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psnet.ahrq.gov/web-mm/hard-swallow
April 26, 2023 - Hard to Swallow
Citation Text:
Driver J. Hard to Swallow. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004.
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…
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psnet.ahrq.gov/web-mm/wrongful-resuscitation
October 12, 2012 - The Wrongful Resuscitation
Citation Text:
Teno JM. The Wrongful Resuscitation. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008.
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psnet.ahrq.gov/node/49594/psn-pdf
December 01, 2009 - Standard Deviations
December 1, 2009
Sabin JE. Standard Deviations. PSNet [internet]. 2009.
https://psnet.ahrq.gov/web-mm/standard-deviations
Case Objectives
Understand the safety risks associated with patients being discharged against medical advice
(AMA).
Recognize safety risks associated with being part of a …
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psnet.ahrq.gov/node/49783/psn-pdf
February 01, 2017 - The Hazards of Distraction: Ticking All the EHR Boxes
February 1, 2017
Easty AC. The Hazards of Distraction: Ticking All the EHR Boxes. PSNet [internet]. 2017.
https://psnet.ahrq.gov/web-mm/hazards-distraction-ticking-all-ehr-boxes
Case Objectives
List the goals of having order sets in the electronic health record…
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psnet.ahrq.gov/node/49780/psn-pdf
January 01, 2017 - The Missing Abscess: Radiology Reads in the Digital Era
January 1, 2017
Siegel EL. The Missing Abscess: Radiology Reads in the Digital Era. PSNet [internet]. 2017.
https://psnet.ahrq.gov/web-mm/missing-abscess-radiology-reads-digital-era
Case Objectives
Identify the most common complication of hysterectomy.
Descr…
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psnet.ahrq.gov/web-mm/deaths-not-foretold-are-unexpected-deaths-useful-patient-safety-signals
March 01, 2004 - code of 512.1 in any secondary diagnosis field per 100 medical and surgical discharges Postoperative
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psnet.ahrq.gov/web-mm/open-wider-failure-use-interpreter-results-fractured-teeth-and-hypoxia-during-simple
January 29, 2021 - Information obtained in the preoperative period may become crucial in the operating room or during the postoperative
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psnet.ahrq.gov/web-mm/no-news-may-not-be-good-news
December 07, 2009 - Use of unsolicited patient observations to identify surgeons with increased risk for postoperative
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psnet.ahrq.gov/web-mm/inadequate-anesthesia-preparation-leading-difficult-intubation-and-severe-hypoxemia
January 29, 2021 - High flow nasal oxygen is of great benefit when intubating obese patients, and in the postoperative period
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psnet.ahrq.gov/web-mm/impatient-inpatient-dosing
June 24, 2020 - November 16, 2022
How valid is the ICD-9-CM based AHRQ Patient Safety Indicator for postoperative
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psnet.ahrq.gov/perspective/advancing-patient-safety-through-state-reporting-systems
June 01, 2007 - retention of a foreign object in a patient after surgery or other procedure
Intraoperative or immediately postoperative
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psnet.ahrq.gov/web-mm/false-assumptions-result-missed-pneumothorax-after-bronchoscopy-transbronchial-biopsy
March 15, 2023 - WebM&M Cases
Respiratory Distress after Neck Surgery: Two Cases of Postoperative
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psnet.ahrq.gov/node/74713/psn-pdf
January 26, 2022 - He underwent internal fixation without
intraoperative complications and was admitted to a routine postoperative
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psnet.ahrq.gov/web-mm/transfer-troubles
December 29, 2014 - The patient survived the surgery, but experienced persistent postoperative hypotension (shock) of unclear
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psnet.ahrq.gov/web-mm/tough-call-addressing-errors-previous-providers
July 17, 2024 - Use of unsolicited patient observations to identify surgeons with increased risk for postoperative
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psnet.ahrq.gov/web-mm/transfusion-overload
September 23, 2020 - The "10/30" rule, first recommended by Adams and Lundy in 1942 to improve outcomes in postoperative patients
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psnet.ahrq.gov/perspective/university-texas-system-clinical-safety-and-effectiveness-course
February 01, 2011 - Use of unsolicited patient observations to identify surgeons with increased risk for postoperative
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psnet.ahrq.gov/node/33784/psn-pdf
April 01, 2015 - That means one out of every two postoperative deaths could be
prevented by use of a surgical safety
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psnet.ahrq.gov/perspective/surveillance-monitoring-improve-patient-safety-acute-hospital-care-units
April 26, 2023 - Postoperative monitoring—the Dartmouth experience. Anesthes Pat Saf Found Newslett . 2012;27(1). … https://www.apsf.org/article/postoperative-monitoring-the-dartmouth-experience/
9.
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psnet.ahrq.gov/web-mm/spinal-epidural-abscess
November 13, 2019 - Spinal Epidural Abscess
Citation Text:
Lu Y, Salvador D. Spinal Epidural Abscess. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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