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psnet.ahrq.gov/node/41594/psn-pdf
January 18, 2013 - Do micropauses prevent surgeon's fatigue and loss of
accuracy associated with prolonged surgery? … Do micropauses prevent surgeon's fatigue and loss of accuracy associated with
prolonged surgery? … https://psnet.ahrq.gov/issue/do-micropauses-prevent-surgeons-fatigue-and-loss-accuracy-associated-
prolonged-surgery … https://psnet.ahrq.gov/issue/do-micropauses-prevent-surgeons-fatigue-and-loss-accuracy-associated-prolonged-surgery … https://psnet.ahrq.gov/issue/do-micropauses-prevent-surgeons-fatigue-and-loss-accuracy-associated-prolonged-surgery
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psnet.ahrq.gov/issue/insensible-losses-when-medical-community-forgets-family
January 17, 2024 - Commentary
Insensible losses: when the medical community forgets the family.
Citation Text:
Elias P. Insensible losses: when the medical community forgets the family. Health Aff (Millwood). 2015;34(4):707-710. doi:10.1377/hlthaff.2014.0536.
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psnet.ahrq.gov/node/38966/psn-pdf
September 23, 2009 - Information loss in emergency medical services handover
of trauma patients. … Information loss in emergency medical services handover of trauma
patients. … https://psnet.ahrq.gov/issue/information-loss-emergency-medical-services-handover-trauma-patients
This … https://psnet.ahrq.gov/issue/information-loss-emergency-medical-services-handover-trauma-patients
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psnet.ahrq.gov/node/838031/psn-pdf
September 13, 2022 - Addressing the Loss of Trust in Safety Culture. …
https://psnet.ahrq.gov/issue/addressing-loss-trust-safety-culture
Trust in patient safety processes … https://psnet.ahrq.gov/issue/addressing-loss-trust-safety-culture
https://psnet.ahrq.gov/issue/barriers-and-enhancers-trust-just-culture-hospital-settings-systematic-review
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psnet.ahrq.gov/node/35265/psn-pdf
February 03, 2011 - A 38-year-old woman with fetal loss and hysterectomy.
February 3, 2011
Sachs BP. … A 38-Year-Old Woman With Fetal Loss and Hysterectomy. JAMA. 2005;294(7):833-840. … https://psnet.ahrq.gov/issue/38-year-old-woman-fetal-loss-and-hysterectomy
Part of a series in JAMA … https://psnet.ahrq.gov/issue/38-year-old-woman-fetal-loss-and-hysterectomy
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psnet.ahrq.gov/node/73183/psn-pdf
April 28, 2021 - Patients with hearing loss frequently misheard, misunderstood, or misinterpreted information given to … Health systems and clinicians
should find ways to identify patients with hearing loss and develop alternate … hearing-impairment-and-amelioration-avoidable-medical-error-cross-sectional-survey
https://psnet.ahrq.gov/issue/time-take-hearing-loss-seriously
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psnet.ahrq.gov/issue/hidden-medication-loss-when-using-primary-administration-set-small-volume-intermittent
December 14, 2022 - Newspaper/Magazine Article
Hidden medication loss when using a primary administration … Citation Text:
Hidden medication loss when using a primary administration set for small-volume intermittent … Copy URL
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Citation Text:
Hidden medication loss
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psnet.ahrq.gov/node/44461/psn-pdf
June 21, 2016 - In trainee physicians, sleep loss is associated with attentional failures, but little is known
about … the relationship between attending physician performance and sleep loss. … differences in
mortality, complications, or readmissions between procedures performed by surgeons with sleep loss … compared to those without sleep loss, mirroring results of an earlier simulation study.
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psnet.ahrq.gov/issue/do-micropauses-prevent-surgeons-fatigue-and-loss-accuracy-associated-prolonged-surgery
November 29, 2023 - Study
Do micropauses prevent surgeon's fatigue and loss of accuracy associated with … Do micropauses prevent surgeon's fatigue and loss of accuracy associated with prolonged surgery? … Do micropauses prevent surgeon's fatigue and loss of accuracy associated with prolonged surgery?
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psnet.ahrq.gov/node/42187/psn-pdf
April 10, 2013 - Insurers' Medical Loss Ratios and Quality Improvement
Spending in 2011. … https://psnet.ahrq.gov/issue/insurers-medical-loss-ratios-and-quality-improvement-spending-2011
This … https://psnet.ahrq.gov/issue/insurers-medical-loss-ratios-and-quality-improvement-spending-2011
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psnet.ahrq.gov/issue/outcomes-daytime-procedures-performed-attending-surgeons-after-night-work
December 18, 2014 - In trainee physicians, sleep loss is associated with attentional failures, but little is known about … the relationship between attending physician performance and sleep loss. … differences in mortality, complications, or readmissions between procedures performed by surgeons with sleep loss … compared to those without sleep loss, mirroring results of an earlier simulation study.
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psnet.ahrq.gov/issue/power-predict-leveraging-medical-malpractice-data-reduce-patient-harm-and-financial-loss
July 18, 2018 - The Power to Predict: Leveraging Medical Malpractice Data to Reduce Patient Harm and Financial Loss … Text:
The Power to Predict: Leveraging Medical Malpractice Data to Reduce Patient Harm and Financial Loss … Text:
The Power to Predict: Leveraging Medical Malpractice Data to Reduce Patient Harm and Financial Loss
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psnet.ahrq.gov/node/44090/psn-pdf
November 21, 2016 - Insensible losses: when the medical community forgets
the family.
November 21, 2016
Elias P. Insensible losses: when the medical community forgets the family. Health Aff (Millwood).
2015;34(4):707-710. doi:10.1377/hlthaff.2014.0536.
https://psnet.ahrq.gov/issue/insensible-losses-when-medical-community-forgets-fami…
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psnet.ahrq.gov/sites/default/files/2024-03/uterine_artery_injury.pdf
January 01, 2024 - • In this case, the patient’s blood loss was so rapid that she went into cardiac arrest
while awaiting … • Although this patient survived, she suffered cognitive impairment and loss of her
uterus. … The American College of Obstetricians and Gynecologists (ACOG) defines
obstetric hemorrhage as blood loss … early recognition and response for obstetric hemorrhage, and regularly
practice quantifying blood loss … A systematic review of the relationship between blood loss and clinical signs.
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psnet.ahrq.gov/web-mm/specimen-almost-lost
September 21, 2022 - Despite the prevalence of preanalytic laboratory error, specimen loss is rare—the most common type of … Although published rates for specimen loss do not exist in anatomic pathology, an unpublished review … over a 6-year period in our center suggest a specimen loss rate of 0.002%. … Other risk factors for specimen loss or misprocessing include reliance on individuals to do the right … Specimen reconciliation alerts laboratory staff to pending specimens and diminishes the risk of loss
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psnet.ahrq.gov/issue/we-had-such-trust-we-feel-such-fools-how-shocking-hospital-mistakes-led-our-daughters-death
October 26, 2022 - This first-person account shares the story of a mother’s loss of a daughter to sepsis . … October 12, 2022
Addressing the Loss of Trust in Safety Culture.
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psnet.ahrq.gov/issue/diversion-threat-patient-safety-adopting-best-practices
April 20, 2022 - result in patient harm due to reduced medication availability , impaired clinician performance , and loss … The Power to Predict: Leveraging Medical Malpractice Data to Reduce Patient Harm and Financial Loss
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psnet.ahrq.gov/web-mm/dont-dismiss-dangerous-obstetric-hemorrhage
August 21, 2024 - of hemorrhage.( 6-8 )
Concealed hemorrhage (internal bleeding without outward appearance of blood loss … The definition most widely used in the US has been blood loss at vaginal delivery that exceeds 500 mL … tried to address these shortcomings and chose to define obstetric hemorrhage as: "Cumulative blood loss … "( 10 ) The authors stress several elements: the estimation of blood loss should be as quantitative as … , in the setting of an acute hemorrhage, a hematocrit or hemoglobin may not fully reflect the blood loss
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psnet.ahrq.gov/node/49812/psn-pdf
November 01, 2017 - Despite the prevalence of preanalytic laboratory error, specimen loss is rare—the most
common type of … Although published rates for specimen loss do
not exist in anatomic pathology, an unpublished review … over a 6-year period in our center suggest a
specimen loss rate of 0.002%. … Other risk factors for specimen loss or misprocessing
include reliance on individuals to do the right … Specimen reconciliation alerts laboratory staff to pending specimens and
diminishes the risk of loss
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psnet.ahrq.gov/node/865411/psn-pdf
March 27, 2024 - After delivery, the patient became tachycardic and hypotensive, suggesting ongoing blood loss or sepsis … In this case, the patient’s blood loss was so
rapid that she went into cardiac arrest while awaiting … Although this
patient survived, she suffered cognitive impairment and loss of her uterus. … It is unclear if there was a
component of hemorrhage due to atony or if the blood loss was only due … A systematic review of the relationship between blood
loss and clinical signs.