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Showing results for "loss".

41. The Financial and Human Cost of Medical Error... and How Massachusetts Can Lead the Way on Patient Safety. | PSNet
    psnet.ahrq.gov/issue/financial-and-human-cost-medical-error-and-how-massachusetts-can-lead-way-patient-safety
    April 03, 2019 - Respondents reported loss of trust and suboptimal disclosure practices around medical errors. … May 31, 2023 Evidence-based Recommendations for Best Practices in Weight Loss Surgery

42. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49774/psn-pdf
    November 01, 2016 - 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 … 1000ml or blood loss accompanied by sign/symptoms of hypovolemia within 24 hours following the birth … "(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

43. Hearing impairment and the amelioration of avoidable medical error: a cross-sectional survey. | PSNet
    psnet.ahrq.gov/issue/hearing-impairment-and-amelioration-avoidable-medical-error-cross-sectional-survey
    June 09, 2021 - Patients with hearing loss frequently misheard, misunderstood, or misinterpreted information given … Health systems and clinicians should find ways to identify patients with hearing loss and develop alternate

44. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49720/psn-pdf
    December 01, 2014 - areas (arms [not hands], legs, trunk, face) as needed to accurately check for hemisensory loss. … A score of 2, "severe or total sensory loss," should only be given when a severe or total loss of sensation … The patient with brainstem stroke who has bilateral loss of sensation is scored 2. … side; or there is a loss of superficial pain with pinprick, but patient is aware of being touched. … 2 = Severe to total sensory loss; patient is not aware of being touched in the face, arm, and leg

45. Spotlight Case July 2008 (ppt file)
    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.230_slideshow.ppt
    December 01, 2010 - Stage II Partial thickness loss of dermis presenting as a shallow open ulcer with a red pink wound bed … Stage III Full thickness tissue loss. … Slough may be present but does not obscure the depth of tissue loss. … Stage IV Full thickness tissue loss with exposed bone, tendon or muscle. … Unstageable Full thickness tissue loss in which the base of the ulcer is covered by slough (yellow, tan

46. Uterine Artery Injury during Cesarean Delivery Leads to Cardiac Arrests and Emergency Hysterectomy | PSNet
    psnet.ahrq.gov/web-mm/uterine-artery-injury-during-cesarean-delivery-leads-cardiac-arrests-and-emergency
    September 30, 2020 - 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 to … A systematic review of the relationship between blood loss and clinical signs.

47. Engaging Physicians in Teamwork Training for Quality and Safety - Or Why Don’t Your Physicians Get Engaged? | PSNet
    psnet.ahrq.gov/issue/engaging-physicians-teamwork-training-quality-and-safety-or-why-dont-your-physicians-get
    July 21, 2021 - October 5, 2022 Addressing the Loss of Trust in Safety Culture. … The Power to Predict: Leveraging Medical Malpractice Data to Reduce Patient Harm and Financial Loss

48. A Stroke of Error | PSNet
    psnet.ahrq.gov/web-mm/stroke-error
    February 01, 2016 - areas (arms [not hands], legs, trunk, face) as needed to accurately check for hemisensory loss. … A score of 2, "severe or total sensory loss," should only be given when a severe or total loss of sensation … The patient with brainstem stroke who has bilateral loss of sensation is scored 2. … . 1 = Mild-to-moderate sensory loss; patient feels pinprick is less sharp or is dull on the affected … side; or there is a loss of superficial pain with pinprick, but patient is aware of being touched.

49. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/73998/psn-pdf
    October 27, 2021 - The patient experienced significant blood loss during the surgical procedure and became hemodynamically … procedures, including craniotomy, require large-bore venous access in case of rapid and/or massive blood loss … During the first phase, team members are asked whether there is a risk of blood loss greater than 500 … During the second communication phase, the surgeon is asked to confirm the anticipated blood loss and … have provided a second opportunity for the surgeon and anesthesiologist to discuss anticipated blood loss

50. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/846769/psn-pdf
    March 29, 2023 - Her pediatrician noted weight loss and recommended a return visit to recheck her weight, but her parents … availability bias due to providers’ lack of experience with endocrinologic causes of fatigue and weight loss … Common symptoms of AI include anorexia, weight loss, nausea, abdominal discomfort, fatigue, postural … This symptom, in addition to significant weight loss, clearly mandated closer evaluation and https:/ … The most common presenting symptoms of AI are fatigue and weight loss, which worsen progressively over

51. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49644/psn-pdf
    December 01, 2011 - medical history, nature of any injury, and the presence of photophobia (sensitivity to light), visual loss … to the ED can be broken down into three major categories: the red eye, the painful eye, and vision loss … If these conditions are missed and not treated promptly, the patient may suffer permanent visual loss … These conditions also may result in permanent visual loss if treatment is delayed. … margins, involvement of canalicular system, levator or canthal tendons, orbital septum, and tissue loss

52. The Hidden Danger of Unseen Intravenous Catheters | PSNet
    psnet.ahrq.gov/web-mm/hidden-danger-unseen-intravenous-catheters
    October 04, 2023 - The patient experienced significant blood loss during the surgical procedure and became hemodynamically … procedures, including craniotomy, require large-bore venous access in case of rapid and/or massive blood loss … During the first phase, team members are asked whether there is a risk of blood loss greater than 500 … During the second communication phase, the surgeon is asked to confirm the anticipated blood loss and … have provided a second opportunity for the surgeon and anesthesiologist to discuss anticipated blood loss

53. Changing the patient safety mindset: can safety cases help? | PSNet
    psnet.ahrq.gov/issue/changing-patient-safety-mindset-can-safety-cases-help
    July 14, 2021 - Debriefing for Clinical Learning November 18, 2021 Hidden medication loss … The Power to Predict: Leveraging Medical Malpractice Data to Reduce Patient Harm and Financial Loss

54. Situational Awareness | PSNet
    psnet.ahrq.gov/taxonomy/term/3440
    December 09, 2024 - Fixation on this problem can result in loss of situational awareness to the point that steps are not

55. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49870/psn-pdf
    August 10, 2019 - the etiology—is it an iron deficiency anemia possibly due to inadequate intake, absorption, or blood loss … and likely the case for this patient), then the diagnosis requires a search for the source of blood loss … In 15% to 30% of cases the blood loss is from the colon, most often caused by colon cancer, angiodysplasia … , polyps, or colitis; 1% to 15% of patients have blood loss from other disorders. … Second, it led the clinician to search for an alternative explanation for the patient's blood loss,

56. Missed Diagnosis of Addison’s Disease in Adolescent Presenting with Fatigue. | PSNet
    psnet.ahrq.gov/web-mm/missed-diagnosis-addisons-disease-adolescent-presenting-fatigue
    October 28, 2020 - The Case A 13-year-old girl developed fatigue, weight loss, and a persistent upper respiratory infection … Her pediatrician noted weight loss and recommended a return visit to recheck her weight, but her parents … Common symptoms of AI include anorexia, weight loss, nausea, abdominal discomfort, fatigue, postural … This symptom, in addition to significant weight loss, clearly mandated closer evaluation and testing. … The most common presenting symptoms of AI are fatigue and weight loss, which worsen progressively over

57. Terms & Conditions/Copyright | PSNet
    psnet.ahrq.gov/information/Terms
    February 26, 2021 - Neither AHRQ PSNet, nor its staff, directors, employees, or affiliates are responsible or liable for any loss

58. Missing the Point—Eye Injury | PSNet
    psnet.ahrq.gov/web-mm/missing-point-eye-injury
    March 01, 2005 - medical history, nature of any injury, and the presence of photophobia (sensitivity to light), visual loss … to the ED can be broken down into three major categories: the red eye, the painful eye, and vision loss … If these conditions are missed and not treated promptly, the patient may suffer permanent visual loss … These conditions also may result in permanent visual loss if treatment is delayed. … margins, involvement of canalicular system, levator      or canthal tendons, orbital septum, and tissue loss

59. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49615/psn-pdf
    December 01, 2010 - bathe the patient, and discovered a moderate-sized stage II pressure ulcer (partial-thickness skin loss … Stage II Partial thickness loss of dermis presenting as a shallow open ulcer with a red-pink wound … Stage III Full-thickness tissue loss. … Slough may be present but does not obscure the depth of tissue loss. … Stage IV Full-thickness tissue loss with exposed bone, tendon, or muscle.

60. Anemia and Delayed Colon Cancer Diagnosis | PSNet
    psnet.ahrq.gov/web-mm/anemia-and-delayed-colon-cancer-diagnosis
    July 21, 2020 - the etiology—is it an iron deficiency anemia possibly due to inadequate intake, absorption, or blood loss … and likely the case for this patient), then the diagnosis requires a search for the source of blood loss … In 15% to 30% of cases the blood loss is from the colon, most often caused by colon cancer, angiodysplasia … , polyps, or colitis; 1% to 15% of patients have blood loss from other disorders. … Second, it led the clinician to search for an alternative explanation for the patient's blood loss, e.g