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psnet.ahrq.gov/perspective/conversation-withbrent-c-james-md-mstat
February 26, 2025 - What the Journal did not allow us to publish was the cost consequences of massively reducing our postoperative
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psnet.ahrq.gov/perspective/conversation-lucian-leape-md
June 12, 2019 - One sad thing about patient safety is the consequences are borne almost entirely by the patient.
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psnet.ahrq.gov/perspective/conversation-leah-binder-ma-mga
February 26, 2025 - care is that these things are often nuanced and the science is imperfect and there are unanticipated consequences
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psnet.ahrq.gov/node/867497/psn-pdf
February 26, 2025 - When an RSI is suspected, the clinical team must carefully consider the potential consequences of not
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psnet.ahrq.gov/Webmm
May 01, 2021 - associated with SARS-CoV-2 testing, the unprecedented burden faced by health systems, and downstream consequences
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psnet.ahrq.gov/webmm
May 01, 2021 - associated with SARS-CoV-2 testing, the unprecedented burden faced by health systems, and downstream consequences
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psnet.ahrq.gov/periodic-issue/periodic-issue-447
July 10, 2024 - prevent the spread of COVID-19 or other healthcare-associated infections, can result in unintended consequences
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psnet.ahrq.gov/perspective/conversation-karl-bilimoria-md-ms-0
December 01, 2017 - ongoing assessment of procedural skills, along with easy access to peer coaching.( 12 ) There should be consequences
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psnet.ahrq.gov/web-mm/misdiagnosis-small-bowel-obstruction-setting-previous-abdominal-operations
September 25, 2024 - Consequences and complications of peritoneal adhesions.
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psnet.ahrq.gov/web-mm/critical-echocardiogram-result-lost-follow
July 31, 2023 - When enough of these holes or weaknesses align, it can lead to devastating consequences, such as in the
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psnet.ahrq.gov/node/867672/psn-pdf
February 26, 2025 - Consequences and complications of peritoneal adhesions. Colorectal Dis. 2007;9 Suppl
2:25-34.
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psnet.ahrq.gov/web-mm/possible-probable-sure-wrong-premature-closure-and-anchoring-complicated-case
October 02, 2013 - Diagnosing a Stroke
June 1, 2018
WebM&M Cases
Consequences
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psnet.ahrq.gov/innovation/care-managers-use-software-aided-medication-review-protocol-frail-community-dwelling
September 13, 2023 - 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/spotlight-mistaken-attribution-diagnostic-misstep
July 01, 2011 - illustrates, missing an acute medical condition puts a psychiatry inpatient–bound patient at risk for severe consequences
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psnet.ahrq.gov/web-mm/missed-bowel-perforation-importance-diagnostic-reasoning
January 29, 2021 - Failed to Rescue
August 1, 2017
WebM&M Cases
Consequences
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psnet.ahrq.gov/web-mm/complications-ecmo-during-transport
January 27, 2021 - 12.3%), all of which were considered minor complications that did not result in significant clinical consequences
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psnet.ahrq.gov/web-mm/falling-through-crack-bedrails
February 19, 2020 - Ischemia
August 31, 2022
WebM&M Cases
The Consequences
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psnet.ahrq.gov/node/60328/psn-pdf
May 27, 2020 - than epidural analgesia, it can result in critical respiratory depression
events with significant consequences
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psnet.ahrq.gov/web-mm/sleep-deprivation-leads-medication-error-during-spinal-epidural-anesthesia
January 29, 2021 - Fatigue on the flight deck: the consequences of sleep loss and the benefits of napping.
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psnet.ahrq.gov/web-mm/agitated-delirium-contributes-missed-testing-and-delayed-diagnosis-gastric-perforation
June 28, 2023 - confirmation of NGT placement, apparently due to miscommunication at change-of-shift, led to more serious consequences