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5941. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49483/psn-pdf
      June 01, 2005 - misadventures that lead to fatal overdoses—rather than common patient safety problems (e.g., hospital-acquired infection … Hospital-onset infections: a patient safety issue.

5942. Spotlight (pdf file)
      psnet.ahrq.gov/sites/default/files/2022-04/final_spotlight_case_and_commentatry_io_line_extravasation-04.08.2022.pdf
      January 01, 2022 - with a long bone fracture, in an extremity with a vascular injury, or through skin with overlying infection

5943. Microsoft PowerPoint - FINAL Spotlight_Falls in Skilled Nursing Units_04.12.2023.pptx (pdf file)
      psnet.ahrq.gov/sites/default/files/2023-04/failure_to_ensure_patient_safety_leads_to_patient_falls_in_nursing_homes.pdf
      January 01, 2023 - • Subsequently, the patient was diagnosed with sepsis, presumably from a urinary tract infection … impairment, behavioral symptoms associated with dementia, and delirium – acute illnesses such as infections

5944. Robotic Surgery: Risks vs. Rewards | PSNet
      psnet.ahrq.gov/web-mm/robotic-surgery-risks-vs-rewards
      October 31, 2023 - In addition, the rates of some complications—deep vein thrombosis, wound infections, lymphoceles and … Robotic-assisted Surgery RAS shares the same risks of open and laparoscopic surgery, including the potential for infection

5945. Agitated Delirium Contributes to Missed Testing and Delayed Diagnosis of Gastric Perforation | PSNet
      psnet.ahrq.gov/web-mm/agitated-delirium-contributes-missed-testing-and-delayed-diagnosis-gastric-perforation
      June 28, 2023 - January 23, 2019 Changes in prevalence of health care-associated infections in U.S. hospitals … Quality improvement initiative to decrease central line-associated bloodstream infections

5946. Complications of ECMO During Transport | PSNet
      psnet.ahrq.gov/web-mm/complications-ecmo-during-transport
      January 27, 2021 - The major complications of ECMO include healthcare-associated infections, hematologic complications ( … Evaluation of wound photography for remote postoperative assessment of surgical site infections

5947. A Loss of Trust and a Missed Diagnosis | PSNet
      psnet.ahrq.gov/web-mm/loss-trust-and-missed-diagnosis
      October 31, 2023 - several diagnoses that require urgent evaluation and imaging; these include cauda equina syndrome, spinal infections … Veterans Affairs initiative to prevent methicillin-resistant Staphylococcus aureus infections

5948. In Conversation with...Brent C. James, MD, MStat | PSNet
      psnet.ahrq.gov/perspective/conversation-withbrent-c-james-md-mstat
      February 26, 2025 - That first big trial for postoperative deep wound infections, the idea of timing a prophylactic antibiotic … did not allow us to publish was the cost consequences of massively reducing our postoperative wound infection

5949. In Conversation With… Bernardo Perea-Pérez, MD, DDS, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-bernardo-perea-perez-md-dds-phd
      August 01, 2016 - Second, the inadequate management of postsurgical infections. … our campaigns to improve safety in surgical procedures, prescription drugs, and control of nosocomial infection

5950. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73906/psn-pdf
      October 06, 2021 - the parent, the mother, to be safe, she needs right medicine, right time, right dose, no nosocomial infections … Delayed infection is also a key risk for moms.

5951. Failure to Ensure Patient Safety Leads to Patient Falls in Nursing Homes. | PSNet
      psnet.ahrq.gov/web-mm/failure-ensure-patient-safety-leads-patient-falls-nursing-homes
      August 14, 2024 - Subsequently, the patient was diagnosed with sepsis, presumably from a urinary tract infection (UTI), … cognitive impairment, behavioral symptoms associated with dementia, and delirium; acute illnesses such as infections

5952. Incident Reporting: More Attention to the Safety Action Feedback Loop, Please | PSNet
      psnet.ahrq.gov/perspective/incident-reporting-more-attention-safety-action-feedback-loop-please
      September 01, 2011 - It happens often enough that we should probably approach falls almost the way we approach infection control … Economic evaluation of quality improvement interventions to prevent catheter-associated urinary tract infections … March 30, 2022 Economic evaluation of quality improvement interventions for bloodstream infections

5953. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73334/psn-pdf
      August 01, 2024 - attached to the central venous catheter to reduce the risk of central-line-associated blood stream infection … Some of the considerations that have not been examined herein include: Additional risk of infection

5954. An Inadvertent Bolus of Norepinephrine. | PSNet
      psnet.ahrq.gov/web-mm/inadvertent-bolus-norepinephrine
      December 04, 2016 - attached to the central venous catheter to reduce the risk of central-line-associated blood stream infection … Some of the considerations that have not been examined herein include: Additional risk of infection (

5955. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60721/psn-pdf
      July 21, 2020 - Between March 14th and April 1st 2020, daily ICD-10 telehealth claims for upper respiratory infections … implemented provisions specifically related to the management of patients with suspected COVID-19 infection … kind of mobile device and the provider will be on the outside of the room to cut down on the risk of infection

5956. Defensive Medicine: "Glowing" with Pain | PSNet
      psnet.ahrq.gov/web-mm/defensive-medicine-glowing-pain
      November 01, 2012 - One can envision an environment in which a patient with abdominal pain but no other findings (of an infection

5957. DRESSed for Failure | PSNet
      psnet.ahrq.gov/web-mm/dressed-failure
      September 01, 2011 - presented to the emergency department (ED) with right hand cellulitis and an uncomplicated urinary tract infection

5958. To Dilute or Not Dilute: Drug Errors and Consequences in the Operating Room | PSNet
      psnet.ahrq.gov/web-mm/dilute-or-not-dilute-drug-errors-and-consequences-operating-room
      July 28, 2021 - It also saves time in the OR and minimizes the risk of a nosocomial infection from contamination during

5959. Caution, Interrupted | PSNet
      psnet.ahrq.gov/web-mm/caution-interrupted
      October 01, 2016 - admission, the oncologist added an order for Diflucan (fluconazole) 100 mg IV to cover a possible fungal infection

5960. Chest Tube Complications | PSNet
      psnet.ahrq.gov/web-mm/chest-tube-complications
      September 27, 2023 - chest tube placement include malpositioning (the most common complication), recurrent pneumothorax, infection