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psnet.ahrq.gov/web-mm/privacy-or-safety
December 01, 2011 - 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/sites/default/files/2022-05/final_cme_reviewed_-_spotlight_missing_a_large_vessel_occlusion_stroke_04.14.2022_-_copy.pdf
January 01, 2022 - perform CT
angiography during stroke alerts due to concerns about causing
contrast-related acute kidney injury
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psnet.ahrq.gov/node/49717/psn-pdf
September 01, 2014 - Atlanta, GA: National Center for Injury Prevention and
Control, Centers for Disease Control and Prevention
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psnet.ahrq.gov/web-mm/managing-complexity-diagnosis-life-threatening-complications-after-gastric-bypass-surgery
September 25, 2019 - Due to the delayed diagnosis, the patient suffered permanent brain injury requiring around-the-clock
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psnet.ahrq.gov/innovation/suicide-prevention-emergency-department-population-ed-safe
July 23, 2024 - Trends in US emergency department visits for attempted suicide and self-inflicted injury, 1993-2008.
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psnet.ahrq.gov/web-mm/pains-chronic-opioid-usage
April 04, 2018 - 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/web-mm/missing-large-vessel-occlusion-stroke-patient-history-seizures
August 31, 2022 - perform CT angiography during stroke alerts due to concerns about causing contrast-related acute kidney injury
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psnet.ahrq.gov/web-mm/duty-disclose-someone-elses-error
June 01, 2004 - 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/primer/maternal-safety
January 10, 2024 - taking deliberate steps to value each mother’s life equally, appreciating the impact of historical trauma … High reliability perinatal units: an approach to the prevention of patient injury and medical malpractice
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psnet.ahrq.gov/node/865413/psn-pdf
March 27, 2024 - Barbara Pelletreau: My background is in patient safety and employee injury prevention.
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psnet.ahrq.gov/node/50754/psn-pdf
December 18, 2019 - an unwanted resuscitation with extreme consequences, including CPR-
related fractures, anoxic brain injury
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psnet.ahrq.gov/node/33787/psn-pdf
January 01, 2018 - His name is Gilbert, and he is in a wheelchair, paralyzed from a gun injury.
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psnet.ahrq.gov/perspective/becoming-patient-safety-organization
July 01, 2011 - March 8, 2023
6-PACK programme to decrease fall injuries in acute hospitals: cluster
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psnet.ahrq.gov/node/838197/psn-pdf
September 28, 2022 - of a triad of factors (Virchow’s triad)–consisting of hypercoagulability, stasis, and endothelial
injury–which
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psnet.ahrq.gov/web-mm/what-was-those-platelets
August 28, 2024 - transfusion-related deaths reported to the FDA for fiscal years 2005 and 2006 were transfusion-related acute lung injury
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psnet.ahrq.gov/perspective/conversation-jeffrey-shuren-md-jd
May 28, 2020 - Devices that “sustain or support life, are implanted, or present potential high risk of illness or injury
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psnet.ahrq.gov/node/49566/psn-pdf
July 01, 2008 - transfusion-related deaths reported to the FDA for
fiscal years 2005 and 2006 were transfusion-related acute lung injury
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psnet.ahrq.gov/sites/default/files/2023-09/a_missed_bowel_perforation_-_the_importance_of_diagnostic_reasoning.pdf
January 01, 2023 - perforations.21
• Other identified risk factors include older age, presence of comorbidities,22 acute
kidney injury
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psnet.ahrq.gov/node/836794/psn-pdf
March 31, 2022 - Laboratory tests were notable for acute kidney injury,
metabolic acidosis, hypomagnesemia, hypophosphatemia
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psnet.ahrq.gov/sites/default/files/2022-03/final_spotlight_case_mistaken_capacity.pdf
January 01, 2022 - – Laboratory tests were notable for acute kidney injury, metabolic acidosis,
hypomagnesemia, hypophosphatemia