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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.362_slideshow.ppt
December 01, 2015 - acquires data from 12 different leads
Telemetry monitoring is a 5-electrode configuration
Acquires 6 limb
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.335_slideshow.ppt
December 01, 2014 - impairment
Elements include: level of consciousness, gaze, visual fields, facial palsy, motor arm/leg, limb
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psnet.ahrq.gov/issue/systematically-identified-failure-route-successful-health-system
January 10, 2018 - Attacks
June 30, 2021
WebM&M Cases
Mark My Limb
-
psnet.ahrq.gov/sites/default/files/2020-09/final_slides_sept_spotlight_case_when_the_lytes_go_out_slides_08.25.2020-revised.pdf
January 01, 2020 - goals much faster while the patient is being treated for
a foot infection and to prevent damage to limb
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psnet.ahrq.gov/web-mm/some-patients-cant-wait-improving-timeliness-emergency-department-care
November 25, 2020 - complaints are minor and non-urgent, while others require immediate intervention to avoid loss of life or limb … suggestive of a condition requiring time-sensitive treatment” or “who has a potential threat to life, limb … Arterial Thrombosis
June 28, 2023
WebM&M Cases
Limb
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psnet.ahrq.gov/web-mm/worst-headache
October 25, 2023 - headache patients have SAH, and only an additional 3%-4% have some other serious condition that is life, limb … [Diseases or conditions that are both treatable and, if untreated, are life, limb, brain, or vision threatening
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psnet.ahrq.gov/issue/patient-safety-intensive-care-unit
February 28, 2018 - WebM&M Cases
Critical Order Set Change and Critical Limb
-
psnet.ahrq.gov/sites/default/files/2024-04/spotlight_case_hindsight_is_2020_slides_final.pdf
January 01, 2024 - .
– All four limbs drifted but did not hit the bed and there was no limb ataxia.
– Sensory examination
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psnet.ahrq.gov/issue/human-factors-engineering-healthcare-applications
December 07, 2016 - WebM&M Cases
Critical Order Set Change and Critical Limb
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psnet.ahrq.gov/web-mm/airway-obstruction-during-anterior-cervical-spine-surgery
March 29, 2023 - Although he could not feel his body below his neck, he retained some movement of both upper limbs. … cervical spine with total loss of sensation below the neck but some preserved motor function in both upper limbs
-
psnet.ahrq.gov/issue/warning-health-it-may-be-hazardous-your-healthcare
July 30, 2008 - WebM&M Cases
Critical Order Set Change and Critical Limb
-
psnet.ahrq.gov/issue/commonwealth-fund-quality-improvement-colloquium-patient-safety-five-years-after-err-human
October 24, 2012 - April 4, 2018
WebM&M Cases
Mark My Limb
December
-
psnet.ahrq.gov/issue/patients-put-risk-nhs-computer-fault
August 18, 2010 - WebM&M Cases
Critical Order Set Change and Critical Limb
-
psnet.ahrq.gov/web-mm/always-check-muscle-twitch-residual-neuromuscular-block-after-removal-gastric-balloon
March 29, 2023 - the classical “fish out of water” syndrome, which is characterized by flailing about with the upper limbs … June 28, 2023
WebM&M Cases
Limb Loss after Vasopressor
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psnet.ahrq.gov/web-mm/hidden-heparins-hit-happens
March 27, 2024 - This patient appears to have experienced thrombosis (axillary vein thrombosis, and possibly a lower extremity … arterial event leading to limb ischemia and amputation) as her primary manifestation of HIT. … Because of the risk of venous limb gangrene that can result from transient hypercoagulability associated
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psnet.ahrq.gov/web-mm/danger-10-intravenous-calcium-chloride-extravasation
April 24, 2024 - No erythema
2
Pain at the infusion site
Localized swelling affecting up to 25% of extremity … below the site
3
Pain at the infusion site
Moderate swelling (affecting 25%-50% of extremity … veins
Deficit of sensation
Limited selection of veins due to lymph node dissection or edema or limb …
Alkylating agents:
Nitrogen mustard
Sodium thiosulfate
Cold pack & extremity … Daunorubicin
Doxorubicin
Epirubicin
Idarubicin
Dexrazoxane
Cold pack & extremity
-
psnet.ahrq.gov/issue/engaging-partners-patient-safety-experience-librarians
June 01, 2016 - WebM&M Cases
Critical Order Set Change and Critical Limb
-
psnet.ahrq.gov/issue/2006-patient-safety-and-health-information-technology-conference
April 04, 2012 - WebM&M Cases
Critical Order Set Change and Critical Limb
-
psnet.ahrq.gov/web-mm/fatal-error-neonate-does-just-culture-provide-answer
January 01, 2019 - WebM&M Cases
Critical Order Set Change and Critical Limb
-
psnet.ahrq.gov/perspective/soil-not-seed-real-problem-root-cause-analysis
March 01, 2007 - Epilogue
April 1, 2009
WebM&M Cases
Mark My Limb