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psnet.ahrq.gov/web-mm/dropping-ball-despite-integrated-emr
January 07, 2015 - The patient was seen by a physicians assistant (PA), treated with a sling and analgesics, and referred
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psnet.ahrq.gov/web-mm/reaction-dye
March 01, 2007 - The Case A patient was referred to urology after having several episodes of gross hematuria.
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psnet.ahrq.gov/web-mm/ventricular-wall-injury-during-diagnostic-cardiac-catheterization
September 01, 2012 - The Case A patient was referred to a cardiologist for elective diagnostic cardiac catheterization for
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psnet.ahrq.gov/web-mm/pathologic-mistake
February 15, 2010 - With this diagnosis, her primary physician appropriately referred her to the lymphoma clinic.
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psnet.ahrq.gov/web-mm/liposuction-gone-awry
July 01, 2003 - The Case A 54-year-old man with HIV was referred to a plastic surgeon for cosmetic surgery.
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psnet.ahrq.gov/web-mm/acute-respiratory-arrest-pregnancy
August 15, 2018 - This patient should have been managed in consultation with or referred to a physician with expertise
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psnet.ahrq.gov/web-mm/dont-pick-picc
December 01, 2011 - The patient's nephrologist referred the case to interventional radiology and hospital medicine for review
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psnet.ahrq.gov/web-mm/primary-workaround-secondary-complication
January 24, 2018 - Workarounds—also referred to as shortcuts, deviations, situational violations, innovative solutions,
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psnet.ahrq.gov/node/49512/psn-pdf
May 01, 2006 - Reason has referred to this framework for understanding
adverse events as the “Swiss Cheese Model.”(
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psnet.ahrq.gov/web-mm/returning-home-safely
December 22, 2018 - social worker started the process of applying for In-Home Supportive Services and Meals on Wheels, and referred
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psnet.ahrq.gov/node/33649/psn-pdf
May 01, 2007 - conversation-withsir-liam-donaldson-md-msc
Editor's Note: Sir Liam Donaldson, MD, MSc, is England's Chief Medical Officer, a post often referred
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psnet.ahrq.gov/node/33743/psn-pdf
December 01, 2012 - A "no
sedation" strategy is also referred to as an analgosedation strategy.
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psnet.ahrq.gov/web-mm/bowel-injury-after-laparoscopic-surgery
January 19, 2016 - recently we have come to appreciate the importance of leadership, communication, and teamwork.( 7 ) Often referred
-
psnet.ahrq.gov/node/49795/psn-pdf
June 01, 2017 - the Contrast Media
Safety Committee of the European Society of Urogenital Radiology (11), patients referred
-
psnet.ahrq.gov/node/33614/psn-pdf
June 01, 2005 - After the intervention, they referred to any event that resulted in the emergency team
being called—low
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psnet.ahrq.gov/node/49665/psn-pdf
September 01, 2012 - The patient was referred
for bypass surgery and mitral valve repair.
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psnet.ahrq.gov/node/49461/psn-pdf
September 01, 2004 - https://psnet.ahrq.gov/web-mm/reaction-dye
The Case
A patient was referred to urology after having
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psnet.ahrq.gov/web-mm/diagnostic-failure-growing-deficit
June 01, 2005 - The telemetry floor charge nurse referred the case to the hospital's risk management department due to
-
psnet.ahrq.gov/node/49864/psn-pdf
June 01, 2019 - 250,000 responses to the safety culture,
burnout, and engagement survey from Safe & Reliable Healthcare, referred
-
psnet.ahrq.gov/web-mm/medication-mix-leads-patient-death
July 08, 2022 - The ICU physician referred the patient to a gastroenterology colleague to undergo diagnostic colonoscopy