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psnet.ahrq.gov/node/850450/psn-pdf
June 14, 2023 - asystolic
cardiac arrest secondary to carotid baroreceptor stimulation, all of which may lead to serious morbidity
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psnet.ahrq.gov/node/49843/psn-pdf
October 01, 2018 - with sepsis, as well as several high-profile cases in which patients
have experienced preventable morbidity
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psnet.ahrq.gov/web-mm/chest-pain-rural-hospital
June 02, 2021 - List patient safety strategies likely to reduce acute myocardial infarction morbidity and mortality.
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psnet.ahrq.gov/classics
August 01, 2023 - (339)
Error Analysis
(186)
Failure Mode Effects Analysis
(3)
Morbidity
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psnet.ahrq.gov/web-mm/harm-alarm-fatigue
February 14, 2018 - SPOTLIGHT CASE
Harm From Alarm Fatigue
Citation Text:
Pelter MM, Drew BJ. Harm From Alarm Fatigue. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015.
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Format:
Google Scholar BibTeX EndNote X3 X…
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psnet.ahrq.gov/node/49633/psn-pdf
September 01, 2011 - The Safety and Quality of Long Term Care
September 1, 2011
Vogelsmeier AA. The Safety and Quality of Long Term Care. PSNet [internet]. 2011.
https://psnet.ahrq.gov/web-mm/safety-and-quality-long-term-care
Case Objectives
Identify commonly reported adverse events in long-term care.
Identify two to three challenges…
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psnet.ahrq.gov/sites/default/files/2023-03/challenging_case_of_multiple_suicide_attempts_in_a_complex_patient_with_psychiatric_comorbidities.pdf
January 01, 2023 - Microsoft PowerPoint - Spotlight Case_Suicide Attempts_03.17.2023 FINAL.pptx
Spotlight
Challenging Case of Multiple Suicide Attempts in a
Complex Patient with Psychiatric Comorbidities
Source and Credits
• This presentation is based on the March 2023 AHRQ WebM&M
Spotlight Case
o See the full article at https://…
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psnet.ahrq.gov/primer/long-term-care-and-patient-safety
February 24, 2022 - Long-term Care and Patient Safety
Citation Text:
Bakerjian D. Long-term Care and Patient Safety. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 …
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psnet.ahrq.gov/web-mm/norepinephrine-dosing-error-associated-multiple-health-system-vulnerabilities
November 27, 2019 - Norepinephrine Dosing Error Associated with Multiple Health System Vulnerabilities
Citation Text:
Duby JJ, Schomer K, Oyewole V, et al. Norepinephrine Dosing Error Associated with Multiple Health System Vulnerabilities. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Departm…
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psnet.ahrq.gov/web-mm/missed-appendicitis
March 13, 2013 - SPOTLIGHT CASE
Missed Appendicitis
Citation Text:
Adams JG. Missed Appendicitis. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML E…
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psnet.ahrq.gov/node/848108/psn-pdf
April 26, 2023 - Physical Status Classification System was created in 1962 to assess patients’ pre-
anesthesia medical co-morbidities … and thereby to define levels of perioperative risk of morbidity and
mortality.7 A prospective observational
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psnet.ahrq.gov/node/837748/psn-pdf
August 05, 2022 - Geriatric patients with
multiple medical morbidities and high-risk medications, such as anticoagulants
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psnet.ahrq.gov/web-mm/which-line-ordering-provider-or-proceduralist
September 16, 2015 - A surgical safety checklist to reduce morbidity and mortality in a global population.
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psnet.ahrq.gov/web-mm/spotlight-overdiagnosis-and-delay-challenges-sepsis-diagnosis
October 28, 2020 - associated with sepsis, as well as several high-profile cases in which patients have experienced preventable morbidity
-
psnet.ahrq.gov/node/851099/psn-pdf
June 28, 2023 - in an
intravenous line unless there is a right to left intracardiac shunt, it may cause significant morbidity
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psnet.ahrq.gov/web-mm/delay-treatment-failure-contact-patient-leads-significant-complications
February 01, 2004 - that would not cause appreciable harm if unaddressed for weeks—and even then would cause only minor morbidity
-
psnet.ahrq.gov/node/49611/psn-pdf
October 01, 2010 - These
changes may lead to increased cardiac morbidity and mortality in one of four scenarios: (i) when
-
psnet.ahrq.gov/node/861738/psn-pdf
January 31, 2024 - thorough hand examination can lead to missed open or closed tendon injuries often
resulting in serious morbidity
-
psnet.ahrq.gov/sites/default/files/2024-01/spotlight_case_laceration_needed_exam_not_x-ray_final.pdf
January 01, 2024 - thorough hand examination can lead to missed open or
closed tendon injuries often resulting in serious morbidity
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psnet.ahrq.gov/web-mm/ca-mrsa-skin-infections-ounce-prevention-worth-pound-cure
March 01, 2005 - problem in the first place, and early recognition of infections will minimize the likelihood of long-term morbidity