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psnet.ahrq.gov/issue/patient-safety-and-telephone-medicine-some-lessons-closed-claim-case-review
May 18, 2022 - accurately gauging illness severity and formulating an appropriate plan of action may be difficult , leading … Most cases alleged that clinicians failed to accurately diagnose the patient; types of errors leading … September 13, 2011
Ambulatory care adverse events and preventable adverse events leading
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psnet.ahrq.gov/node/46787/psn-pdf
October 15, 2018 - https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events
https://psnet.ahrq.gov/issue/leading-strategic-planning-effort … https://psnet.ahrq.gov/issue/leading-strategic-planning-effort
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psnet.ahrq.gov/issue/candor-part-ii-leading-effective-candor-current-state-assessment-and-gap-analysis
May 26, 2021 - Meeting/Conference
Published May 26, 2021
CANDOR Part II: Leading
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psnet.ahrq.gov/issue/occupational-therapy-utilization-veterans-dementia-retrospective-review-root-cause-analyses
March 25, 2020 - therapy utilization in veterans with dementia: a retrospective review of root cause analyses of falls leading … therapy utilization in veterans with dementia: a retrospective review of root cause analyses of falls leading … therapy utilization in veterans with dementia: a retrospective review of root cause analyses of falls leading
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psnet.ahrq.gov/issue/ambulatory-care-adverse-events-and-preventable-adverse-events-leading-hospital-admission
April 11, 2011 - Study
Ambulatory care adverse events and preventable adverse events leading to a … Ambulatory care adverse events and preventable adverse events leading to a hospital admission. … Ambulatory care adverse events and preventable adverse events leading to a hospital admission.
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psnet.ahrq.gov/node/853059/psn-pdf
August 30, 2023 - issue/technology-education-and-safety-0
https://psnet.ahrq.gov/web-mm/inadequate-anesthesia-preparation-leading-difficult-intubation-and-severe-hypoxemia … https://psnet.ahrq.gov/web-mm/inadequate-anesthesia-preparation-leading-difficult-intubation-and-severe-hypoxemia
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psnet.ahrq.gov/issue/new-hhs-data-shows-major-strides-made-patient-safety-leading-improved-care-and-savings
October 31, 2014 - Book/Report
New HHS Data Shows Major Strides Made in Patient Safety, Leading to Improved … Citation Text:
New HHS Data Shows Major Strides Made in Patient Safety, Leading to Improved Care and … Citation
Citation Text:
New HHS Data Shows Major Strides Made in Patient Safety, Leading
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psnet.ahrq.gov/node/72800/psn-pdf
March 03, 2021 - deficits-communication-and-information-transfer-between-hospital-based-and-primary-care
https://psnet.ahrq.gov/issue/leading-change-why-transformation-efforts-fail … https://psnet.ahrq.gov/issue/leading-change-why-transformation-efforts-fail
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psnet.ahrq.gov/issue/epidural-pump-programming-error-leading-inadvertent-10-fold-dosing-error-during-epidural
May 13, 2009 - Commentary
Epidural pump programming error leading to inadvertent 10-fold dosing … Epidural Pump Programming Error Leading to Inadvertent 10-Fold Dosing Error During Epidural Labor Analgesia … Epidural Pump Programming Error Leading to Inadvertent 10-Fold Dosing Error During Epidural Labor Analgesia
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psnet.ahrq.gov/issue/leading-article-how-can-i-optimise-my-role-leader-within-surgical-team
October 29, 2017 - Review
Leading article: how can I optimise my role as a leader within the surgical … Leading article: how can I optimise my role as a leader within the surgical team? … Leading article: how can I optimise my role as a leader within the surgical team?
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psnet.ahrq.gov/issue/adverse-events-cough-and-cold-medications-after-market-withdrawal-products-labeled-infants
August 02, 2015 - From the Same Author(s)
National estimates of insulin-related hypoglycemia and errors leading … August 2, 2015
Medication use leading to emergency department visits for adverse drug … February 23, 2018
Medication overdoses leading to emergency department visits among children … November 25, 2009
Medication overdoses leading to emergency department visits among children
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psnet.ahrq.gov/node/836865/psn-pdf
April 06, 2022 - therapy utilization in veterans with
dementia: a retrospective review of root cause analyses
of falls leading … therapy utilization in veterans with dementia: a
retrospective review of root cause analyses of falls leading
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psnet.ahrq.gov/print/pdf/node/867659
July 10, 2024 - Delay in Appropriate Diagnosis and Treatment Leading to Death from Pulmonary Embolism
David Barnes, MD … hemorrhagic-shock-after-elective-spine-surgery-failure-rescue-after-limited-response-nursing
https://psnet.ahrq.gov/web-mm/delay-appropriate-diagnosis-and-treatment-leading-death-pulmonary-embolism … Delay in Appropriate Diagnosis and Treatment Leading to Death from Pulmonary Embolism
David Barnes, MD … surveillance-monitoring-improve-patient-safety-acute-hospital-care-units
https://psnet.ahrq.gov/web-mm/delay-appropriate-diagnosis-and-treatment-leading-death-pulmonary-embolism
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psnet.ahrq.gov/web-mm/under-pressure-tracheostomy-cuff-over-inflation-leading-tissue-necrosis-and-cuff-rupture
March 15, 2023 - SPOTLIGHT CASE
CME/MOC
Under Pressure: Tracheostomy Cuff Over Inflation Leading … Under Pressure: Tracheostomy Cuff Over Inflation Leading to Tissue Necrosis and Cuff Rupture.. … Under Pressure: Tracheostomy Cuff Over Inflation Leading to Tissue Necrosis and Cuff Rupture.. … On inspection, the tracheal cuff had burst, leading to a severe leak in addition to a tracheal tear with … Under Pressure: Tracheostomy Cuff Over Inflation Leading to Tissue Necrosis and Cuff Rupture..
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psnet.ahrq.gov/issue/what-has-airbus-a380-captain-got-do-omfs-lessons-aviation-improve-patient-safety
October 04, 2023 - Leading article: What has an Airbus A380 Captain got to do with OMFS? … Leading article: What has an Airbus A380 Captain got to do with OMFS? … February 18, 2011
Leading article: how can I optimise my role as a leader within the
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psnet.ahrq.gov/issue/identifying-factors-leading-harm-english-general-practices-mixed-methods-study-based-patient
June 01, 2016 - Study
Identifying factors leading to harm in English general practices: a mixed-methods … Identifying Factors Leading to Harm in English General Practices: A Mixed-Methods Study Based on Patient … Identifying Factors Leading to Harm in English General Practices: A Mixed-Methods Study Based on Patient
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psnet.ahrq.gov/cme
February 26, 2025 - Despite treatment with diuretics and antihypertensives, her condition deteriorated, leading to intubation … However, she suffered from ischemic stroke and intracranial hemorrhages, ultimately leading to a transition … suffered a stroke due to left posterior cerebral artery occlusion and vertebral artery dissection, leading … October 30, 2024
Errors in Managing an Open Wound of the Elbow Leading to Multiple Complications … prescriptions, but returned three days later with worsening symptoms, including pain, swelling, and pus, leading
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psnet.ahrq.gov/node/46156/psn-pdf
July 11, 2017 - causes-death-residents-acgme-accredited-programs-2000-through-2014-
implications-learning
This retrospective cohort study found that the leading … cause of death among resident physicians is cancer,
and the second leading cause of death is suicide
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psnet.ahrq.gov/issue/missed-diagnosis-cardiovascular-disease-outpatient-general-medicine-insights-malpractice
December 22, 2018 - This analysis of closed malpractice claims sought to characterize the types of errors leading to malpractice … August 7, 2019
Leading causes of anesthesia-related liability claims in ambulatory surgery
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psnet.ahrq.gov/node/43287/psn-pdf
July 02, 2014 - in the aftermath
of incident investigations: a semi-quantitative and
qualitative study of factors leading … in the aftermath of incident investigations: a semi-quantitative and
qualitative study of factors leading