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psnet.ahrq.gov/node/49809/psn-pdf
October 01, 2017 - Hyperbilirubinemia Refractory to Phototherapy
October 1, 2017
Bhutani VK, Wong RJ. Hyperbilirubinemia Refractory to Phototherapy. PSNet [internet]. 2017.
https://psnet.ahrq.gov/web-mm/hyperbilirubinemia-refractory-phototherapy
The Case
A 1-day-old full-term infant was noted to have elevated total serum bilirubin (…
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psnet.ahrq.gov/web-mm/vial-mistakes-involving-heparin
May 11, 2014 - Vial Mistakes Involving Heparin
Citation Text:
Vanderveen T. Vial Mistakes Involving Heparin. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009.
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psnet.ahrq.gov/web-mm/finding-fault-default-alert
August 28, 2024 - Finding Fault With the Default Alert
Citation Text:
Baysari M. Finding Fault With the Default Alert. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013.
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psnet.ahrq.gov/web-mm/electronic-err
April 01, 2014 - Electronic Err
Citation Text:
Tang PC. Electronic Err. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004.
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psnet.ahrq.gov/primer/discharge-planning-and-transitions-care
June 15, 2024 - Discharge Planning and Transitions of Care
Citation Text:
Bajorek SA, McElroy V. Discharge Planning and Transitions of Care. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020.
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psnet.ahrq.gov/web-mm/suicidal-ideation-family-medicine-clinic
October 01, 2007 - Primary Care
Mental Health Care (Psychiatry and Clinical Psychology)
Psychological and Social Complications
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psnet.ahrq.gov/node/866578/psn-pdf
August 28, 2024 - catheters, surgical drains, or ventilation tubes, or may require stabilization due to trauma or
acute complications
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psnet.ahrq.gov/web-mm/mismanagement-delirium
February 13, 2014 - intracranial hemorrhage, meningitis, encephalitis) Concurrent illness (e.g., infections, iatrogenic complications
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psnet.ahrq.gov/web-mm/updates-management-high-risk-pulmonary-embolism
December 02, 2020 - Shift
November 1, 2008
WebM&M Cases
Procedure Complications
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psnet.ahrq.gov/web-mm/steroids-and-safety-preventing-medication-adverse-events-during-transitions-care
September 09, 2013 - However, because of the multiple complications, she required hospitalization for more than a week and
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psnet.ahrq.gov/node/49519/psn-pdf
September 01, 2006 - communication failures, including signout miscommunications.(5)
Signouts have also been linked to in-hospital complications
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psnet.ahrq.gov/web-mm/wet-read
October 01, 2017 - The patient did not have bleeding complications from the thrombolytic therapy.
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psnet.ahrq.gov/node/33843/psn-pdf
October 01, 2017 - It can be complications of a person's
chronic disease.
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psnet.ahrq.gov/web-mm/dont-wait-collect-accurate-weight-case-subtherapeutic-insulin-therapy
July 01, 2008 - catheters, surgical drains, or ventilation tubes, or may require stabilization due to trauma or acute complications
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psnet.ahrq.gov/node/49786/psn-pdf
March 01, 2017 - homes.(1) In a different M&M, we could be discussing the common overuse of
antibiotics and the known complications
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psnet.ahrq.gov/web-mm/patient-safety-events-involving-opioid-dose-stacking
July 08, 2022 - He underwent internal fixation without intraoperative complications and was admitted to a routine postoperative
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psnet.ahrq.gov/perspective/patient-safety-ambulatory-care-setting
April 27, 2022 - caring for COVID patients, including making the correct diagnosis of COVID‑19, accurately diagnosing complications
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psnet.ahrq.gov/web-mm/unexplained-apnea-under-anesthesia
December 01, 2005 - Manual Of Complications During Anesthesia. Lippincott, Philadelphia; 1991. 2. Cooper JB.
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psnet.ahrq.gov/web-mm/triple-handoff
March 01, 2004 - communication failures, including signout miscommunications.( 5 ) Signouts have also been linked to in-hospital complications
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psnet.ahrq.gov/web-mm/perils-cross-coverage
September 22, 2010 - Related Resources
WebM&M Cases
Preventing PICC Complications