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psnet.ahrq.gov/web-mm/norepinephrine-dosing-error-associated-multiple-health-system-vulnerabilities
November 27, 2019 - Evaluating the impact of obesity on safety and efficacy of weight-based norepinephrine dosing in septic
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psnet.ahrq.gov/node/866579/psn-pdf
August 28, 2024 - tunnel release (0.32%),
independent risk factors were male sex, younger age, tobacco or alcohol use, obesity … or morbid obesity
(body mass index 30-40 or >40), diabetes, inflammatory arthritis, peripheral vascular … alcohol
or opioid dependence, thyroid disease, rheumatoid arthritis or other autoimmune diseases, obesity
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psnet.ahrq.gov/issue/medical-misdiagnoses-can-have-fatal-consequences
July 27, 2011 - Newspaper/Magazine Article
Medical misdiagnoses can have fatal consequences.
Citation Text:
Medical misdiagnoses can have fatal consequences. Olsen D. State Journal-Register. June 26, 2011.
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psnet.ahrq.gov/web-mm/missed-compartment-syndrome-after-steep-lithotomy-position-laparoscopic-gynecological
January 29, 2021 - The Case A 36-year-old woman with class 2 obesity but no chronic illnesses required laparoscopic hysterectomy … Patients with obesity are more prone to suffer this complication than patients with normal BMI. 15,16 … WebM&M Cases
Endotracheal Tube Fallout in a Patient with Severe Obesity
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psnet.ahrq.gov/issue/5-pandemic-mistakes-we-keep-repeating-we-can-learn-our-failures
March 10, 2021 - Newspaper/Magazine Article
5 pandemic mistakes we keep repeating. We can learn from our failures.
Citation Text:
5 pandemic mistakes we keep repeating. We can learn from our failures. Zeynep Tufekci. The Atlantic. February 26, 2021
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psnet.ahrq.gov/issue/radiological-error-analysis-standard-setting-targeted-instruction-and-teamworking
December 12, 2018 - Commentary
Radiological error: analysis, standard setting, targeted instruction and teamworking.
Citation Text:
FitzGerald R. Radiological error: analysis, standard setting, targeted instruction and teamworking. Eur Radiol. 2005;15(8). doi:10.1007/s00330-005-2662-8.
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psnet.ahrq.gov/web-mm/fatal-oversight-misdiagnosis-nocturnal-chest-pain-elevated-d-dimer
May 01, 2005 - The Case A man in his 70s with a past medical history of lymphoma in remission, obesity, hypertension … deviation without LBBB, LVH, or digoxin 4 Hypertension (HTN), hypercholesterolemia, diabetes mellitus, obesity
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psnet.ahrq.gov/issue/reducing-preventable-harm-hospitals
March 16, 2016 - Newspaper/Magazine Article
Reducing preventable harm in hospitals.
Citation Text:
Reducing preventable harm in hospitals. Bornstein D. New York Times. January 26, and February 2, 2016.
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psnet.ahrq.gov/issue/situational-awareness-and-patient-safety-learning-package
September 13, 2017 - Book/Report
Situational Awareness and Patient Safety: A Learning Package.
Citation Text:
Situational Awareness and Patient Safety: A Learning Package. Parush A, Campbell C, Hunter A, et al. Ottawa, Ontario: The Royal College of Physicians and Surgeons of Canada; 2011. ISBN: 9781926588100…
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psnet.ahrq.gov/issue/digital-health-technology-specific-risks-medical-malpractice-liability
January 18, 2023 - Commentary
Digital health technology-specific risks for medical malpractice liability.
Citation Text:
Rowland SP, Fitzgerald JE, Lungren M, et al. Digital health technology-specific risks for medical malpractice liability. NPJ Digit Med. 2022;5(1):157. doi:10.1038/s41746-022-00698-3.
C…
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psnet.ahrq.gov/issue/safety-culture-across-cultures
February 12, 2020 - Commentary
Emerging Classic
Safety culture across cultures.
Citation Text:
Yorio PL, Edwards J, Hoeneveld D. Safety culture across cultures. Safety Sci. 2019;120:402-410. doi:10.1016/j.ssci.2019.07.021.
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psnet.ahrq.gov/web-mm/complications-vascular-access-procedures-patients-kidney-disease
November 15, 2023 - compromise during conscious sedation include chronic obstructive pulmonary disease, sleep apnea, asthma, and obesity … Obesity and respiratory diseases. International journal of general medicine. 2010;3:335.
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psnet.ahrq.gov/sites/default/files/2024-07/spotlight_case_mismanagement_of_acute_decompensated_heart_failure_slides_final.pptx
January 01, 2024 - intensive care unit
4
4
Case Details (1)
A 55-year-old woman with a history of panic attacks, class III obesity … Was there implicit bias related to the patient’s obesity, lack of prior treatment for hypertension, religion
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psnet.ahrq.gov/periodic-issue/periodic-issue-401
July 31, 2023 - Review
Weight stigma and barriers to effective obesity care. … This article outlines the ways in which stigma create barriers to effective care for patients with obesity
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psnet.ahrq.gov/issue/implicit-bias-healthcare-professionals-systematic-review
September 28, 2022 - Review
Implicit bias in healthcare professionals: a systematic review.
Citation Text:
FitzGerald C, Hurst S. Implicit bias in healthcare professionals: a systematic review. BMC Med Ethics. 2017;18(1):19. doi:10.1186/s12910-017-0179-8.
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psnet.ahrq.gov/issue/nurses-perceived-causes-medication-administration-errors-qualitative-systematic-review
September 16, 2020 - Review
Nurses' perceived causes of medication administration errors: a qualitative systematic review.
Citation Text:
Schroers G, Ross JG, Moriarty H. Nurses' perceived causes of medication administration errors: a qualitative systematic review. Jt Comm J Qual Patient Saf. 2021;47(1):38-5…
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psnet.ahrq.gov/issue/patient-safety-and-ethical-implications-healthcare-sick-leave-policies-pandemic-era
September 16, 2020 - Commentary
Patient safety and ethical implications of healthcare sick leave policies in the pandemic era.
Citation Text:
Preston-Suni K, Celedon MA, Cordasco KM. Patient safety and ethical implications of healthcare sick leave policies in the pandemic era. Jt Comm J Qual Patient Saf. 202…
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psnet.ahrq.gov/issue/lessons-walking-medical-distancing-tightrope
October 21, 2020 - Commentary
Lessons from walking the medical distancing tightrope.
Citation Text:
Jenkins I, Sebasky M, Bell J, et al. Lessons from walking the medical distancing tightrope. Jt Comm J Qual Patient Saf. 2020;46(9):542-545. doi:10.1016/j.jcjq.2020.05.006.
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psnet.ahrq.gov/node/49498/psn-pdf
January 01, 2006 - surgery, trauma, cancer, congestive heart failure, chronic lung
disease, age older than 70 years, obesity … risk factor of major surgery was assigned a score of 2; and the minor risk factors of
advanced age, obesity
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psnet.ahrq.gov/issue/what-causes-prescribing-errors-children-scoping-review
September 09, 2015 - Review
What causes prescribing errors in children? Scoping review.
Citation Text:
Conn RL, Kearney O, Tully MP, et al. What causes prescribing errors in children? Scoping review. BMJ Open. 2019;9(8):e028680. doi:10.1136/bmjopen-2018-028680.
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