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Showing results for "consequences".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33685/psn-pdf
    May 01, 2009 - RW: As you began to look at the economic consequences of errors and saw that they really did cost someone

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33762/psn-pdf
    March 01, 2014 - And these targets have driven lots of improvement, but there are unintended consequences.

  3. Patient Safety and Opioid Medications | PSNet

    psnet.ahrq.gov/perspective/patient-safety-and-opioid-medications
    January 01, 2015 - Annual Perspective Patient Safety and Opioid Medications Urmimala Sarkar, MD, and Kaveh Shojania, MD | January 1, 2016  View more articles from the same authors. Citation Text: Sarkar U, Shojania KG. Patient Safety and Opioid Medications. PSNet [internet]. Ro…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49832/psn-pdf
    June 01, 2018 - Febrile Neutropenia and an Almost Fatal Medication Error June 1, 2018 Faig J, Zerillo JA. Febrile Neutropenia and an Almost Fatal Medication Error. PSNet [internet]. 2018. https://psnet.ahrq.gov/web-mm/febrile-neutropenia-and-almost-fatal-medication-error The Case A 33-year-old woman with recently diagnosed acute …

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49803/psn-pdf
    January 01, 2018 - Point-of-care Mixup: 1 Shot Turns Into 3 August 1, 2017 Berberich RF. Point-of-care Mixup: 1 Shot Turns Into 3. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/point-care-mixup-1-shot-turns-3 The Case A 2-month-old boy was brought in for a routine 2-month well-child visit. The exam was completed and the app…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49821/psn-pdf
    February 01, 2018 - Right Place, Right Drug, Wrong Strength February 1, 2018 Jelincic V, Greenall J. Right Place, Right Drug, Wrong Strength. PSNet [internet]. 2018. https://psnet.ahrq.gov/web-mm/right-place-right-drug-wrong-strength The Case A 2-year-old girl was admitted to a hospital burn unit for a 10% total body surface area bur…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49770/psn-pdf
    September 01, 2016 - Wrong-Time Error With High-Alert Medication September 1, 2016 Yang A, Nelson LS. Wrong-Time Error With High-Alert Medication. PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/wrong-time-error-high-alert-medication The Case A 60-year-old man was admitted to the hospital for a total knee arthroplasty. During th…

  8. On O.R. Off? | PSNet

    psnet.ahrq.gov/web-mm/or
    August 22, 2013 - The patient awakened without event and suffered no adverse consequences from the error.

  9. Crossed Coverage | PSNet

    psnet.ahrq.gov/web-mm/crossed-coverage
    September 01, 2015 - The patient had a minor nosebleed but no other adverse consequences.

  10. Methicillin-Resistant Staphylococcus aureus | PSNet

    psnet.ahrq.gov/perspective/methicillin-resistant-staphylococcus-aureus
    June 24, 2010 - There are some potential unintended consequences of identifying a patient who is colonized with MRSA.

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847934/psn-pdf
    April 26, 2023 - Indicator [PSI] 90) using weights that reflect both the frequency of component PSIs and their downstream consequences

  12. Norepinephrine Dosing Error Associated with Multiple Health System Vulnerabilities | PSNet

    psnet.ahrq.gov/web-mm/norepinephrine-dosing-error-associated-multiple-health-system-vulnerabilities
    November 27, 2019 - The consequences of repeatedly receiving toxic doses of norepinephrine likely contributed to the sequelae

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73953/psn-pdf
    October 27, 2021 - Clinical consequences of polypharmacy in elderly.

  14. Inappropriate Antibiotic Use | PSNet

    psnet.ahrq.gov/web-mm/inappropriate-antibiotic-use
    September 22, 2010 - that broad-spectrum antibiotic coverage is in the patient’s best interest, despite possible societal consequences

  15. The Dropped "No" | PSNet

    psnet.ahrq.gov/web-mm/dropped-no
    October 30, 2019 - Quality April 26, 2023 WebM&M Cases The Consequences

  16. The Fluidity of Diagnostic "Wet Reads" | PSNet

    psnet.ahrq.gov/web-mm/fluidity-diagnostic-wet-reads
    April 24, 2018 - Diagnoses of Cancer July 31, 2023 WebM&M Cases The Consequences

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73650/psn-pdf
    August 25, 2021 - This practice is likely to be cost effective5 to prevent negative downstream consequences for patients

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49568/psn-pdf
    September 01, 2008 - severe and place newborns at risk for hyperbilirubinemic encephalopathy and its long-term neurologic consequences

  19. Breathe Easy: Safe Tracheostomy Management | PSNet

    psnet.ahrq.gov/web-mm/breathe-easy-safe-tracheostomy-management
    June 07, 2023 - Causes and consequences of adult laryngotracheal stenosis. Laryngoscope. 2015;125:1137-1143.

  20. "Recurrent" Appendicitis | PSNet

    psnet.ahrq.gov/web-mm/recurrent-appendicitis
    January 15, 2020 - Some, such as increased specialization and prolonged clinical training, have inadvertent negative consequences
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