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psnet.ahrq.gov/web-mm/surgical-personality-threat-patient-safety
February 24, 2021 - Severe respiratory variation was noted on the pulse oximeter tracing.
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psnet.ahrq.gov/web-mm/continuity-errors-resident-clinic
October 02, 2019 - patient returned to the internal medicine clinic for a third time because she was still experiencing severe
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psnet.ahrq.gov/web-mm/wheres-feeding-tube
September 01, 2003 - State practice variations in the use of tube feeding for nursing residents with severe cognitive impairment
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psnet.ahrq.gov/web-mm/too-tight-control
March 20, 2013 - Related Resources
WebM&M Cases
A Complicated Course: Severe
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psnet.ahrq.gov/web-mm/diagnostic-overshadowing-dangers
February 12, 2020 - medical, behavioral, and social history, and it can be difficult to obtain a history from a patient with severe
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psnet.ahrq.gov/web-mm/dilute-or-not-dilute-drug-errors-and-consequences-operating-room
July 28, 2021 - WebM&M Cases
Inadequate Anesthesia Preparation Leading to Difficult Intubation and Severe
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psnet.ahrq.gov/web-mm/mitigating-risk-intrahospital-transport-pediatric-patients-risk-physiologic-instability
May 27, 2020 - The patient was transferred to the pediatric intensive care unit (PICU) for management of severe sepsis
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psnet.ahrq.gov/node/49865/psn-pdf
June 01, 2019 - A 75-year-old man with a past medical history of hemorrhagic stroke, coronary artery disease, and severe
-
psnet.ahrq.gov/node/49789/psn-pdf
April 01, 2017 - She did have severe
hearing impairment and could not read or write (she never learned literacy skills
-
psnet.ahrq.gov/issue/emergency-nursing-and-medical-error-survey-two-states
January 25, 2010 - December 1, 2011
Are temporary staff associated with more severe emergency department
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psnet.ahrq.gov/issue/ismp-quarterwatch-reports
June 07, 2017 - June 13, 2018
Severe hyperglycemia in patients incorrectly using insulin pens at home
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psnet.ahrq.gov/issue/2017-ismp-medication-safety-self-assessment-communityambulatory-pharmacy
June 07, 2017 - May 11, 2017
Severe hyperglycemia in patients incorrectly using insulin pens at home.
-
psnet.ahrq.gov/issue/patient-safety-24
December 01, 2011 - July 8, 2013
Are temporary staff associated with more severe emergency department medication
-
psnet.ahrq.gov/issue/nursing-care-quality-nqf
September 06, 2011 - July 8, 2009
Antecedents of severe and nonsevere medication errors.
-
psnet.ahrq.gov/node/49811/psn-pdf
November 01, 2017 - worsening respiratory status, liver abnormalities, and colonic pseudo-obstruction were all
consistent with severe … These are rare but life-threatening conditions that result from either decompensated
thyrotoxicosis or severe … Effects Score
Absent 0
Mild (agitation) 10
Moderate (delirium, psychosis, extreme lethargy) 20
Severe … 25
Congestive Heart Failure Score
Absent 0
Mild (pedal edema) 5
Moderate (bibasilar rales) 10
Severe
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.25_slideshow.ppt
July 01, 2003 - advanced care discussions
Case: Code Status Confusion
A 60-year-old woman with a history of severe … preferences in scenarios with uncertain outcomes
i.e., successful cardiac resuscitation with resultant severe
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psnet.ahrq.gov/issue/10-medication-safety-tips-hospitalized-patients
February 06, 2019 - June 13, 2018
Severe hyperglycemia in patients incorrectly using insulin pens at home
-
psnet.ahrq.gov/issue/ismp-long-term-care-advise-err
June 07, 2017 - June 13, 2018
Severe hyperglycemia in patients incorrectly using insulin pens at home
-
psnet.ahrq.gov/issue/clinical-issues-series
July 05, 2006 - 2006
National Partnership for Maternal Safety: consensus bundle on support after a severe
-
psnet.ahrq.gov/issue/fatal-gas-line-mix-how-avoid-making-gastly-mistake
April 29, 2018 - September 12, 2016
ALERT: reports of severe harm after intravenous administration of