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psnet.ahrq.gov/primer/failure-rescue
September 15, 2024 - Racial and ethnic disparities in death associated with severe maternal morbidity in the United States
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psnet.ahrq.gov/curated-library/diagnostic-error
August 10, 2025 - The majority of the diagnostic errors resulted in some form of clinical impact, including short-term morbidity
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psnet.ahrq.gov/web-mm/inside-time-out
March 01, 2004 - July 28, 2010
A surgical safety checklist to reduce morbidity and mortality in a global
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psnet.ahrq.gov/web-mm/mothers-milk-whose-mother
November 15, 2023 - July 29, 2020
Trends in maternal mortality and severe maternal morbidity during delivery-related
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psnet.ahrq.gov/web-mm/delay-initiating-antibiotics-results-fatal-error
August 02, 2015 - to prevent similar occurrences, such as a resident report, clinicopathological conference (CPC), or Morbidity
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psnet.ahrq.gov/node/861881/psn-pdf
January 31, 2024 - Over time, these lapses in quality and
safety cause significant morbidity, and perhaps even mortality
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psnet.ahrq.gov/node/49588/psn-pdf
August 01, 2009 - caring for patients, as well as their education and
experience, resulted in fewer complications, lower morbidity
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psnet.ahrq.gov/node/74251/psn-pdf
January 26, 2022 - The importance of this
topic is such that surgical morbidity and mortality conferences often include
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psnet.ahrq.gov/node/72811/psn-pdf
September 01, 2022 - Date First Implemented
2006-01-01
Problem Addressed
Severely injured patients face a high risk of morbidity
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psnet.ahrq.gov/node/33841/psn-pdf
September 01, 2017 - You can remember the old structure for morbidity and mortality conferences where it was not uncommon
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psnet.ahrq.gov/node/49482/psn-pdf
May 01, 2005 - Take-Home Points
Aortic dissection is a rare complication of pregnancy but carries substantial risk of morbidity
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psnet.ahrq.gov/node/33805/psn-pdf
April 01, 2016 - incorporation of resident
engagement into safety and quality beyond what traditionally exists, for instance Morbidity
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psnet.ahrq.gov/web-mm/consequences-miscommunication-regarding-possible-artifact
May 11, 2019 - communications, follows:
Within Minutes
Communicate findings which could lead to mortality or morbidity
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psnet.ahrq.gov/node/33806/psn-pdf
April 01, 2016 - https://psnet.ahrq.gov/issue/surgical-safety-checklist-reduce-morbidity-and-mortality-global-population
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psnet.ahrq.gov/perspective/conversation-charles-vincent-mphil-phd
July 10, 2024 - Using the ecological systems theory to understand black/white disparities in maternal morbidity
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psnet.ahrq.gov/web-mm/endometriosis-common-and-commonly-missed-and-delayed-diagnosis
May 26, 2021 - WHO systematic review of prevalence of chronic pelvic pain: a neglected reproductive health morbidity
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psnet.ahrq.gov/perspective/conversation-susan-mcgrath-phd-and-george-blike-md-about-surveillance-monitoring
April 26, 2023 - sedative and analgesic medications: impact of continuous monitoring on patient mortality and severe morbidity … sedative and analgesic medications: impact of continuous monitoring on patient mortality and severe morbidity
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psnet.ahrq.gov/node/33597/psn-pdf
April 10, 2024 - Long-term Care and Patient Safety
April 10, 2024
Bakerjian D. Long-term Care and Patient Safety. PSNet [internet]. 2024.
https://psnet.ahrq.gov/primer/long-term-care-and-patient-safety
Background
For many years, the patient safety field focused on improving safety in hospital and ambulatory care
settings. More re…
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psnet.ahrq.gov/node/49403/psn-pdf
June 01, 2003 - Missed Appendicitis
June 1, 2003
Adams JG. Missed Appendicitis. PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/missed-appendicitis
Case Objectives
Appreciate the variable presentations of appendicitis
List complications of missed appendicitis
Understand the advantages and disadvantages of CT in diagnosing…
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psnet.ahrq.gov/node/73229/psn-pdf
May 26, 2021 - Norepinephrine Dosing Error Associated with Multiple
Health System Vulnerabilities
May 26, 2021
Duby JJ, Schomer K, Oyewole V, et al. Norepinephrine Dosing Error Associated with Multiple Health
System Vulnerabilities. PSNet [internet]. 2021.
https://psnet.ahrq.gov/web-mm/norepinephrine-dosing-error-associated-mult…