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psnet.ahrq.gov/web-mm/spotlight-mistaken-attribution-diagnostic-misstep
July 01, 2011 - may result from such behaviors include self-harm (e.g., suicide attempts), assault, sexual contact, injury … or trauma from seclusion or physical restraint, elopement, and smuggling of contraband (e.g., razors … particular to the inpatient psychiatry unit include self-harm and suicide attempts, assault, sexual contact, injury … or trauma from seclusion or physical restraint, elopement, and smuggling of contraband onto the unit … J Trauma Stress. 2012;25:171-178. [go to PubMed]
9. Zimmerman M, Mattia JI.
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psnet.ahrq.gov/node/33578/psn-pdf
September 15, 2024 - anesthesia were integral to the redesign of anesthesia equipment, significantly reducing the risk of injury
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psnet.ahrq.gov/node/33588/psn-pdf
March 15, 2025 - health care providers who are involved in an unanticipated
adverse event, medical error, or patient injury
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psnet.ahrq.gov/node/49649/psn-pdf
March 01, 2012 - present with somatic complaints.(3) A related fact is
that many Vietnamese have experienced significant trauma … Trauma
contributed the largest role to mental disorders in the Vietnamese group.(5) In our own Vietnamese … Trauma, PTSD, and the longer-term mental health
burden amongst Vietnamese refugees: a comparison with … and mental health sequelae in
South Vietnamese ex-political detainees who survived traumatic head injury
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psnet.ahrq.gov/web-mm/wrong-turn-through-colon-misplaced-peg
May 01, 2017 - early (≤ 72 hours) or late (> 72 hours).( 10 ) Minor complications include tube clogging, superficial wound … insertion site, hemorrhage, peritonitis, buried bumper syndrome, gastrocolocutaneous fistula, small bowel injury … care 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 … disease, central nervous system tumor, amyotrophic lateral sclerosis, cerebral palsy • Severe trauma
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psnet.ahrq.gov/web-mm/missing-abscess-radiology-reads-digital-era
January 01, 2009 - Unfortunately, the patient developed a wound infection related to this second surgery. … The infection led to delayed wound healing and a prolonged hospital stay. … November 1, 2016
Prevention and treatment of bile duct injuries during laparoscopic cholecystectomy
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psnet.ahrq.gov/web-mm/errors-sepsis-management
November 03, 2015 - 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
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psnet.ahrq.gov/node/846915/psn-pdf
March 29, 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
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psnet.ahrq.gov/web-mm/slippery-slide-life
January 21, 2017 - Fetal and Neonatal Brain Injury: Mechanisms, Management and the Risks of Practice. 3rd ed. … Preventing infant death and injury during delivery. Sentinel Event Alert. July 21, 2004; Issue 30.
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psnet.ahrq.gov/node/60865/psn-pdf
August 31, 2020 - short, we were treating a
21-year old young man by the name of the Sam who suffered a traumatic brain injury … We were treating
Sam like a traumatic brain injury instead of like Sam, a 21- year old man.
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psnet.ahrq.gov/node/33717/psn-pdf
September 01, 2011 - Risk
managers developed these systems to identify injuries that might lead to litigation and to reduce
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psnet.ahrq.gov/perspective/physical-environment-often-unconsidered-patient-safety-tool
November 21, 2018 - and the design and location of hazards like furniture—can contribute to patient falls and associated injuries
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psnet.ahrq.gov/node/49726/psn-pdf
March 01, 2015 - as a sentinel event—an unexpected occurrence
involving death or serious physical or psychological injuries
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psnet.ahrq.gov/node/33721/psn-pdf
November 01, 2011 - Reducing falls and fall-related injuries in
the VA system. J Healthc Saf Q. 2003;1:25-33.
8.
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psnet.ahrq.gov/node/49472/psn-pdf
March 01, 2005 - identifiers removed) are also submitted to the CDC, which
collects information on notifiable diseases and injuries
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psnet.ahrq.gov/web-mm/privacy-gone-awry
February 24, 2011 - January 12, 2022
A randomized trial of a multifactorial strategy to prevent serious fall injuries
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psnet.ahrq.gov/web-mm/its-all-syringe
February 01, 2013 - Insulin errors and injuries are common among hospitalized patients.( 4-9 ) The risk of treatment-related
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psnet.ahrq.gov/node/851870/psn-pdf
July 31, 2023 - These events and unsafe conditions
reported result not only in injury but also in near-misses. … reviewing events of high harm, meaning a patient died or experienced a
permanent or life-threatening injury
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psnet.ahrq.gov/node/840174/psn-pdf
August 28, 2024 - of the
cross-clamp, the patient was found to have developed “stone heart” due to suspected ischemic injury … skilled surgical team would have been unable to complete the operation without irreversible myocardial
injury
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psnet.ahrq.gov/web-mm/missed-candor-implementation-opportunities
November 11, 2020 - of the cross-clamp, the patient was found to have developed “stone heart” due to suspected ischemic injury … skilled surgical team would have been unable to complete the operation without irreversible myocardial injury