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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/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/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/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/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/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/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/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/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/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/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/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/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/836976/psn-pdf
April 27, 2022 - IO needles should not be placed in an extremity with a long
bone fracture, in an extremity with a vascular … the surrounding
soft tissues.6,17,18 Other complications include osteomyelitis, skin abscess, bone fracture … blood vessels.20 In a study of 164 patients with acute
compartment syndrome, 69% had an associated fracture
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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/sites/default/files/2022-02/final_cme_reviewed_spotlight_loss_of_trust_and_a_missed_diagnosis_02.14.20221_-_clean_-_revised.pdf
January 01, 2022 - spasms, magnetic resonance imaging
would have been indicated due to her older age (a risk factor for
fracture … Red flags to screen for malignancy and fracture in patients with low back pain: systematic
review.
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psnet.ahrq.gov/node/33723/psn-pdf
December 01, 2011 - Implementing a Fall Prevention Program
December 1, 2011
Healey F. Implementing a Fall Prevention Program. PSNet [internet]. 2011.
https://psnet.ahrq.gov/perspective/implementing-fall-prevention-program
Perspective
Throughout the developed world, most hospital beds are occupied by older people, many of whom have
b…