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psnet.ahrq.gov/issue/national-patient-safety-curriculum-pediatric-emergency-medicine
January 12, 2022 - WebM&M Cases
Under Pressure: Delayed Diagnosis of Compartment Syndrome
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psnet.ahrq.gov/issue/healthcare-resilience-meta-narrative-systematic-review-and-synthesis-reviews
June 10, 2020 - Nonoperating room anaesthesia: safety, monitoring, cognitive aids and severe acute respiratory syndrome
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psnet.ahrq.gov/issue/enabling-learning-healthcare-system-automated-computer-protocols-produce-replicable-and
September 23, 2020 - Epidemiology, patterns of care, and mortality for patients with acute respiratory distress syndrome
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psnet.ahrq.gov/issue/understanding-link-between-burnout-and-sub-optimal-care-why-should-healthcare-education-be
August 03, 2022 - August 17, 2022
Nurse burnout syndrome and work environment impact patient safety grade
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psnet.ahrq.gov/issue/digital-health-interventions-and-patient-safety-abdominal-surgery-systematic-review-and-meta
April 06, 2022 - Related Resources
WebM&M Cases
Missed Compartment Syndrome
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psnet.ahrq.gov/issue/implementation-ed-i-pass-standardized-handoff-tool-pediatric-emergency-department
November 16, 2022 - WebM&M Cases
Under Pressure: Delayed Diagnosis of Compartment Syndrome
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psnet.ahrq.gov/issue/effectiveness-acute-care-remote-triage-systems-systematic-review
March 14, 2022 - June 12, 2024
Missed acute coronary syndrome during telephone triage at out-of-hours
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psnet.ahrq.gov/issue/workplace-verbal-abuse-nurse-reported-quality-care-and-patient-safety-outcomes-among-early
July 10, 2019 - January 19, 2022
Nurse burnout syndrome and work environment impact patient safety grade
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psnet.ahrq.gov/web-mm/premature-closure-was-it-just-syncope
February 10, 2021 - frequently presents with other non-specific ECG changes that can mimic patterns seen in acute coronary syndromes … Alternatively, the clinician may have suspected acute coronary syndrome, however there were no clinical … was no history of chest pain or other ischemic symptoms to suggest the presence of an acute coronary syndrome … WebM&M Cases
Under Pressure: Delayed Diagnosis of Compartment Syndrome
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psnet.ahrq.gov/issue/potentially-dangerous-confusion-between-bloxiverz-neostigmine-injection-and-vazculep
July 08, 2015 - Nonoperating room anaesthesia: safety, monitoring, cognitive aids and severe acute respiratory syndrome
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psnet.ahrq.gov/issue/effective-use-medication-related-decision-support-cpoe
May 26, 2011 - October 30, 2019
Missed acute coronary syndrome during telephone triage at out-of-hours
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psnet.ahrq.gov/issue/trust-5-rights-second-victim
September 12, 2012 - April 29, 2020
The unmeasured quality metric: burn out and the second victim syndrome
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psnet.ahrq.gov/issue/improving-hospital-performance-culture-change-not-answer
September 27, 2016 - May 19, 2021
Missed acute coronary syndrome during telephone triage at out-of-hours primary
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psnet.ahrq.gov/issue/competent-surgeon-individual-accountability-era-systems-failure
May 30, 2014 - September 24, 2016
BONE break: a hot debrief tool to reduce second victim syndrome for
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psnet.ahrq.gov/issue/preventing-patient-positioning-injuries-nonoperating-room-setting
November 21, 2012 - Nonoperating room anaesthesia: safety, monitoring, cognitive aids and severe acute respiratory syndrome
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psnet.ahrq.gov/issue/role-chief-executive-officer-maximizing-patient-safety
January 03, 2017 - Epidemiology, patterns of care, and mortality for patients with acute respiratory distress syndrome
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psnet.ahrq.gov/issue/patient-safety-after-hours-telephone-medicine
November 12, 2014 - April 24, 2018
View More
Related Resources
Missed acute coronary syndrome
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psnet.ahrq.gov/issue/new-method-guard-inpatient-medication-safety-implementation-rfid
June 29, 2011 - Epidemiology, patterns of care, and mortality for patients with acute respiratory distress syndrome
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psnet.ahrq.gov/web-mm/nstemi-curbside-consultation
August 04, 2021 - First, clinicians made a series of diagnostic errors, failing to recognize an acute coronary syndrome … seen among men. 19 Failure to recognize sex variation in the presenting symptoms for acute coronary syndromes … Gender disparities in the diagnosis and treatment of non-ST-segment elevation acute coronary syndromes … invasive management strategies for high-risk patients with non-ST-segment elevation acute coronary syndromes … , et al. 2014 AHA/ACC guideline for the management of patients with non-ST-elevation acute coronary syndromes
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psnet.ahrq.gov/web-mm/wrong-turn-through-colon-misplaced-peg
May 01, 2017 - inadvertent PEG removal, cancer metastasis at the PEG insertion site, hemorrhage, peritonitis, buried bumper syndrome … cerebral palsy • Severe trauma • Human immunodeficiency virus / acquired immunodeficiency syndrome … • Short bowel syndrome • Prolonged coma Table 2.