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psnet.ahrq.gov/web-mm/failure-rescue-mother
September 23, 2020 - 2012
A multidisciplinary, multifaceted improvement initiative to eliminate mislabelled laboratory
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psnet.ahrq.gov/node/852808/psn-pdf
August 30, 2023 - On arrival, her laboratory tests revealed an elevated white blood cell count of 14,640,
high serum glucose
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psnet.ahrq.gov/sites/default/files/2023-08/spotlight_case_prolonged_dka_in_pregnancy_-_slides_-_revised.pdf
January 01, 2023 - • On arrival, her laboratory tests revealed an elevated white blood cell count
of 14,640, high serum
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psnet.ahrq.gov/node/49573/psn-pdf
January 01, 2009 - medication prescriptions (5-6), inaccurate evaluations (6), longer lengths
of stay, and increased use of laboratory
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psnet.ahrq.gov/node/49760/psn-pdf
May 01, 2016 - for focal neurological changes and meningeal signs
https://psnet.ahrq.gov//#references
Targeted laboratory
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psnet.ahrq.gov/web-mm/complaints-safety-surveillance
May 05, 2021 - Her laboratory studies showed elevated amylase and lipase, and a CT scan confirmed the diagnosis of acute
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psnet.ahrq.gov/web-mm/mechanical-prosthetic-valve-thrombosis-thromboembolism
August 21, 2005 - calibrated activated partial thromboplastin test, aiming for a value approximately 1.5-2.0 times the laboratory
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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/sites/default/files/2024-07/spotlight_case_mismanagement_of_acute_decompensated_heart_failure_slides_final.pptx
January 01, 2024 - (IV) bolus of one liter of normal saline and ibuprofen for her headache.
5
5
Case Details (2)
Laboratory
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psnet.ahrq.gov/web-mm/inside-time-out
March 01, 2004 - This may include addressing what happens in physicians' offices as well as in radiology and laboratory
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psnet.ahrq.gov/web-mm/techno-trip
May 01, 2005 - MD Associate Professor, Department of Anesthesia and Critical Care Director, Cognitive Technologies Laboratory
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psnet.ahrq.gov/sites/default/files/2024-10/spotlight_case_a_cognitive_and_communication_blind_spot_slides.pptx
January 01, 2024 - clinical information about a patient, including historical details, serial physical exam findings, laboratory
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psnet.ahrq.gov/web-mm/coming-undone-failure-closure-device
April 01, 2006 - Symptoms, signs, and laboratory abnormalities that should raise suspicion of retroperitoneal bleed include
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psnet.ahrq.gov/web-mm/missed-appendicitis
March 13, 2013 - would be a mistake to assume that lack of objective signs or the presence of atypical historical or laboratory
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psnet.ahrq.gov/web-mm/delay-initiating-antibiotics-results-fatal-error
August 02, 2015 - Laboratory evaluation revealed an elevated white count.
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psnet.ahrq.gov/web-mm/worst-headache
July 01, 2016 - xanthochromia must be measured by spectrophotometry; however this technique is not used in 99% of hospital laboratories
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psnet.ahrq.gov/node/49779/psn-pdf
January 01, 2017 - Multiple intravenous infusions phase 2b: laboratory study.
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psnet.ahrq.gov/node/33696/psn-pdf
June 01, 2010 - An emergency department—which some people have described as a natural
laboratory for error—is a chaotic
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psnet.ahrq.gov/node/49699/psn-pdf
February 01, 2014 - age, weight, allergies,
diagnoses, and pregnancy status)
• Patient-monitoring information (e.g., laboratory
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psnet.ahrq.gov/node/49702/psn-pdf
March 01, 2014 - Her laboratory
data was notable for an elevated white blood cell (WBC) count of 23,000/mm3, acute kidney