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psnet.ahrq.gov/web-mm/real-heartache
October 01, 2018 - 5% of all visits.( 1 ) There are both immediately life-threatening etiologies (e.g., acute coronary syndrome … Acute coronary syndromes (ACS) include acute myocardial infarction (AMI) and unstable angina and typically … risk to clinicians of missing an AMI, considerable effort is made in identifying or excluding these syndromes … Clinical predictors of acute coronary syndromes in patients with undifferentiated chest pain.
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psnet.ahrq.gov/periodic-issue/periodic-issue-435
April 10, 2024 - WebM&M Cases
Under Pressure: Delayed Diagnosis of Compartment Syndrome after Lower Leg Fracture … pair of cases highlight the immediate and long-term consequences of delayed recognition of compartment syndrome … The commentary discusses the importance of a multifactor assessment when compartment syndrome is suspected … for trainees and non-physician staff to escalate concerns to attending physicians when compartment syndrome
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psnet.ahrq.gov/issue/clinicians-guide-surgical-fires-how-they-occur-how-prevent-them-how-put-them-out
March 12, 2025 - July 24, 2024
The things we carry: the scope and impact of second victim syndrome.
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psnet.ahrq.gov/issue/prevalence-adverse-drug-combinations-large-post-mortem-toxicology-database
July 29, 2020 - The most common medications implicated were those causing serotonin syndrome and combinations of atrioventricular
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psnet.ahrq.gov/node/49763/psn-pdf
June 01, 2016 - July Syndrome
June 1, 2016
Young JQ. July Syndrome. PSNet [internet]. 2016. … https://psnet.ahrq.gov/web-mm/july-syndrome
The Case
A 64-year-old man was seen in the thoracic surgery … prophylaxis should have been started postoperatively and made sure it
https://psnet.ahrq.gov/web-mm/july-syndrome
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psnet.ahrq.gov/web-mm/fatal-oversight-misdiagnosis-nocturnal-chest-pain-elevated-d-dimer
May 01, 2005 - A normal electrocardiogram in a patient with angina would suggest a low risk of acute coronary syndrome … New right bundle branch block in the setting of acute coronary syndrome is an independent predictor of … rely heavily on serial high-sensitivity troponin values to either rule in or rule out acute coronary syndrome … evaluation using stress testing methods is necessary for risk stratification in patients with typical pain syndromes
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psnet.ahrq.gov/node/44558/psn-pdf
April 25, 2016 - incident reports for diagnostic errors
and found that common conditions such as sepsis and acute coronary syndromes
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.76_slideshow.ppt
October 01, 2004 - A chest x-ray showed diffuse pulmonary infiltrates consistent with acute respiratory distress syndrome … transferred to intensive care and died the next day of overwhelming sepsis and systemic inflammatory response syndrome
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psnet.ahrq.gov/issue/patient-safety-17
April 30, 2024 - October 12, 2022
Nurse burnout syndrome and work environment impact patient safety grade
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psnet.ahrq.gov/web-mm/intraoperative-awareness-during-rhinoplasty
January 29, 2021 - Recognize the potential for developing post-traumatic stress syndrome. … patient may benefit from consultation by a psychiatrist for ongoing treatment of post-traumatic stress syndrome … If the patient shows features of post-traumatic stress syndrome, a psychiatry consult may be helpful. … A psychiatrist should be consulted if there are symptoms of post-traumatic stress syndrome. … November 30, 2023
WebM&M Cases
Missed Compartment Syndrome
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psnet.ahrq.gov/node/41526/psn-pdf
April 05, 2013 - clinically important medication error within one month following discharge for an episode of acute
coronary syndrome
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psnet.ahrq.gov/node/39266/psn-pdf
March 05, 2010 - impact-stress-surgical-performance-systematic-review-literature
https://psnet.ahrq.gov/issue/stress-and-burnout-among-surgeons-understanding-and-managing-syndrome-and-avoiding-adverse
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psnet.ahrq.gov/web-mm/dont-dismiss-dangerous-obstetric-hemorrhage
August 21, 2024 - next few hours, the patient had progressive shock, respiratory failure from acute respiratory distress syndrome … diagnosis of severe preeclampsia—new onset hypertension and laboratory values consistent with HELLP syndrome … The coagulopathy typically seen with HELLP syndrome likely contributed to the bleeding in this patient … The coagulopathies with HELLP syndrome often worsen in the first 24–48 hours postdelivery, as occurred … The natural history of HELLP syndrome: patterns of disease progression and regression.
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psnet.ahrq.gov/sites/default/files/2024-07/spotlight_case_intraoperative_awareness_during_rhinoplasty_slides_final.pptx
January 01, 2024 - Recognize the potential for developing post-traumatic stress syndrome. … validating and addressing the patient’s experience, including addressing symptoms of post-traumatic stress syndrome … patient may benefit from consultation by a psychiatrist for ongoing treatment of post-traumatic stress syndrome … If the patient shows features of post-traumatic stress syndrome, a psychiatry consult may be helpful. … A psychiatrist should be consulted if there are symptoms of post-traumatic stress syndrome.
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psnet.ahrq.gov/node/33569/psn-pdf
September 07, 2019 - there is
increasing concern that the stressful hospital environment may lead to post-hospitalization syndrome … — a
pathophysiologic syndrome of weakness and increased stress that may leave patients vulnerable to
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psnet.ahrq.gov/web-mm/complications-vascular-access-procedures-patients-kidney-disease
November 15, 2023 - the case was complicated by the patient's compromised respiration, suggestive of superior vena cava syndrome … This syndrome can occur when there is an obstruction of blood flow through the SVC, potentially caused … Superior vena cava syndrome: A medical emergency?. … Review of evolving etiologies, implications and treatment strategies for the superior vena cava syndrome
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psnet.ahrq.gov/issue/patient-safety-authority-annual-reports
December 09, 2020 - October 12, 2022
Nurse burnout syndrome and work environment impact patient safety grade
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psnet.ahrq.gov/web-mm/managing-complexity-diagnosis-life-threatening-complications-after-gastric-bypass-surgery
September 25, 2019 - revealed an extremely low thiamine level, and the patient was diagnosed with advanced Wernicke-Korsakoff Syndrome … Alternative causes were explored and the diagnosis of Wernicke-Korsakoff syndrome – a feared condition … It is with this lens, then, that the team appropriately recognizes the syndrome and sends the confirmatory … alcohol-related cognitive disorders: an in-depth review of Wernicke’s Encephalopathy and Korsakoff’s Syndrome … WebM&M Cases
Under Pressure: Delayed Diagnosis of Compartment Syndrome
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psnet.ahrq.gov/issue/conversation-patient-safety-officers
April 30, 2024 - October 12, 2022
Nurse burnout syndrome and work environment impact patient safety grade
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psnet.ahrq.gov/node/49774/psn-pdf
November 01, 2016 - few hours, the patient had progressive shock, respiratory failure from acute respiratory
distress syndrome … diagnosis of severe preeclampsia—new
onset hypertension and laboratory values consistent with HELLP syndrome … The coagulopathy typically seen with HELLP syndrome likely contributed to the
bleeding in this patient … The coagulopathies with HELLP syndrome often worsen in the first 24–48 hours
postdelivery, as occurred … The natural history of HELLP
syndrome: patterns of disease progression and regression.