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psnet.ahrq.gov/issue/2012-ismp-international-medication-safety-self-assessment-oncology
January 26, 2023 - Severe burns and permanent scarring after glacial acetic acid (≥99.5%) mistakenly applied topically. … February 15, 2011
Chemotherapy safety and severe adverse events in cancer patients: strategies
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psnet.ahrq.gov/issue/failure-rescue-process-measure-evaluate-fetal-safety-during-labor
October 19, 2022 - birthing people - associations between racialized economic segregation, incarceration inequality, and severe … February 15, 2023
Using potentially preventable severe maternal morbidity to monitor
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psnet.ahrq.gov/node/49774/psn-pdf
November 01, 2016 - This patient was even more complicated because of the additional diagnosis of severe preeclampsia—new … The final option in severe, persistent bleeding
is total hysterectomy, but it is used only as a last … In conclusion, obstetric hemorrhages are common and remain a major cause of severe maternal morbidity … Severe maternal morbidity among delivery and postpartum
hospitalizations in the United States. … Measuring severe maternal morbidity: validation of potential
measures.
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psnet.ahrq.gov/web-mm/fatal-twist-pseudohyperkalemia
February 10, 2021 - TdP was likely precipitated by severe hypokalemia in the setting of a prolonged QT interval and then … in T wave amplitude, with the appearance of “peaked” T waves ( Figure 2 ). 9 When hyperkalemia is severe … associated symptoms (e.g., muscle weakness, paresthesias, or palpitations), ECG changes, rapid-onset or severe … Clinicians should familiarize themselves with the ECG manifestations of and treatment options for severe … Electrocardiographic manifestations in severe hypokalemia.
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psnet.ahrq.gov/web-mm/diuretics-and-electrolyte-abnormalities
February 15, 2017 - The critical care provider consulted a nephrologist, and both agreed the severe symptomatic hyponatremia … Tobias Dreischulte, MPharm, MSc, PhD
This case illustrates how a commonly used medicine can lead to severe … retention in patients with mild congestive heart failure (loop diuretics are indicated in case of more severe … of diuretics may be attempted when swelling due to venous insufficiency of the legs is particularly severe … widely used and recommended by guidelines, thiazide diuretics are a class of medicines that may cause severe
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psnet.ahrq.gov/web-mm/one-bronchoscopy-two-errors
December 09, 2020 - For his severe hypoxia, he was managed with high-flow nasal cannula and did not require mechanical ventilation … The lidocaine was available in a syringe for the bronchoscopy, as occasionally patients have severe discomfort … volume reduction, endobronchial tumor debulking (laser, brachytherapy), and bronchial thermoplasty for severe … In general, SVL can be seen as favorable to BAL in the case of severe lung disease, as the load of fluid … Severe complications requiring intervention or resulting in increased mortality or morbidity are rare
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psnet.ahrq.gov/web-mm/bandemia-harbinger-stercoral-colitis-and-impending-perforation
November 25, 2020 - Second, the combination of anorexia with substantial weight loss, severe constipation, and abdominal … For symptoms more severe than expected for constipation, concern must be raised for stercoral colitis … specificity of 0.94 (95% CI 0.94–0.95). 13 Given the high specificity and positive predictive value of severe … in patients with chronic constipation and abdominal complaints, especially when complaints are more severe … Moderate and severe bandemia (>11% bands) should prompt further investigation for an underlying infection
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psnet.ahrq.gov/issue/patient-safety-during-perinatal-and-neonatal-care
November 15, 2017 - February 1, 2023
Routine multidisciplinary review of severe maternal morbidity is associated … with a reduction in preventable cases of severe maternal morbidity.
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psnet.ahrq.gov/node/73905/psn-pdf
October 06, 2021 - factors results in missed opportunities for health and
wellness, as well as preventable mortality and severe … Severe Maternal Morbidity. Reproductive Health. Centers for Disease Control and Prevention. … https://www.cdc.gov/reproductivehealth/maternalinfanthealth/smm/severe-morbidity-ICD.htm
4. … saferbirth.org/patient-safety-bundles/
https://www.cdc.gov/reproductivehealth/maternalinfanthealth/smm/severe-morbidity-ICD.htm
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psnet.ahrq.gov/node/866261/psn-pdf
July 10, 2024 - On awakening from general anesthesia, the patient complained
of severe pain in the right leg. … Through the evening after surgery, the patient continued to complain of severe pain and paresthesias … Compartment syndrome is a rare but severe complication of operations performed in the lithotomy position … The pain is typically severe and
does not respond to standard amounts of postoperative pain medications … Venous thrombosis is usually not
associated with such severe pain.
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psnet.ahrq.gov/sites/default/files/2023-09/a_missed_bowel_perforation_-_the_importance_of_diagnostic_reasoning.pdf
January 01, 2023 - patient, and family need to discuss whether surgery is
futile.
31
DAMAGE CONTROL SURGERY FOR
SEVERE … ABDOMINAL SEPSIS
32
Damage Control Surgery for Severe Abdominal Sepsis (1)
• In the most severe … collapse during surgery and contribute to improved outcomes.25,26
33
Damage Control Surgery for Severe … selection is crucial to maximize the benefit of any operation; not
offering surgery to a patient with severe … An “acute abdomen,” with findings such as severe distension, absent bowel sounds,
rebound tenderness
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psnet.ahrq.gov/issue/why-do-hundreds-us-women-die-annually-childbirth
June 14, 2019 - Citation
Related Resources From the Same Author(s)
Type 1 diabetes defined by severe … August 21, 2019
A multidisciplinary model for reviewing severe maternal morbidity cases
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psnet.ahrq.gov/issue/reducing-medication-errors-critical-care-multimodal-approach
March 27, 2019 - January 10, 2024
Routine multidisciplinary review of severe maternal morbidity is associated … with a reduction in preventable cases of severe maternal morbidity.
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psnet.ahrq.gov/issue/bedside-shift-reports-what-does-evidence-say
October 19, 2022 - October 26, 2022
Using potentially preventable severe maternal morbidity to monitor hospital … February 8, 2023
Severe illness getting noticed sooner - SIGNS-for-Kids: developing an
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psnet.ahrq.gov/issue/ensuring-safe-and-equitable-discharge-quality-improvement-initiative-individuals-hypertensive
October 19, 2022 - October 30, 2024
Severe hypertension in pregnancy: progress made and future directions … "Black Women Should Not Die Giving Life": The lived experiences of Black women diagnosed with severe
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psnet.ahrq.gov/issue/fostering-ethical-conduct-through-psychological-safety
March 30, 2022 - Related Resources From the Same Author(s)
Routine multidisciplinary review of severe … maternal morbidity is associated with a reduction in preventable cases of severe maternal morbidity.
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psnet.ahrq.gov/issue/amid-lack-accountability-bias-maternity-care-california-family-seeks-justice
September 06, 2023 - "Black Women Should Not Die Giving Life": The lived experiences of Black women diagnosed with severe … birthing people - associations between racialized economic segregation, incarceration inequality, and severe
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psnet.ahrq.gov/web-mm/acute-care-admission-behavioral-health-patient
July 19, 2023 - is the decision to discontinue olanzapine, an atypical antipsychotic medication, in a young man with severe … beginning with the introduction of chlorpromazine in 1951, heralded a new era in the management of severe … .( 3,4 ) Use of these medications therefore requires careful metabolic monitoring, as patients with severe … An additional factor was the assumption, likely unrealistic in this case, that this patient with severe
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psnet.ahrq.gov/issue/impact-hospital-acquired-conditions-medicare-program-payments
November 18, 2016 - study evaluated costs related to the index hospitalization and 90 days following discharge of six HACs—severe … Severe pressure ulcers and orthopedic surgical site infections resulted in an average increase in payments
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psnet.ahrq.gov/curated-library/diagnostic-errors-case-studies
August 10, 2025 - Two months after his admission for cholecystitis, he was readmitted for severe vomiting and hypotension … He was ultimately discharged with a diagnosis of “Bipolar 1 – moderate-severe with mixed features.” … After she was found two weeks later in severe respiratory distress, she was taken to another ED by paramedics … When she was in her 30s, she experienced a more severe episode of palpitations and went to the emergency … When she was 40 years old, the patient experienced another severe episode and went to the ED.