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psnet.ahrq.gov/issue/national-partnership-maternal-safety-consensus-bundle-venous-thromboembolism
November 16, 2022 - Cases
Be Picky about your PICCs—Fragmented Care and Poor Communication at Discharge Leads
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psnet.ahrq.gov/issue/use-common-gas-outlet-supplementary-oxygen-during-caesarean-section
August 04, 2021 - WebM&M Cases
Uterine Artery Injury during Cesarean Delivery Leads
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psnet.ahrq.gov/issue/error-traps-pediatric-patient-blood-management-perioperative-period
January 12, 2022 - Delayed Diagnosis and Treatment of an Occult Hemothorax Following Complicated Central Line Insertion Leads
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psnet.ahrq.gov/issue/multidisciplinary-system-detecting-medication-errors-antineoplastic-chemotherapy
March 09, 2022 - May 11, 2019
Electronic prescribing vulnerabilities: height and weight mix-up leads to
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psnet.ahrq.gov/issue/inpatients-notes-sensemaking-fostering-shared-understanding-clinical-teams
November 25, 2020 - November 1, 2023
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Related Resources
Unprofessional Behavior Leads
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psnet.ahrq.gov/issue/nursing-homes-64-day-covid-siege-theyre-all-going-die
September 15, 2021 - February 9, 2022
Fear of Covid-19 leads other patients to decline critical treatment.
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psnet.ahrq.gov/issue/diagnostic-error-internal-medicine
May 25, 2022 - April 3, 2018
When diagnostic testing leads to harm: a new outcomes-based approach for
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psnet.ahrq.gov/issue/call-shift-fatigue-and-use-countermeasures-and-avoidance-strategies-certified-registered
March 15, 2023 - Related Resources
WebM&M Cases
Sleep Deprivation Leads
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psnet.ahrq.gov/issue/differences-between-human-error-risk-behavior-and-reckless-behavior-are-key-just-culture
September 23, 2020 - December 16, 2020
Incorrect use of smart infusion pump in the operating room (OR) leads
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psnet.ahrq.gov/issue/introducing-new-technology-operating-room-measuring-impact-job-performance-and-satisfaction
May 18, 2022 - March 29, 2023
Incorrect use of smart infusion pump in the operating room (OR) leads
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psnet.ahrq.gov/issue/ebola-us-patient-zero-lessons-misdiagnosis-and-effective-use-electronic-health-records
June 21, 2023 - May 22, 2019
WebM&M Cases
Lapse in Antibiotics Leads
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psnet.ahrq.gov/issue/lost-art-doctoring-reflections-pediatric-resident
November 21, 2021 - April 29, 2020
WebM&M Cases
Lapse in Antibiotics Leads
-
psnet.ahrq.gov/issue/revisiting-old-slides-how-worthwhile-it
October 05, 2022 - September 6, 2017
When diagnostic testing leads to harm: a new outcomes-based approach
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psnet.ahrq.gov/issue/confusion-specimen-mix-dermatopathology-and-measures-prevent-and-detect-it
February 12, 2020 - February 2, 2022
When diagnostic testing leads to harm: a new outcomes-based approach
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psnet.ahrq.gov/issue/national-survey-safe-practice-epidural-analgesia-obstetric-units
July 28, 2021 - Related Resources
WebM&M Cases
Sleep Deprivation Leads
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psnet.ahrq.gov/issue/medication-injection-safety-knowledge-and-practices-among-anesthesiologists-new-york-state
August 25, 2021 - April 30, 2024
WebM&M Cases
Saline Flush Leads to Acute
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psnet.ahrq.gov/issue/making-hospital-care-safer-and-better-structure-process-connection-leading-adverse-events
November 04, 2020 - Implementing an interprofessional patient safety learning initiative: insights from participants, project leads
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psnet.ahrq.gov/issue/are-they-safe-there-patient-safety-and-trainees-practice
September 22, 2021 - March 30, 2011
An anesthesiology department leads culture change at a hospital system
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psnet.ahrq.gov/node/49833/psn-pdf
June 01, 2018 - Studies have
demonstrated that earlier treatment with thrombolytics leads to better functional outcomes … neck
and head could have excluded a basilar artery thrombosis, one of the few ischemic strokes that leads … on reducing underdiagnosis of stroke, overdiagnosis can also
be problematic, particularly when it leads
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psnet.ahrq.gov/web-mm/preventing-complications-during-aneurysm-clipping-role-neuromonitoring
July 02, 2011 - This process leads to arrythmias including ST and T wave changes, neurogenic pulmonary edema, hypertension … December 14, 2022
WebM&M Cases
Saline Flush Leads … Delayed Diagnosis and Treatment of an Occult Hemothorax Following Complicated Central Line Insertion Leads