-
psnet.ahrq.gov/web-mm/all-history
February 28, 2011 - The scenario faced by this emergency physician is all too common—because of lapses in communication,
-
psnet.ahrq.gov/web-mm/incomplete-anesthesia-history-leads-adverse-outcomes
January 29, 2021 - bracelet with the words “succinylcholine apnea” may also be helpful to prevent a recurrence of this scenario
-
psnet.ahrq.gov/web-mm/supervision-and-entrustment-clinical-training-protecting-patients-protecting-trainees
February 22, 2017 - The intern, who had not been given instructions on how to manage such a scenario, did not know how to
-
psnet.ahrq.gov/node/49431/psn-pdf
January 01, 2004 - "(2) It
is always appropriate in ED settings to rule out the "worst case scenario."
-
psnet.ahrq.gov/node/50841/psn-pdf
January 29, 2020 - Approach to Urgent Transfusion Cases with Discrepancies
This Case highlights a realistic scenario in
-
psnet.ahrq.gov/node/857258/psn-pdf
November 30, 2023 - In a complex clinical scenario where the
diagnosis is uncertain, it is prudent to administer some propofol
-
psnet.ahrq.gov/node/851099/psn-pdf
June 28, 2023 - injection into an artery by a nurse or a physician is
fortunately far less common than this non-medical scenario
-
psnet.ahrq.gov/node/33759/psn-pdf
October 01, 2012 - This type of simulation methodology embeds the simulated training experience
or scenario in actual care
-
psnet.ahrq.gov/web-mm/crushing-chest-pain-missed-opportunity
February 01, 2007 - "( 2 ) It is always appropriate in ED settings to rule out the "worst case scenario."
-
psnet.ahrq.gov/node/867022/psn-pdf
October 30, 2024 - In this scenario, of course, a false negative CT interpretation would
result in a treatment plan that
-
psnet.ahrq.gov/node/49849/psn-pdf
January 01, 2019 - trainees should be integrated into existing hospital safety and quality processes, which
can be a win–win scenario
-
psnet.ahrq.gov/node/49714/psn-pdf
August 21, 2014 - The patient in the illustrative scenario presented with a history of trauma and at first glance, based
-
psnet.ahrq.gov/periodic-issue/periodic-issue-339
April 27, 2022 - April 27, 2022 Weekly Issue
PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly
Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient
safety literature, news, conferences, reports,…
-
psnet.ahrq.gov/periodic-issue/periodic-issue-404
August 30, 2023 - August 16, 2023 Weekly Issue
PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly
Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient
safety literature, news, conferences, reports…
-
psnet.ahrq.gov/web-mm/empiric-steroids-good-bad-and-ugly
June 01, 2015 - SPOTLIGHT CASE
Empiric Steroids: the Good, the Bad, and the Ugly
Citation Text:
Harris ED. Empiric Steroids: the Good, the Bad, and the Ugly. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008.
Copy Citation
Format:…
-
psnet.ahrq.gov/web-mm/emergent-triage-miss
March 06, 2015 - Emergent Triage Miss
Citation Text:
Travers D. Emergent Triage Miss. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId …
-
psnet.ahrq.gov/node/865411/psn-pdf
March 27, 2024 - Uterine Artery Injury during Cesarean Delivery Leads to
Cardiac Arrests and Emergency Hysterectomy
March 27, 2024
Lopez C, Tache V. Uterine Artery Injury during Cesarean Delivery Leads to Cardiac Arrests and
Emergency Hysterectomy. PSNet [internet]. 2024.
https://psnet.ahrq.gov/web-mm/uterine-artery-injury-during-…
-
psnet.ahrq.gov/web-mm/medication-safety-events-related-diagnostic-imaging
January 26, 2022 - Medication Safety Events Related to Diagnostic Imaging
Citation Text:
Sanchez L, Porras H, Lammers C. Medication Safety Events Related to Diagnostic Imaging. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022.
Copy Citation
Fo…
-
psnet.ahrq.gov/node/49675/psn-pdf
February 01, 2013 - Delay in Treatment: Failure to Contact Patient Leads to
Significant Complications
February 1, 2013
Shapiro DS. Delay in Treatment: Failure to Contact Patient Leads to Significant Complications. PSNet
[internet]. 2013.
https://psnet.ahrq.gov/web-mm/delay-treatment-failure-contact-patient-leads-significant-complicat…
-
psnet.ahrq.gov/node/49855/psn-pdf
March 01, 2019 - Which Line: Ordering Provider or Proceduralist?
March 1, 2019
Blackmore CC. Which Line: Ordering Provider or Proceduralist? PSNet [internet]. 2019.
https://psnet.ahrq.gov/web-mm/which-line-ordering-provider-or-proceduralist
Case Objectives
Review the role of mistake-proofing to block errors from leading to adverse…