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psnet.ahrq.gov/node/49624/psn-pdf
May 01, 2011 - ICU, he was noted to have fixed and dilated pupils on neurologic exam, a sign of serious neurologic
injury
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psnet.ahrq.gov/node/49738/psn-pdf
August 21, 2015 - patient on the same unit who also happened to have severe cognitive impairment
from a traumatic brain injury
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psnet.ahrq.gov/node/49765/psn-pdf
August 21, 2016 - radiograph provided reassurance that the central line was in the correct position without
evidence of lung injury
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psnet.ahrq.gov/node/865610/psn-pdf
April 24, 2024 - Trends in US emergency department
visits for attempted suicide and self-inflicted injury, 1993-2008.
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psnet.ahrq.gov/perspective/patient-advocacy-patient-safety-have-things-changed
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/web-mm/fatal-twist-pseudohyperkalemia
February 10, 2021 - especially in busy clinical settings such as the ED. 2–4 Hemolysis is defined as a generalized process of injury … WebM&M Cases
Intraosseous Line Extravasation in a Pediatric Trauma
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psnet.ahrq.gov/web-mm/lot-pain-medications
September 23, 2020 - Atlanta, GA: National Center for Injury Prevention and Control, Centers for Disease Control and Prevention … Pitfalls
February 1, 2010
WebM&M Cases
Missing Trauma
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psnet.ahrq.gov/web-mm/do-you-want-everything-done-clarifying-code-status
March 27, 2024 - an unwanted resuscitation with extreme consequences, including CPR-related fractures, anoxic brain injury … review, meta-analysis, and practice management guideline from the Eastern Association for the Surgery of Trauma
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psnet.ahrq.gov/node/837324/psn-pdf
July 08, 2022 - riskier.13 Babies delivered via
cesarean section are at risk for respiratory problems and surgical injury … www.mayoclinic.org/tests-procedures/c-section/about/pac-
20393655#:~:text=A%20C%2Dsection%20might%20increase,Wound … www.mayoclinic.org/tests-procedures/c-section/about/pac-20393655#:~:text=A%20C%2Dsection%20might%20increase,Wound … www.mayoclinic.org/tests-procedures/c-section/about/pac-20393655#:~:text=A%20C%2Dsection%20might%20increase,Wound
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psnet.ahrq.gov/node/837913/psn-pdf
August 31, 2022 - Disconnection in information exchange during
pediatric trauma transfers: a qualitative study. … moderator of child’s acute biological response and subsequent posttraumatic stress symptoms in
pediatric injury … disorder symptoms and child gender on risk for persistent posttraumatic stress disorder
symptoms in child trauma
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psnet.ahrq.gov/web-mm/miscommunication-during-interhospital-transport-critically-ill-child
March 27, 2024 - Disconnection in information exchange during pediatric trauma transfers: a qualitative study. … moderator of child’s acute biological response and subsequent posttraumatic stress symptoms in pediatric injury … disorder symptoms and child gender on risk for persistent posttraumatic stress disorder symptoms in child trauma
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psnet.ahrq.gov/node/865884/psn-pdf
May 29, 2024 - Due to
the delayed diagnosis, the patient suffered permanent brain injury requiring around-the-clock
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psnet.ahrq.gov/node/49553/psn-pdf
January 01, 2008 - To reduce the risk of needlestick injury associated with changing needles, the
standard culture method
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psnet.ahrq.gov/node/837215/psn-pdf
July 08, 2022 - perform CT angiography during stroke alerts due to
concerns about causing contrast-related acute kidney injury
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psnet.ahrq.gov/innovation/e-autopsye-biopsy-systematic-chart-review-increase-safety-and-diagnostic-accuracy
April 01, 2005 - WebM&M Cases
Fecal Contamination of the Peritoneum from Laparoscopic Trocar Injury
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psnet.ahrq.gov/web-mm/misplaced-nasogastric-tube-resulting-aspiration
August 01, 2009 - approximately 30 to 35 cm allows repositioning of misplaced tubes and can potentially prevent pulmonary injury
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psnet.ahrq.gov/node/866618/psn-pdf
December 31, 2024 - especially in busy clinical settings such as the ED.2–4
Hemolysis is defined as a generalized process of injury
-
psnet.ahrq.gov/perspective/conversation-hardeep-singh-md-mph
January 01, 2014 - 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
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psnet.ahrq.gov/web-mm/which-line-ordering-provider-or-proceduralist
September 16, 2015 - 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/cognitive-overload-icu
June 01, 2005 - radiograph provided reassurance that the central line was in the correct position without evidence of lung injury