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7741. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-459
      October 30, 2024 - revealed a significant epidural hematoma compressing his spinal cord from C3 to C7, prompting emergency surgery … He was later diagnosed with a large frontal subdural hematoma requiring urgent surgery.

7742. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-434
      April 10, 2024 - Study Characteristics and contributing factors of diagnostic error in surgery: … Study Characteristics and contributing factors of diagnostic error in surgery

7743. Right Electrocardiogram, Wrong Patient | PSNet
      psnet.ahrq.gov/web-mm/right-electrocardiogram-wrong-patient
      April 24, 2024 - WebM&M Cases Missed Connection: A Case of Inadequate ECG Oversight in Cardiac Surgery … January 15, 2020 Inappropriate prescribing of opioids for patients undergoing surgery

7744. Bleeding Risk | PSNet
      psnet.ahrq.gov/web-mm/bleeding-risk
      November 01, 2003 - indicated in this case because of the atrial fibrillation; it also reduces the risk of DVT after orthopedic surgery … post-operative patients often require smaller dosages of warfarin than patients who have not had recent surgery

7745. The Dropped Lung | PSNet
      psnet.ahrq.gov/web-mm/dropped-lung
      February 06, 2012 - medicine residency programs.( 5 ) Internal medicine programs have lagged behind emergency medicine and surgery … Surgery. 1998;124:313-7.[ go to PubMed ] 10. Vincent CA, Driscoll PA, Audley RJ, Grant DS.

7746. PowerPoint Presentation (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.350_slideshow.ppt
      June 01, 2015 - peripheral arterial disease. 5 Case: Anchoring Bias (3) The patient required emergent bypass surgery … of the left leg by vascular surgery.

7747. Spotlight (pdf file)
      psnet.ahrq.gov/sites/default/files/2019-12/spotlight_code_status_dec_2019_powerpoint.pdf
      January 01, 2019 - a surgeon’s willingness to perform procedures – An example is Orthopedists’ reluctance to perform surgery … Not performing surgery would leave patient in significant pain; death might be the patient’s preference

7748. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/851555/psn-pdf
      July 31, 2023 - Sean Flynn, MD Assistant Professor of Surgery Department of Colon and Rectal Surgery UC Davis Health

7749. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49653/psn-pdf
      May 01, 2012 - Haynes AB, Weiser TG, Berry WR, et al; Safe Surgery Saves Lives Study Group. … Quality improvement and patient care checklists in intrahospital transfers involving pediatric surgery

7750. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49457/psn-pdf
      September 01, 2004 - been discovered 10 years earlier after he presented with unstable angina and required coronary bypass surgery … whatsoever and repeatedly emphasized that he had been completely free of cardiac symptoms since his surgery

7751. Good Night's Sleep Gone Wrong | PSNet
      psnet.ahrq.gov/web-mm/good-nights-sleep-gone-wrong
      September 01, 2015 - Study A novel approach for engagement in team training in high-technology surgery … : the robotic-assisted surgery olympics.

7752. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33721/psn-pdf
      November 01, 2011 - also reported improved communication, increased staff awareness, and improved equipment use during surgery … Surgery. 2009;145:138-146. [go to PubMed] 17. Fanning RM, Gaba DM.

7753. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33675/psn-pdf
      October 01, 2008 - Romano and colleagues (15) found that half of the difference in postoperative (after back surgery) complication … the Veterans Health Administration system, Rosen and colleagues (16) noted that adverse events from surgery

7754. A Laceration that Needed a Proper Exam, Not an X-Ray | PSNet
      psnet.ahrq.gov/web-mm/laceration-needed-proper-exam-not-x-ray
      November 25, 2020 - In a retrospective study of legal claims of negligence for hand and upper extremity surgery in Greece … another study of 500 consecutive patients with hand injuries in Northern Ireland referred to a plastic surgery … See More About The Topic Emergency Departments Emergency Medicine Orthopedic Surgery

7755. What Was in Those Platelets? | PSNet
      psnet.ahrq.gov/web-mm/what-was-those-platelets
      August 28, 2024 - The Case A 47-year-old woman was admitted to the hospital for complex spinal surgery. … The surgery went well without complications, and postoperatively she was transferred to a general surgical … 76-year-old man with coronary artery disease and a prosthetic aortic valve was admitted for spinal surgery

7756. Misconnection Leading to Arterial Thrombosis | PSNet
      psnet.ahrq.gov/web-mm/misconnection-leading-arterial-thrombosis
      January 29, 2021 - WebM&M Cases Endotracheal Tube Fallout in a Patient with Severe Obesity During Eye Surgery … Missed Compartment Syndrome after Steep Lithotomy Position for Laparoscopic Gynecological Surgery … WebM&M Cases Airway Obstruction during Anterior Cervical Spine Surgery

7757. Spotlight (pdf file)
      psnet.ahrq.gov/sites/default/files/2022-04/final_spotlight_case_and_commentatry_io_line_extravasation-04.08.2022.pdf
      January 01, 2022 - intraoperative use of the IO line was restricted to a low-rate fluid infusion. 5 Case Details (2) • During surgery … • The IO line was removed, and the Orthopedic Surgery service was consulted intraoperatively due to … Journal of Bone and Joint Surgery 1991;75-A(3):430–3. 36. Rimar S, Westry JA, Rodriguez RL.

7758. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49566/psn-pdf
      July 01, 2008 - what-was-those-platelets The Case A 47-year-old woman was admitted to the hospital for complex spinal surgery … The surgery went well without complications, and postoperatively she was transferred to a general surgical … 76-year-old man with coronary artery disease and a prosthetic aortic valve was admitted for spinal surgery

7759. Hypoxic Gas Supply from Cross-Connected Pipelines | PSNet
      psnet.ahrq.gov/web-mm/hypoxic-gas-supply-cross-connected-pipelines
      February 05, 2020 - ucdavis.edu Garth Utter MD, MSc  Consulting Editor, AHRQ’s Patient Safety Network (PSNet) Professor of Surgery … Department of Surgery UC Davis Health ghutter@ucdavis.edu References Gillam-Krakauer M, Gowen Jr CW. … View More See More About The Topic Operating Room Anesthesiology Surgery

7760. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867805/psn-pdf
      February 26, 2025 - Sometimes, for example, during surgery the scalpel slips, and something gets cut that should not have … The safe surgery checklist is another example of an intervention that has clearly reduced risk, although … there is still a lot of risk associated with surgery.