Results

Total Results: 5,430 records

Showing results for "severe".

241. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/841200/psn-pdf
     December 07, 2022 - preventing-errors-when-preparing-and-administering-medications-enteral-feeding-tubes https://psnet.ahrq.gov/issue/alert-reports-severe-harm-after-intravenous-administration-breast-milk-infants

242. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73098/psn-pdf
     September 07, 2021 - ://psnet.ahrq.gov/issue/achieving-excellence-diagnosis-acute-cardiovascular-events Misdiagnosis of severe

243. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73536/psn-pdf
     July 28, 2021 - The majority of harms were minor; 4.5% of harms were considered severe.

244. Liver Biopsy: Proceed With Caution | PSNet
     psnet.ahrq.gov/web-mm/liver-biopsy-proceed-caution
     March 07, 2012 - While this indication was reasonable, the severe bleeding and rare outcome of death encountered in this … Severe bleeding is uncommon, occurring in 1 to 2500 to 10,000 patients ( 6 ) undergoing biopsy to obtain … approximately 1 in 10,000 patients.( 6 ) The most important clinical clue to aggressive bleeding is severe … Thus, this patient's severe abdominal pain after the biopsy was a clue that she had significant bleeding … Severe abdominal pain should increase the concern for a significant bleeding complication.

245. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49798/psn-pdf
     July 01, 2017 - Acute colonic pseudo-obstruction (ACPO) is severe dilation of the colon without the presence of a mechanical … typically occurs in hospitalized or institutionalized patients after surgery or in association with severe … Overall, the risk of serious complications from colonoscopy (which includes cardiovascular events, severe … perforation in elective colonoscopy include colonic dilation (as in this case), colonic ischemia, severe … colitis (e.g., in the setting of infection), corticosteroid use, colonic stricture, severe diverticular

246. Adverse events among children in Canadian hospitals: the Canadian Paediatric Adverse Events Study. | PSNet
     psnet.ahrq.gov/issue/adverse-events-among-children-canadian-hospitals-canadian-paediatric-adverse-events-study
     April 22, 2011 - January 12, 2022 Severe illness getting noticed sooner - SIGNS-for-Kids: developing an … Improving Diagnostic Safety and Quality April 26, 2023 Severe

247. Examining patient safety events using the behaviour change wheel: a cross-sectional analysis. | PSNet
     psnet.ahrq.gov/issue/examining-patient-safety-events-using-behaviour-change-wheel-cross-sectional-analysis
     September 20, 2012 - May 4, 2022 Routine multidisciplinary review of severe maternal morbidity is associated … with a reduction in preventable cases of severe maternal morbidity.

248. Health professionals' experiences of whistleblowing in maternal and newborn healthcare settings: a scoping review and thematic analysis. | PSNet
     psnet.ahrq.gov/issue/health-professionals-experiences-whistleblowing-maternal-and-newborn-healthcare-settings
     November 02, 2010 - July 14, 2021 Potentially severe incidents during interhospital transport of critically … "Black Women Should Not Die Giving Life": The lived experiences of Black women diagnosed with severe

249. Spotlight
     psnet.ahrq.gov/sites/default/files/2024-07/spotlight_case_mismanagement_of_acute_decompensated_heart_failure_slides_final.pptx
     January 01, 2024 - Once severe hypertension is linked to end organ damage, that is an indication for rapid blood pressure … The patient likely had severe hypertension for several years without treatment and severe heart failure … Clevidipine for severe hypertension in acute heart failure: a VELOCITY trial analysis.  … Effect of carvedilol on the morbidity of patients with severe chronic heart failure: results of the carvedilol

250. Endometriosis: A Common and Commonly Missed and Delayed Diagnosis | PSNet
     psnet.ahrq.gov/web-mm/endometriosis-common-and-commonly-missed-and-delayed-diagnosis
     May 26, 2021 - Over the next 3 years, her dysmenorrhea continued, and she developed severe abdominal cramps, bloating … She saw her primary care provider for her severe diarrhea and was diagnosed with Irritable Bowel Syndrome … Nine years after the onset of her severe menstrual symptoms and six years after the onset of her disabling … The lack of an evaluation for what is described as “severe” diarrhea is also concerning because other … Is Endometriosis More Common and More Severe Than It Was 30 Years Ago?.

251. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72651/psn-pdf
     January 20, 2021 - issue/racial-disparities-maternal-mortality https://psnet.ahrq.gov/issue/obstetric-care-consensus-no-5-severe-maternal-morbidity-screening-and-review

252. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74755/psn-pdf
     February 09, 2022 - maternal-safety https://psnet.ahrq.gov/issue/national-partnership-maternal-safety-consensus-bundle-support-after-severe-maternal-event

253. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74196/psn-pdf
     December 15, 2021 - adverse-glycemic-events-and-critical-emergencies https://psnet.ahrq.gov/issue/insulin-dosing-error-patient-severe-hyperkalemia

254. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867692/psn-pdf
     March 05, 2025 - Participants noted that issues such as privacy policies and a focus on severe outcomes can hamper learning

255. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866245/psn-pdf
     July 10, 2024 - Of the 89 nutrition-related problems, 20% were very severe, including one that resulted in patient death

256. PowerPoint Presentation (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.329_slideshow.ppt
     August 01, 2014 - Although ED physicians felt he had simple bruising from the fall, they noted that he was in severe pain … His pain had become so severe that he was switched to dilaudid, administered through a patient-controlled … This unfortunate case provides an opportunity to focus on necrotizing fasciitis (NF) NF is the most severe … is inflammation and necrosis of subcutaneous fat and deep fascia, with sparing of muscle, leading to severe … of proportion to the skin manifestations is a consistent feature of NF In this case, the patient's severe

257. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49809/psn-pdf
     October 01, 2017 - measurements (1) and consideration of clinical risk factors can identify infants who are likely to develop severe … subsequent phototherapy use.(5) Phototherapy remains the best approach for the prevention and treatment of severe … With early detection, intervention and systems approachs, the number of infants with severe hyperbilirubinemia … Predischarge screening for severe neonatal hyperbilirubinemia identifies infants who need phototherapy … Phototherapy to prevent severe neonatal hyperbilirubinemia in the newborn infant 35 or more weeks of

258. Spotlight (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.458_slideshow.ppt
     October 01, 2018 - Characteristics and outcomes of culture-negative versus culture-positive severe sepsis. … Diagnostic accuracy of a screening electronic alert tool for severe sepsis and septic shock in the emergency … Hospital-wide impact of a standardized order set for the management of bacteremic severe sepsis. … Implications of Centers for Medicare & Medicaid Services Severe Sepsis and Septic Shock Early Management … Implications of Centers for Medicare & Medicaid Services Severe Sepsis and Septic Shock Early Management

259. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/839315/psn-pdf
     January 01, 2024 - six-major-steps-make-investigations-suicide-valuable-learning-and-prevention https://psnet.ahrq.gov/issue/suicide-incident-severe-patient-harm-retrospective-cohort-study-investigations-after-suicide

260. Too Many Cooks in the Kitchen | PSNet
     psnet.ahrq.gov/web-mm/too-many-cooks-kitchen
     March 07, 2018 - disease (status post percutaneous coronary intervention), chronic renal failure (on hemodialysis), and severe … The patient's recovery was slow due to ileus and severe deconditioning.    … easily survived in most cases, the evident frailty of this patient was a valid cause for concern. 3,4   Severe … ICU admission, or at least a consultative visit (e.g., by cardiology) in the PACU. 17   Given that severe … WebM&M Cases Inadequate Anesthesia Preparation Leading to Difficult Intubation and Severe