusion … May 3, 2017 WebM&M Cases Misleading Complaint July … 1, 2012 WebM&M Cases Duty to Disclose Someone … May 1, 2011 WebM&M Cases The Worst Headache

70. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/74130/psn-pdf
    December 01, 2021 - Malpractice cases in breast surgery: an assessment of litigation involving surgeons. … Malpractice cases in breast surgery: an assessment of litigation involving surgeons. … https://psnet.ahrq.gov/issue/malpractice-cases-breast-surgery-assessment-litigation-involving-surgeons … While prior research has described malpractice cases related to breast cancer diagnosis and treatment … https://psnet.ahrq.gov/issue/malpractice-cases-breast-surgery-assessment-litigation-involving-surgeons

71. Breakdowns in the initial patient-provider encounter are a frequent source of diagnostic error among ischemic stroke cases included in a large medical malpractice claims database. | PSNet
    psnet.ahrq.gov/issue/breakdowns-initial-patient-provider-encounter-are-frequent-source-diagnostic-error-among
    January 23, 2019 - initial patient-provider encounter are a frequent source of diagnostic error among ischemic stroke cases … initial patient-provider encounter are a frequent source of diagnostic error among ischemic stroke cases … initial patient-provider encounter are a frequent source of diagnostic error among ischemic stroke cases … May 11, 2019 WebM&M Cases The "Customer" Is Always Right … July 1, 2004 WebM&M Cases Missed Appendicitis

72. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/860015/psn-pdf
    September 01, 2024 - RFB will identify different elements of causation and different preventive strategies in examining cases … In some cases, the surgical team is still looking for an item that they know is missing, but they have … In these cases, any items discovered through subsequent imaging would not be considered retained or … In these cases, there is still internal organizational reporting where the organization (1) discloses … (30%) involved SMI and device fragments. 9 cases (11%) involved instruments. 7/9 cases involved one

73. The Hidden Harms of Hand Sanitizer | PSNet
    psnet.ahrq.gov/web-mm/hidden-harms-hand-sanitizer
    March 04, 2020 - October 3, 2017 WebM&M Cases Discharge Against Medical … Advice May 1, 2005 WebM&M Cases Shortcuts … High-Fidelity Simulation March 1, 2006 WebM&M Cases … The Deadly Duo October 1, 2010 WebM&M Cases … Too Tight Control May 1, 2004 WebM&M Cases

74. Ruptured Heterotopic Pregnancy | PSNet
    psnet.ahrq.gov/web-mm/ruptured-heterotopic-pregnancy
    August 16, 2023 - Techno Trip March 1, 2005 WebM&M Cases … Suicidal Man With Gun May 1, 2003 WebM&M Cases … Lethal Vertigo June 1, 2004 WebM&M Cases … 1, 2003 WebM&M Cases Bloody BP Cuff May 1, … 2003 WebM&M Cases Premature or Overdue?

75. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/844789/psn-pdf
    January 01, 2021 - Patient preferences in cases of Inter-system Medical Error Discovery (IMED). … Patient Preferences in Cases of Inter-system Medical Error Discovery (IMED). … https://psnet.ahrq.gov/issue/patient-preferences-cases-inter-system-medical-error-discovery-imed Clinicians … This study used simulated cases to explore patient preferences for error disclosure when the disclosing … https://psnet.ahrq.gov/issue/patient-preferences-cases-inter-system-medical-error-discovery-imed https

76. White blood cell left shift in a neonate: a case of mistaken identity. | PSNet
    psnet.ahrq.gov/issue/white-blood-cell-left-shift-neonate-case-mistaken-identity
    March 30, 2022 - multidisciplinary review of severe maternal morbidity is associated with a reduction in preventable cases … September 8, 2021 WebM&M Cases Endometriosis: A Common … and Commonly Missed and Delayed Diagnosis June 24, 2020 WebM&M Cases … May 11, 2014 WebM&M Cases A "Reflexive" Diagnosis in … July 23, 2010 WebM&M Cases Physical Diagnosis: A Lost

77. Hiding in Plain Sight | PSNet
    psnet.ahrq.gov/web-mm/hiding-plain-sight
    April 24, 2019 - Childhood HZ is rare, although cases have been reported in children as young as 4 months. … Cases of HZ can be missed when a full history and physical examination are not performed, or when the … Except for such cases with ocular involvement, delays in diagnosis generally carry little overall risk … Nosy Business April 1, 2010 WebM&M Cases … May 1, 2009 WebM&M Cases Autopsy Revelation

78. Medical malpractice lawsuits involving surgical residents. | PSNet
    psnet.ahrq.gov/issue/medical-malpractice-lawsuits-involving-surgical-residents
    August 20, 2018 - Investigators reviewed a legal database for malpractice cases involving surgical trainees between 2005 … During the 10-year period, 87 cases were identified. … Most cases involved perioperative management for elective surgery, and more than half of cases implicated … As with previous research on closed malpractice claims, a majority of these cases had an outcome of

79. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/836998/psn-pdf
    April 27, 2022 - How will state medical boards handle cases involving disclosure and apology for medical errors? … How will state medical boards handle cases involving disclosure and apology for medical errors? … https://psnet.ahrq.gov/issue/how-will-state-medical-boards-handle-cases-involving-disclosure-and-apology … https://psnet.ahrq.gov/issue/how-will-state-medical-boards-handle-cases-involving-disclosure-and-apology-medical-errors … https://psnet.ahrq.gov/issue/how-will-state-medical-boards-handle-cases-involving-disclosure-and-apology-medical-errors

80. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/836722/psn-pdf
    March 09, 2022 - Key use cases for artificial intelligence to reduce the frequency of adverse drug events: a scoping … Key use cases for artificial intelligence to reduce the frequency of adverse drug events: a scoping … https://psnet.ahrq.gov/issue/key-use-cases-artificial-intelligence-reduce-frequency-adverse-drug-events … https://psnet.ahrq.gov/issue/key-use-cases-artificial-intelligence-reduce-frequency-adverse-drug-events-scoping-review … https://psnet.ahrq.gov/issue/key-use-cases-artificial-intelligence-reduce-frequency-adverse-drug-events-scoping-review