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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.137_slideshow.ppt
November 01, 2006 - and interventions to prevent these
The Case
A 55-year-old woman with end stage renal disease requiring … reporting measure sets
The Case: Revisited
“A 55-year-old woman with end stage renal disease requiring
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psnet.ahrq.gov/web-mm/secured-not-always-safe
October 01, 2015 - or endotracheal intubation is unsuccessful emergently.( 2 ) Finally, LMA use can extend to patients requiring … Use of laryngeal mask airway in a patient requiring continuous positive airway pressure: a case report
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psnet.ahrq.gov/node/49447/psn-pdf
June 01, 2004 - In one analysis of
prescriptions requiring clarification, while faxed and written prescriptions required … Mail-order prescriptions requiring clarification
contact with the prescriber: prevalence, reasons, and
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psnet.ahrq.gov/node/49626/psn-pdf
May 01, 2011 - Patients' histories may be incomplete or
unknown, and interventions are often immediate—requiring close … directly with the virus.(11)
During infectious outbreaks or biothreats, EDs may become overcrowded, requiring
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psnet.ahrq.gov/web-mm/delirium-or-dementia
September 27, 2023 - She subsequently developed respiratory failure requiring intubation and renal failure requiring dialysis … Long-term outcome of critically ill elderly patients requiring intensive care.
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psnet.ahrq.gov/web-mm/managing-complexity-diagnosis-life-threatening-complications-after-gastric-bypass-surgery
September 25, 2019 - continued to suffer from dizziness, vomiting, and an unsteady gait, suggesting pelvic muscle weakness and requiring … readmitted for worsening confusion and profound motor weakness, which progressed to respiratory failure requiring … Due to the delayed diagnosis, the patient suffered permanent brain injury requiring around-the-clock
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psnet.ahrq.gov/web-mm/liposuction-gone-awry
July 01, 2003 - Reducing the incidence of hematoma requiring surgical evacuation following male rhytidectomy: a 30-year … Adverse events in infants less than 6 months of age after ambulatory surgery and diagnostic imaging requiring
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psnet.ahrq.gov/web-mm/dnr-or-and-afterwards
July 01, 2003 - If an intensive care unit physician assumes primary responsibility for a patient requiring mechanical … Instead, the focus should be on requiring DNR orders to be reconsidered at critical events during a patient
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psnet.ahrq.gov/node/860049/psn-pdf
January 04, 2024 - The patient was stabilized in the ED but developed
hypoxic respiratory failure requiring endotracheal … Several days later, the patient returned to the ED for acute respiratory failure and cardiac arrest, requiring
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psnet.ahrq.gov/node/73229/psn-pdf
May 26, 2021 - .4,5 In practical terms, non-weight-based dosing (mcg/min) offers the
operational advantage of not requiring … Furthermore, requiring nurses to perform independent
verification with another nurse prior to exceeding
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psnet.ahrq.gov/sites/default/files/2020-08/too_many_cooks_spotlight_pdf.pdf
January 01, 2020 - prolonged due to unsuccessful epidural
catheter placement and intraoperative periprosthetic fracture
requiring … renal failure/creatinine, and emergency
surgery
23
Systems Change Needed (2)
• Hospital policy requiring
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psnet.ahrq.gov/node/838972/psn-pdf
October 27, 2022 - Her postoperative course was
complicated by urinary incontinence and a deep vein thrombosis (DVT) requiring … up the following morning at a community pharmacy, but one of the medications was an
anticoagulant requiring
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psnet.ahrq.gov/node/49585/psn-pdf
May 01, 2009 - She subsequently developed
respiratory failure requiring intubation and renal failure requiring dialysis … Long-term outcome of critically ill elderly patients
requiring intensive care.
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psnet.ahrq.gov/web-mm/outbreak
January 29, 2015 - Patients' histories may be incomplete or unknown, and interventions are often immediate—requiring close … directly with the virus.( 11 ) During infectious outbreaks or biothreats, EDs may become overcrowded, requiring
-
psnet.ahrq.gov/web-mm/situational-unawareness
August 01, 2009 - Despite the fact that the patient was admitted with a clear and potentially life-threatening diagnosis requiring … care team is essential—electronic communication is not a sufficient substitute in emergent situations requiring
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psnet.ahrq.gov/web-mm/getting-right-doctor-right-away
July 01, 2011 - review of pages sent to the wrong provider suggested that approximately 15% of these were emergent, requiring … immediate action, and that about a third were urgent, requiring a response within an hour.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.347_slideshow.ppt
May 01, 2015 - The patient developed respiratory failure requiring mechanical ventilation as well as septic shock requiring
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psnet.ahrq.gov/node/33705/psn-pdf
January 01, 2011 - Development of major wound complications (dehiscence, evisceration)
Medication or treatment errors requiring … attending knowledge or instruction (before or after operation)
Development of any clinical problem requiring
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.140_slideshow.ppt
December 01, 2006 - individuals with HIT
Case: Hidden Heparins
A patient with a history of end-stage renal disease requiring … underwent angioplasty of the right femoral artery, complicated by post-operative gangrene of the right foot requiring
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psnet.ahrq.gov/node/49704/psn-pdf
March 01, 2014 - in the newborn intestine and, now lipid
soluble again, is reabsorbed into the portal circulation, requiring … isoimmunization, maternal antibody can
persist for months, and can continue to cause hemolysis, sometimes requiring