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psnet.ahrq.gov/node/49572/psn-pdf
October 01, 2008 - Mistaken Identity
October 1, 2008
Hall LW. Mistaken Identity. PSNet [internet]. 2008.
https://psnet.ahrq.gov/web-mm/mistaken-identity
The Case
An 85-year-old Cantonese-speaking woman was admitted to the medical service with altered mental status
and a reported fall. After finding tenderness in her left hip, the p…
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psnet.ahrq.gov/node/49796/psn-pdf
June 01, 2017 - Chest Tube Complications
June 1, 2017
Santhosh L, Broaddus C. Chest Tube Complications. PSNet [internet]. 2017.
https://psnet.ahrq.gov/web-mm/chest-tube-complications
The Case
A 30-year-old woman with a history of cystic fibrosis was admitted to the hospital for management of a
spontaneous left pneumothorax (coll…
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psnet.ahrq.gov/web-mm/one-ace-too-many
June 21, 2016 - One ACE Too Many
Citation Text:
Juurlink DN. One ACE Too Many. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006.
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psnet.ahrq.gov/glossary
January 01, 2003 - concentration (e.g., overlooking a step in a routine task due to a lapse in memory, an experienced surgeon … conventions for identifying sidedness on radiology tests, a protocol for signing the correct site when the surgeon … The surgeon may meet the patient for the first time in the operating room. … A hurried x-ray technologist might mislabel a film (or simply hang it backwards and a hurried surgeon
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psnet.ahrq.gov/glossary-0
January 01, 2003 - concentration (e.g., overlooking a step in a routine task due to a lapse in memory, an experienced surgeon … conventions for identifying sidedness on radiology tests, a protocol for signing the correct site when the surgeon … The surgeon may meet the patient for the first time in the operating room. … A hurried x-ray technologist might mislabel a film (or simply hang it backwards and a hurried surgeon
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psnet.ahrq.gov/perspective/conversation-eric-thomas-about-zero-harm-striving-reduce-preventable-harms-point
September 24, 2024 - initiatives and other areas of healthcare, could be a significant downside to pursuing zero harm, argues surgeon
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psnet.ahrq.gov/perspective/conversation-david-meltzer-md-phd
November 01, 2018 - the hospital—patients rarely know their emergency medicine physician, their anesthesiologist, their surgeon … Under the Obama Administration, Medicare's top physician leader and the Surgeon General were both hospitalists
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psnet.ahrq.gov/perspective/opioid-overdose-patient-safety-problem
May 01, 2017 - November 8, 2017
Surgeon-reported conflict with intensivists about postoperative goals … July 3, 2014
The role of surgeon error in withdrawal of postoperative life support.
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psnet.ahrq.gov/perspective/comprehensivist-model-care-hospitalists-view
November 01, 2018 - the hospital—patients rarely know their emergency medicine physician, their anesthesiologist, their surgeon … Under the Obama Administration, Medicare's top physician leader and the Surgeon General were both hospitalists
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psnet.ahrq.gov/periodic-issue/periodic-issue-313
October 27, 2021 - At this particular hospital, eye cases under MAC are typically performed with an eye block by the surgeon
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psnet.ahrq.gov/periodic-issue/periodic-issue-315
October 27, 2021 - At this particular hospital, eye cases under MAC are typically performed with an eye block by the surgeon
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psnet.ahrq.gov/periodic-issue/periodic-issue-409
September 27, 2023 - Despite aggressive resuscitation, the surgeon determined that operative intervention was futile, and
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psnet.ahrq.gov/periodic-issue/periodic-issue-402
August 30, 2023 - Three days later, she was admitted to a second hospital and the surgeon found stercoral colitis and a
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psnet.ahrq.gov/periodic-issue/periodic-issue-408
September 27, 2023 - Despite aggressive resuscitation, the surgeon determined that operative intervention was futile, and
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psnet.ahrq.gov/periodic-issue/periodic-issue-399
July 31, 2023 - Three days later, she was admitted to a second hospital and the surgeon found stercoral colitis and a
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psnet.ahrq.gov/periodic-issue/periodic-issue-401
July 31, 2023 - Three days later, she was admitted to a second hospital and the surgeon found stercoral colitis and a
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psnet.ahrq.gov/periodic-issue/periodic-issue-400
July 31, 2023 - Three days later, she was admitted to a second hospital and the surgeon found stercoral colitis and a
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psnet.ahrq.gov/periodic-issue/periodic-issue-428
February 28, 2024 - The Black Belt cervical retractor was released by the surgeon resulting in complete resolution of the
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psnet.ahrq.gov/periodic-issue/periodic-issue-429
February 28, 2024 - The Black Belt cervical retractor was released by the surgeon resulting in complete resolution of the
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psnet.ahrq.gov/periodic-issue/periodic-issue-425
February 28, 2024 - The Black Belt cervical retractor was released by the surgeon resulting in complete resolution of the