-
psnet.ahrq.gov/sites/default/files/2021-06/final_spotlight_miscommunication_possible_artifact_06.21.2021.pdf
January 01, 2021 - complaining of intermittent left shoulder pain
for several years was diagnosed with a rotator cuff injury
-
psnet.ahrq.gov/node/49580/psn-pdf
March 21, 2009 - woman, previously active and independent, recently developed weight loss, confusion, and
falls without injury
-
psnet.ahrq.gov/node/50843/psn-pdf
January 29, 2020 - However, rapid
correction of severe hyponatremia can also lead to catastrophic neurologic injury, namely
-
psnet.ahrq.gov/node/49756/psn-pdf
April 01, 2016 - coronary care unit (CCU) with
respiratory failure requiring mechanical ventilation and acute kidney injury
-
psnet.ahrq.gov/node/49396/psn-pdf
April 01, 2003 - Difficult-to-read patient records and
prescriptions waste time and produce errors,(4-6) causing serious injury
-
psnet.ahrq.gov/node/49785/psn-pdf
February 01, 2017 - Initial therapy was to carefully correct his acute renal injury while using lactulose to improve his
-
psnet.ahrq.gov/node/49629/psn-pdf
June 01, 2011 - Patterns of communication breakdowns resulting in
injury to surgical patients.
-
psnet.ahrq.gov/sites/default/files/2020-02/final_spotlight_opat_powerpoint_01102020_tocme.pdf
January 01, 2020 - (1)
A 38-year-old male patient was hospitalized & treated with IV
antibiotics for traumatic injury
-
psnet.ahrq.gov/innovation/rescue-improvement-conference-innovation-summary
September 23, 2024 - recognition of and deterioration following breakdown of an anastomosis , patient fall risk and staff injury
-
psnet.ahrq.gov/web-mm/if-you-say-so-taking-syringe-face-value-operating-room
January 01, 2015 - WebM&M Cases
Fecal Contamination of the Peritoneum from Laparoscopic Trocar Injury
-
psnet.ahrq.gov/node/49572/psn-pdf
October 01, 2008 - Is
this a good time to visit with you about your recent
fall and hip injury?
-
psnet.ahrq.gov/node/49808/psn-pdf
October 01, 2017 - airway displacement), hemodynamic disturbances
(including cardiac arrest), nosocomial infections, and injury
-
psnet.ahrq.gov/node/846170/psn-pdf
March 15, 2023 - errors have the potential to be serious and may result in adverse drug events (ADE),
which are patient injuries
-
psnet.ahrq.gov/web-mm/empty-bag
June 01, 2018 - Injuries are caused by a lack of differentiation between the use of infusion devices in hospitals and
-
psnet.ahrq.gov/node/49519/psn-pdf
September 01, 2006 - efficiency and the quality of
signouts (15), as well as to reduce the risk of signout-related medical injuries
-
psnet.ahrq.gov/classics
August 01, 2023 - clear limitations, select PSIs have been shown to accurately identify certain accidental inpatient injuries
-
psnet.ahrq.gov/web-mm/triple-handoff
March 01, 2004 - efficiency and the quality of signouts ( 15 ), as well as to reduce the risk of signout-related medical injuries
-
psnet.ahrq.gov/web-mm/how-do-providers-recover-errors
May 22, 2024 - Disclosure of medical injury to patients: an improbable risk management strategy.
-
psnet.ahrq.gov/node/49516/psn-pdf
August 01, 2006 - Case & Commentary: Part 1
A 57-year-old male with T8 paraplegia from a remote gunshot wound, hypertension … One of us (G.R.T.) has
seen a patient with spinal cord injury who was transferred from an outside hospital
-
psnet.ahrq.gov/node/49552/psn-pdf
January 01, 2008 - Disclosure of medical injury to patients:
an improbable risk management strategy.