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Showing results for "surgery".
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  1. Ruptured Heterotopic Pregnancy | PSNet

    psnet.ahrq.gov/web-mm/ruptured-heterotopic-pregnancy
    August 16, 2023 - After surgery and obstetrics were informed of the patient, she was given IV fluids and sent to the CT

  2. Insert Omission | PSNet

    psnet.ahrq.gov/web-mm/insert-omission
    May 09, 2014 - July 10, 2024 Anesthesia-related closed claims in free-standing ambulatory surgery centers

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49745/psn-pdf
    October 01, 2015 - The primary service (thoracic surgery) inadvertently prescribed conventional amphotericin B (Fungizone

  4. The Forgotten Drip | PSNet

    psnet.ahrq.gov/web-mm/forgotten-drip
    April 01, 2014 - Managing Complexity in Diagnosis: Life-threatening Complications after Gastric Bypass Surgery

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33640/psn-pdf
    September 01, 2006 - increasing disclosure of adverse events; root cause analyses; and programs for preventing falls, wrong-site surgery

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33821/psn-pdf
    December 01, 2016 - Application of the aviation black box principle in pediatric cardiac surgery: tracking all failures

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33779/psn-pdf
    March 01, 2015 - predicting-potential-postdischarge-adverse-drug-events-and-30-day-unplanned-hospital https://psnet.ahrq.gov/issue/hospital-readmission-after-noncardiac-surgery-role-major-complications

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49812/psn-pdf
    November 01, 2017 - Errors_in_the_Laboratory.htm https://www.ncbi.nlm.nih.gov/pubmed/15555749 http://www.who.int/patientsafety/topics/safe-surgery

  9. Citrate Mix-Up | PSNet

    psnet.ahrq.gov/web-mm/citrate-mix
    February 01, 2010 - instead of mL), not diluting the solution prior to administration, missed administrations prior to surgery

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49587/psn-pdf
    May 01, 2009 - Jurkovich, MD Professor of Surgery, University of Washington Chief of Trauma, Harborview Medical Center

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49471/psn-pdf
    December 01, 2004 - Multi-Center Study of Epilepsy Surgery. Neurology. 2000;54:625-30.[ go to PubMed ] 13. Krumholz A.

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33689/psn-pdf
    October 01, 2009 - the wrong leg amputated University Community Hospital, Tampa, FL 1995 New focus on wrong-site surgery

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49487/psn-pdf
    August 21, 2005 - Pearl, MD Associate Dean and Clinical Professor of Surgery University of California, San Francisco School

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33676/psn-pdf
    November 01, 2008 - are other patient safety problems that are much more rare and get a lot more attention: wrong-sided surgery

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49556/psn-pdf
    March 01, 2008 - Hold orders are also commonly used around the time of procedures (e.g., surgery, cardiac catheterization

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49623/psn-pdf
    March 01, 2011 - the new bags arrived and the CRRT could be restarted, the patient deteriorated and was taken back to surgery

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33659/psn-pdf
    October 01, 2007 - behavior by a clinician (e.g., bringing unauthorized equipment into the operating room [OR] for use in a surgery

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33835/psn-pdf
    June 01, 2017 - The risk of death in elective surgery is thankfully pretty low, a fraction of a percent.

  19. Computerized Provider Order Entry | PSNet

    psnet.ahrq.gov/primer/computerized-provider-order-entry
    March 15, 2025 - failing to order prophylaxis against deep venous thrombosis in a patient who underwent joint replacement surgery

  20. Making Healthcare Safer III Report | PSNet

    psnet.ahrq.gov/perspective/making-healthcare-safer-iii-report
    March 30, 2020 - For example, do we need to still look at wrong site surgery?
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