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  1. psnet.ahrq.gov/perspective/diagnostic-errors-medicine-what-do-doctors-and-umpires-have-common
    February 01, 2007 - Umpires make crucial split-second decisions under conditions of substantial pressure and uncertainty, … Rarely, the error may cause injury or death. … And of course there is increasing pressure on the system to get it right, to not make so many mistakes … Yet the pressures in the market around pay for performance and transparency may conspire to begin stripping
  2. psnet.ahrq.gov/periodic-issue/periodic-issue-314
    October 27, 2021 - Previous studies have utilized data from the National Electronic Injury Surveillance System-Cooperative … Production pressure and low staff coverage can result in medication mistakes in community pharmacies.
  3. psnet.ahrq.gov/periodic-issue/periodic-issue-309
    September 29, 2021 - In addition to the medical entities such as disease and injury, it contains a second component, the ICD … rate monitors, two-lead electrocardiography, continuous capnography, and non-invasive arterial blood pressure
  4. psnet.ahrq.gov/web-mm/who-nose-where-airway
    May 01, 2016 - how a safety pin could be aspirated, or a non-deformable endotracheal tube connector might cause a pressureinjury to the nares if left in place for more than a brief period.
  5. psnet.ahrq.gov/web-mm/buprenorphine-and-medically-ill-patient
    August 20, 2018 - On physical examination, abnormal findings included dilated pupils, elevated heart rate and blood pressureInjury Prevention and Control Policy Impact: Prescription Painkiller Overdoses.
  6. psnet.ahrq.gov/sites/default/files/2024-08/spotlight_case_a_fatal_twist_in_pseudohyperkalemia_slides.pptx
    January 01, 2024 - On arrival at the ED, he was afebrile, heart rate was 98 beats per minute (bpm), blood pressure was 103 … laboratories, especially in busy clinical settings such as the ED.2–4 Hemolysis is a generalized process of injury
  7. psnet.ahrq.gov/web-mm/other-side
    May 01, 2007 - is increased when multiple procedures are performed on the same patient, when a team is under time pressure … Error disclosure for patients, however, is merely the first step in a long process of adjustment to an injury
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49639/psn-pdf
    November 01, 2011 - On further history, he revealed that he had recently increased his beta- blocker, a blood pressure medication … In case of injury, there may have been no attempt at recovery, or the attempts may have been unsuccessful
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60328/psn-pdf
    May 27, 2020 - depression, of which 77% resulted in severe brain damage or death.13 Most of these opioid-related injuries … oximetry (SpO2) to monitor patient oxygenation and ventilation. 31 Capnography measures the partial pressure … Patients Receiving Opioid PCA Monitoring Component Assessment Types Vital Signs Heart Rate Blood Pressure
  10. psnet.ahrq.gov/innovation/statewide-collaborative-support-vaginal-birth-and-reduce-unnecessary-cesarean-deliveries
    July 23, 2024 - riskier. 13 Babies delivered via cesarean section are at risk for respiratory problems and surgical injury … A 2014 study of women who gave birth found that 14.8% of respondents perceived pressure from a clinician … www.mayoclinic.org/tests-procedures/c-section/about/pac-20393655#:~:text=A%20C%2Dsection%20might%20increase,Wound … Patient-perceived pressure from clinicians for labor induction and cesarean delivery: a population-based
  11. psnet.ahrq.gov/periodic-issue/periodic-issue-291
    May 26, 2021 - Study Preventable morbidity and mortality among non-trauma emergency surgery patients … type 2 diabetes mellitus, hypertension, and coronary artery disease was transferred from a Level III trauma … center to a Level I trauma center with lower extremity paralysis after a ground level fall complicated … by a 9-cm abdominal aortic aneurysm and cervical spinal cord injury. … norepinephrine was initiated to maintain adequate spinal cord perfusion, with a target mean arterial pressure
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837660/psn-pdf
    July 08, 2022 - The trauma team was called to assist and the patient was given additional sedation and opioid analgesia … The trauma surgeon then manipulated both TMJs and was finally able to unloose the locked jaw. … diagnosis and a physician experienced in reducing the TMJ should be consulted to minimize the risk of injury … Placing staff under too much time pressure can, at times, be counterproductive and can adversely affect
  13. psnet.ahrq.gov/periodic-issue/periodic-issue-400
    July 31, 2023 - from 21 clinicians and stakeholders in Switzerland emphasized the importance of addressing production pressures … Trigger tools are a strategy for identifying and classifying patient injuries associated with care.
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49779/psn-pdf
    January 01, 2017 - these failures are more likely when staff are working under high levels of stress, workload, or time pressureInjuries are caused by a lack of differentiation between the use of infusion devices in hospitals and
  15. psnet.ahrq.gov/perspective/patient-safety-concerns-and-lgbtq-population
    February 01, 2023 - than their heterosexual and cisgender peers. 5 Studies have also found that LGBTQ+ people experience trauma … In these cases, easily managed health needs like high blood pressure or diabetes can progress to acute … People may go to a provider because they have an injury or concern, and providers can only focus on their … I am trans, but I also have high blood pressure and high cholesterol. … We just want to be seen as humans, so that we can get our blood pressure managed on a regular basis.
  16. psnet.ahrq.gov/perspective/conversation-connor-wesley-rn-bsn-patient-safety-concerns-and-lgbtq-population
    February 01, 2023 - In these cases, easily managed health needs like high blood pressure or diabetes can progress to acute … People may go to a provider because they have an injury or concern, and providers can only focus on their … There is also that trauma of accessing care and feeling that bias and stigma, which can prevent patients … I am trans, but I also have high blood pressure and high cholesterol. … We just want to be seen as humans, so that we can get our blood pressure managed on a regular basis.
  17. psnet.ahrq.gov/periodic-issue/periodic-issue-373
    December 14, 2022 - Organizational pressures sometimes lead to redeployment or task reallocation such as shifting infusion … uneventful and intraoperative neuromonitoring was used to help prevent spinal cord and peripheral nerve injury
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49744/psn-pdf
    October 01, 2015 - 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
  19. psnet.ahrq.gov/web-mm/wet-read
    October 01, 2017 - The following morning, the patient's condition improved with normalization of blood pressure, improved … Evaluation of an emergency radiology quality assurance program at a level I trauma center: abdominal … Head trauma: CT scan interpretation by radiology residents versus staff radiologists. … Around-the-clock attending radiology coverage is essential to avoid mistakes in the care of trauma patients … May 1, 2011 Delayed or missed diagnosis of cervical spine injuries.
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60790/psn-pdf
    February 23, 2022 - Dental care providers are advised to: If possible, perform procedures in a negative pressure room, ( … least 6 feet apart, especially in counties with substantial or high transmission.25 Using a negative pressure … create several challenges, including the desire to limit exposure to patients, fatigue, burnout, and pressure … care.66 Managing necessary deviations from well-rehearsed practice, while under additional budgetary pressures … Remote diagnosis of traumatic dental injuries using digital photographs captured via a mobile phone.

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