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psnet.ahrq.gov/web-mm/transition-nowhere
March 21, 2009 - dystrophy, hypertension, and chronic kidney disease was admitted to the hospital with anuric acute kidney injury
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digital.ahrq.gov/ahrq-funded-projects/anesthesiology-control-tower-feedback-alerts-supplement-treatment-actfast
January 01, 2023 - rooms improves care
Machine learning algorithms for predicting postoperative death, acute kidney injury
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psnet.ahrq.gov/node/867652/psn-pdf
February 26, 2025 - for investigating
sentinel events—serious incidents that result in patient harm or risk of serious injury
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psnet.ahrq.gov/node/49673/psn-pdf
December 01, 2012 - ECG interpretation: sinus tachycardia, with posterolateral injury
pattern.
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psnet.ahrq.gov/web-mm/fatal-error-neonate-does-just-culture-provide-answer
June 24, 2020 - October 14, 2009
Laparoscopic bile duct injury: understanding the psychology and heuristics
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/patient-safety-practices_research-protocol.pdf
November 09, 2011 - Interventions for central venous catheter-related blood infections
Patient death or serious injury
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psnet.ahrq.gov/web-mm/if-you-say-so-taking-syringe-face-value-operating-room
January 01, 2015 - WebM&M Cases
Fecal Contamination of the Peritoneum from Laparoscopic Trocar Injury
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psnet.ahrq.gov/sites/default/files/2021-06/final_spotlight_miscommunication_possible_artifact_06.21.2021.pdf
January 01, 2021 - complaining of intermittent left shoulder pain
for several years was diagnosed with a rotator cuff injury
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/b2a_pdi_ratesgenbysas.pdf
March 01, 2016 - of a given event (PDI)
• OPNQ = the observed rate of a given event (NQI)
Note that PSI 17 (Birth Injury
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www.ahrq.gov/patient-safety/quality-resources/tools/chtoolbx/understand/index.html
June 01, 2020 - Getting help to recover from an illness or injury.
Living with Illness or Disability.
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psnet.ahrq.gov/node/49396/psn-pdf
April 01, 2003 - Difficult-to-read patient records and
prescriptions waste time and produce errors,(4-6) causing serious injury
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meps.ahrq.gov/data_files/publications/st419/stat419.shtml
August 01, 2013 - Introduction
Regular preventive health visits are designed to reduce the risk of serious disease and injury
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psnet.ahrq.gov/web-mm/saved-ecmo
May 05, 2017 - Related Resources
WebM&M Cases
Uterine Artery Injury
-
psnet.ahrq.gov/node/49772/psn-pdf
October 01, 2016 - Automated, electronic alerts for acute kidney injury: a single-
blind, parallel-group, randomised controlled
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psnet.ahrq.gov/node/49694/psn-pdf
October 01, 2013 - A was a 78-year-old man admitted with non-ST elevation myocardial infarction with acute kidney injury
-
psnet.ahrq.gov/node/49756/psn-pdf
April 01, 2016 - coronary care unit (CCU) with
respiratory failure requiring mechanical ventilation and acute kidney injury
-
psnet.ahrq.gov/node/33782/psn-pdf
March 01, 2015 - ref1
https://psnet.ahrq.gov//#ref3
https://psnet.ahrq.gov//#ref4
https://psnet.ahrq.gov//#ref5
with injury
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psnet.ahrq.gov/node/49785/psn-pdf
February 01, 2017 - Initial therapy was to carefully correct his acute renal injury while using lactulose to improve his
-
psnet.ahrq.gov/node/49641/psn-pdf
November 01, 2011 - However, other causes of hepatitis must be excluded, including
chemotherapy-induced hepatic injury,
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.323_slideshow.ppt
May 01, 2014 - out of the patient's admission medication list
This omission resulted in unnecessary and preventable injury