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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/848108/psn-pdf
April 26, 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/web-mm/dose-makes-poison-medication-error-during-procedural-sedation-pediatric-emergency-department
January 23, 2017 - Imaging performed at the transferring facility indicated “left posterior hip dislocation vs. pathological fracture … 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 a … Paediatric fracture reduction.
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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/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/web-mm/loss-trust-and-missed-diagnosis
October 31, 2023 - 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/84413/psn-pdf
February 23, 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/862983/psn-pdf
February 28, 2024 - hypertension fell down the stairs while intoxicated with
alcohol and suffered a cervical spine (C5/C6) fracture … This patient had a fracture of his cervical spine with total loss of sensation below the neck but some
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.326_slideshow.ppt
June 01, 2014 - He was treated for his fracture, and the institution began to consider a policy regarding patients leaving
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psnet.ahrq.gov/node/49760/psn-pdf
May 01, 2016 - If soon after the patient was admitted with the leg fracture it was also known he had LBD, the clinical … Concurrent illness (e.g., infections, iatrogenic complications, severe acute illness, anemia, dehydration,
fracture
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psnet.ahrq.gov/node/61018/psn-pdf
October 14, 2020 - Association of current opioid use with serious adverse
events among older adult survivors of breast cancer.
October 14, 2020
Winn AN, Check DK, Farkas A, et al. Association of current opioid use with serious adverse events among
older adult survivors of breast cancer. JAMA Netw Open. 2020;3(9):e2016858.
doi:10.100…
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psnet.ahrq.gov/node/46000/psn-pdf
April 26, 2017 - Diagnostic error in the emergency department: follow up
of patients with minor trauma in the outpatient clinic.
April 26, 2017
Moonen P-J, Mercelina L, Boer W, et al. Diagnostic error in the Emergency Department: follow up of
patients with minor trauma in the outpatient clinic. Scand J Trauma Resusc Emerg Med. 2017…
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psnet.ahrq.gov/node/37569/psn-pdf
March 21, 2017 - How often are potential patient safety events present on
admission?
March 21, 2017
Houchens RL, Elixhauser A, Romano PS. How often are potential patient safety events present on
admission? Jt Comm J Qual Patient Saf. 2008;34(3):154-63.
https://psnet.ahrq.gov/issue/how-often-are-potential-patient-safety-events-pres…
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psnet.ahrq.gov/web-mm/if-you-say-so-taking-syringe-face-value-operating-room
January 01, 2015 - The Case A 43-year-old woman was admitted for open reduction and internal fixation of a forearm fracture
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psnet.ahrq.gov/perspective/conversation-heidi-wald-md
November 26, 2019 - you stand up because we’re over treating your blood pressure, you may fall and you could sustain a fracture … hospitalized for something, and is already quite debilitated, falls in the hospital and experiences a hip fracture … heightened risk of not only experiencing a fall, but also the associated cascading events such as a bone fracture
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psnet.ahrq.gov/perspective/patient-safety-frail-older-patients
November 26, 2019 - heightened risk of not only experiencing a fall, but also the associated cascading events such as a bone fracture … you stand up because we’re over treating your blood pressure, you may fall and you could sustain a fracture … hospitalized for something, and is already quite debilitated, falls in the hospital and experiences a hip fracture
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psnet.ahrq.gov/node/50859/psn-pdf
January 31, 2020 - When they see a patient with a hip fracture they can pull up that three years ago the
patient had metastatic … breast cancer and this might be a pathologic fracture.
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psnet.ahrq.gov/node/49653/psn-pdf
May 01, 2012 - Central line removal can have serious and even fatal complications (air embolism, catheter fracture and … This case illustrates a classic story of gaps or fracture points, in which critical patient information