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psnet.ahrq.gov/web-mm/inflicting-confusion
August 04, 2021 - WebM&M Cases
Bowel Injury After Laparoscopic Surgery
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psnet.ahrq.gov/web-mm/one-bronchoscopy-two-errors
December 09, 2020 - efficacy of combined surgical patient safety system and the World Health Organization's checklists in surgery
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psnet.ahrq.gov/web-mm/ventricular-wall-injury-during-diagnostic-cardiac-catheterization
September 01, 2012 - The patient underwent emergency exploratory surgery to fix the perforation within 40 minutes thereafter
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psnet.ahrq.gov/web-mm/reconciling-doses
August 14, 2017 - The process of collecting the medication history and writing orders for elective surgery patients will
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psnet.ahrq.gov/node/33645/psn-pdf
February 01, 2007 - She did well in surgery, and her
leaking aortic aneurysm was repaired before the
leak got any bigger
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psnet.ahrq.gov/web-mm/returning-home-safely
December 22, 2018 - During his admission, the patient underwent right shoulder reduction surgery with plan to keep his arm
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psnet.ahrq.gov/web-mm/are-you-mrs-issue-identification-over-telephone
January 01, 2016 - Getting surgery right. Ann Surg. 2007;246:395-403. [go to PubMed] 7.
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psnet.ahrq.gov/node/49440/psn-pdf
March 01, 2004 - diagnostic error rates as a function of time, while controlling for clinical selection,
case-mix (medicine, surgery
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psnet.ahrq.gov/web-mm/diffusion-responsibility-leads-danger
November 08, 2013 - Am J Surgery. 2014;208:268-274. [go to PubMed] 5.
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psnet.ahrq.gov/web-mm/no-bp-during-nibp
March 01, 2011 - in the operating room: patient monitor and anesthesia workstation alarming patterns during cardiac surgery
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psnet.ahrq.gov/web-mm/shortcuts-acetaminophen-induced-liver-failure
July 01, 2017 - during pregnancy to avoid potential harm to the developing fetus, for example from imaging studies, surgery
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psnet.ahrq.gov/node/33683/psn-pdf
April 01, 2009 - complex problems where one-size-fits-all solutions are sensible, such
as "sign-your-site" rules for surgery
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psnet.ahrq.gov/node/49795/psn-pdf
June 01, 2017 - The patient was
evaluated by vascular surgery who recommended conservative management with intravenous
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psnet.ahrq.gov/perspective/updates-role-health-it-patient-safety
January 31, 2020 - Variation of blood transfusion in patients undergoing major noncardiac surgery.
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psnet.ahrq.gov/node/49582/psn-pdf
April 01, 2009 - The child described in the present case required surgery for
removal of the PICC fragment.
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psnet.ahrq.gov/web-mm/wrong-channel
February 01, 2003 - to peer assessment, hazard identification, and prioritization of patient safety efforts in cardiac surgery
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psnet.ahrq.gov/web-mm/autopsy-revelation
December 01, 2007 - diagnostic error rates as a function of time, while controlling for clinical selection, case-mix (medicine, surgery
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psnet.ahrq.gov/sites/default/files/2020-07/spotlight_nstemi.pdf
January 01, 2020 - • A multi-disciplinary discussion between interventional
cardiology and cardiothoracic surgery concluded
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psnet.ahrq.gov/node/837659/psn-pdf
July 08, 2022 - #2: A 71-year-old man with a history of alcoholism, hypertension, and arthritis s/p hip replacement
surgery
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psnet.ahrq.gov/node/848109/psn-pdf
April 26, 2023 - The median time to IRAE was 71 hours and no patient received plastic surgery
consultation or medications