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psnet.ahrq.gov/periodic-issue/periodic-issue-343
May 16, 2022 - WebM&M Cases
Saline Flush Leads to Acute Paralysis of an Awake Patient: Risks of Improper Medication
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psnet.ahrq.gov/web-mm/back-again
November 18, 2016 - December 1, 2009
WebM&M Cases
"Superficial" Report Leads
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psnet.ahrq.gov/node/49831/psn-pdf
June 01, 2018 - presentation, and up to one-
third have no symptoms at all.(8,9) This heterogeneity in clinical presentations leads
-
psnet.ahrq.gov/node/49846/psn-pdf
November 01, 2018 - Combining these two perspectives leads me to propose a
new definition for clinical supervision: The
-
psnet.ahrq.gov/node/49825/psn-pdf
April 01, 2018 - )
Professional Interpretation
Poor-quality communication between patients with LEP and clinicians leads
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psnet.ahrq.gov/perspective/unfinished-patient-safety-agenda
August 01, 2005 - becomes a catch-22—the fewer nurses you have, the more difficult is the working environment, which leads
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psnet.ahrq.gov/web-mm/transitions-adolescent-medicine
August 04, 2021 - help the clinic decide what other steps were needed, such as passport generation (Act), which then leads
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psnet.ahrq.gov/web-mm/ultrasound-looked-fine-point-care-ultrasound-and-patient-safety
December 01, 2012 - November 1, 2010
WebM&M Cases
"Superficial" Report Leads
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psnet.ahrq.gov/web-mm/speaking-patient-safety-what-they-dont-tell-you-training-about-feedback-and-burnout
January 22, 2020 - having productive or difficult conversations in an environment of caring—providing effective feedback—leads
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psnet.ahrq.gov/web-mm/lost-start-date-unknown-risk-e-prescribing
December 02, 2020 - clinicians order appropriate dosing for medications where the dose differs by indication.(18,19)
This leads
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psnet.ahrq.gov/web-mm/when-vomit-gets-way-aspiration-resulting-death-during-endoscopy
March 18, 2020 - WebM&M Cases
Uterine Artery Injury during Cesarean Delivery Leads
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psnet.ahrq.gov/web-mm/pregnant-danger
January 12, 2011 - Related Resources
WebM&M Cases
Lack of Sepsis Recognition Leads
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psnet.ahrq.gov/web-mm/lung-nodule-refused-grow
March 01, 2004 - 2024
WebM&M Cases
Miscommunication in the OR Leads
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psnet.ahrq.gov/web-mm/chest-pain-rural-hospital
June 02, 2021 - presentation, and up to one-third have no symptoms at all.( 8,9 ) This heterogeneity in clinical presentations leads
-
psnet.ahrq.gov/node/867357/psn-pdf
December 18, 2024 - Forty percent of drowning victims are children under 5 years of age.2 Inhaling water into
the lungs leads
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psnet.ahrq.gov/web-mm/delay-malignancy-diagnosis-reflects-systemic-failures
September 25, 2019 - The subjectivity of this process leads to greater interobserver variation in surgical pathology diagnoses
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psnet.ahrq.gov/web-mm/emr-entry-error-not-so-benign
July 01, 2012 - November 1, 2016
WebM&M Cases
Lapse in Antibiotics Leads
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psnet.ahrq.gov/web-mm/weighing-surgical-safety
August 04, 2021 - Simply lying down leads to a decrease in already poor chest wall compliance, greater perfusion mismatch
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psnet.ahrq.gov/node/33635/psn-pdf
July 01, 2006 - Let's say, hypothetically, that in one of your hospitals,
a terrible error leads to a patient's death
-
psnet.ahrq.gov/node/49615/psn-pdf
December 01, 2010 - "(8) Underlying mechanisms whereby tissue compression leads to
tissue damage are still not entirely