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psnet.ahrq.gov/node/865376/psn-pdf
March 27, 2024 - Navigating Chaos: Fatal Iatrogenic Liver Injury in a
Patient Admitted for Leg Fractures
March 27, 2024
Loseth C. Navigating Chaos: Fatal Iatrogenic Liver Injury in a Patient Admitted for Leg Fractures. PSNet
[internet]. 2024.
https://psnet.ahrq.gov/web-mm/navigating-chaos-fatal-iatrogenic-liver-injury-patient-admi…
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psnet.ahrq.gov/perspective/conversation-urmimala-sarkar-md-mph
August 22, 2014 - RW : You mentioned that some lessons from other industries that seem to be at least somewhat useful in
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psnet.ahrq.gov/perspective/beyond-hospital-new-frontier-patient-safety
August 01, 2014 - RW : You mentioned that some lessons from other industries that seem to be at least somewhat useful in
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psnet.ahrq.gov/perspective/conversation-john-d-birkmeyer-md
January 31, 2024 - RW : You mentioned part of what got you stimulated to do this is a bias in the field of safety and quality
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psnet.ahrq.gov/web-mm/robotic-surgery-risks-vs-rewards
October 31, 2023 - and by surgeons with less experience, and, overall, it is more expensive than open surgery.( 6,9 ) As mentioned
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psnet.ahrq.gov/sites/default/files/2024-03/uterine_artery_injury.pdf
January 01, 2024 - Microsoft PowerPoint - Spotlight Case_Uterine Artery Injury during Cesarean Delivery - FINAL.pptx
Spotlight
Uterine Artery Injury during Cesarean Delivery Leads to
Cardiac Arrests and Emergency Hysterectomy
Source and Credits
• This presentation is based on the March 2024 AHRQ WebM&M
Spotlight Case
o See the ful…
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psnet.ahrq.gov/perspective/patient-and-family-roles-safety
June 14, 2023 - Sarah Mossburg: You mentioned partnership at the care level: Do you have thoughts on other levels where … You had mentioned earlier being able to engage family members in partnership via virtual rounds during
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psnet.ahrq.gov/perspective/conversation-beverley-h-johnson-about-role-patients-family-reducing-harm
June 14, 2023 - Sarah Mossburg: You mentioned partnership at the care level: Do you have thoughts on other levels where … You had mentioned earlier being able to engage family members in partnership via virtual rounds during
-
psnet.ahrq.gov/node/857059/psn-pdf
November 29, 2023 - The Risks of a Malpositioned Gastrostomy Tube and Poor
Communication
November 29, 2023
Hight RA. The Risks of a Malpositioned Gastrostomy Tube and Poor Communication. PSNet [internet].
2023.
https://psnet.ahrq.gov/web-mm/risks-malpositioned-gastrostomy-tube-and-poor-communication
Disclosure of Relevant Financial …
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psnet.ahrq.gov/web-mm/medication-handling-and-compounding-errors-operating-room
May 16, 2022 - As mentioned previously, the surgical setting allows for immediate local medication administration.
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psnet.ahrq.gov/node/50754/psn-pdf
December 18, 2019 - Unfortunately, the resident did not enter this order into
the computer, although he mentioned it in
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psnet.ahrq.gov/node/33878/psn-pdf
April 01, 2019 - When I spoke to the New South Wales Health Minister, he
mentioned victim impact statements and said
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psnet.ahrq.gov/node/849661/psn-pdf
June 28, 2023 - The
obstetric team had not mentioned this information during the previous huddle.
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psnet.ahrq.gov/perspective/conversation-jeffrey-starke-md
September 11, 2023 - RW : You mentioned that one of the reasons that people in health care tend not to stay out when they
-
psnet.ahrq.gov/node/846126/psn-pdf
March 09, 2023 - As mentioned previously, the surgical setting allows for immediate local medication administration.
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psnet.ahrq.gov/web-mm/syringe-swap-during-regional-block-case-medication-error-and-recovery
July 22, 2020 - Staff acceptance can vary and will depend on many of the factors previously mentioned, including perceived
-
psnet.ahrq.gov/node/851389/psn-pdf
July 31, 2023 - several factors, such as
the nuanced evaluation required to examine how incidental lung nodules were mentioned
-
psnet.ahrq.gov/node/33785/psn-pdf
May 01, 2015 - RW: You mentioned part of what got you stimulated to do this is a bias in the field of safety and quality
-
psnet.ahrq.gov/node/33764/psn-pdf
April 01, 2014 - And for NPSF, as I mentioned, the ACA has created a
focus on value and cost reduction.
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psnet.ahrq.gov/web-mm/silent-pain-neck
August 19, 2020 - Silent Pain in the Neck
Citation Text:
Bittner EA. Silent Pain in the Neck. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011.
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