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psnet.ahrq.gov/node/33640/psn-pdf
September 01, 2006 - disease management would lead not only to better outcomes but
also to lower costs through reduced complications
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psnet.ahrq.gov/node/49515/psn-pdf
July 01, 2006 - She had no long-lasting complications from the allergic
reaction.
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psnet.ahrq.gov/perspective/are-residency-duty-hour-rules-improving-patient-safety
April 01, 2013 - to make measurable inroads in some areas, such as reducing hospital-acquired infections and surgical complications
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.239_slideshow.ppt
May 01, 2011 - Spotlight Case July 2008
Spotlight Case
Duty to Disclose Someone Else’s Error
*
*
Source and Credits
This presentation is based on the May 2011
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Thomas H. Gallagher, MD University of Washington
…
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psnet.ahrq.gov/node/33798/psn-pdf
January 01, 2015 - Accountability in Patient Safety
January 1, 2015
Moriates C, Wachter R. Accountability in Patient Safety. PSNet [internet]. 2015.
https://psnet.ahrq.gov/perspective/accountability-patient-safety
Annual Perspective 2015
The tension between the no-blame culture espoused in the early years of the safety movement and …
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psnet.ahrq.gov/primer/root-cause-analysis
March 30, 2022 - Root Cause Analysis
Citation Text:
Root Cause Analysis. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
…
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psnet.ahrq.gov/node/49652/psn-pdf
May 01, 2012 - Double Dose at Transfer
May 1, 2012
Hackman JL. Double Dose at Transfer. PSNet [internet]. 2012.
https://psnet.ahrq.gov/web-mm/double-dose-transfer
The Case
A 74-year-old man with history of diabetes and hypertension was admitted to the emergency department
(ED) for left lower extremity pain, swelling, and erythe…
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psnet.ahrq.gov/web-mm/diagnostic-delay-emergency-department
September 18, 2024 - Media
June 1, 2017
WebM&M Cases
Chest Tube Complications
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psnet.ahrq.gov/web-mm/total-parenteral-nutrition-multifarious-errors
January 23, 2017 - Anticipated adverse effects of PN include complications associated with intravenous access (e.g., thrombosis
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psnet.ahrq.gov/web-mm/always-check-muscle-twitch-residual-neuromuscular-block-after-removal-gastric-balloon
January 29, 2021 - Anesthesiology
Administration Errors
Specific to High-Risk Drugs
Postoperative Surgical Complications
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psnet.ahrq.gov/web-mm/pitfalls-diagnosing-necrotizing-fasciitis
March 24, 2021 - December 1, 2012
WebM&M Cases
Preventing PICC Complications
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psnet.ahrq.gov/perspective/conversation-jeffrey-shuren-md-jd
May 28, 2020 - May 28, 2020
View More
See More About The Topic
Device-Related Complications
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psnet.ahrq.gov/web-mm/one-got-away-elopement-suicidal-patient-emergency-department
September 27, 2023 - WebM&M Cases
Failure to Adhere to Dietary Restrictions Leading to Complications
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psnet.ahrq.gov/node/60746/psn-pdf
July 29, 2020 - The intern suspected complications of early pregnancy including ectopic pregnancy,
spontaneous abortion
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psnet.ahrq.gov/web-mm/outbreak
January 29, 2015 - February 1, 2013
WebM&M Cases
Preventing PICC Complications
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psnet.ahrq.gov/web-mm/medication-overdose
September 01, 2011 - Lehman died 3 weeks later from the cardiac complications ensuing from this massive overdose.
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psnet.ahrq.gov/node/72564/psn-pdf
November 14, 2018 - Antibiotic overuse can also lead to other adverse events and health complications like
infection with
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psnet.ahrq.gov/web-mm/getting-right-doctor-right-away
July 01, 2011 - WebM&M Cases
Failure to Adhere to Dietary Restrictions Leading to Complications
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psnet.ahrq.gov/node/49397/psn-pdf
May 01, 2003 - An alternative strategy of performing ultrasound
only for patients at high risk of thoracentesis complications
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psnet.ahrq.gov/node/73335/psn-pdf
May 26, 2021 - enterally, reducing parenteral nutrition, and supporting growth and development,
while minimizing complications