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psnet.ahrq.gov/web-mm/overriding-considerations
March 09, 2009 - March 9, 2009
A randomized trial of a multifactorial strategy to prevent serious fall injuries
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psnet.ahrq.gov/perspective/wild-west-patient-safety-office-based-anesthesia
April 01, 2003 - Reports of several patient injuries following early discharge suggest that postoperative complications
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psnet.ahrq.gov/web-mm/hold-tpa
July 29, 2020 - Same Author(s)
A randomized trial of a multifactorial strategy to prevent serious fall injuries
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psnet.ahrq.gov/web-mm/medication-overdose
September 01, 2011 - In large studies of hospitalized adults, medication errors represent the most frequent cause of injuries
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psnet.ahrq.gov/node/49518/psn-pdf
August 01, 2006 - Insulin errors and injuries are
common among hospitalized patients.(4-9) The risk of treatment-related
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psnet.ahrq.gov/node/33739/psn-pdf
October 01, 2012 - and the design and location of hazards like
furniture—can contribute to patient falls and associated injuries
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psnet.ahrq.gov/sites/default/files/2020-07/spotlight_nstemi.pdf
January 01, 2020 - troponins (cTn) T and I are expressed by myocardium; preferred
biomarker for measuring myocardial injury … Assessment and Treatment of Patients With Type 2 Myocardial Infarction and
Acute Nonischemic Myocardial Injury
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psnet.ahrq.gov/node/45202/psn-pdf
October 08, 2016 - Towards international consensus on patient harm:
perspectives on pressure injury policy. … Towards international consensus on patient harm:
perspectives on pressure injury policy. … https://psnet.ahrq.gov/issue/towards-international-consensus-patient-harm-perspectives-pressure-injury … https://psnet.ahrq.gov/issue/towards-international-consensus-patient-harm-perspectives-pressure-injury-policy … https://psnet.ahrq.gov/issue/towards-international-consensus-patient-harm-perspectives-pressure-injury-policy
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psnet.ahrq.gov/node/35297/psn-pdf
February 10, 2011 - A computer alert system to prevent injury from adverse
drug events: development and evaluation in a … A Computer Alert System to Prevent Injury From Adverse
Drug Events. … https://psnet.ahrq.gov/issue/computer-alert-system-prevent-injury-adverse-drug-events-development-and … https://psnet.ahrq.gov/issue/computer-alert-system-prevent-injury-adverse-drug-events-development-and-evaluation-community … https://psnet.ahrq.gov/issue/computer-alert-system-prevent-injury-adverse-drug-events-development-and-evaluation-community
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psnet.ahrq.gov/node/73103/psn-pdf
March 31, 2021 - Common examples include pneumonia, Clostridium difficile infection,
pressure injuries, delirium, and … diarrhea in an incontinent patient with skin breakdown on the “backside” should have raised an
alarm, as wound … The use of a video visit for wound care is possible as skin
and wound tissue can be adequately evaluated … Wesley Valdes, DO
Telehealth and Wound Specialist
Sacramento, CA
wesley.valdes@gmail.com
Garth Utter
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psnet.ahrq.gov/perspective/conversation-nicholas-g-castle-mha-phd
August 01, 2012 - circumstances combine to place the elderly nursing home resident at special risk for preventable drug-related injuries … all of medicine and place older persons residing in nursing homes at substantial risk of iatrogenic injury … resident-months, of which 40% were considered preventable.( 7 ) Errors associated with preventable drug-related injuries
-
psnet.ahrq.gov/node/34952/psn-pdf
November 17, 2011 - Assessing the National Electronic Injury Surveillance
System—Cooperative Adverse Drug Event Surveillance … Assessing the National Electronic Injury Surveillance System-Cooperative
Adverse Drug Event Surveillance … https://psnet.ahrq.gov/issue/assessing-national-electronic-injury-surveillance-system-cooperative-adverse … https://psnet.ahrq.gov/issue/assessing-national-electronic-injury-surveillance-system-cooperative-adverse-drug-event … https://psnet.ahrq.gov/issue/assessing-national-electronic-injury-surveillance-system-cooperative-adverse-drug-event
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psnet.ahrq.gov/node/846169/psn-pdf
March 15, 2023 - Succinylcholine is
contraindicated in patients with stroke, spinal cord injury, burns, or myotonic dystrophy … inadequate resources such as the broken drug refrigerator otherwise could have led to irreversible injury … Risk of respiratory complications and wound infection in
patients undergoing ambulatory surgery: smokers
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psnet.ahrq.gov/web-mm/tacit-handover-overt-mishap
August 01, 2006 - Concerned about causing injury to the patient, he consulted a neurosurgeon who recommended that further … Luckily, the patient suffered no major consequences, but was at risk for spinal cord injury and had to
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psnet.ahrq.gov/web-mm/inadequate-preanesthetic-evaluation-airway-trouble
November 01, 2023 - July 31, 2024
WebM&M Cases
Uterine Artery Injury … WebM&M Cases
Fecal Contamination of the Peritoneum from Laparoscopic Trocar Injury
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psnet.ahrq.gov/node/49732/psn-pdf
May 01, 2015 - mental status
Lactate > 2 mmol/L
Urinary output
Creatinine > 2 mg/dL
Worsening hypoxemia
Acute lung injury … with PaO2/FiO2
Acute lung injury with PaO2/FiO2
Bilirubin > 2 mg/dL
Platelet count 9/L
International
-
psnet.ahrq.gov/node/841139/psn-pdf
December 14, 2022 - The patient did not
suffer permanent neurological injury from the prolonged hypoxemia, but she did require … interpreter), the physician’s error
should be fully disclosed, and appropriate compensation for her dental injury
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.332_slideshow.ppt
September 01, 2014 - and its relationship to the patient's chronic pain complaint is crucial
Is acute pain related to an injury … Atlanta, GA: National Center for Injury Prevention and Control, Centers for Disease Control and Prevention
-
psnet.ahrq.gov/sites/default/files/2023-03/challenging_case_of_multiple_suicide_attempts_in_a_complex_patient_with_psychiatric_comorbidities.pdf
January 01, 2023 - disorder, commingled substance use
disorder, neurocognitive impairment, history of traumatic brain injury … .13
– As illustrated in this case, the risks of inadequate treatment involve suicide, self-inflicted injury
-
psnet.ahrq.gov/node/41686/psn-pdf
September 19, 2012 - The association between sepsis and potential medical
injury among hospitalized patients. … The association between sepsis and potential medical injury among
hospitalized patients. … https://psnet.ahrq.gov/issue/association-between-sepsis-and-potential-medical-injury-among-hospitalized … https://psnet.ahrq.gov/issue/association-between-sepsis-and-potential-medical-injury-among-hospitalized-patients … https://psnet.ahrq.gov/issue/association-between-sepsis-and-potential-medical-injury-among-hospitalized-patients