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psnet.ahrq.gov/web-mm/right-patient-wrong-sample
June 01, 2004 - identifying an organism leads to incorrect antibiotic treatment and ultimately creates the need for surgical … December 22, 2010
Identifying cross contaminants and specimen mix-ups in surgical pathology
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psnet.ahrq.gov/sites/default/files/2022-08/final_spotlight_case_mesenteric_ischemia_08.05.2022.pdf
January 01, 2022 - consists of fluid resuscitation, broad
spectrum antibiotics, anticoagulation in most cases, and urgent surgical … Acute mesenteric ischemia: diagnostic approach and surgical treatment.
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psnet.ahrq.gov/innovation/algorithm-based-decision-support-system-guides-trauma-staff-during-initial-treatment
May 31, 2023 - The team included 33 emergency, anesthesiology, surgical, and critical care medical and nursing staff … The review encompassed emergency medical, radiological, anesthesiology, surgical, and nursing texts.
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psnet.ahrq.gov/node/866622/psn-pdf
August 28, 2024 - For example, if we had gone almost three years without a patient
suffering a surgical site infection … , bedside medications, oxygen safety, and care of
patients with behavioral health needs on medical-surgical
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psnet.ahrq.gov/primer/pharmacists-role-medication-safety
March 14, 2018 - January 26, 2022
Therapeutic duplication on the general surgical wards.
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psnet.ahrq.gov/periodic-issue/periodic-issue-289
April 28, 2021 - In this observational study, researchers interviewed clinicians attending surgical M&M conferences … Rethinking surgical safety: more than just a checklist.
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psnet.ahrq.gov/node/836812/psn-pdf
March 30, 2022 - included initiatives to reduce patient falls, medication errors, and wrong-site and wrong-patient surgical
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.209_slideshow.ppt
December 01, 2009 - He required a more extensive surgical debridement and he also developed MRSA endocarditis.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.248_slideshow.ppt
September 01, 2011 - She was found to have a left hip fracture as a result of the fall and underwent an uncomplicated surgical
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.191_slideshow.ppt
January 01, 2009 - Hospital X (less than one mile from his house), the patient underwent placement of a new AICD—a minor surgical
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psnet.ahrq.gov/node/49652/psn-pdf
May 01, 2012 - just 3 hours after receipt of his first vancomycin
dose), the patient was transferred to a medical–surgical
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psnet.ahrq.gov/primer/root-cause-analysis
March 30, 2022 - March 27, 2024
Patient Safety Primers
Retained Surgical
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psnet.ahrq.gov/primer/ambulatory-care-safety
December 15, 2024 - March 27, 2024
Patient Safety Primers
Retained Surgical
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psnet.ahrq.gov/perspective/getting-patient-safety-personal-story
August 01, 2006 - I was very involved in the establishment of the Pediatric Surgical Association, which we formed in order … Insurance claims for wrong-side, wrong-organ, wrong-procedure, or wrong-person surgical … March 1, 2011
Analysis of surgical errors in closed malpractice claims at 4 liability
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.239_slideshow.ppt
May 01, 2011 - swelling had been recognized at that time, the child could have been transferred earlier, received surgical
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psnet.ahrq.gov/node/49429/psn-pdf
January 01, 2004 - Conservative medical and surgical management of interstitial ectopic pregnancy.
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psnet.ahrq.gov/node/49499/psn-pdf
December 02, 2020 - Though the delay in diagnosis might not have prevented a surgical procedure, the diagnostic
errors produced
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psnet.ahrq.gov/perspective/innovation-and-lean-thinking-mutually-supportive-partners-transformation-health-care
January 01, 2015 - During hip and knee replacement surgery, pain signals are generated at the surgical site and transmitted … As a consequence, they often get inadequate pain control in the hours prior to their surgical procedure … lifestyle where we eat better, and exercise all the time instead of relying on a new pill or a new surgical
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psnet.ahrq.gov/perspective/workplace-safety-health-care
January 01, 2017 - is widely available; we made a few minor additions to address health care–specific hazards such as surgical … Surgical scheduling: a lean approach to process improvement. AORN J. 2014;99:147-159. … Miscount incidents: a novel approach to exploring risk factors for unintentionally retained surgical
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psnet.ahrq.gov/perspective/conversation-mark-graban-ms-mba
January 01, 2015 - lifestyle where we eat better, and exercise all the time instead of relying on a new pill or a new surgical … During hip and knee replacement surgery, pain signals are generated at the surgical site and transmitted … As a consequence, they often get inadequate pain control in the hours prior to their surgical procedure