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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.164_slideshow.ppt
December 01, 2007 - Spotlight Case [MONTH] 2003
Spotlight Case December 2007
Elopement
Source and Credits
This presentation is based on the December 2007 AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Debra Gerardi, RN, MPH, JD
Creighton University School of Law
Ed…
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psnet.ahrq.gov/node/50393/psn-pdf
September 01, 2019 - Patient Safety and the Evolution of WebM&M and PSNet
September 1, 2019
Ranji SR, Wachter R. Patient Safety and the Evolution of WebM&M and PSNet. PSNet [internet]. 2019.
https://psnet.ahrq.gov/perspective/patient-safety-and-evolution-webmm-and-psnet
Perspective
Progress in any field requires scholarship and dissem…
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psnet.ahrq.gov/node/33749/psn-pdf
April 01, 2013 - Are Residency Duty Hour Rules Improving Patient Safety?
April 1, 2013
Fletcher KE, Reed DA. Are Residency Duty Hour Rules Improving Patient Safety? PSNet [internet]. 2013.
https://psnet.ahrq.gov/perspective/are-residency-duty-hour-rules-improving-patient-safety
Perspective
Introduction
The Accreditation Council f…
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psnet.ahrq.gov/node/33761/psn-pdf
February 01, 2014 - Interruptions and Distractions in Health Care: Improved
Safety With Mindfulness
February 1, 2014
Beyea SC. Interruptions and Distractions in Health Care: Improved Safety With Mindfulness. PSNet
[internet]. 2014.
https://psnet.ahrq.gov/perspective/interruptions-and-distractions-health-care-improved-safety-mindfulne…
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psnet.ahrq.gov/sites/default/files/2023-04/april_2023_spotlight_the_dose_makes_the_poison.pdf
January 01, 2023 - • An orthopedic surgeon was consulted and recommended closed reduction
of the left hip in the ED. … ”
• The orthopedic surgeon performed the hip reduction successfully.
7
Case Details (4)
• The
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psnet.ahrq.gov/node/49872/psn-pdf
August 08, 2019 - The orthopedic surgeon agreed with the
emergency department evaluation and made no further changes.
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psnet.ahrq.gov/node/33712/psn-pdf
June 01, 2011 - a certain
number of hours for proficiency and that can produce significantly better results if the surgeon
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psnet.ahrq.gov/web-mm/mistaken-identity
December 18, 2014 - Mistaken Identity
Citation Text:
Hall LW. Mistaken Identity. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
…
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psnet.ahrq.gov/web-mm/over-counter-oversight
March 21, 2009 - Postoperatively, the attending surgeon reviewed the patient's medications with him in detail and specifically
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psnet.ahrq.gov/web-mm/environmental-safety-or
May 19, 2015 - One cardiac surgeon and his team were identified as having higher infection rates than others, even though
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psnet.ahrq.gov/web-mm/abdominal-aortic-aneurysm-screening
October 01, 2011 - Guidelines from the Society for Vascular Surgery suggest referral to a vascular surgeon at the time of
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psnet.ahrq.gov/web-mm/dont-pick-picc
December 01, 2011 - Dialysis access planning was initiated, but unfortunately, when the patient was evaluated by a vascular surgeon
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psnet.ahrq.gov/node/49545/psn-pdf
September 01, 2007 - A cardiovascular surgeon was consulted that
day, and bypass surgery was scheduled for 4 days later.
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psnet.ahrq.gov/web-mm/lost-sign-out-and-documentation
January 31, 2011 - The Media’s Role in Patient Safety
April 27, 2022
Association of surgeon-patient
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psnet.ahrq.gov/web-mm/residual-anesthesia-tepid-burn
February 10, 2010 - One month later, the patient returned for a second evaluation under anesthesia, and the surgeon noted
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psnet.ahrq.gov/node/846768/psn-pdf
March 29, 2023 - cannot lie flat for the
operation while breathing spontaneously, as is required for the ophthalmic surgeon
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psnet.ahrq.gov/web-mm/new-oral-anticoagulants
July 01, 2011 - appropriately held before her surgery and then restarted on the second hospital day, presumably when the surgeon
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psnet.ahrq.gov/web-mm/bandemia-harbinger-stercoral-colitis-and-impending-perforation
November 25, 2020 - In the operating room, the surgeon found stercoral colitis and a large perforated “stercoral ulcer” of
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psnet.ahrq.gov/node/865454/psn-pdf
March 27, 2024 - Ensuring Patient and Workforce Safety Culture in
Healthcare
March 27, 2024
Murray J, Sorra J, Gale B, et al. Ensuring Patient and Workforce Safety Culture in Healthcare. PSNet
[internet]. 2024.
https://psnet.ahrq.gov/perspective/ensuring-patient-and-workforce-safety-culture-healthcare
Introduction
In 2020, the I…
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psnet.ahrq.gov/web-mm/complications-ecmo-during-transport
January 27, 2021 - divided into specialized ECMO support (e.g., an ECMO physician, perfusionist or ECMO specialist nurse, surgeon