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Showing results for "cases".

8081. Communication Error in a Closed ICU | PSNet
      psnet.ahrq.gov/web-mm/communication-error-closed-icu
      July 01, 2016 - March 19, 2018 WebM&M Cases Wrong Turn through Colon: … Misplaced PEG August 1, 2012 WebM&M Cases … October 1, 2011 WebM&M Cases Breakage of a PICC … Line April 1, 2009 WebM&M Cases PCA Overdose … May 1, 2004 WebM&M Cases Central Line Clot

8082. Mechanical Prosthetic Valve Thrombosis with Thromboembolism. | PSNet
      psnet.ahrq.gov/web-mm/mechanical-prosthetic-valve-thrombosis-thromboembolism
      August 21, 2005 - In severe cases of acute limb ischemia in which irreversible damage has occurred and the extremity is … September 26, 2018 WebM&M Cases Informed or Misled? … April 1, 2019 WebM&M Cases Diagnostic Failure: … The Growing Deficit February 1, 2019 WebM&M Cases … Triage Time Bomb January 1, 2004 WebM&M Cases

8083. Delay in Initiating Antibiotics Results in Fatal Error | PSNet
      psnet.ahrq.gov/web-mm/delay-initiating-antibiotics-results-fatal-error
      August 02, 2015 - Serious adverse outcomes occurred in 90% of the cases, including death in 31% of cases. … February 18, 2011 WebM&M Cases A Double “Never Event” … November 16, 2022 WebM&M Cases Do Not Disturb! … October 1, 2007 WebM&M Cases Lost in Transition … June 1, 2003 WebM&M Cases The Dropped Lung

8084. The Result Stopped Here | PSNet
      psnet.ahrq.gov/web-mm/result-stopped-here
      December 01, 2006 - March 1, 2005 WebM&M Cases May I Have Another? … —Medication Error June 1, 2014 WebM&M Cases … The 2-Week Itch April 1, 2003 WebM&M Cases … Dangerous Dapsone June 1, 2004 WebM&M Cases … June 1, 2003 WebM&M Cases Missed Appendicitis

8085. Who Nose Where the Airway Is? | PSNet
      psnet.ahrq.gov/web-mm/who-nose-where-airway
      May 01, 2016 - although this occurred in the context of significant underlying respiratory failure.( 4 ) As these cases … 1, 2006 WebM&M Cases A Costly Colonoscopy Leads … March 29, 2023 WebM&M Cases Mechanical Prosthetic … May 1, 2009 WebM&M Cases DNR in the OR and … Afterwards September 1, 2006 WebM&M Cases

8086. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36178/psn-pdf
      September 30, 2010 - liability insurance companies where patients were harmed due to surgical error and reviewed these cases … The cases resulted in significant harm: 23% of the patients died, and 65% suffered disabling injuries … Most cases involved more than one clinician, and 31% involved multiple phases of care (eg, intraoperative

8087. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44423/psn-pdf
      January 22, 2016 - patient safety: do different levels of resident supervision affect the rate of morbidity and mortality cases … Patient Safety: Do Different Levels of Resident Supervision Affect the Rate of Morbidity and Mortality Cases … Furthermore, there was no evidence of a "July Effect," as the number of morbidity and mortality cases

8088. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38046/psn-pdf
      September 10, 2008 - pathological disagreement upon the cause of death in a teaching hospital: analysis of 100 autopsy cases … pathological disagreement upon the cause of death in a teaching hospital: Analysis of 100 autopsy cases … clinical-and-pathological-disagreement-upon-cause-death-teaching-hospital- analysis-100 This study discovered that autopsy-detected diagnostic errors occurred in 10% of cases

8089. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45640/psn-pdf
      September 01, 2018 - Investigators analyzed 125 adverse event cases from 5 New York City hospitals over a 22-month period … The majority of cases did not involve substandard care, and disclosure occurred in more than 90% of … cases.

8090. Standard Deviations | PSNet
      psnet.ahrq.gov/web-mm/standard-deviations
      January 01, 2006 - July 31, 2024 WebM&M Cases Delirium or Dementia? … May 1, 2009 WebM&M Cases Liposuction Gone Awry … October 1, 2008 WebM&M Cases Raise the Bar … Follow-Up Phone Call March 1, 2012 WebM&M Cases … Elopement December 1, 2007 WebM&M Cases

8091. Statistical Brief #33: Reasons for Being Admitted to the Hospital through the Emergency Department for Children and Adolescents, 2004 (pdf file)
      hcup-us.ahrq.gov/reports/statbriefs/sb33.pdf
      June 01, 2007 - accounting for roughly half of all pediatric hospital stays (excluding births and adolescent pregnancy cases … Excluding these cases, nearly half of the remaining pediatric stays (1.1 milli hospitalizations) were … For 1 to 4 and 5 to 9 year olds, asthma was the most common reason for admission with about 1 in 7 cases … Pediatric, neonatal, and maternal cases Definitions of pediatric, birth, and maternal cases are as follows … : – Pediatric cases: hospital stays for individuals under 18 years of age – Birth cases: hospital stays

8092. Missed diagnosis of stroke in the emergency department: a cross-sectional analysis of a large population-based sample. | PSNet
      psnet.ahrq.gov/issue/missed-diagnosis-stroke-emergency-department-cross-sectional-analysis-large-population-based
      April 08, 2018 - initial patient-provider encounter are a frequent source of diagnostic error among ischemic stroke cases … March 1, 2023 WebM&M Cases Missing a Large Vessel Occlusion … August 4, 2015 WebM&M Cases Misleading Complaint … July 1, 2012 WebM&M Cases Duty to Disclose Someone … May 1, 2011 WebM&M Cases The Worst Headache

8093. Clostridium Difficile-Associated Disease in U.S. Hospitals, 1993-2005 (pdf file)
      hcup-us.ahrq.gov/reports/statbriefs/sb50.pdf
      April 01, 2008 - In most cases CDAD was a secondary diagnosis, particularly in the later years. … while the majority of cases had this infection as a secondary diagnosis. … Complexity of cases with CDAD Over 60 percent of cases with CDAD entered the hospital through the emergency … The number of diagnoses provides an indication of the complexity of the cases—on average, CDAD cases … had over 10 diagnoses compared with 6 diagnoses for cases without CDAD.

8094. Archived: Final Evidence Summary: Syphilis Infection in Pregnancy: Screening | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-summary94/syphilis-infection-in-pregnancy-screening-2009
      May 15, 2009 - in 1991 to 353 cases (8.8 cases per 100,000 live births) in 2004. 4 However, the rate of congenital … Most (83%) of these cases were in babies born to women who received no prenatal care. … Tinajeros et al, 2006 11 342 confirmed cases among 8892 women who completed screening. … Assuming a 30% rate of congenital syphilis, POC testing averted 61 cases (54% of 114 cases). 32 cited … cases of penicillin anaphylaxis per 100 000 exposed.

8095. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35405/psn-pdf
      December 14, 2007 - Compiling data for more than 1000 Medicare beneficiaries from acute-care hospitals, investigators captured cases … authors report that potential quality problems were identified at much higher rates in the flagged cases … subjectivity in physician case review exists, this study offers a potential strategy for selecting cases

8096. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34863/psn-pdf
      June 12, 2007 - internal-bleeding-truth-behind-americas-terrifying-epidemic-medical-mistakes- updated-edition Wachter and Shojania adapted many of the cases … they previously published in the academic literature, some cases previously described in the lay literature … the Duke transplant mix-up and the death of Betsy Lehman at Dana-Farber Cancer Institute), and other cases

8097. Mark My Limb | PSNet
      psnet.ahrq.gov/web-mm/mark-my-limb
      February 10, 2015 - May 3, 2006 WebM&M Cases Right? Left? Neither! … May 1, 2006 WebM&M Cases Listen to the Family … June 1, 2004 WebM&M Cases Too Tight Control … 1, 2004 WebM&M Cases Inadvertent Castration … Tip November 1, 2003 WebM&M Cases The Other

8098. EHRs in the ER: as doctors adapt, concerns emerge about medical errors. | PSNet
      psnet.ahrq.gov/issue/ehrs-er-doctors-adapt-concerns-emerge-about-medical-errors
      September 01, 2016 - October 5, 2016 View More Related Resources WebM&M Cases … November 23, 2016 WebM&M Cases Lapse in Antibiotics Leads … to Sepsis October 1, 2016 WebM&M Cases The … July 3, 2013 WebM&M Cases Recurrent Hypoglycemia: A Care

8099. Standardization and Automatic Extraction of Quality Measures in an Ambulatory EHR (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/r18hs017094-mccolm-final-report-2009.pdf
      January 01, 2009 - and applied only 16% of the eligible codes to those cases. … Number % Total cases for this indicator 311 Cases identified correctly by coders 62 20% Cases not … (26%) were coded for A1C and 71 cases (28%) were coded for LDL. … These cases include all 15 practices in the study. Table 6. … documented 1485, 95.8% Number of cases with diastolic BP documented 1485, 95.8% Number of cases

8100. Improving Population Health through Enhanced Targeted Regional Decision Support - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r01hs020909-dixon-final-report-2017.pdf
      January 01, 2017 - representing 6,777 cases for 6,294 patients. … Fifteen percent of cases (N=1,340) included multiple reports from the same source type. … % Complete for % Complete for Cases Cases with Only % Complete for with Only Provider Laboratory … Lab reporting rates were highest with nearly all cases including a laboratory report. … Of these cases, 450 came from the seven pilot clinics used for the trial.