-
psnet.ahrq.gov/node/44575/psn-pdf
January 22, 2016 - Patient safety may have improved, but, if so, the effects were small.
-
psnet.ahrq.gov/node/47704/psn-pdf
April 03, 2019 - Investigators found that a small proportion of physicians,
about 10%, had one or more paid malpractice
-
psnet.ahrq.gov/node/36291/psn-pdf
October 25, 2010 - The analysis revealed that adverse events account for a small but significant proportion of
overall
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psnet.ahrq.gov/node/42011/psn-pdf
March 06, 2013 - psnet.ahrq.gov/primer/culture-safety
https://psnet.ahrq.gov/perspective/establishing-safety-culture-thinking-small
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psnet.ahrq.gov/node/34792/psn-pdf
January 01, 2011 - Food and Drug
Administration’s reporting system, and a very small percentage actually had reported an
-
psnet.ahrq.gov/node/43027/psn-pdf
July 23, 2014 - Only a small proportion of
unique information shared with nurses and technicians was learned by the
-
psnet.ahrq.gov/node/72613/psn-pdf
December 22, 2020 - When it comes to the small practices, dentistry is still quite siloed. … We may find small things that are more
traditionally in errors in the medical settings. … They have the infrastructure but they
also have a number of affiliated small practices. … Our point of view has very much been that if we only try to implement in the very
small independent … are very related to the fact that we are using a high speed drill or a very sharp scalpel in a very small
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psnet.ahrq.gov/sites/default/files/2023-03/march_2023_spotlight_agitated_delirium.pdf
January 01, 2023 - Indications, Insertion Methods, Potential
Complications (1)
• Indications for NGT placement include small … ileus treatment, or gastric
lavage.3
• Smaller 3.5 to 12 Fr NGTs can be placed in the stomach or small … care unit showed that 1.6%
were caused by NGTs.13
– In a retrospective study, blind placement of small-bore … nutritional needs.2
– Generally, a surgical enteral tube should be placed if the patient has had an NGT or small … Bologna guidelines for diagnosis and management of adhesive small bowel obstruction (ASBO): 2017 update
-
psnet.ahrq.gov/perspective/conversation-withdonald-m-berwick-md-mpp
November 01, 2005 - But my father was a horse-and-buggy GP [general practitioner] in a small Connecticut town, and I knew … But small farming town kid, that's me. … One is small town roots—you grew up in a city, Bob?
RW: I grew up in the suburbs, Long Island. … It's as if the small community part is there. A second is, I really love doctoring. … But the business plan of the Institute is to remain very small.
-
psnet.ahrq.gov/web-mm/hidden-danger-unseen-intravenous-catheters
October 04, 2023 - Intravenous catheter placement in the pediatric population, particularly in the very young or small child … include the ability to aspirate blood from the catheter with a syringe, the ability to easily inject a small … volume of normal saline, the absence of infiltration or hematoma after small volume fluid injection, … Unfortunately, these methods are not always reliable in the small and fragile veins of neonates and infants
-
psnet.ahrq.gov/node/60825/psn-pdf
August 19, 2020 - Results also indicate that even small delays (e.g., 2 months) can lead to
substantial survival decrements
-
psnet.ahrq.gov/node/60857/psn-pdf
August 26, 2020 - Nothing Called Small Surgery
August 26, 2020
Manske C. Nothing Called Small Surgery. … https://psnet.ahrq.gov/web-mm/nothing-called-small-surgery
The Case
A 56-year-old female presented … tourniquets placed more proximally around the arm or leg can be
https://psnet.ahrq.gov/web-mm/nothing-called-small-surgery
-
psnet.ahrq.gov/node/50426/psn-pdf
January 01, 2020 - The magnitude of benefit was small overall, but it was larger in patients who were filling a new
prescription
-
psnet.ahrq.gov/issue/how-does-robotic-assisted-surgery-change-or-safety-culture
April 24, 2024 - August 25, 2021
WebM&M Cases
Nothing Called Small
-
psnet.ahrq.gov/perspective/rapid-response-teams-lessons-early-experience
November 01, 2005 - But my father was a horse-and-buggy GP [general practitioner] in a small Connecticut town, and I knew … But small farming town kid, that's me. … One is small town roots—you grew up in a city, Bob?
RW: I grew up in the suburbs, Long Island. … It's as if the small community part is there. A second is, I really love doctoring. … But the business plan of the Institute is to remain very small.
-
psnet.ahrq.gov/perspective/conversation-mark-chassin-md-mpp-mph
April 26, 2023 - constantly looking at every process that they're engaged in as part of their daily work to be sensitive for small … deviations—small signals that the process isn't quite working right, that the safety protocol doesn't … They find these unsafe conditions when the problems are very small—way upstream from posing serious risk … scrutinize their environment and their processes so they recognize problems when they're very, very small … MC : Hospitals and systems, a small but growing number, that have taken this challenge for high reliability
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psnet.ahrq.gov/issue/use-barcode-scanning-prevent-errors-enteral-nutrition-feedings
December 04, 2024 - February 1, 2023
Preventing medication errors at small and rural hospitals.
-
psnet.ahrq.gov/web-mm/timely-diagnosis-esophageal-perforation
September 27, 2023 - A Gastrografin (diatrizoate meglumine/ditrizoate sodium) esophagram demonstrated a small outpouching … Although EGD is a less sensitive test than esophagography (especially for small lesions), intraoperative … September 25, 2024
WebM&M Cases
Misdiagnosis of Small
-
psnet.ahrq.gov/web-mm/pathologic-mistake
February 15, 2010 - imaging showed enlarged abdominal lymph nodes as well as jejunal thickening and dilated ileum in the small … A lymph node biopsy and partial small bowel resection was undertaken. … Lymph node pathology was reported as "Castleman disease, of hyaline vascular type," while the small bowel … review reported reactive lymph nodes with hyalinization but no other features of Castleman, and normal small
-
psnet.ahrq.gov/node/49687/psn-pdf
August 21, 2013 - Based on the exam and initial imaging, there was concern for small bowel
obstruction. … The hospital's case review committee felt the patient likely had severe acute pancreatitis and not a small … numbers of emergency surgeries performed and allowed greater use of non-operative
treatment in cases of small … Differentiating between,
in this case, pancreatitis and small bowel obstruction due to another cause