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psnet.ahrq.gov/periodic-issue/periodic-issue-332
March 31, 2022 - Study
Potentially harmful medication dispenses after a fall or hip fracture: a mixed … prevalence, risk factors, and contributors to potentially harmful medication dispensed after a fall/fracture
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psnet.ahrq.gov/node/49791/psn-pdf
April 01, 2017 - Wrong-side Bedside Paravertebral Block: Preventing the
Preventable
April 1, 2017
Barrington MJ, Uda Y. Wrong-side Bedside Paravertebral Block: Preventing the Preventable. PSNet
[internet]. 2017.
https://psnet.ahrq.gov/web-mm/wrong-side-bedside-paravertebral-block-preventing-preventable
The Case
An 84-year-old wo…
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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/periodic-issue/periodic-issue-411
October 31, 2023 - October 31, 2023
A 32-year-old man presented to the hospital with a comminuted midshaft femoral fracture … Imaging suggested the fracture was pathologic and an open biopsy specimen was submitted to pathology
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psnet.ahrq.gov/periodic-issue/periodic-issue-412
October 31, 2023 - October 31, 2023
A 32-year-old man presented to the hospital with a comminuted midshaft femoral fracture … Imaging suggested the fracture was pathologic and an open biopsy specimen was submitted to pathology
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.269_slideshow.ppt
June 01, 2012 - orthopedic surgeon briefly described a 92-year-old woman with a history of dementia who had a left hip fracture … (3)
Early the next day, the patient was taken to the operating room for surgical repair of her hip 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
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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/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/periodic-issue/periodic-issue-353
August 05, 2022 - False-positive diagnosis (i.e., a fracture was identified when there was none) were reviewed by an expert
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psnet.ahrq.gov/web-mm/mismanagement-delirium
February 13, 2014 - 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/web-mm/wrong-side-bedside-paravertebral-block-preventing-preventable
August 10, 2019 - Wrong-side Bedside Paravertebral Block: Preventing the Preventable
Citation Text:
Barrington MJ, Uda Y. Wrong-side Bedside Paravertebral Block: Preventing the Preventable. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
Copy C…
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psnet.ahrq.gov/issue/fire-safety-operating-room
July 18, 2024 - Review
Fire safety in the operating room.
Citation Text:
Fire safety in the operating room. Ehrenwerth J. UptoDate. November 18, 2024.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.206_slideshow.ppt
October 01, 2009 - Difficult Encounters
An 89-year-old man was admitted to the orthopedic service after sustaining a hip fracture
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psnet.ahrq.gov/issue/technology-education-and-safety-2
December 02, 2020 - Special or Theme Issue
Technology, Education and Safety
Citation Text:
Technology, Education and Safety Arnal-Velasco, D, ed. Curr Opin Anaesthesiol. 2023;36(6):649-705.
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psnet.ahrq.gov/issue/measurement-and-monitoring-safety-canada-cpsi-safety-improvement-project
August 24, 2022 - Multi-use Website
Measurement and Monitoring of Safety Framework
Citation Text:
Measurement and Monitoring of Safety Framework Healthcare Excellence Canada.
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psnet.ahrq.gov/periodic-issue/periodic-issue-414
October 31, 2023 - October 31, 2023
A 32-year-old man presented to the hospital with a comminuted midshaft femoral fracture … Imaging suggested the fracture was pathologic and an open biopsy specimen was submitted to pathology
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psnet.ahrq.gov/periodic-issue/periodic-issue-413
October 31, 2023 - October 31, 2023
A 32-year-old man presented to the hospital with a comminuted midshaft femoral fracture … Imaging suggested the fracture was pathologic and an open biopsy specimen was submitted to pathology
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psnet.ahrq.gov/web-mm/safety-and-quality-long-term-care
January 01, 2016 - She was found to have a left hip fracture as a result of the fall and underwent an uncomplicated surgical … sacrum (stage IV full thickness ulcer), which had developed at the long-term care facility after her hip fracture