-
psnet.ahrq.gov/web-mm/primary-workaround-secondary-complication
January 24, 2018 - Confusion
June 1, 2015
WebM&M Cases
Bowel Injury
-
psnet.ahrq.gov/node/49512/psn-pdf
May 01, 2006 - signed and faxed to the other hospital to obtain records of the recent ED visit for the ankle and foot injury
-
psnet.ahrq.gov/node/49593/psn-pdf
October 01, 2009 - safety pin could be aspirated, or a non-deformable endotracheal tube connector might cause a
pressure injury
-
psnet.ahrq.gov/node/50929/psn-pdf
February 26, 2020 - Patient 2
A 38-year-old male patient was hospitalized and treated with IV antibiotics for a traumatic injury
-
psnet.ahrq.gov/perspective/diagnostic-errors
December 01, 2013 - in 2014 looked at the frequency of diagnostic errors in specific clinical settings, such as missed injuries … in pediatric trauma . … Another study reported that 8% of deaths at a Level 1 trauma center were definitely or potentially preventable
-
psnet.ahrq.gov/node/49744/psn-pdf
October 01, 2015 - The Case
A 47-year-old man with paraplegia (secondary to a gunshot wound) and a history of polysubstance … Unfortunately, his cardiac arrest led to an anoxic brain injury, and he remained in a vegetative state
-
psnet.ahrq.gov/perspective/conversation-kaveh-shojania-md
February 26, 2025 - rate is a very heterogeneous measure; basically all that these events have in common is that they were injuries
-
psnet.ahrq.gov/node/61083/psn-pdf
October 28, 2020 - In putting all of this in place, did you see reductions in
harms like pressure injuries, resident falls
-
psnet.ahrq.gov/innovation/university-michigan-emergency-critical-care-center-ec3-provides-timely-intensive-care
October 30, 2024 - Care Center (EC3) opened on February 16, 2015, as a 7,800-square-foot unit with five resuscitation or trauma … committee is comprised of the inpatient ICU medical director, a nursing director from each inpatient ICU, trauma … EC3 ED-based ICU opened on February 16, 2015, as a 7,800-square-foot unit with five resuscitation or trauma … that focuses on managing and monitoring ED patients that have a critical, life-threatening illness or injury … committee is comprised of the inpatient ICU medical director, a nursing director from each inpatient ICU, trauma
-
psnet.ahrq.gov/web-mm/liver-failure-after-chemotherapy-did-we-forget-something
May 01, 2019 - However, other causes of hepatitis must be excluded, including chemotherapy-induced hepatic injury, tumor
-
psnet.ahrq.gov/node/865984/psn-pdf
May 29, 2024 - remember that electrocardiographic changes are not
seen in unstable angina, as there is no permanent injury
-
psnet.ahrq.gov/node/33693/psn-pdf
February 01, 2010 - Patterns of communication breakdowns resulting in
injury to surgical patients.
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psnet.ahrq.gov/web-mm/too-much-too-fast
June 14, 2019 - Impairment in renal function secondary to acute kidney injury or chronic kidney disease can decrease
-
psnet.ahrq.gov/periodic-issue/periodic-issue-470
December 31, 2024 - continuing challenge of preventing falls and explores strategies for preventing falls and falls with injury
-
psnet.ahrq.gov/perspective/emerging-safety-issues-artificial-intelligence
February 20, 2019 - Calibration drift in regression and machine learning models for acute kidney injury.
-
psnet.ahrq.gov/web-mm/poorly-advanced-directives
August 01, 2018 - department (ED) and was admitted to the hospital for delirium, an underlying infection, and acute kidney injury
-
psnet.ahrq.gov/web-mm/inflicting-confusion
August 04, 2021 - Removal
December 1, 2015
WebM&M Cases
Bowel Injury
-
psnet.ahrq.gov/web-mm/acute-respiratory-arrest-pregnancy
August 15, 2018 - Related Resources
WebM&M Cases
Uterine Artery Injury
-
psnet.ahrq.gov/node/49419/psn-pdf
October 01, 2003 - Error disclosure for
patients, however, is merely the first step in a long process of adjustment to an injury
-
psnet.ahrq.gov/node/33645/psn-pdf
February 01, 2007 - Rarely, the error may
cause injury or death.