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psnet.ahrq.gov/web-mm/duplicate-insulin-order
May 04, 2012 - of intercepted errors in these studies were categorized as serious (having potential to cause organ injury
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psnet.ahrq.gov/web-mm/compare-and-contrast
July 16, 2019 - However, severe or repeated episodes of acute kidney injury may increase the risk of progressive chronic
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psnet.ahrq.gov/sites/default/files/2024-05/spotlight_case_managing_complexity_in_diagnosis_-_slides_final.pptx
January 01, 2024 - Due to the delayed diagnosis, the patient suffered permanent brain injury requiring around-the-clock
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psnet.ahrq.gov/web-mm/signout-fallout
November 16, 2022 - sentinel events—defined as "an unexpected occurrence involving death or serious physical or psychological injury
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psnet.ahrq.gov/perspective/advancing-patient-safety-through-state-reporting-systems
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/node/49690/psn-pdf
September 01, 2013 - overuse and abuse of opioids, including the escalation of the
therapeutic use of opioids, can result in injury
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psnet.ahrq.gov/node/49807/psn-pdf
October 01, 2017 - Miscommunications from poor translation can lead to delayed diagnoses and
treatment, causing injury
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psnet.ahrq.gov/node/49478/psn-pdf
April 01, 2005 - However, severe or repeated episodes of acute kidney injury may increase the risk of
progressive chronic
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psnet.ahrq.gov/node/865540/psn-pdf
April 11, 2024 - approximately 30 to 35 cm allows repositioning of misplaced
tubes and can potentially prevent pulmonary injury
-
psnet.ahrq.gov/node/863308/psn-pdf
February 28, 2024 - lacking.11 In this case, the addition of a nasogastric tube during ERCP
may have increased the risk of injury
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psnet.ahrq.gov/node/49855/psn-pdf
March 01, 2019 - harmed by having the incorrect catheter placed, but the error
was eventually discovered and further injury
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psnet.ahrq.gov/web-mm/bad-writing-wrong-medication
March 01, 2015 - An ADE is defined as "an injury resulting from a medical intervention related to a drug.
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psnet.ahrq.gov/web-mm/peripheral-iv-too-long
September 15, 2011 - Related Resources From the Same Author(s)
System approach to prevent common bile duct injury
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psnet.ahrq.gov/web-mm/medication-errors-retail-pharmacies-wrong-patient-wrong-instructions
March 19, 2019 - Upon arrival at the hospital, she was diagnosed with severe dehydration, hypotension, and acute kidney injury
-
psnet.ahrq.gov/innovation/abcdef-bundle-data-literacy-training-performance-measurement-tracking-and-performance
September 23, 2024 - An adverse event is any injury caused by medical management rather than the underlying disease. 3 Research
-
psnet.ahrq.gov/perspective/conversation-dave-debronkart
June 01, 2014 - saw a flurry of new patient organizations, among them the Josie King Foundation, Medically Induced Trauma … advocates, too, have generally concentrated their efforts on hospitals, where the most devastating patient injuries … Medically Induced Trauma Support Services. [Available at]
18. Mothers Against Medical Error.
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psnet.ahrq.gov/perspective/interpreting-patient-safety-literature
June 01, 2005 - a particular patient safety intervention is going to save large numbers of lives or reduce serious injuries
-
psnet.ahrq.gov/node/837959/psn-pdf
August 31, 2022 - Latex is essential to these plants to heal surface injuries and create immune
responses against invading
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psnet.ahrq.gov/web-mm/tough-call-addressing-errors-previous-providers
July 17, 2024 - laboratory data was notable for an elevated white blood cell (WBC) count of 23,000/mm 3 , acute kidney injury
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psnet.ahrq.gov/node/49858/psn-pdf
April 01, 2019 - She had a mild
leukocytosis, evidence of mild acute kidney injury, and a urinalysis positive for infection