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psnet.ahrq.gov/perspective/safety-dentistry
August 01, 2016 - ), or inadvertently injected into the mucosa instead of local anesthetic.( 5 ) Because dental work occurs … problem is that, unlike hospitals, dental offices are not supervised until a serious adverse event occurs … RW : You've noted that most care occurs in small offices.
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psnet.ahrq.gov/perspective/conversation-bernardo-perea-perez-md-dds-phd
August 01, 2016 - problem is that, unlike hospitals, dental offices are not supervised until a serious adverse event occurs … RW : You've noted that most care occurs in small offices. … ), or inadvertently injected into the mucosa instead of local anesthetic.( 5 ) Because dental work occurs
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psnet.ahrq.gov/web-mm/defensive-medicine-glowing-pain
November 01, 2012 - two distinct entities: positive and negative.( 5 ) Positive defensive medicine, as in this case, occurs … Negative defensive medicine occurs when physicians curtail services to avoid high-risk patients or procedures
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psnet.ahrq.gov/web-mm/managing-ascites-hazards-fluid-removal
June 01, 2018 - The vasodilatation that occurs in the splanchnic bed leads to a lowering of mean arterial pressure and … If a patient develops a large fall in blood pressure, as occasionally occurs, I would give vasopressor
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psnet.ahrq.gov/web-mm/late-anemia-following-rh-disease-newborn
June 17, 2010 - Decreased excretion of bilirubin in newborns occurs because it takes time to increase the activity of … Thus, the late anemia occurs due to ongoing hemolysis of the remaining Rh+ cells and because the transfused
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psnet.ahrq.gov/node/49612/psn-pdf
November 01, 2010 - Sadly, though, direct communication between physicians occurs only
3%–20% of the time, and the discharge … One such opportunity for harm occurs when test results are pending at the time of a care
transition.
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psnet.ahrq.gov/node/49568/psn-pdf
September 01, 2008 - Jaundice occurs in 40%–60% of newborns and is typically benign. … starvation jaundice, aggravated by inadequate milk intake secondary to poor
breastfeeding.(7) It typically occurs
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psnet.ahrq.gov/node/49411/psn-pdf
July 01, 2003 - If this occurs, hospital-based
physicians must discuss treatment decisions with a surrogate decision-maker … If a
cardiopulmonary arrest occurs, there is no opportunity to ask the patient whether she wants
cardiopulmonary
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psnet.ahrq.gov/node/49819/psn-pdf
February 01, 2018 - Landrigan, MD, MPH
As is often the case when a death occurs due to a preventable adverse event in hospital … Omissions of critical information or provision of outdated, erroneous information occurs frequently.(
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.122_slideshow.ppt
April 01, 2006 - skills
Ability to act decisively on uncertain knowledge
Willingness to improvise when unexpected occurs
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psnet.ahrq.gov/web-mm/getting-diagnosis-both-right-and-wrong
May 29, 2024 - medical practice—rely on both of these processes, although the vast majority of our decision-making occurs … Diagnosis often occurs as a coproductive activity between persons in specific ecosystems, and the interactions
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psnet.ahrq.gov/node/866205/psn-pdf
July 10, 2024 - If active
resuscitation and transfusion are required, assessment of coagulation occurs in conjunction … Major vascular injury (e.g., left common iliac vein, inferior vena cava, or iliolumbar vein), occurs
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psnet.ahrq.gov/primer/culture-safety
September 15, 2024 - on interprofessional relationships and other local circumstances, and thus changing safety culture occurs
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psnet.ahrq.gov/node/866055/psn-pdf
May 29, 2024 - RSIs are the most common
category of surgical never events.1 An RSI occurs when a needle, sponge, or … Surgical debrief occurs before the surgeon leaves the room.
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psnet.ahrq.gov/web-mm/false-assumptions-result-missed-pneumothorax-after-bronchoscopy-transbronchial-biopsy
March 15, 2023 - this symptom usually resolves within several days. 1 Post-bronchoscopy elevation in body temperature occurs … performed—which is often the reason for using navigational bronchoscopy, as in this case—pneumothorax occurs
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psnet.ahrq.gov/web-mm/signout-fallout
November 16, 2022 - Landrigan, MD, MPH
As is often the case when a death occurs due to a preventable adverse event in hospital … Omissions of critical information or provision of outdated, erroneous information occurs frequently.(
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psnet.ahrq.gov/node/49852/psn-pdf
February 01, 2019 - Mueller, MD, MPH
The transfer of patients between acute care hospitals, known as interhospital transfer, occurs … patients (1,13,14) and are therefore at
even greater risk for poor outcomes when suboptimal communication occurs
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psnet.ahrq.gov/innovation/reducing-preventable-patient-harm-due-retained-surgical-items-rsi-bundle
July 23, 2024 - RSIs are the most common category of surgical never events. 1 An RSI occurs when a needle, sponge, or … saying, “I would like to perform our surgical STOP before proceeding with closure.” 2 Surgical debrief occurs
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psnet.ahrq.gov/issue/analysis-risk-factors-patient-safety-events-occurring-emergency-department
January 26, 2022 - Study
Analysis of risk factors for patient safety events occurring in the emergency department.
Citation Text:
Alsabri M, Boudi Z, Zoubeidi T, et al. Analysis of risk factors for patient safety events occurring in the emergency department. J Patient Saf. 2022;18(1):e124-e135. doi:10.1097…
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psnet.ahrq.gov/node/73336/psn-pdf
May 26, 2021 - spontaneously without treatment in 3-6 weeks, but if treated it resolves more quickly.10
Secondary syphilis occurs … copper-colored lesions on the palms
or soles, but its appearance is highly variable, and if the rash occurs