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psnet.ahrq.gov/sites/default/files/2023-04/failure_to_ensure_patient_safety_leads_to_patient_falls_in_nursing_homes.pdf
January 01, 2023 - the fall at the
nursing home.
7
Case #2 Details (1)
• A 78-year-old woman with a history of obesity
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psnet.ahrq.gov/node/49537/psn-pdf
June 01, 2007 - cardiac
disease, major surgery, medications that
may affect renal function
Glucose 0.5 1.6 0.85 Obesity
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psnet.ahrq.gov/periodic-issue/periodic-issue-447
July 10, 2024 - Christian Bohringer, MB BS and Gustavo Chavez, MD | July 10, 2024
A 36-year-old woman with class 2 obesity
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psnet.ahrq.gov/web-mm/misdiagnosis-small-bowel-obstruction-setting-previous-abdominal-operations
September 27, 2023 - The Case A man in his mid-40s with a history of hypertension treated with atenolol and losartan, obesity
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psnet.ahrq.gov/innovation/johns-hopkins-venous-thromboembolism-vte-collaborative-studies-and-implements-methods
June 19, 2024 - increasing hospitalizations and the use of surgical procedures as well as the increasing prevalence of obesity
-
psnet.ahrq.gov/node/867672/psn-pdf
February 26, 2025 - The Case
A man in his mid-40s with a history of hypertension treated with atenolol and losartan, obesity
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psnet.ahrq.gov/node/49546/psn-pdf
October 17, 2007 - Do Not Disturb!
October 1, 2007
Duffy DF, Cassel C. Do Not Disturb!. PSNet [internet]. 2007.
https://psnet.ahrq.gov/web-mm/do-not-disturb
Case Objectives
Define professionalism.
Discuss behaviors associated with lack of professionalism.
Outline steps one should take if a significant breach of professionalism is …
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psnet.ahrq.gov/web-mm/missed-connection-case-inadequate-ecg-oversight-cardiac-surgery
March 25, 2020 - WebM&M Cases
Endotracheal Tube Fallout in a Patient with Severe Obesity
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psnet.ahrq.gov/web-mm/intraoperative-awareness-during-rhinoplasty
January 29, 2021 - WebM&M Cases
Endotracheal Tube Fallout in a Patient with Severe Obesity
-
psnet.ahrq.gov/node/836840/psn-pdf
April 22, 2021 - increasing hospitalizations and the use of surgical procedures as well as the increasing prevalence of
obesity
-
psnet.ahrq.gov/node/848110/psn-pdf
April 26, 2023 - Case 2: A 78-year-old woman with a history of obesity, diabetes mellitus, anemia, anxiety, end-stage
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psnet.ahrq.gov/web-mm/sleep-deprivation-leads-medication-error-during-spinal-epidural-anesthesia
January 29, 2021 - WebM&M Cases
Endotracheal Tube Fallout in a Patient with Severe Obesity
-
psnet.ahrq.gov/periodic-issue/periodic-issue-294
June 30, 2021 - June 2, 2021 Weekly Issue
PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly
Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient
safety literature, news, conferences, reports, a…
-
psnet.ahrq.gov/periodic-issue/periodic-issue-298
June 30, 2021 - June 30, 2021 Weekly Issue
PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly
Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient
safety literature, news, conferences, reports, …
-
psnet.ahrq.gov/web-mm/uterine-artery-injury-during-cesarean-delivery-leads-cardiac-arrests-and-emergency
September 30, 2020 - SPOTLIGHT CASE
Uterine Artery Injury during Cesarean Delivery Leads to Cardiac Arrests and Emergency Hysterectomy
Citation Text:
Lopez C, Tache V. Uterine Artery Injury during Cesarean Delivery Leads to Cardiac Arrests and Emergency Hysterectomy. PSNet [internet]. Rockville (MD): Agency for Healt…
-
psnet.ahrq.gov/perspective/conversation-sigall-k-bell-md
February 26, 2025 - Things like obesity, substance abuse, and cancer discussions.
-
psnet.ahrq.gov/web-mm/beeline-spine
March 01, 2014 - disease, major surgery, medications that may affect renal function Glucose 0.5 1.6 0.85 Obesity
-
psnet.ahrq.gov/perspective/conversation-brian-jarman-phd
March 01, 2015 - variables, which can vary considerably.( 9 ) Certain comorbidities that impact on mortality (such as morbid obesity
-
psnet.ahrq.gov/web-mm/cognitive-and-communication-blind-spot-contributes-permanent-paralysis
January 13, 2010 - SPOTLIGHT CASE
A Cognitive and Communication Blind Spot Contributes to Permanent Paralysis
Citation Text:
Utter GH. A Cognitive and Communication Blind Spot Contributes to Permanent Paralysis. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health an…
-
psnet.ahrq.gov/web-mm/do-not-disturb
February 03, 2011 - SPOTLIGHT CASE
Do Not Disturb!
Citation Text:
Duffy DF, Cassel C. Do Not Disturb!. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2007.
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