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psnet.ahrq.gov/node/60269/psn-pdf
April 29, 2020 - Wound infections are routinely
managed by operating surgeons of all types, but whether an NSTI fits … If he or she described a ‘wound infection in a plastic surgery patient,’
https://psnet.ahrq.gov//#6 … Burnout
Physician burnout (also referred to as “moral injury”) is an ongoing topic of discussion in … Tanya Rinderknecht, MD
Assistant Professor of Surgery
Department of Surgery, Division of Trauma
UC … Journal of Trauma and Acute Care Surgery. 2018 July;85(1):208-214.
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psnet.ahrq.gov/node/33771/psn-pdf
August 22, 2014 - events that occur in outpatient settings in the United States, resulting
in 4829 serious permanent injuries … annually in the ambulatory setting.(7) If the rate of prescribing errors that have potential for
patient injury
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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
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psnet.ahrq.gov/node/841566/psn-pdf
December 14, 2022 - pressure ulcers also went up – in skilled
nursing facilities, we saw rates of falls causing major injury … healthcare-
acquired infections, complications, medication safety, safety of the EMR, patient falls with injury … , and
pressure injuries.
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psnet.ahrq.gov/web-mm/waiting-too-long
February 01, 2013 - If data such as the frequency of medication errors, incidence of wound infections, or patient satisfaction … Neurosurgical trauma call: use of a mathematical simulation program to define manpower needs. … J Trauma. 1997;42:818-24.[ go to PubMed ] 2. Lucas CE, Middleton JD, Coscia RL, et al. … J Trauma. 1998;44:687-90.[ go to PubMed ] 3. Dexter F, Marcario A. … March 27, 2024
WebM&M Cases
Uterine Artery Injury
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psnet.ahrq.gov/web-mm/weighing-surgical-safety
August 04, 2021 - aspects of anesthetic management (e.g., airway intubation, drug distribution and uptake, risk of pressure injury … November 15, 2011
A randomized trial of a multifactorial strategy to prevent serious fall injuries
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psnet.ahrq.gov/node/49774/psn-pdf
November 01, 2016 - hospital
course but was ultimately discharged to a rehabilitation facility with no major permanent injuries … a
cervical laceration that extends beyond the vagina into the peritoneal cavity or a vaginal wall injury
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psnet.ahrq.gov/perspective/conversation-vineet-chopra-md-msc
February 28, 2024 - lines, you don't have to go anywhere near the great vessels of the neck or the chest, so you avoid injury … You avoid injury to the lung—that dreaded complication of pneumothorax. … Think about it: when you insert a PICC, your needle causes endothelial injury, in a patient that's hypercoaguable
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psnet.ahrq.gov/node/49662/psn-pdf
August 01, 2012 - 72 hours) or late (> 72 hours).(10) Minor
complications include tube clogging, superficial wound infection … insertion
site, hemorrhage, peritonitis, buried bumper syndrome, gastrocolocutaneous fistula, small bowel injury … involves avoiding tight traction on the PEG tube as this practice may increase
ischemia and delay wound … healing.(3) All dressing changes should incorporate a careful wound inspection
for redness or leakage … Parkinson disease, central nervous system tumor, amyotrophic lateral
sclerosis, cerebral palsy
• Severe trauma
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psnet.ahrq.gov/node/49522/psn-pdf
November 01, 2006 - Intramuscular injection site injuries masquerading as pressure ulcers. Wounds.
2003;15:302-312.
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psnet.ahrq.gov/node/33764/psn-pdf
April 01, 2014 - That report called out the
fact that many physical injuries are happening in the workforce, as well … as psychological injury due to lack
of respect, bullying, fear, stress, and productivity pressures.
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psnet.ahrq.gov/web-mm/timely-diagnosis-esophageal-perforation
September 27, 2023 - Even in the absence of a history suggestive of esophageal perforation (instrumentation, injury, vomiting … Utter, MD MSc
Professor of Surgery
Division of Trauma, Acute Care Surgery, and Surgical Critical … 2022
WebM&M Cases
Errors in Managing an Open Wound
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psnet.ahrq.gov/node/49559/psn-pdf
April 01, 2008 - The "Lund protocol," derived in patients with elevated ICP in the setting of head trauma, assumes
that … Hyperventilation in head injury: a review. Chest.
2005;127:1812-1827. [go to PubMed]
5.
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psnet.ahrq.gov/node/843234/psn-pdf
January 01, 2013 - diabetes,
peripheral arterial disease and hypertension was admitted for nonhealing, infected lower leg wounds … Their use in renal dysfunction,
however, is limited due to the risk of NSAID-related kidney injury. … constricts the afferent arteriole, which can lead to hypertension,
hyperkalemia, hypervolemia, acute kidney injury
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psnet.ahrq.gov/web-mm/getting-good-report-card-unintended-consequences-public-reporting-hospital-quality
October 01, 2004 - Intramuscular injection site injuries masquerading as pressure ulcers. Wounds. 2003;15:302-312.
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psnet.ahrq.gov/node/49658/psn-pdf
July 01, 2012 - The patient had not experienced any trauma to the knees and had no
other symptoms; a focused physical … The ED physician
diagnosed the patient with a musculoskeletal injury and prepared to discharge him.
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psnet.ahrq.gov/web-mm/spotlight-overdiagnosis-and-delay-challenges-sepsis-diagnosis
October 28, 2020 - Laboratory test results revealed a mildly elevated white count, acute kidney injury, and elevated liver … elevated white blood cell count) and end-organ dysfunction (elevated liver function tests, acute kidney injury … Sight
August 1, 2009
WebM&M Cases
Missing Trauma
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psnet.ahrq.gov/web-mm/copy-and-paste-notes-and-autopopulated-text-electronic-health-record
May 26, 2021 - On hospital day 2, the primary trauma surgery team ordered magnetic resonance imaging (MRI) of the brain … These studies, completed on hospital day 6, showed no evidence of traumatic or hypoxic brain injury and … no vertebral or ligamentous injury; the radiologist noted “minimal cervical spine epidural blood or
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psnet.ahrq.gov/web-mm/overdose-gabapentin-and-oxycodone-patient-end-stage-renal-disease-case-appropriate
October 31, 2023 - diabetes, peripheral arterial disease and hypertension was admitted for nonhealing, infected lower leg wounds … Their use in renal dysfunction, however, is limited due to the risk of NSAID-related kidney injury. … constricts the afferent arteriole, which can lead to hypertension, hyperkalemia, hypervolemia, acute kidney injury
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psnet.ahrq.gov/node/33769/psn-pdf
June 01, 2014 - saw a flurry of new patient organizations, among them the
Josie King Foundation, Medically Induced Trauma … advocates, too, have generally concentrated their efforts on
hospitals, where the most devastating patient injuries … Medically Induced Trauma Support Services. [Available at]
18. Mothers Against Medical Error.