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psnet.ahrq.gov/web-mm/life-threatening-infant-overdose-sodium-chloride
December 23, 2020 - Association of Adverse Effects of Medical Treatment With Mortality in the United States: A Secondary … March 27, 2024
WebM&M Cases
Hyponatremia Secondary
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psnet.ahrq.gov/web-mm/when-meds-dont-reach-bed
May 16, 2022 - His presentation likely represented poor pulmonary status secondary to end-stage COPD rather than an … Both admissions were thought to be triggered by hypoxia secondary to being off home oxygen in the setting
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psnet.ahrq.gov/web-mm/intraosseous-line-extravasation-pediatric-trauma-patient
September 29, 2021 - Hypovolemic shock secondary to hemorrhage was quickly diagnosed and the trauma team appropriately prioritized … Bilateral lower extremity compartment syndromes secondary to intraosseous fluid resuscitation.
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psnet.ahrq.gov/web-mm/insulin-administration-pen-vs-vial-similar-not-interchangeable
December 20, 2023 - Evaluating insulin information provided on discharge summaries in a secondary care hospital in the United
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psnet.ahrq.gov/web-mm/hemolysis-holdup
July 03, 2016 - correct for the increase in analyte concentration resulting from release of red blood cell contents secondary
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psnet.ahrq.gov/web-mm/delay-appropriate-diagnosis-and-treatment-leading-death-pulmonary-embolism
December 31, 2024 - venous thromboembolism (VTE), pulmonary embolism (PE) was considered based on her limited mobility secondary … overutilization--including contrast hypersensitivity reactions and nephropathy, and risk of malignancy secondary
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psnet.ahrq.gov/primer/coronavirus-disease-2019-covid-19-and-diagnostic-error
July 30, 2020 - when the diagnosis of COVID-19 is confirmed, anchoring bias may impede clinicians from recognizing secondary … of patient safety indicators in 15 OECD member countries: a methodological approach of adjustment by secondary
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psnet.ahrq.gov/web-mm/think-surgeon
December 04, 2024 - cholecystitis have acalculous cholecystitis, which is due to necrosis and inflammation of the gallbladder secondary
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psnet.ahrq.gov/web-mm/misidentifying-unidentified-john-doe-and-ehr
September 27, 2017 - And while labs and diagnostics that are erroneously linked to the wrong patient can lead to secondary
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psnet.ahrq.gov/web-mm/not-miscarriage
June 01, 2005 - October 1, 2009
WebM&M Cases
Hyponatremia Secondary
-
psnet.ahrq.gov/node/861838/psn-pdf
January 31, 2024 - physician documentation of any adverse effects resulting
from the newly prescribed medication.2 The secondary
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psnet.ahrq.gov/web-mm/admission-drug-dose-too-low
September 01, 2011 - A "critical result" that was called to the floor was not appropriately acted upon, perhaps secondary
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psnet.ahrq.gov/web-mm/premature-or-overdue
December 23, 2020 - As a method of secondary prevention, each new team should re-examine the specific criteria for labor
-
psnet.ahrq.gov/node/867985/psn-pdf
January 01, 2025 - suicide sentinel events, especially
https://psnet.ahrq.gov//#12
https://psnet.ahrq.gov/issue/validation-secondary-screener-suicide-risk-results-emergency-department-safety-assessment-and
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psnet.ahrq.gov/periodic-issue/periodic-issue-469
December 31, 2024 - intervention on inappropriate prescribing practices at hospital admission and discharge in older patients: a secondary
-
psnet.ahrq.gov/node/72834/psn-pdf
March 10, 2021 - improving-end-rotation-transitions-care-among-icu-patients
https://psnet.ahrq.gov/issue/differences-between-methods-detecting-medication-errors-secondary-analysis-medication
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psnet.ahrq.gov/web-mm/myasthenia-crisis-after-delayed-diagnosis-medically-complex-patient
February 21, 2020 - After thorough review of her prior laboratory results, her final diagnosis was respiratory failure secondary
-
psnet.ahrq.gov/web-mm/inflicting-confusion
August 04, 2021 - August 10, 2019
WebM&M Cases
Primary Workaround, Secondary
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psnet.ahrq.gov/web-mm/language-barrier
February 28, 2024 - 57: Enrollment in foreign language courses compared with enrollment in grades 9 to 12 in public secondary
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psnet.ahrq.gov/web-mm/root-cause-analysis-gone-wrong
August 28, 2024 - Risk controls identified in action plans following serious incident investigations in secondary