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psnet.ahrq.gov/web-mm/risks-absent-interoperability-medication-induced-hemolysis-patient-known-allergy
April 08, 2019 - 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
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psnet.ahrq.gov/node/33703/psn-pdf
November 01, 2010 - national efforts to reduce medical
errors and improve patient safety (i.e., "freedom from accidental injury
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psnet.ahrq.gov/node/865778/psn-pdf
May 29, 2024 - The patient’s laboratory results were notable for
acute kidney injury and metabolic acidosis, with an
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psnet.ahrq.gov/web-mm/hyperbilirubinemia-refractory-phototherapy
March 01, 2006 - Phototherapy and the risk of photo-oxidative injury in extremely low birth weight infants.
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psnet.ahrq.gov/web-mm/forgotten-line
March 11, 2011 - Developing policies, training, and a safety culture that reduce the risk of injury by making it easier
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psnet.ahrq.gov/node/49857/psn-pdf
March 01, 2019 - of
intercepted errors in these studies were categorized as serious (having potential to cause organ injury
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psnet.ahrq.gov/node/49819/psn-pdf
February 01, 2018 - sentinel events—defined as "an unexpected occurrence involving death or
serious physical or psychological injury
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psnet.ahrq.gov/node/33652/psn-pdf
June 01, 2007 - Sexual assault on a patient within or on the grounds of a health care facility
Death or significant injury
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psnet.ahrq.gov/web-mm/premature-extubation
May 25, 2011 - If there is no cuff leak, it suggests that laryngeal edema or another type of laryngeal injury has reduced
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psnet.ahrq.gov/periodic-issue/periodic-issue-469
December 31, 2024 - continuing challenge of preventing falls and explores strategies for preventing falls and falls with injury
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psnet.ahrq.gov/web-mm/fatal-oversight-misdiagnosis-nocturnal-chest-pain-elevated-d-dimer
May 01, 2005 - remember that electrocardiographic changes are not seen in unstable angina, as there is no permanent injury
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psnet.ahrq.gov/web-mm/who-nose-where-airway
May 01, 2016 - safety pin could be aspirated, or a non-deformable endotracheal tube connector might cause a pressure injury
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psnet.ahrq.gov/node/73434/psn-pdf
June 30, 2021 - He was diagnosed with a rotator cuff injury and underwent left shoulder
surgery.
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psnet.ahrq.gov/node/49639/psn-pdf
November 01, 2011 - In case of injury, there may have been no attempt at recovery,
or the attempts may have been unsuccessful
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psnet.ahrq.gov/node/49600/psn-pdf
April 01, 2010 - An ADE is defined as "an injury resulting from a medical intervention related to a drug.
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psnet.ahrq.gov/node/49606/psn-pdf
August 01, 2010 - of anesthetic management (e.g., airway intubation, drug distribution and uptake, risk of
pressure injury
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psnet.ahrq.gov/web-mm/failure-rescue-mother
September 23, 2020 - Related Resources
WebM&M Cases
Uterine Artery Injury
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psnet.ahrq.gov/web-mm/buprenorphine-and-medically-ill-patient
August 20, 2018 - Injury Prevention and Control Policy Impact: Prescription Painkiller Overdoses.
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psnet.ahrq.gov/web-mm/navigating-complications-unintended-journey-guidewire-during-dialysis-catheter-placement
February 23, 2022 - The patient’s laboratory results were notable for acute kidney injury and metabolic acidosis, with an
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psnet.ahrq.gov/web-mm/communication-failure-whos-charge
April 01, 2018 - Despite aggressive resuscitation efforts, the child suffered massive brain injury and subsequently died