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psnet.ahrq.gov/perspective/safety-radiology
October 01, 2013 - really high so you see the harm right away—the deterministic effect—that's what happened with the hair loss
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psnet.ahrq.gov/node/866839/psn-pdf
September 25, 2024 - He
was wearing a helmet and denied head injury, loss of consciousness, or neck pain.
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psnet.ahrq.gov/sites/default/files/2024-09/final_spotlight_case_open_wound_of_the_elbow_slides_09.19.2024.pptx
January 01, 2024 - He was wearing a helmet and denied head injury, loss of consciousness, or neck pain.
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psnet.ahrq.gov/perspective/conversation-withgerald-b-hickson-md
December 01, 2009 - Director of the Vanderbilt Center for Patient and Professional Advocacy, and Director of Clinical Risk and Loss
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psnet.ahrq.gov/node/840174/psn-pdf
August 28, 2024 - patient’s wife some months after his death by
telephone to express his sympathy and condolences for her loss … after introductions, all non-family attendees should offer their apologies
and condolences for the loss
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psnet.ahrq.gov/web-mm/abdominal-pain-early-pregnancy
November 13, 2024 - The fetal loss rate increases from 3%–5% in nonruptured appendicitis to as high as 25% if the appendix … The error (delay in diagnosis) led to a catastrophic adverse event—the loss of the fetus.
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psnet.ahrq.gov/perspective/medical-scribes-and-patient-safety
August 01, 2019 - He said that would be a real loss.
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psnet.ahrq.gov/node/33561/psn-pdf
September 07, 2019 - the wrong donor sperm or wrong egg
Patient death or serious injury resulting from the irretrievable loss
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psnet.ahrq.gov/periodic-issue/periodic-issue-333
March 31, 2022 - result in patient harm due to reduced medication availability, impaired clinician performance, and loss … WebM&M Cases
Spotlight Case
A Loss of Trust and a Missed Diagnosis John Landefeld, MD, MS
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psnet.ahrq.gov/web-mm/when-lytes-go-out-case-inpatient-cardiac-arrest
February 01, 2023 - the standardized approach has shown to improve patient safety. 4 The focus is on correction of fluid loss … hyperglycemia with intravenous insulin and correction of electrolyte disturbances, particularly potassium loss
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psnet.ahrq.gov/periodic-issue/periodic-issue-289
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
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psnet.ahrq.gov/web-mm/missed-candor-implementation-opportunities
November 11, 2020 - patient’s wife some months after his death by telephone to express his sympathy and condolences for her loss … after introductions, all non-family attendees should offer their apologies and condolences for the loss
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psnet.ahrq.gov/node/33592/psn-pdf
September 07, 2019 - Twenty-two months later, after a 14-kg (30 lb) weight loss, he was admitted to a
hospital for evaluation
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.33_slideshow.ppt
October 01, 2003 - relationship with patient and family
Disclosure of Medical Errors: Challenges for the Physician
Loss
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psnet.ahrq.gov/node/49735/psn-pdf
June 01, 2015 - The exam was notable for loss of
sensation to his knee and a foot drop secondary to his prior stroke … available commercial
computer–assisted diagnosis program: "pain left foot, numbness left foot, foot drop, loss
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psnet.ahrq.gov/node/49708/psn-pdf
May 01, 2014 - discharge from the hospital, are vulnerable
periods due to poor communication and inadvertent information loss … Transitions of care are vulnerable periods due to poor communication and inadvertent information
loss
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psnet.ahrq.gov/web-mm/safety-and-quality-long-term-care
January 01, 2016 - ulcers, health care-associated infections, and other high risk conditions such as unplanned weight loss … be designed to identify high-risk residents (e.g., pressure ulcer risk, fall risk, unplanned weight loss
-
psnet.ahrq.gov/node/49765/psn-pdf
August 21, 2016 - Any of these failures can result from a loss of situational awareness, i.e., lack
of intuitive understanding … members at any given time and the projection of their likely status in the near future.(21,22) Such loss
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psnet.ahrq.gov/node/33799/psn-pdf
January 01, 2015 - patients that promote a lack of investment in the clinician–provider interaction, poor communication,
and loss
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psnet.ahrq.gov/node/49418/psn-pdf
October 01, 2003 - flight simulators can test experienced airplane pilots
on difficult and catastrophic events such as loss