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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
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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
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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
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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
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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
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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.
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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
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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.
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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
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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
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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
-
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
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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
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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
-
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,
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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
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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
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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
-
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.
-
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