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psnet.ahrq.gov/node/49526/psn-pdf
December 01, 2006 - Crossing the Borderline
December 1, 2006
Oldham JM. Crossing the Borderline. PSNet [internet]. 2006.
https://psnet.ahrq.gov/web-mm/crossing-borderline
The Case
A 24-year-old woman with borderline personality disorder was admitted to an inpatient psychiatry unit
following a failed suicide attempt with excess doses…
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psnet.ahrq.gov/node/33782/psn-pdf
March 01, 2015 - Where Does Risk-Adjusted Mortality Fit Into a Safety
Measurement Program?
March 1, 2015
Scott IA. Where Does Risk-Adjusted Mortality Fit Into a Safety Measurement Program? PSNet [internet].
2015.
https://psnet.ahrq.gov/perspective/where-does-risk-adjusted-mortality-fit-safety-measurement-program
Perspective
Much…
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psnet.ahrq.gov/node/33665/psn-pdf
March 01, 2008 - Creation of a Medical Procedure Service to Improve
Patient Safety
March 1, 2008
Smith CC, CHuang G. Creation of a Medical Procedure Service to Improve Patient Safety. PSNet [internet].
2008.
https://psnet.ahrq.gov/perspective/creation-medical-procedure-service-improve-patient-safety
Perspective
Introduction and …
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psnet.ahrq.gov/web-mm/transfusion-thresholds-gastrointestinal-bleeding
November 26, 2014 - Gastrointestinal hemorrhage is a common cause of morbidity and mortality in the United States, accounting
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psnet.ahrq.gov/web-mm/procedure-complications-who-responsible-follow
July 31, 2023 - the procedure planned. 1 This rare but serious complication of esophageal endoscopy portends high morbidity
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psnet.ahrq.gov/web-mm/who-nose-where-airway
May 01, 2016 - Although relatively uncommon, RFOs during surgery have significant implications for the patient, including morbidity
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psnet.ahrq.gov/web-mm/good-catch-operating-room
August 27, 2017 - of a medical team training program has resulted in several improvements: (i) a decrease in surgical morbidity
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psnet.ahrq.gov/web-mm/july-syndrome
July 01, 2011 - Taken as a whole, higher quality studies tend to report increased mortality and morbidity during this
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psnet.ahrq.gov/node/73434/psn-pdf
June 30, 2021 - of communications, follows:
Within Minutes
Communicate findings which could lead to mortality or morbidity
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psnet.ahrq.gov/web-mm/clostridium-difficile-relapse-secondary-medication-access-issue
October 01, 2015 - The resulting discontinuities in care often lead to post-discharge adverse events that cause morbidity
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psnet.ahrq.gov/node/49669/psn-pdf
November 01, 2012 - Effect of anaemia and cardiovascular disease on surgical mortality
and morbidity.
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psnet.ahrq.gov/node/49408/psn-pdf
July 01, 2003 - Transfusion: morbidity and mortality. Anaesth Intensive Care. 1993;21:15-9.[ go to PubMed
]
8.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.332_slideshow.ppt
September 01, 2014 - Co-morbidity and utilization of medical services by pain patients receiving opioid medications: data
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psnet.ahrq.gov/node/49550/psn-pdf
December 01, 2007 - Clinical
importance
The cases identified involve safety problems that carry a high risk for substantial
morbidity
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psnet.ahrq.gov/web-mm/pain-relief-risk-case-suspected-opioid-overdose-pediatric-patient
October 04, 2023 - This is known as “ dose stacking ” and is documented to be associated with increased patient morbidity
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psnet.ahrq.gov/innovations
February 26, 2025 - Analysis
(16)
Error Analysis
(9)
Failure Mode Effects Analysis
(1)
Morbidity
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psnet.ahrq.gov/web-mm/treatment-challenges-after-discharge
January 03, 2017 - ) One study concluded that 9%–48% of hospital readmissions are preventable.( 3 ) Given the patient morbidity
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psnet.ahrq.gov/node/852808/psn-pdf
August 30, 2023 - .2007.06.007
https://doi.org/10.1002/14651858.cd005542.pub3
https://orwh.od.nih.gov/research/maternal-morbidity-and-mortality
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psnet.ahrq.gov/sites/default/files/2023-08/spotlight_case_prolonged_dka_in_pregnancy_-_slides_-_revised.pdf
January 01, 2023 - .2007.06.007
https://doi.org/10.1002/14651858.cd005542.pub3
https://orwh.od.nih.gov/research/maternal-morbidity-and-mortality
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psnet.ahrq.gov/node/49698/psn-pdf
December 01, 2013 - Because of multi-morbidity and the proliferation of increasingly effective
pharmacologic therapies and