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Showing results for "cases".

81. Is that solution for IV or irrigation?: Fluid administration errors in the operating room. | PSNet
    psnet.ahrq.gov/web-mm/solution-iv-or-irrigation-fluid-administration-errors-operating-room
    January 29, 2021 - The ototoxicity in the cases presented may be  vestibular rather than cochlear in nature and therefore … Safety of gentamicin bladder irrigations in complex urological cases. … March 29, 2023 WebM&M Cases Distraction of the … March 15, 2023 WebM&M Cases Open wider: Failure … February 1, 2007 WebM&M Cases Right?

82. Diagnosing Diagnostic Mistakes | PSNet
    psnet.ahrq.gov/web-mm/diagnosing-diagnostic-mistakes
    April 30, 2014 - As part of this research, we evaluated cases from the archives of AHRQ WebM&M to determine whether we … In this commentary, we will review two cases from the WebM&M archives to illustrate some potential sources … November 13, 2024 WebM&M Cases Techno Trip March … 1, 2005 WebM&M Cases Saline Flush Leads to Acute … June 23, 2009 WebM&M Cases Right? Left?

83. An Outpatient 'Zebra' | PSNet
    psnet.ahrq.gov/web-mm/outpatient-zebra
    January 23, 2020 - October 1, 2009 WebM&M Cases Blind Spot June … 1, 2005 WebM&M Cases Not a Miscarriage June … 1, 2003 WebM&M Cases Hyponatremia Secondary to … Home Parenteral Nutrition Error May 26, 2021 WebM&M Cases … Citrate Mix-Up May 1, 2006 WebM&M Cases

84. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/46419/psn-pdf
    April 12, 2019 - 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

85. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/850340/psn-pdf
    June 14, 2023 - Assertive communication training for nurses to speak up in cases of medical errors: a systematic review … Assertive communication training for nurses to speak up in cases of medical errors: a systematic review … https://psnet.ahrq.gov/issue/assertive-communication-training-nurses-speak-cases-medical-errors- systematic-review-and-meta … https://psnet.ahrq.gov/issue/assertive-communication-training-nurses-speak-cases-medical-errors-systematic-review-and-meta … https://psnet.ahrq.gov/issue/assertive-communication-training-nurses-speak-cases-medical-errors-systematic-review-and-meta

86. Don’t Bite Your Tongue. | PSNet
    psnet.ahrq.gov/web-mm/dont-bite-your-tongue
    September 18, 2024 - A review of the published literature by MacDonald included 35 cases of tongue or lip lacerations with … anesthesia literature, other care providers also have a role in preventing injuries during surgical cases … for Health Systems Science Curricula February 1, 2019 WebM&M Cases … December 14, 2022 WebM&M Cases Fecal Contamination of … October 26, 2022 WebM&M Cases Perioperative Anaphylaxis

87. Unintentional Ketamine Overdose in the Operating Room – Mixing Up the Ampules | PSNet
    psnet.ahrq.gov/web-mm/unintentional-ketamine-overdose-operating-room-mixing-ampules
    March 25, 2020 - March 29, 2023 WebM&M Cases Distraction of the … March 15, 2023 WebM&M Cases Open wider: Failure … 28, 2021 WebM&M Cases Hazards of Loading Doses … January 1, 2017 WebM&M Cases Situational ( … Un)Awareness September 1, 2011 WebM&M Cases

88. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/48173/psn-pdf
    August 28, 2019 - Analysis of 5 years' experience from the Leeds radiology educational cases meetings identifies common … Analysis of 5 years' experience from the Leeds radiology educational cases meetings identifies common … Researchers describe their analysis of more than 600 cases discussed at educational radiology conferences … able to identify numerous opportunities for improving learning from error, including using positive cases … (e.g., near misses or difficult cases in which extra effort helped avert an error) and targeting teaching

89. Hip Fractures in Older Patients: the Case for Geriatrics Comanagement | PSNet
    psnet.ahrq.gov/web-mm/hip-fractures-older-patients-case-geriatrics-comanagement
    July 01, 2004 - Novel Drug Misuse July 1, 2004 WebM&M Cases … Call March 1, 2012 WebM&M Cases If You Say … June 21, 2006 WebM&M Cases Inpatient Stroke Management … August 30, 2023 WebM&M Cases Updates in the Management … September 1, 2004 WebM&M Cases Privacy Gone

90. Language barriers to health care in the United States. | PSNet
    psnet.ahrq.gov/issue/language-barriers-health-care-united-states
    February 28, 2024 - February 28, 2024 WebM&M Cases Language Barrier April … July 13, 2009 WebM&M Cases All in the History March … 21, 2009 WebM&M Cases Failure to Latch September … July 10, 2008 WebM&M Cases Abnormal Volunteer Results … June 1, 2007 WebM&M Cases Language Barrier

91. Crossing the Borderline | PSNet
    psnet.ahrq.gov/web-mm/crossing-borderline
    June 01, 2022 - In most cases, the psychotherapy, whether cognitive-behavioral or psychodynamic, is carried out in an … June 1, 2022 WebM&M Cases Good Catch in the Operating … by Text: Multitasking Mishap December 1, 2011 WebM&M Cases … October 1, 2007 WebM&M Cases Preventable Rash … March 1, 2005 WebM&M Cases Missed TB May

92. Timely diagnosis of esophageal perforation | PSNet
    psnet.ahrq.gov/web-mm/timely-diagnosis-esophageal-perforation
    September 27, 2023 - April 29, 2020 WebM&M Cases Delayed Diagnosis of … Mesenteric Ischemia August 31, 2022 WebM&M Cases … : The Growing Deficit February 1, 2019 WebM&M Cases … Hidden Mystery March 1, 2005 WebM&M Cases … The Worst Headache July 1, 2004 WebM&M Cases

93. Elopement | PSNet
    psnet.ahrq.gov/web-mm/elopement
    July 14, 2010 - "( 1 ) In many cases of elopement, the patient may have a decreased mental capacity related to dementia … be difficult to determine, eloping patients are often at risk for serious harm, and there are many cases … In such cases, the physician should inform the patient of the risks associated with leaving. … ATLA's Litigating Tort Cases. Vol 5. Washington, DC: AAJ Press; 2003. 3. Rigelhaupt J Jr. … June 1, 2012 WebM&M Cases Amended Lab Results:

94. Teaching about diagnostic errors through virtual patient cases: a pilot exploration. | PSNet
    psnet.ahrq.gov/issue/teaching-about-diagnostic-errors-through-virtual-patient-cases-pilot-exploration
    September 18, 2013 - Study Teaching about diagnostic errors through virtual patient cases: a pilot exploration … Teaching about diagnostic errors through virtual patient cases: a pilot exploration. … Teaching about diagnostic errors through virtual patient cases: a pilot exploration. … March 2, 2022 WebM&M Cases "Superficial" Report Leads … February 20, 2019 Using computerized virtual cases to explore diagnostic error in practicing

95. Liver Failure After Chemotherapy: Did We Forget Something? | PSNet
    psnet.ahrq.gov/web-mm/liver-failure-after-chemotherapy-did-we-forget-something
    May 01, 2019 - Pocket Syringe Swap May 1, 2011 WebM&M Cases … PCA Overdose August 21, 2005 WebM&M Cases … August 21, 2013 WebM&M Cases The Dropped "No" … September 1, 2011 WebM&M Cases Discharging … Our Responsibility September 1, 2007 WebM&M Cases

96. Preventing vincristine administration errors. | PSNet
    psnet.ahrq.gov/issue/preventing-vincristine-administration-errors
    June 16, 2019 - August 29, 2016 WebM&M Cases Crossed Coverage February … 1, 2007 WebM&M Cases A Troubling Amine September … 1, 2006 WebM&M Cases It's All in the Syringe … August 1, 2006 WebM&M Cases Citrate Mix-Up … May 1, 2006 WebM&M Cases Getting to the Root

97. Do micropauses prevent surgeon's fatigue and loss of accuracy associated with prolonged surgery? An experimental prospective study. | PSNet
    psnet.ahrq.gov/issue/do-micropauses-prevent-surgeons-fatigue-and-loss-accuracy-associated-prolonged-surgery
    November 29, 2023 - September 14, 2022 WebM&M Cases Fatal Patient-Controlled … 1, 2004 WebM&M Cases Environmental Safety in the … OR February 1, 2004 WebM&M Cases The Other … Side October 1, 2003 WebM&M Cases Making Do … September 1, 2003 WebM&M Cases Ectopic or

98. Wrong-side Bedside Paravertebral Block: Preventing the Preventable | PSNet
    psnet.ahrq.gov/web-mm/wrong-side-bedside-paravertebral-block-preventing-preventable
    August 10, 2019 - June 29, 2011 WebM&M Cases On O.R. Off? … March 1, 2005 WebM&M Cases Right Patient, Wrong … Sample December 1, 2006 WebM&M Cases May I … —Medication Error June 1, 2014 WebM&M Cases … The 2-Week Itch April 1, 2003 WebM&M Cases

99. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/865923/psn-pdf
    May 22, 2024 - Undiagnosed cancer cases in the US during the first 10 months of the COVID-19 pandemic. … Undiagnosed cancer cases in the US during the first 10 months of the COVID-19 pandemic. … https://psnet.ahrq.gov/issue/undiagnosed-cancer-cases-us-during-first-10-months-covid-19-pandemic Many … https://psnet.ahrq.gov/issue/undiagnosed-cancer-cases-us-during-first-10-months-covid-19-pandemic https

100. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47630/psn-pdf
     February 27, 2019 - Teaching about diagnostic errors through virtual patient cases: a pilot exploration. … Teaching about diagnostic errors through virtual patient cases: a pilot exploration. … https://psnet.ahrq.gov/issue/teaching-about-diagnostic-errors-through-virtual-patient-cases-pilot-exploration … https://psnet.ahrq.gov/issue/teaching-about-diagnostic-errors-through-virtual-patient-cases-pilot-exploration