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psnet.ahrq.gov/node/49554/psn-pdf
January 01, 2008 - Doxorubicin
and the other anthracycline vesicants (daunorubicin, epirubicin, idarubicin) cause cell death
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psnet.ahrq.gov/perspective/pharmacist-role-patient-safety
June 29, 2020 - potential to reduce adverse events, reduce patient hospital readmissions, and even reduce the risk of death
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psnet.ahrq.gov/periodic-issue/periodic-issue-280
February 10, 2021 - WebM&M Cases
Spotlight Case
Delay in Appropriate Diagnosis and Treatment Leading to Death
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psnet.ahrq.gov/issue/against-silence-development-and-first-results-patient-survey-assess-experiences-safety
March 24, 2021 - November 6, 2013
SBAR improves nurse–physician communication and reduces unexpected death
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psnet.ahrq.gov/issue/changes-diagnostic-process-during-40-years-clinicopathologic-conferences
March 20, 2024 - practice among operating room personnel from survey data is associated with all-cause 30-day postoperative death
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.170_slideshow.ppt
March 01, 2008 - The final cause of death was “complications of infective endocarditis.”
What Happened?
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psnet.ahrq.gov/periodic-issue/periodic-issue-451
August 28, 2024 - circulation and autopsy revealed sudden cardiac arrest without myocardial infarction as the cause of death
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psnet.ahrq.gov/web-mm/liver-failure-after-chemotherapy-did-we-forget-something
May 01, 2019 - The clinical consequences vary from asymptomatic elevation of hepatic enzymes to severe hepatitis and death
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psnet.ahrq.gov/web-mm/after-visit-confusion
August 21, 2007 - WebM&M Cases
Delay in Appropriate Diagnosis and Treatment Leading to Death
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.269_slideshow.ppt
June 01, 2012 - about the events at the referring hospital and that such knowledge could have potentially prevented her death
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.101_slideshow.ppt
July 01, 2005 - Pharmacist-provided anticoagulation management in United States hospitals: death rates, length of stay
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psnet.ahrq.gov/perspective/rediscovering-power-surgical-mm-conference-mm-matrix
September 01, 2007 - bypass surgeries that in the last decade have exploded in number and have caused unacceptable rates of death
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psnet.ahrq.gov/web-mm/do-not-miss-sepsis-needles-viral-haystacks
March 27, 2024 - to identify sepsis in a pediatric patient, leading to the development of septic shock and ultimately death
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psnet.ahrq.gov/web-mm/sleep-deprivation-leads-medication-error-during-spinal-epidural-anesthesia
January 29, 2021 - Sleep Deprivation Leads to Medication Error During Spinal Epidural Anesthesia
Citation Text:
Bohringer C, Osborne R. Sleep Deprivation Leads to Medication Error During Spinal Epidural Anesthesia.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human…
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psnet.ahrq.gov/node/838220/psn-pdf
September 27, 2019 - Leading Causes of Death – Males – by Race and Hispanic
Origin – United States, 2017.
-
psnet.ahrq.gov/node/852807/psn-pdf
August 30, 2023 - Sleep Deprivation Leads to Medication Error During
Spinal Epidural Anesthesia
August 30, 2023
Bohringer C, Osborne R. Sleep Deprivation Leads to Medication Error During Spinal Epidural Anesthesia.
PSNet [internet]. 2023.
https://psnet.ahrq.gov/web-mm/sleep-deprivation-leads-medication-error-during-spinal-epidural-…
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psnet.ahrq.gov/perspective/safety-medical-devices
June 01, 2011 - implantation of the wrong size nut, causing a poor connection with the inflow cannula that resulted in patient death
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psnet.ahrq.gov/issue/teamstepps-refresher-course
September 26, 2023 - International Meeting/Conference
TeamSTEPPS Refresher Course.
Citation Text:
AHA Training. October 3-24, 2023. Tuesdays 2:00 PM - 3:30 PM (eastern).
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psnet.ahrq.gov/issue/international-society-quality-health-care-conference
September 26, 2023 - International Meeting/Conference
International Society for Quality in Health Care Conference.
Citation Text:
International Society for Quality in Health Care, Korean Society for Quality in Health Care, Health Insurance Review and Assessment Service, and the Korea Institute for Healthcare…
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psnet.ahrq.gov/issue/acr-white-paper-magnetic-resonance-mr-safety-combined-papers-2002-and-2004
August 13, 2008 - Commentary
ACR White Paper on Magnetic Resonance (MR) Safety: Combined Papers of 2002 and 2004.
Citation Text:
Kanal E; Borgstede JP; Barkovich AJ; Bell C; Bradley WG; Etheridge S; Felmlee JP; Froelich JW; Hayden J; Kaminski EM; Lester JW Jr; Scoumis EA; Zaremba LA; Zinninger MD; Ameri…