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psnet.ahrq.gov/node/40208/psn-pdf
February 09, 2011 - Accuracy of radiographic readings in the emergency
department.
February 9, 2011
Petinaux B, Bhat R, Boniface K, et al. Accuracy of radiographic readings in the emergency department. Am
J Emerg Med. 2011;29(1):18-25. doi:10.1016/j.ajem.2009.07.011.
https://psnet.ahrq.gov/issue/accuracy-radiographic-readings-emergen…
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psnet.ahrq.gov/node/49816/psn-pdf
January 01, 2018 - After the fall, a CT scan revealed a fracture of the cervical spine, which required
spinal fusion surgery … The patient described in this case experienced trauma resulting in a neck fracture requiring surgery. … procedures, the average duration of
opioid prescriptions ranged from 4 to 15 days, though surgery for neck fracture
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psnet.ahrq.gov/issue/outcomes-daytime-procedures-performed-attending-surgeons-after-night-work
December 18, 2014 - March 24, 2019
Potentially harmful medication dispenses after a fall or hip fracture:
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psnet.ahrq.gov/issue/frequency-diagnostic-errors-outpatient-care-estimations-three-large-observational-studies
April 09, 2013 - March 12, 2025
Potentially harmful medication dispenses after a fall or hip fracture:
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psnet.ahrq.gov/issue/automated-identification-antibiotic-overdoses-and-adverse-drug-events-analysis-prescribing
May 08, 2017 - September 30, 2010
Potentially harmful medication dispenses after a fall or hip fracture
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psnet.ahrq.gov/sites/default/files/2024-01/spotlight_case_laceration_needed_exam_not_x-ray_final.pdf
January 01, 2024 - • No fracture or foreign body was identified on x-ray.
5
Case Details (2)
• The clinician closed … attempted, discussion with a hand surgeon is advised.
– Unless there is concern for infection or an open fracture … ● Unless infection or an open fracture is present, hand wounds should be managed with copious
irrigation
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psnet.ahrq.gov/node/861738/psn-pdf
January 31, 2024 - No fracture or foreign body was identified on x-ray. … Unless there is concern for infection or an open fracture, it is perfectly acceptable to provide
wound … Unless infection or an open fracture is present, hand wounds should be managed with copious
irrigation
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psnet.ahrq.gov/issue/safety-manchester-triage-system-detect-critically-ill-children-emergency-department
October 18, 2023 - Cases
Under Pressure: Delayed Diagnosis of Compartment Syndrome after Lower Leg Fracture
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psnet.ahrq.gov/node/867147/psn-pdf
November 13, 2024 - Opioid prescribing for acute pain management in children
and adolescents in outpatient settings: clinical practice
guideline.
November 13, 2024
Hadland SE, Agarwal R, Raman SR, et al. Opioid Prescribing for Acute Pain Management in Children and
Adolescents in Outpatient Settings: Clinical Practice Guideline. Pedia…
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psnet.ahrq.gov/node/837419/psn-pdf
June 15, 2022 - Implicit racial bias in pediatric orthopaedic surgery.
June 15, 2022
Guzek R, Goodbody CM, Jia L, et al. Implicit racial bias in pediatric orthopaedic surgery. J Pediatr Orthop.
2022;42(7):393-399. doi:10.1097/bpo.0000000000002170.
https://psnet.ahrq.gov/issue/implicit-racial-bias-pediatric-orthopaedic-surgery
Res…
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psnet.ahrq.gov/node/49598/psn-pdf
February 01, 2010 - medication-reconciliation-pitfalls
The Case
A 90-year-old woman who lived alone suffered a mechanical fall with subsequent hip fracture … After observation in the ICU for several days, she underwent
repair of her hip fracture and was discharged
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psnet.ahrq.gov/node/33781/psn-pdf
March 01, 2015 - At another hospital, Bolton, the crude mortality for hip fracture operations went
up to 25% and we sent … They set up an 8-bed fracture ward, and they
employed a full-time orthopedic geriatrician.
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psnet.ahrq.gov/sites/default/files/2023-04/april_2023_spotlight_the_dose_makes_the_poison.pdf
January 01, 2023 - pathological fracture” and it was determined she needed pediatric
orthopedics specialty care. … There was no acute fracture and no acute findings
involving the tibia or fibula. … of all ages, without regard to
timing of last oral intake, to facilitate painful procedures such as fracture … Their attention and focus on
performing the primary procedure (e.g., fracture reduction) may create … Paediatric fracture reduction. Emerg Med
Australas 2013;25(3):241–247. [Free full text]
14.
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psnet.ahrq.gov/node/50448/psn-pdf
October 09, 2019 - Diagnostic errors reported in primary healthcare and
emergency departments: a retrospective and descriptive
cohort study of 4830 reported cases of preventable harm
in Sweden.
October 9, 2019
Fernholm R, Pukk Härenstam K, Wachtler C, et al. Diagnostic errors reported in primary healthcare and
emergency departments…
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psnet.ahrq.gov/node/73675/psn-pdf
September 08, 2021 - A system-wide hospital child maltreatment patient safety
program.
September 8, 2021
Hansen J, Terreros A, Sherman A, et al. A system-wide hospital child maltreatment patient safety program.
Pediatrics. 2021;148(3):e2021050555. doi:10.1542/peds.2021-050555.
https://psnet.ahrq.gov/issue/system-wide-hospital-child-ma…
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psnet.ahrq.gov/periodic-issue/periodic-issue-311
September 29, 2021 - September 29, 2021 Weekly Issue
PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly
Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient
safety literature, news, conferences, repo…
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psnet.ahrq.gov/node/841139/psn-pdf
December 14, 2022 - Open wider: Failure to use an interpreter results in
fractured teeth and hypoxia during a simple elective
operation.
December 14, 2022
Bohringer C, Godoy L. Open wider: Failure to use an interpreter results in fractured teeth and hypoxia
during a simple elective operation. PSNet [internet]. 2022.
https://psnet.ah…
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psnet.ahrq.gov/node/764403/psn-pdf
March 02, 2022 - Radiologist errors by modality, anatomic region, and
pathology for 1.6 million exams: what we have learned.
March 2, 2022
Lamoureux C, Hanna TN, Sprecher D, et al. Radiologist errors by modality, anatomic region, and pathology
for 1.6 million exams: what we have learned. Emerg Radiol. 2021;28(6):1135-1141. doi:10.1…
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psnet.ahrq.gov/node/865343/psn-pdf
March 27, 2024 - Patient safety indicators during the initial COVID-19
pandemic surge in the United States.
March 27, 2024
Rodriguez JA, Samal L, Ganesan S, et al. Patient safety indicators during the initial COVID-19 pandemic
surge in the United States. J Patient Saf. 2024;20(4):247-251. doi:10.1097/pts.0000000000001216.
https://…
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psnet.ahrq.gov/issue/impact-inpatient-harms-hospital-finances-and-patient-clinical-outcomes
February 28, 2018 - July 27, 2018
Potentially harmful medication dispenses after a fall or hip fracture: