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psnet.ahrq.gov/issue/perceptions-hospital-safety-climate-and-incidence-readmission
March 25, 2015 - November 7, 2012
Diagnostic blood loss from phlebotomy and hospital-acquired anemia during
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psnet.ahrq.gov/web-mm/ruptured-heterotopic-pregnancy
August 16, 2023 - Responding paramedics documented transient loss of consciousness and difficulty recording blood pressures … However, upon presentation—with the history of loss of consciousness and symptoms to suggest hemodynamic
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psnet.ahrq.gov/web-mm/perils-contrast-media
March 01, 2007 - proposed definitions for CIAKI.( 2 ) Some examples include the RIFLE criteria (Risk, Injury, Failure, Loss … ( 3 ) Evidence suggests that CIAKI is associated with multiple adverse events including progressive loss … Case & Commentary—Part 2
Later that evening, the patient developed acute paralysis and loss of sensation
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psnet.ahrq.gov/issue/when-policy-meets-physiology-challenge-reducing-resident-work-hours
January 10, 2017 - July 23, 2010
Sleep loss and performance in residents and nonphysicians: a meta-analytic
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psnet.ahrq.gov/node/49824/psn-pdf
March 01, 2018 - been delayed for many hours
from the time of the original STEMI, the patient experienced significant loss … information was somehow lost and the resulting delay in intervention led to permanent
myocardial damage and loss
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psnet.ahrq.gov/node/49830/psn-pdf
May 01, 2018 - sleeplessness, comorbid substance abuse,
chronic illness, pain, and psychosocial stressors (e.g., job loss … Loss of critical information during
patient transfers is a common root cause of suicide attempts and
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psnet.ahrq.gov/node/49448/psn-pdf
June 01, 2004 - We predicted much confusion in the PACU,
many unnecessary pages, and a loss of efficiency. … to
create a system that addresses wrong site, wrong procedure, and wrong patient surgery without a
loss
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psnet.ahrq.gov/node/33761/psn-pdf
February 01, 2014 - two-thirds of interruptions resulted in a delay in the original task, and one-fourth related in a loss … hospitals and found that that 90% of interruption-related errors resulted
in delays of treatment or loss
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psnet.ahrq.gov/issue/description-and-evaluation-adaptations-global-trigger-tool-enhance-value-adverse-event
November 23, 2014 - February 2, 2011
Time to take hearing loss seriously.
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psnet.ahrq.gov/issue/impact-automated-alerts-discharge-opioid-overprescribing-after-general-surgery
September 29, 2017 - September 29, 2017
Diagnostic blood loss from phlebotomy and hospital-acquired anemia
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psnet.ahrq.gov/issue/nurse-physician-communication-during-labor-and-birth-implications-patient-safety
January 03, 2017 - August 1, 2011
A 38-year-old woman with fetal loss and hysterectomy.
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psnet.ahrq.gov/issue/using-coworker-observations-promote-accountability-disrespectful-and-unsafe-behaviors
June 27, 2018 - November 16, 2022
Addressing the Loss of Trust in Safety Culture.
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psnet.ahrq.gov/issue/systematic-review-effects-resident-duty-hour-restrictions-surgery-impact-resident-wellness
March 19, 2018 - December 22, 2010
Sleep loss and performance in residents and nonphysicians: a meta-analytic
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psnet.ahrq.gov/issue/unprofessional-behaviors-among-tomorrows-physicians-review-literature-focus-risk-factors
January 31, 2018 - May 22, 2013
Sleep loss and performance in residents and nonphysicians: a meta-analytic
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psnet.ahrq.gov/issue/characterization-adverse-events-detected-large-health-care-delivery-system-using-enhanced
May 25, 2013 - July 16, 2018
Time to take hearing loss seriously.
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psnet.ahrq.gov/sites/default/files/2021-06/final_spotlight_miscommunication_possible_artifact_06.21.2021.pdf
January 01, 2021 - the same day
• The orthopedic surgeon independently read and interpreted
the same images as “slight loss … 2013-2014 and
contributed to 81% of events where delays in treatment resulted
in death or permanent loss
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psnet.ahrq.gov/issue/patient-and-family-advisory-councils-massachusetts-experience
December 19, 2012 - Newspaper/Magazine Article
Patient and family advisory councils. The Massachusetts experience.
Citation Text:
Patient and family advisory councils. The Massachusetts experience. Wachenheim D. Patient Saf Qual Healthc. December 8, 2015.
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psnet.ahrq.gov/web-mm/solution-iv-or-irrigation-fluid-administration-errors-operating-room
January 29, 2021 - cases presented may be vestibular rather than cochlear in nature and therefore may produce permanent loss … of balance rather than hearing loss. 7 Given these significant side effects of intravenous gentamicin
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psnet.ahrq.gov/node/60856/psn-pdf
August 26, 2020 - Prolonged hospital bedrest leads to loss of muscle and bone mass and increases
the risk of pressure … osteoporotic fracture is harder than in healthy bone: the team must be prepared for substantial blood loss … for tissue injury, inflammatory load, fluid volume shifts, exposure to anesthetic medications, heat
loss
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psnet.ahrq.gov/issue/fall-risk-and-prevention-agreement-engaging-patients-and-families-partnership-patient-safety
November 13, 2024 - Commentary
Fall risk and prevention agreement: engaging patients and families with a partnership for patient safety.
Citation Text:
Vonnes C, Wolf D. Fall risk and prevention agreement: engaging patients and families with a partnership for patient safety. BMJ Open Qual. 2017;6(2):e000038…