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Showing results for "caused".

  1. Ventricular Wall Injury during a Diagnostic Cardiac Catheterization | PSNet

    psnet.ahrq.gov/web-mm/ventricular-wall-injury-during-diagnostic-cardiac-catheterization
    September 01, 2012 - The tear and perforation in the left ventricular wall caused radiocontrast staining outside the ventricular … cardiologist obtained and reviewed echocardiographic images, which revealed bleeding around the heart caused … for Improving Safety This case represents an example of cardiac tamponade secondary to LV perforation caused

  2. Making Do | PSNet

    psnet.ahrq.gov/web-mm/making-do
    September 05, 2018 - The team then concluded that the event was more likely caused by intraoperative introduction of Actinomyces … Most likely, the arrest was caused by either air embolism or CO2 gas embolization.( 7,8,9 ) Could it … Although localized endometritis due to the IUD may have caused the patient’s bleeding ( 11 ), an antecedent

  3. Exploring the role of patients in promoting safety: policy to practice. | PSNet

    psnet.ahrq.gov/issue/exploring-role-patients-promoting-safety-policy-practice
    March 13, 2024 - July 19, 2019 Preventing sentinel events caused by family members.

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49464/psn-pdf
    December 27, 2020 - psnet.ahrq.gov//#references Fires or burns related to laparoscopy, such as the one in this case, usually are caused … OR fires caused by fiberoptic illumination systems [hazard]. Health Devices. 1982;11:148-9. 5.

  5. Learning words they rarely teach in medical school: 'I'm Sorry.' | PSNet

    psnet.ahrq.gov/issue/learning-words-they-rarely-teach-medical-school-im-sorry
    February 07, 2019 - Same Author(s) Doctor’s orders killed cancer patient: Dana-Farber admits drug overdose caused

  6. Afraid to speak up to medical power. | PSNet

    psnet.ahrq.gov/issue/afraid-speak-medical-power
    May 01, 2013 - July 22, 2009 Investigators find hospital error caused mother’s death in Brooklyn.

  7. Prescription drug overload: critics fighting to curb an epidemic of medication side effects. | PSNet

    psnet.ahrq.gov/issue/prescription-drug-overload-critics-fighting-curb-epidemic-medication-side-effects
    January 24, 2024 - August 9, 2017 Doctor’s orders killed cancer patient: Dana-Farber admits drug overdose caused

  8. National Inpatient Hospital Costs: The Most Expensive Conditions by Payer, 2011 (pdf file)

    hcup-us.ahrq.gov/reports/statbriefs/sb160.pdf
    July 01, 2013 - Spondylosis, intervertebral disc disorders, other back problems 11,218 2.9 667 7 Pneumonia (except that caused … Complication of device, implant or graft 7,469 4.1 414 5 Pneumonia (except that caused … device, implant or graft 1,426 2.4 71 4 Mood disorders 1,377 2.3 244 5 Pneumonia (except that caused … 8 Complications of surgical procedures or medical care 2,123 1.9 181 9 Pneumonia (except that caused … disorders (not diabetes) 359 2.1 45 10 Fracture of lower limb 359 2.1 25 11 Pneumonia (except that caused

  9. Frequency of pediatric medication administration errors and contributing factors. | PSNet

    psnet.ahrq.gov/issue/frequency-pediatric-medication-administration-errors-and-contributing-factors
    November 16, 2022 - January 30, 2013 Adverse drug events caused by serious medication administration errors

  10. Clinical cognition and biomedical informatics: issues of patient safety. | PSNet

    psnet.ahrq.gov/issue/clinical-cognition-and-biomedical-informatics-issues-patient-safety
    September 04, 2024 - January 18, 2023 A medication safety education program to reduce the risk of harm caused

  11. Care Delivery within Community Mental Health Teams. | PSNet

    psnet.ahrq.gov/issue/care-delivery-within-community-mental-health-teams
    April 26, 2023 - May 31, 2023 Harm Caused by Delays in Transferring Patients to the Right Place of Care

  12. Surgical fires: decreasing incidence relies on continued prevention efforts. | PSNet

    psnet.ahrq.gov/issue/surgical-fires-decreasing-incidence-relies-continued-prevention-efforts
    April 03, 2019 - August 6, 2014 Prevention of medical accidents caused by defective surgical instruments

  13. Non-accidental Injuries in Infants Attending the Emergency Department. | PSNet

    psnet.ahrq.gov/issue/non-accidental-injuries-infants-attending-emergency-department
    May 31, 2023 - March 1, 2023 Harm Caused by Delays in Transferring Patients to the Right Place of Care

  14. Clinical Investigation Booking Systems Failures: Written Communications in Community Languages. | PSNet

    psnet.ahrq.gov/issue/clinical-investigation-booking-systems-failures-written-communications-community-languages
    May 17, 2023 - March 1, 2023 Harm Caused by Delays in Transferring Patients to the Right Place of Care

  15. High reliability: truly achieving healthcare quality and safety. | PSNet

    psnet.ahrq.gov/issue/high-reliability-truly-achieving-healthcare-quality-and-safety
    March 18, 2019 - Cases Transfusion "Slip" February 1, 2004 Iatrogenic harm caused

  16. Interception of potential adverse drug events in long-term psychiatric care units. | PSNet

    psnet.ahrq.gov/issue/interception-potential-adverse-drug-events-long-term-psychiatric-care-units
    May 31, 2023 - March 30, 2022 Prevention of medical accidents caused by defective surgical instruments

  17. "Teach-back" from a patient's perspective. | PSNet

    psnet.ahrq.gov/issue/teach-back-patients-perspective
    March 27, 2024 - October 13, 2015 A medication safety education program to reduce the risk of harm caused

  18. Learning from patient safety incidents: creating participative risk regulation in healthcare. | PSNet

    psnet.ahrq.gov/issue/learning-patient-safety-incidents-creating-participative-risk-regulation-healthcare
    February 28, 2024 - 14, 2018 View More Related Resources Patient safety incidents caused

  19. Rethinking use of air-safety principles to reduce fatal hospital errors. | PSNet

    psnet.ahrq.gov/issue/rethinking-use-air-safety-principles-reduce-fatal-hospital-errors
    May 15, 2024 - October 12, 2022 Patient safety incidents caused by poor quality surgical instruments

  20. Small patients, big consequences in medical errors. | PSNet

    psnet.ahrq.gov/issue/small-patients-big-consequences-medical-errors
    February 09, 2011 - June 30, 2010 Investigators find hospital error caused mother’s death in Brooklyn.
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