-
psnet.ahrq.gov/issue/should-operations-be-regionalized-empirical-relation-between-surgical-volume-and-mortality
August 04, 2021 - August 23, 2023
Misdiagnosis of thoracic aortic emergencies occurs frequently among transfers
-
psnet.ahrq.gov/issue/analysis-variation-between-diagnosis-admission-vs-discharge-and-clinical-outcomes-among
June 22, 2022 - February 22, 2023
Misdiagnosis of thoracic aortic emergencies occurs frequently among
-
psnet.ahrq.gov/issue/medication-reconciliation-and-patient-safety-trauma-applicability-existing-strategies
September 23, 2020 - August 3, 2017
Misdiagnosis of thoracic aortic emergencies occurs frequently among transfers
-
psnet.ahrq.gov/issue/look-alike-medications-perioperative-setting-scoping-review-medication-incidents-and-risk
October 04, 2023 - October 25, 2023
Type 1 diabetes defined by severe insulin deficiency occurs after 30
-
psnet.ahrq.gov/issue/hospital-autopsy-endangered-or-extinct
November 21, 2021 - November 21, 2021
Type 1 diabetes defined by severe insulin deficiency occurs after 30
-
psnet.ahrq.gov/issue/association-use-mandatory-prescription-drug-monitoring-program-prescribing-practices-patients
March 01, 2023 - September 23, 2020
Type 1 diabetes defined by severe insulin deficiency occurs after
-
psnet.ahrq.gov/issue/automation-i-pass-tool-improve-transitions-care
August 04, 2021 - November 21, 2021
Type 1 diabetes defined by severe insulin deficiency occurs after 30
-
psnet.ahrq.gov/issue/validity-agency-healthcare-research-and-quality-patient-safety-indicators-and-centers
June 14, 2017 - These results suggest that unless further development and validation of administrative metrics occurs
-
psnet.ahrq.gov/node/33635/psn-pdf
July 01, 2006 - They're also going to make sure that feedback occurs, so that these actions get
back to the providers … Once litigation actually occurs, the patient safety responsibility ends, and the risk
management process … So, I think the answer is that if I'm sitting in an organization and a terrible event
occurs and I look … done all this incredibly hard work and made these changes,
and then a nasty horrible sentinel event occurs
-
psnet.ahrq.gov/issue/computerization-can-create-safety-hazards-bar-coding-near-miss
March 11, 2011 - April 24, 2018
Type 1 diabetes defined by severe insulin deficiency occurs after 30 years
-
psnet.ahrq.gov/issue/what-causes-prescribing-errors-children-scoping-review
September 09, 2015 - July 1, 2017
Type 1 diabetes defined by severe insulin deficiency occurs after 30 years
-
psnet.ahrq.gov/issue/residents-reflections-quality-improvement-temporal-stability-and-associations-preventability
September 20, 2011 - December 21, 2014
Type 1 diabetes defined by severe insulin deficiency occurs after 30
-
psnet.ahrq.gov/issue/are-med-school-grads-prepared-practice-medicine
April 04, 2012 - August 22, 2018
Type 1 diabetes defined by severe insulin deficiency occurs after 30
-
psnet.ahrq.gov/web-mm/hypoxic-gas-supply-cross-connected-pipelines
February 05, 2020 - When this happens, desaturation occurs very quickly. … rule out a hypoxic gas mixture whenever they encounter very rapid desaturation or when desaturation occurs … never seen the effect of administering a hypoxic gas mixture because cross-connection of the gas supply occurs … Have a low threshold to change to a different gas supply Whenever desaturation occurs very rapidly, or
-
psnet.ahrq.gov/node/73642/psn-pdf
August 25, 2021 - Patient death or serious injury associated
with intravascular air embolism that occurs while being cared … insufflation in children can be considered but has not been recommended.3,5,
15
If an adverse event occurs … Once a complication occurs, escalation of care requires three fundamental communication steps as
identified
-
psnet.ahrq.gov/node/33652/psn-pdf
June 01, 2007 - than as intended
Patient death or serious disability associated with intravascular air embolism that occurs … care facility
Patient death or serious disability associated with hypoglycemia, the onset of which occurs … significant injury of a patient or staff member resulting from a physical assault (i.e., battery)
that occurs
-
psnet.ahrq.gov/web-mm/hiding-plain-sight
April 24, 2019 - Background Herpes zoster (or shingles) occurs in approximately 1 million people annually in the United … Or, when HZ occurs fully or partially under the scalp, it can also lead to a missed diagnosis. … Unilateral allergic contact dermatitis, as often occurs with cases of poison ivy, is also in the differential
-
psnet.ahrq.gov/issue/how-does-routine-disclosure-medical-error-affect-patients-propensity-sue-and-their-assessment
December 04, 2016 - June 5, 2013
Type 1 diabetes defined by severe insulin deficiency occurs after 30 years
-
psnet.ahrq.gov/issue/relationship-between-patient-safety-and-hospital-surgical-volume
May 04, 2012 - March 20, 2024
Misdiagnosis of thoracic aortic emergencies occurs frequently among transfers
-
psnet.ahrq.gov/issue/patient-outcomes-compared-between-admissions-coordinated-transfer-center-and-emergency
April 29, 2015 - November 16, 2022
Misdiagnosis of thoracic aortic emergencies occurs frequently