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psnet.ahrq.gov/node/851971/psn-pdf
July 31, 2023 - with factitious disorder consciously and manipulatively (usually
surreptitiously) produce illness or injury … advocated by most experienced practitioners.20 Applying cricoid pressure compresses the esophagus and … this communication error because the foreign
body likely traversed the gastrointestinal tract without injury … Scand J
Trauma Resusc Emerg Med. 2021;29(1):64. [Free full text]
20. … The clinical use of cricoid pressure: first, do no harm. Anesth Analg.
2021;132(1):261-267.
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psnet.ahrq.gov/node/33765/psn-pdf
April 01, 2014 - reason for us to make sure, at least from Leapfrog's spot,
that there's a continued laser focus and pressure … We
graded every hospital for which there's adequate data on errors, accidents, and injuries. … Then hopefully they will go to the hospital and put some pressure on them to elevate the
priority of … How do I protect them from the errors and injuries that are rampant? What can I do better?
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psnet.ahrq.gov/node/72516/psn-pdf
November 25, 2020 - His initial vital signs in the ED were notable for a systolic blood pressure in the 100s and a
heart … This suggests that the
clinicians initially considered trauma but prematurely narrowed their focus to … additional history-taking may have revealed the patient’s recent history of falls with repeated closed head
injuries … ST-segment abnormalities in a patient with a recent history of head trauma and no
chest pain should … “Has this patient suffered recent head trauma or is this patient at increased risk of head trauma?”)
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psnet.ahrq.gov/node/49859/psn-pdf
April 01, 2019 - oxygen requirement at home was 2 liters via nasal cannula, and
she used a continuous positive airway pressure … Benowitz, MD
This case, of a woman who sustained burn injuries from using an electronic cigarette (e-cigarette … Numerous reports have emerged of fires and explosions caused by e-
cigarettes, some resulting in severe injuries … In summary, this case describes a serious injury due to use of an e-cigarette, a known ignition source … Electronic cigarette explosion and
burn injuries, US emergency departments 2015–2017.
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psnet.ahrq.gov/issue/policies-and-practices-related-role-board-certification-and-recertification-pediatricians
February 03, 2011 - September 29, 2017
Medical injuries among hospitalized children.
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psnet.ahrq.gov/node/49609/psn-pdf
October 01, 2010 - Risk factors for falls included patient age, number of
comorbidities, having a lower systolic blood pressure … addition, after dialysis sessions, hemodynamic shifts can lead to transient hypotension (low blood pressure … The quality indicators include identification of medical
injuries and medical errors. … Falls and fall-related injuries in older dialysis patients.
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psnet.ahrq.gov/web-mm/cognitive-overload-icu
June 01, 2005 - The patient ultimately regained a pulse but required two vasopressors to maintain her blood pressure … Bedside cannulation of the central circulation for measurement of central venous pressure and for vasopressor … The patient immediately responded, with improved oxygenation and blood pressure. … radiograph provided reassurance that the central line was in the correct position without evidence of lung injury … Relative value of central-venous-pressure monitoring and blood-volume measurement in the management of
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psnet.ahrq.gov/node/853774/psn-pdf
September 27, 2023 - Her vital signs included blood pressure 110/73 mmHg, heart rate 104 beats per minute,
respirations 16 … The
patient remained alert and cooperative until 2350H when her blood pressure fell to 90/58. … Nevertheless, every patient deserves to be
provided with the best opportunity to survive an illness or injury … that permits all necessary interventions to be provided commensurate with
the degree of illness or injury … Consulting Editor, AHRQ’s Patient Safety Network (PSNet)
Professor
Department of Surgery
Division of Trauma
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psnet.ahrq.gov/web-mm/fatal-twist-pseudohyperkalemia
February 10, 2021 - On arrival at the ED, he was afebrile, heart rate was 98 beats per minute (bpm), blood pressure was 103 … especially in busy clinical settings such as the ED. 2–4 Hemolysis is defined as a generalized process of injury … WebM&M Cases
Intraosseous Line Extravasation in a Pediatric Trauma
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psnet.ahrq.gov/node/866618/psn-pdf
December 31, 2024 - On arrival at the ED, he was afebrile, heart
rate was 98 beats per minute (bpm), blood pressure was … especially in busy clinical settings such as the ED.2–4
Hemolysis is defined as a generalized process of injury
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psnet.ahrq.gov/node/865884/psn-pdf
May 29, 2024 - Due to
the delayed diagnosis, the patient suffered permanent brain injury requiring around-the-clock … These barriers
include professional hierarchy, time pressure, challenging workloads, and inadequate
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psnet.ahrq.gov/web-mm/risks-absent-interoperability-medication-induced-hemolysis-patient-known-allergy
April 08, 2019 - The Case A 47-year-old man with paraplegia (secondary to a gunshot wound) and a history of polysubstance … Unfortunately, his cardiac arrest led to an anoxic brain injury, and he remained in a vegetative state … 11 Laboratory test(s) 12 Laboratory value(s)/result(s) 13 Vital signs: height, weight, blood pressure
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psnet.ahrq.gov/web-mm/empty-bag
June 01, 2018 - these failures are more likely when staff are working under high levels of stress, workload, or time pressure … Injuries are caused by a lack of differentiation between the use of infusion devices in hospitals and
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psnet.ahrq.gov/web-mm/isolated-clot-real-error
December 01, 2013 - is sometimes observed in clinical practice, filters should not be used as a way to prevent VTE after trauma … July 1, 2011
Injuries before and after diagnosis of cancer: nationwide register … More
Related Resources
WebM&M Cases
Under Pressure
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psnet.ahrq.gov/perspective/conversation-charles-crecelius-md-phd-cmd-and-lori-l-popejoy-phd-rn-faan
October 28, 2020 - In putting all of this in place, did you see reductions in harms like pressure injuries, resident falls … individuals can gain from social interaction and enhanced mobility, such as reduced risk of falls and pressure … mitigate safety risks associated with usual care needs for this patient population, such as falls and pressure
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psnet.ahrq.gov/perspective/long-term-care-and-response-covid-19
October 28, 2020 - individuals can gain from social interaction and enhanced mobility, such as reduced risk of falls and pressure … mitigate safety risks associated with usual care needs for this patient population, such as falls and pressure … In putting all of this in place, did you see reductions in harms like pressure injuries, resident falls
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psnet.ahrq.gov/node/49624/psn-pdf
May 01, 2011 - ICU, he was noted to have fixed and dilated pupils on neurologic exam, a sign of serious neurologic
injury … Strong psychological pressures accompanying
these events (not wanting to admit a mistake) can bias the
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psnet.ahrq.gov/node/49411/psn-pdf
July 01, 2003 - On physical examination, her blood pressure was 145/85, pulse 85, oxygen saturation of 94%, with a
respiratory … At
this point, the patient’s blood pressure was 90/palpable with a heart rate of 40 and an O2 saturation … references
https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
level positive airway pressure … with uncertain outcomes, such as successful cardiac
resuscitation with resultant severe anoxic brain injury
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psnet.ahrq.gov/node/837959/psn-pdf
August 31, 2022 - The patient developed generalized urticaria, bronchospasm
requiring high airway pressures to achieve … Latex is essential to these plants to heal surface injuries and create immune
responses against invading … Thus, unexplained hypotension, tachycardia, and high airway
pressure for adequate ventilation (due to
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psnet.ahrq.gov/perspective/ems-patient-safety-field
July 28, 2021 - correctly and safely, but for a subset of patients experiencing time-sensitive events such as severe trauma … To assist EMS personnel in decision making in high-pressure situations and to support standardized care … One example is injuries personnel can sustain from slipping or tripping when lifting and moving equipment … and patients. 8 An injury can harm not only the worker, but also the patient, if, for example, the … What if that trauma patient all of a sudden decompensated?