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psnet.ahrq.gov/web-mm/fatal-patient-controlled-analgesia-pca-opioid-induced-respiratory-depression
May 26, 2021 - depression, of which 77% resulted in severe brain damage or death. 13 Most of these opioid-related injuries
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/PdBbRgWKPMbHfeQeHkM242
February 01, 2010 - Other harms, such as risk of
exercise-induced injuries, were con-
sidered minimal.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Faltz_56.pdf
March 27, 2008 - Although a minority of these events
result in significant harm to patients,1 major injuries and death
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psnet.ahrq.gov/node/863650/psn-pdf
February 28, 2024 - An adverse event is any injury caused by medical management rather than the underlying
disease.3 Research
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psnet.ahrq.gov/web-mm/code-status-confusion
September 01, 2006 - with uncertain outcomes, such as successful cardiac resuscitation with resultant severe anoxic brain injury
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psnet.ahrq.gov/sites/default/files/2024-08/spotlight_case_a_fatal_twist_in_pseudohyperkalemia_slides.pptx
January 01, 2024 - laboratories, especially in busy clinical settings such as the ED.2–4
Hemolysis is a generalized process of injury
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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/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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hcup-us.ahrq.gov/reports/race/ReportcardsIB.jsp
May 01, 2016 - five categories of data (maternal and child health, chronic disease, infectious disease, violence and 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/endotracheal-tube-fallout-patient-severe-obesity-during-eye-surgery
January 29, 2021 - April 24, 2024
WebM&M Cases
Uterine Artery 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/49600/psn-pdf
April 01, 2010 - An ADE is defined as "an injury resulting from a medical intervention related to a drug.
-
digital.ahrq.gov/sites/default/files/docs/publication/r21hs021581-goodney-final-report-2015.pdf
January 01, 2015 - Brain Injury after Carotid
Revascularization: Outcomes, Mechanisms, and Opportunities for Improvement
-
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
-
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/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/other-side
May 01, 2007 - Error disclosure for patients, however, is merely the first step in a long process of adjustment to an injury
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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
-
digital.ahrq.gov/ahrq-funded-projects/develop-and-validate-health-it-safety-measures-capture-violations-five-rights
January 01, 2023 - Healthcare Tools Can Support Providers and Improve Patient Safety Medication errors are a leading cause of injury