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psnet.ahrq.gov/node/33734/psn-pdf
August 01, 2012 - In Conversation With… Nicholas G. Castle, MHA, PhD
August 1, 2012
In Conversation With… Nicholas G. Castle, MHA, PhD. PSNet [internet]. 2012.
https://psnet.ahrq.gov/perspective/conversation-nicholas-g-castle-mha-phd
Editor's note: The topic of patient safety in long-term care facilities has not received the attent…
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psnet.ahrq.gov/web-mm/limb-loss-after-vasopressor-use
March 14, 2012 - The adverse consequences of limited hospital capacity and ED overcrowding have been well documented,
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psnet.ahrq.gov/perspective/conversation-jeffrey-shuren-md-jd
May 28, 2020 - implantable, life-saving devices. [1] Ineffective or unsafe medical devices can have detrimental consequences
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psnet.ahrq.gov/web-mm/pill-organizing-plight
June 19, 2018 - Clinical consequences of polypharmacy in elderly. Expert Opin Drug Saf. 2014;13:57-65.
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psnet.ahrq.gov/web-mm/hurried-team-huddle-and-poor-communication-unsafe-practice-during-anesthesia-emergency
September 27, 2023 - pre-incision checklist likely contributed to this near miss, which may happen again in the future (with worse consequences
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psnet.ahrq.gov/web-mm/lot-pain-medications
September 23, 2020 - June 30, 2021
WebM&M Cases
Consequences of Medical Overuse
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psnet.ahrq.gov/web-mm/too-many-cooks-kitchen
March 07, 2018 - Operating Room
April 27, 2022
WebM&M Cases
The Consequences
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psnet.ahrq.gov/node/849661/psn-pdf
June 28, 2023 - pre-incision checklist likely
contributed to this near miss, which may happen again in the future (with worse consequences
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psnet.ahrq.gov/node/73102/psn-pdf
July 01, 2022 - are often frail and vulnerable, leaving them at increased risk of adverse drug effects
and negative consequences
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psnet.ahrq.gov/web-mm/always-check-muscle-twitch-residual-neuromuscular-block-after-removal-gastric-balloon
January 29, 2021 - obesity is increasing worldwide; anesthesia care providers must understand the adverse cardiopulmonary consequences
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psnet.ahrq.gov/web-mm/misconnection-leading-arterial-thrombosis
January 29, 2021 - Misconnecting epidural infusion tubing or oxygen tubing to an intravenous catheter may have deadly consequences
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psnet.ahrq.gov/node/867359/psn-pdf
December 18, 2024 - an ideal response
of counseling breastfeeding mothers who requested infant formula about possible consequences
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psnet.ahrq.gov/web-mm/delayed-symptomatic-subdural-hematoma-following-initially-normal-ct-head
March 27, 2024 - untreated, the patient will eventually develop focal neurological deficits, often with devastating consequences
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psnet.ahrq.gov/sites/default/files/2025-01/spotlight_case_misdiagnosis_of_small_bowel_obstruction_-_slides_-_final.pptx
January 01, 2025 - Consequences and complications of peritoneal adhesions. Colorectal Dis. 2007;9 Suppl 2:25-34.
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psnet.ahrq.gov/web-mm/respiratory-distress-after-neck-surgery-two-cases-postoperative-cervical-hematoma
August 14, 2024 - Predictors and consequences of hematoma after thyroidectomy: an American College of Surgeons National
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psnet.ahrq.gov/web-mm/total-parenteral-nutrition-multifarious-errors
January 23, 2017 - Fortunately, the boy did not experience any adverse consequences from the hypernatremia.
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psnet.ahrq.gov/web-mm/medication-handling-and-compounding-errors-operating-room
May 16, 2022 - WebM&M Cases
To Dilute or Not Dilute: Drug Errors and Consequences
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psnet.ahrq.gov/web-mm/pitfalls-diagnosing-necrotizing-fasciitis
March 24, 2021 - opportunity to focus on necrotizing fasciitis as this diagnosis is often missed or delayed with devastating consequences
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psnet.ahrq.gov/node/60268/psn-pdf
April 29, 2020 - 12.3%), all of which were
considered minor complications that did not result in significant clinical consequences
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psnet.ahrq.gov/node/73906/psn-pdf
October 06, 2021 - think about all the different things that possibly could go wrong with the care and the resultant
consequences