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psnet.ahrq.gov/node/49626/psn-pdf
May 01, 2011 - secretions (2), or iatrogenic exposure, such as a blood-borne pathogen
contracted via a needle stick injury
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psnet.ahrq.gov/node/49838/psn-pdf
August 01, 2018 - patient displayed worsening neurological status and a CT
scan revealed diffuse brain edema and anoxic injury
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psnet.ahrq.gov/node/33684/psn-pdf
May 01, 2009 - these missteps happens
with stunning frequency in office practice, and each creates a potential for injury
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psnet.ahrq.gov/node/49748/psn-pdf
December 01, 2015 - This is because the risk of developing
acute kidney injury and/or hepatorenal syndrome is highest in
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psnet.ahrq.gov/web-mm/fatal-error-neonate-does-just-culture-provide-answer
June 24, 2020 - October 14, 2009
Laparoscopic bile duct injury: understanding the psychology and heuristics
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psnet.ahrq.gov/web-mm/spinal-epidural-abscess
November 13, 2019 - The most common risk factors for SEA are diabetes mellitus, intravenous drug use, trauma, and alcohol … Yi Lu, MD, PhD Director, Neurosurgical Trauma Co-director, Adult Deformity and Scoliosis Surgery Assistant … March 1, 2005
WebM&M Cases
Missing the Point—Eye Injury … Pitfalls
February 1, 2010
WebM&M Cases
Missing Trauma
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psnet.ahrq.gov/web-mm/walking-out-hospital-after-attempted-suicide
March 29, 2023 - neuropsychiatric consequences of the suicide attempt itself, which can include delirium from hypoxic injury … assessed both for substance use disorder(s) and commingled depressive, bipolar, neurocognitive, psychotic, trauma
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psnet.ahrq.gov/web-mm/routine-goes-awry
September 23, 2020 - WebM&M Cases
Fecal Contamination of the Peritoneum from Laparoscopic Trocar Injury … WebM&M Cases
Intraosseous Line Extravasation in a Pediatric Trauma
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psnet.ahrq.gov/web-mm/managing-ascites-hazards-fluid-removal
June 01, 2018 - This is because the risk of developing acute kidney injury and/or hepatorenal syndrome is highest in … Guidelines for prevention, diagnosis and treatment of ventilator-associated pneumonia (VAP) in the trauma
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psnet.ahrq.gov/web-mm/hiding-plain-sight
April 24, 2019 - She was diagnosed with a musculoskeletal injury and discharged from the ED with muscle relaxants and … • Cancer • Chronic steroid therapy • Psychological stress • Trauma
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psnet.ahrq.gov/perspective/conversation-withdavid-w-bates-md-msc
May 01, 2018 - Estimate the likely burden of patient injury, if any. … to design and implement an alerting system to avoid medication errors in patients with acute kidney injury
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psnet.ahrq.gov/perspective/integrating-multiple-medication-decision-support-systems-how-will-we-make-it-all-work
May 01, 2008 - Estimate the likely burden of patient injury, if any. … to design and implement an alerting system to avoid medication errors in patients with acute kidney injury
-
psnet.ahrq.gov/node/49400/psn-pdf
May 01, 2003 - or more risk factors identified only one patient with a
DVT.(9) A retrospective study of pediatric trauma … Assistant Professor of Pediatrics (Anaesthesia), Harvard Medical School Chair, Pediatric
Acute Lung Injury … Deep venous thrombosis in the pediatric trauma
population: an unusual event: report of three cases.
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psnet.ahrq.gov/node/866579/psn-pdf
August 28, 2024 - The MA stated that the patient never reported that the wound was red, hot, foul-
smelling, swollen, … The surgeon’s MA removed the patient’s sutures and noted that the
wound was not infected or swollen. … dehiscence, or nerve injury. … Minimize tissue trauma and achieve good hemostasis to promote faster healing and reduce the risk
of … Instruct the patient on proper wound care, including keeping the bandage
and wound clean and dry.
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psnet.ahrq.gov/web-mm/central-line-clot
August 04, 2021 - or more risk factors identified only one patient with a DVT.( 9 ) A retrospective study of pediatric trauma … Assistant Professor of Pediatrics (Anaesthesia), Harvard Medical School Chair, Pediatric Acute Lung Injury … Deep venous thrombosis in the pediatric trauma population: an unusual event: report of three cases.
-
psnet.ahrq.gov/web-mm/cvc-placement-speak-now-or-do-not-use-line
November 01, 2003 - The possibilities for harm are numerous and include accidental trauma to non-venous structures (arteries … , lung, nerve, visceral organs); bleeding (hematoma, hemothorax, or hemorrhage); operator injury (needle … wire, bloodstream infections, sheared catheter, dysrhythmias, thrombosis, through-and-through vessel trauma
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.338_slideshow.ppt
January 01, 2015 - (2)
The infant subsequently had multiple seizures typical of hypoxic-ischemic encephalopathy (brain injury
-
psnet.ahrq.gov/node/49772/psn-pdf
October 01, 2016 - Automated, electronic alerts for acute kidney injury: a single-
blind, parallel-group, randomised controlled
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psnet.ahrq.gov/node/865570/psn-pdf
April 10, 2024 - in the field of patient safety, errors and adverse events still happen.3,4 An adverse
event is any injury
-
psnet.ahrq.gov/node/867652/psn-pdf
February 26, 2025 - for investigating
sentinel events—serious incidents that result in patient harm or risk of serious injury