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psnet.ahrq.gov/node/857259/psn-pdf
November 30, 2023 - In this case, the pharmacist and the nurse both may have experienced
confirmation bias as they believed
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psnet.ahrq.gov/node/33769/psn-pdf
June 01, 2014 - called Consumers for
Medical Quality, intended as an advocacy and support group for people who had experienced
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psnet.ahrq.gov/node/60269/psn-pdf
April 29, 2020 - And fourth, data have shown that NSTI outcomes
are improved when patients are managed by an experienced
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psnet.ahrq.gov/node/49669/psn-pdf
November 01, 2012 - underlying cardiovascular disease or risk factors, patients transfused for hemoglobin
levels of 10 g/dL experienced
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psnet.ahrq.gov/web-mm/medication-mix-leads-patient-death
July 08, 2022 - In this case, the pharmacist and the nurse both may have experienced confirmation bias as they believed
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psnet.ahrq.gov/web-mm/watch-warfarin
December 01, 2013 - to recommend that patients who had changes in their warfarin dose, had new medications started, or experienced
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psnet.ahrq.gov/web-mm/other-side
May 01, 2007 - Patients who have not experienced errors report that, if a harmful error occurred in their treatment,
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psnet.ahrq.gov/curated-library/artificial-intelligence-system-level-considerations
March 27, 2024 - regulators and legal experts will need to consider how to manage compensation for patients who have experienced
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psnet.ahrq.gov/curated-library/diagnostic-error
November 10, 2025 - extrapolating these results, since malpractice claims only account for a small proportion of all adverse events experienced
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psnet.ahrq.gov/web-mm/coming-err-missed-diagnosis-patient-recurrent-pneumothorax
December 14, 2022 - high risk of recurrence of spontaneous pneumothorax, and referral to a lung center with specialists experienced
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psnet.ahrq.gov/web-mm/code-blue-where
March 30, 2020 - May not relieve EMTALA obligation Code Blue Team Standard hospital "crash team" Experienced
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psnet.ahrq.gov/web-mm/emergency-error
January 18, 2013 - palliative treatment to be considered as an alternative to surgery.( 3 ) Unlike some patients who have experienced
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psnet.ahrq.gov/web-mm/worst-headache
July 01, 2016 - While shopping 4 days earlier, she experienced sudden onset of a severe diffuse headache—"maybe the worst
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psnet.ahrq.gov/sites/default/files/2024-07/spotlight_case_mismanagement_of_acute_decompensated_heart_failure_slides_final.pptx
January 01, 2024 - While labetalol initially helped control the patient’s blood pressure, she experienced persistent hypertension
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psnet.ahrq.gov/sites/default/files/2022-01/final_spotlight_stacked_opioid_administration_01.03.2022.pdf
January 01, 2022 - pain
3
PATIENT SAFETY EVENTS INVOLVING
OPIOID DOSE STACKING
Two cases involving patients who experienced
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psnet.ahrq.gov/web-mm/unfamiliar-catheter
November 01, 2006 - Moreover, the nurse should have been supervised by an experienced mentor in the first use of the unfamiliar
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psnet.ahrq.gov/web-mm/central-line-clot
August 04, 2021 - sensitivity for diagnosing large, centrally located pulmonary emboli and good specificity when read by experienced
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psnet.ahrq.gov/web-mm/clostridium-difficile-relapse-secondary-medication-access-issue
October 01, 2015 - events that cause morbidity and readmission, as in this patient.( 11,12 ) Two-thirds of adverse events experienced
-
psnet.ahrq.gov/node/848108/psn-pdf
April 26, 2023 - sedation
Although procedural sedation is considered a safe and effective practice when performed by experienced … method to facilitate painful and anxiety-provoking medical
tests and procedures when administered by an experienced
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psnet.ahrq.gov/node/867804/psn-pdf
February 26, 2025 - Are We Safer Today?
February 26, 2025
Bates DW, Lee M, Mossburg SE. Are We Safer Today? PSNet [internet]. 2025.
https://psnet.ahrq.gov/perspective/are-we-safer-today
In the 1999 report, To Err Is Human: Building a Safer Health System, the Institute of Medicine (now the
National Academy of Medicine) drew on two lar…