-
psnet.ahrq.gov/node/33598/psn-pdf
September 07, 2019 - elderly patients lose mobility and functional status
rapidly during hospitalizations, and that this loss
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psnet.ahrq.gov/node/44094/psn-pdf
November 03, 2015 - care in the short term, but
most returned to the VA within 18 months of the exposure, suggesting some loss
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psnet.ahrq.gov/node/43690/psn-pdf
March 26, 2015 - While staff expressed the concern that adverse event disclosure led to
loss of trust, patients and families
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psnet.ahrq.gov/node/39679/psn-pdf
January 19, 2011 - This systematic review found that feelings of guilt, shame,
and loss of confidence were widespread among
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psnet.ahrq.gov/node/47878/psn-pdf
June 05, 2019 - Nursing practice with hospitalised older people: safety
and harm.
June 5, 2019
Dahlke SA, Hunter KF, Negrin K. Nursing practice with hospitalised older people: Safety and harm. Int J
Older People Nurs. 2019;14(1):e12220. doi:10.1111/opn.12220.
https://psnet.ahrq.gov/issue/nursing-practice-hospitalised-older-people…
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psnet.ahrq.gov/issue/fatal-misadministration-iv-vincristine
December 14, 2022 - August 24, 2018
Hidden medication loss when using a primary administration set for small-volume
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psnet.ahrq.gov/issue/diagnostic-excellence-patient-safety-awareness-week-webinar
May 29, 2024 - The Power to Predict: Leveraging Medical Malpractice Data to Reduce Patient Harm and Financial Loss
-
psnet.ahrq.gov/node/49563/psn-pdf
May 01, 2008 - factors such as inadequate systems for triaging and observing patients awaiting an inpatient bed, loss … the frequent failure of
information transfer that occurs during hospital discharge (6); a similar loss … Minimize loss of information transfer by increasing hospitalists' access to outpatient medical records
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psnet.ahrq.gov/web-mm/informed-or-misled
April 24, 2018 - ultimately received general anesthesia and suffered the adverse outcome of permanent unilateral hearing loss … It is unusual to quote the risk of unilateral hearing loss after anesthesia during a consent discussion … Ironically, the hearing loss that occurred is apparently less prevalent following general anesthesia
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psnet.ahrq.gov/node/49568/psn-pdf
September 01, 2008 - the infant was seen by a pediatrician three times in the next
6 days and experienced a 15% weight loss … The presence of
significant hyperbilirubinemia accompanied by a 15% weight loss at 6 days of life points … breastfeeding.(7) It typically occurs during the first week of life, and infants may present with weight loss … In "breastfeeding" jaundice, the infants may present with weight loss, dehydration, inadequate stool
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psnet.ahrq.gov/node/49804/psn-pdf
September 01, 2017 - It can be difficult to identify a single source of bleeding, and blood loss is often attributed
to diffuse … should be
noted that in a brisk bleed, hemodynamic instability can be a more sensitive marker of blood loss … This is because there can be a delay in hemoglobin drop due to a loss of whole blood
with delayed intravascular … However, the hospitalist failed to
recognize the briskness of the patient's blood loss.
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psnet.ahrq.gov/web-mm/bandemia-harbinger-stercoral-colitis-and-impending-perforation
November 25, 2020 - She presented with vague complaints of weakness, anorexia, and weight loss. … Second, the combination of anorexia with substantial weight loss, severe constipation, and abdominal … Take-Home Points Non-specific symptoms such as weakness, weight loss, and anorexia may be warning signs
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psnet.ahrq.gov/issue/annual-communication-apology-and-resolution-care-forum
May 03, 2023 - June 15, 2016
Evidence-based Recommendations for Best Practices in Weight Loss Surgery
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psnet.ahrq.gov/issue/indication-documentation-and-indication-based-prescribing-within-electronic-prescribing
December 18, 2019 - addition to patient safety benefits, several risks and drawbacks were uncovered, such as potential loss
-
psnet.ahrq.gov/issue/implementation-ed-i-pass-standardized-handoff-tool-pediatric-emergency-department
November 16, 2022 - Implementation of ED I-PASS decreased the perceived loss of key patient information during transitions
-
psnet.ahrq.gov/issue/are-evidence-based-practices-associated-effective-prevention-hospital-acquired-pressure
September 23, 2020 - Severe hospital-acquired pressure ulcers are considered a never event , and they result in loss of payment
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psnet.ahrq.gov/issue/when-lights-go-down-delivery-room-lessons-ransomware-attack
September 02, 2020 - Nearly every aspect of clinical care and monitoring was impacted, particularly loss of historical health
-
psnet.ahrq.gov/issue/critical-review-moral-injury-nurses-aftermath-patient-safety-incident
July 22, 2020 - injury symptoms identified in this review included guilt, shame, spiritual-existential crisis, and loss
-
psnet.ahrq.gov/issue/preventable-hospital-admissions-related-medication-harm-cost-analysis-harm-study
April 27, 2022 - Admissions Related to Medication (HARM) study to estimate the cost (medical cost to the health system and loss
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psnet.ahrq.gov/issue/accuracy-emergency-department-clinical-findings-diagnosis-coronavirus-disease-2019
September 09, 2020 - that physician clinical judgement was generally accurate and that certain patient characteristics (loss